ECG Strips Flashcards
1
Q
A
Ventricular Tachycardia
2
Q
A
Hypokalemia turning to Ventricular Fibrilation
3
Q
A
Bradycardia
2nd degree AV block - 2:1
(Since no U waves in chest leads this is not Hypokalemia)
4
Q
A
RBBB : Rabbit Ears on V1
Inferoposterior Acute MI:
Patho Q and ST elevation on III and Recipricolly on V2,V3
5
Q
A
WPW type A - Pre excitation:
Short PR and wide QRS
6
Q
A
Ventricular Parasystole / LBBB
LVH
Anterior Acute STEMI - V1-V4
7
Q
A
Atrial Fibrilation
RBBB
8
Q
A
Bifascicular Block:
- RBBB - Rabbit ears on V1
- Left posterior Hemiblock - ERD - Negative lead I
9
Q
A
- *1st degree AV block -** Long PR
- *Right Ventricular Hypertrophy:**Dominant R wave on V1,2,3
- *Right Axis Deviation :** Negative R on Lead I
10
Q
A
Ischemia / stable angina ( T inversion / biphasic)
Acute anterior MI
11
Q
A
Hypokalemia
Flat T waves + U waves in leads II, III, aVF, V5-6
12
Q
A
Severe Hypokalemia:
Long QT, U waves and Flat T waves with Inconstat Baseine
13
Q
A
Trifascicular Block:
- RBBB - Rabbit ears on V1
- Left anterior Hemiblock - ELD - aVF+II Negative
- AV 1st Degree block - PR over 5 small squares
14
Q
A
Sinus Bradycardia
- *2nd degree AV block - Mobitz I**
- *Inferior subacute MI** -Pathological Q waves in III and aVF (more than 1/4 of R) , T inversion
- *Wide QRS** - Aberrnt conduction (from MI)
- *Left Ventricular Hypertrophy -**According to Sokolov-Lyon Principle: S wave of V1 + R Wave V5 are Bigger than 35mm
15
Q
A
Idioventricular Rhythem
High Lateral Hyperacute STEMI: V5-V6, I, aVL
16
Q
A
Sinus Bradycardia
Left Ventricular Hypertrophy:Sokolow-Lyon criteria
hyperacute anterior MI :ST segment elevation in V2,V3
Wellen’s syndrome: T is Biphasic and inverted in V2-V6
- This syndrome’s ECG is a manifestation of critical proximal LAD coronary a.Stenosis in patients with unstable angina
17
Q
A
Sinus Bradycardia
High Lateral Ischemia - I, V4-6, T Inversion+ST depression
18
Q
A
Junctional Tachycardia - Inverted P+ High HR
Ventricular Ectopic Beat
Old septal MI - Pathological Q waves in V1, V2 (“Q+S”)
19
Q
A
2nd degree AV block - Mobitz Type I
LAD (-30)
V1-V3 - short R waves
20
Q
A
AVNRT
Regular Rhythm
HR - 200 BPM
Narrow QRS
Lack of Distinct P wave - Joined with QRS; Psuedo S waves
No WPW Pattern
21
Q
A
Sinus Bradycardia
LAD
Peaked T waves + Short QT Segment:
Hypercalcemia/Congenital short QT Syn
22
Q
A
1st Degree AV block
Acute Extensive MI
V1-V6 + I ST Segment Elevation + Pathological Q oN V1-4
23
Q
A
3rd Degree AV Block
24
Q
A
Orthodromic AVRT
25
* *RBBB** - "Rabbit Ears on V1"
* *Acute inferior MI** : Pathological QRS and ST elevation in II,III,aVF
26
* *Junctional Tachycardia:** Accelerated AV Nodal Impulse ,P wave is after QRS complex
* *Left Axis Devation**
27
**Normal ECG Tracing**
28
**Pericarditis**
* Most prominant finding is ST elevation in several leads that DO NO correspond to the area of supply of Any coronary
