ECG VI: Myocardial ischemia and infarction Flashcards Preview

Year 2 Cardiovascular > ECG VI: Myocardial ischemia and infarction > Flashcards

Flashcards in ECG VI: Myocardial ischemia and infarction Deck (17):
1

what layer of the heart is most susceptible to ischemia?

subendocardial

2

what are the three main determinants of myocardial oxygen consumption?

HR
contracility
myocardial wall tension

3

what is the appearance of the ST segment in myocardial ischemia if blood flow is normal?

remains isoelectric

4

in what situation does the ST segment remain isoelectric during myocardial ischemia?

if blood flow is normal

5

how does the T wave change in myocardial (subendocardial) ischemia?

inverted T wave in relation to QRS

6

what is the best indicator for myocardial ischemia?

ST segment shift

7

how does the T wave change in myocardial (full thickness) ischemia?

hyperacute - tall and peaked

8

in which situation is ST elevation observed as related to ischemia?

transmural ischemia - coronary flow is lost due to occlusion

9

what % of patients have an RCA that supplies the right inferior wall?

90%

10

is it possible for the QRS complex to be affected by ischemia?

yes

11

what part of the ECG is most helpful during MI?

QRS complexes

12

what are the initial changes seen during MI? late changes?

initial - injury (ST elevation)

late - necrosis (Q waves)

13

what causes Q waves in MI?

myocardial activation in segments away from the affected area

14

pathologic Q waves are defined as being what duration?

greater than 0.03 s

15

Q waves are abnormal is they are seen in what leads?

V1-3

16

pathologic R waves are seen in what type of MI?

true posterior

17

true posterior MIs show what ECG abnormalities?

pathologic R waves