29
**Trifascicular Block :**
**1st degree AV block + LBBB**
**Anterior Acute MI - V1,V2,V3**
30
**Normal ECG Tracing**
31
**Hypocalcemia:**
**Longer QT+ Longer ST with no change in T wave**
32
**Multifocal Atrial Tachycardia -** Some are Inverted P waves some are Upright.
**Left Ventricualr Hypertrophy -** According to Sokolov-Lyon Principle: S wave of V1 + R Wave V5 are Bigger than 35mm
33
**Junctional and Ventricular Escape Rhythms**
34
**3rd Degree SA Block**
**Junctional Escape Rhythems**
35
**AVRT - Orthodromic**
**WPW - Type B (Negative V1)**
36
**Arrythmia caused by Ventricular Trigemny (VEB/PVC)**
37
**ERD**
**Low Voltage - Amyloidosis:**
Inappropriate Scartissue replacing Myocardium after MI
38
**P Pulmonale**
**V1-V3 small R waves**
39
**Second Degree AV Block - Mobitz Type 1**
**Inferior Acute STEMI -** III, II, aVF
**Left Ventricular Hypertrophy**
40
**Posteroinferiolateral Hyperacute STEMI -**
V2-3, (ST- Depression), II, III, aVF, V5-6
41
**P - Pulmonale
LAD (-20~)
Anteroseptal Hyperacute MI** - V1,V2,V3 ST elevation
**LVH
PVC**
42
**Sinus Bradycardia**
**P - Mitrale (LAH)** - Notched P wave
Inverted T waves, V1-6: Subacute Extensive Ischemia
No Patho Q - So more likely to be Normal Variation
43
**Sinus Bradycardia**
Delta Waves Present on III and II, Negative V1→ **_WPW Syndrome Type B_**
* *Old Septal MI** - V1,V2
* *Left Ventricular Hypertrophy** - Sokolow-Lyon Criteria
44
**Hypercalcemia**
**QT is very short, all elements are crowded together**
45
**Sinus Rhythm**
**Trifascicular Block:**
1. RBBB - "Rabbit Ears on V1"
2. First Degree AV Block : Long PR
3. LPH - Negative R in Lead I (No Right Ventricular Hypertrophy - No P Pulmunale)
46
* *Inferior old/subacute MI** - Pathological Q waves in II,III, aVF
* *RBBB** - Rabbit Ears V1 R wave + Wide QRS
* *Extreme Left Axis Deviation** - Inverted R Lead II (Cause of MI)
47
**Sinus Bradycardia**
**Hypothermia: Osborn Wave (J) elevation+Tall T waves**
48
**Antedromic AVRT**
49
**Atrial Bradyfibriation - Digitalis Effect:**
**Scooped ST Depression (obvious on V5), Short QT, U waves**
50
**Left Ventricular Hypertrophy**
**Patological Q waves on aVL - Old Infract**
51
**2nd Degree SA Block - Mobitz Type I**
52
**Atrial Fibrilation**
**Bifascicular Block:**
1. **Extensive Left Axis Deviation** - Negative aVF and II
2. **RBBB**-Not the classical; Wide QRS+ "V2 Rabbit Ears"
53
**Ventricular Ectopic Beats -** Trigeminy Arrythmia
**Left Ventricular Hypertrophy -** Sokolov Criteria
54
**Sinus Bradycardia**
55
**Sinus tachycardia
Inferior and lateral hyperacute MI (ST elevation only)
Posterior acute MI (Q and ST elevation)**
56
**Atrial Multifocal Tachycardia - Arrhythmic with Atrial escape beats**
**ELD**
**Subacute anteroseptal MI** - V1-V3 Patho Q, ST elevation, T Inversion
57
**AVNRT**
58
**Atrial Fibrilation**
**High Degree RBBB (marked one beat)**
**SIQIIITIII Pattern - Pulmonary Embolism**
59
**2nd degree AV block - Mobitz Type I**
**LBBB - "**Notched Towe"r on first R of V6 + Wide QRS
**Extreme Left Axis Deviation** - Negative R in Lead II (cause of LBBB)
60
**Dual pacemaker - Atria and Ventricles
Ventricular Ectopic Beats (PVC) in aVR , aVL , aVF**
61
**Pulmonary Emboism:**
**S1Q3T3 Pattern - Negative Signals in Corresponding Leads**
**also : Sinus Tachycardia, Incomplete RBBB**
62
**Sinus Tachycardia**
**Pericardial Effusion: Electric QRS Alternans**
63
**Atrial Flutter**
64
**Left Axis Deviation -** aVF Negative, II Biphasic
**Premature Ventricular Contraction (1 only is present)**
**LBBB - "Notched R in I"**
**Left Ventricular Hypertrophy** - Sokolow Criteria , Strain Phenomena T inversions
65
**WPW-type B** (Atrial Rhythem)
**AVRT-Orthodromic Tachycardia** (150 BPM)
66
**AVNRT - AV Nodal Reentrant Tachycardia**
## Footnote
**Rhythmic, Tachycardia**
**In Lead III there are Retrograde P waves**
67
**Sinus Bradycardia**
**LAD**
**Hyperkalemia - Isoelectric ST + PEAKED T in Chest leads**
68
**Atrial Fibrilation**
**Bifascicular Block :**
1. **RBBB -** Rabbit Ears on V1
2. **ELD** - Anterior Fascicle Hemiblock
69
**Sinus Bradycardia**
**Old Infraction -** Pathological Q and T inversion on III
70
**Pericarditis** - ST Elevation in Almost Every Lead
71
**AV 2:1 Conducation Block**
**Ischemic Heart Disease** - T wave Inversions
72
**AVNRT**
NO Retrograde P wave Deform ST Segment (+No WPW)
73
**Bruguda Syndrome**
74
* *Polymorph PVC**
* *Digoxin Effect** - 'Reverse Tick' ST Segment Depression is shown in V5 V6 leads (Scooped ST), T reduction and QT Shortening. (Atrial bradyfibrilation)
## Footnote
* Blocks Na+/K+ ATPase
* Increased Ca2+ in cells —\> easily contracted muscle
75
**Digitalis Toxicity**
| (Source of Digoxin)
76
* *Multifocal Atrial Tachycardia** - arrhythmia, different morphology of P wave
* *Right Ventricular and Atrial Hypertrophy** - P Pulmonale + R Dominant on V1
77
* *Atrial fibrillation** - No baseline
* *ELD** - Negative aVF and II ,Wide QRS - LAH
* *LVH**
78
**LGL Syndrome**
Short PR (NO DELTA WAVE)
79
**Left Axis Deviation**
**Allorhythmia - Ventricular Bigeminy**
80
**ELD** - Negative aVF and II
**Inferior-Anterior Acute MI -** V1-3,aVF, III : ST elevation and Pathological Q waves
81
**Rhythmic**
**3rd Degree AV Block with Junctional Escape Beats**
**Inferior Hyperacute MI**
**Anterior Ischemia**
