EKG's interpretation only Flashcards Preview

Cardiovascular II Exam One > EKG's interpretation only > Flashcards

Flashcards in EKG's interpretation only Deck (54)
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1

What is the axis?

0

2

Rhythm?

3

4

Rhythm?

Atrial Bigeminy

5

Rhythm?

Inferior Wall MI

note the "firehat" sign in II, III and aVF

6

Rhythm?

Left ventricular hypertrophy with strain pattern

7

Rhythm?

Prolonged QT syndrome

(hypomagnesemia)

8

Rhythm?

Wolf-Parkinson-White (WPW)

9

Rhythm?

Second degree AV block

Mobitz type II

10

What is wrong here?

Hypothermia

Note

•Severe sinus Bradycardia
•Prolonged PR interval
•Widened QRS complex
•Prolonged QT interval
•Osborn wave
   –Extra deflection at the end of the QRS complex
 

11

Rhythm?

WPW

12

Rhythm?

Third degree AV block

13

Diagnose!

Anterolateral Wall MI

Note ST elevation in I, aVL, V5 and V6

14

What do you see here?

Atrial Paced rhythm

15

Rhythm?

Mobitz Type II

16

What do you see here?

Wandering Pacemaker

17

What is the problem here?

Hyperkalemia

Note

  • flattened/widened P waves
  • Widened QRS complexes
  • Peaked T waves

 

18

Rhythm?

Right bundle branch block

19

What's indicated here... I guess not all these are rhythms, just got carried away on repeat

Inferior Wall MI

note the ST elevation in II, III and aVF again

20

What are these findings indicative of?

Left atrial hypertrophy

21

What is going on here?

Dextrocardia

22

Rhythm?

Junctional

23

Rhythm?

Right atrial hypertrophy

Tall biphasic P waves that are mostly positive (see in V1 especially)

24

Rhythm?

Atrial Fibrillation

25

Rhythm?

First degree AV block

26

Rhythm?

Wenckebach (type I second degree heart block)

27

Axis?

-90

28

Rhythm?

Left bundle branch block

29

Rhythm?

Left atrial Hypertrophy

P waves are biphasic and primarily negative

30

Rhythm?

Torsades de Points

31

Rhythm?

Prolonged QT syndrome

32

What is the axis?

-60

33

What is wrong here?

Hypocalcemia

Note

  • Prolonged QT interval
  • Flattened T waves

 

34

Axis?

+100

35

What is the axis?

+30

36

Rhythm?

Right ventricular hypertrophy with strain pattern

37

Rhythm?

Anterior Ischemia

Note the depressed ST segments in V3, V4

38

Rhythm?

Atrial Flutter

39

Rhythm?

Anterior Ischemia

40

What is shown in this strip?

Pericardial Effusion

"electrical alternans"  Due to heart moving in the sac you get variable electrical signaling

41

Rate and Rhythm?

~75 bpm

Normal Sinus rythym

42

What's going on here?

Hypothermia

43

What is the problem here?

Hypokalemia

Note

  • Flattened T waves
  • Prominent U waves

 

 

44

Rhythm?

Junctional Tachycardia

45

Rhythm?

 Ventricular Bigeminy

46

Rhythm?

Left ventricular hypertrophy with strain pattern

In addition to V1 S and V5 R greater than 35mm you also have depressed and humped ST segment, and you will see asymmetric T waves

47

Rhythm?

Ventricular Tachycardia

48

What is shown here?

Pericarditis


•ST segment elevation that is flattened with T wave elevated off the baseline
•Usually present in all leads
•Convincing evidence of PR segment depression
 

49

Rhythym?

Right bundle branch block

50

Rhythm?

Wenckebach

51

Name that problem!

Hypercalcemia

Note

  • Shortened QT interval
  • Widened T wave

 

52

What do you see here?

Ventricular paced rhythm

note the sharp spikes in the P waves

53

Rhythm?

Left Ventricular hypertrophy

Abnormally large S wave in V1

Abnormally large R wave in V5

V1 S wave plus V5 R wave > 35 mm is left ventricular hypertrophy

54

Rhythm?

Ventricular Fibrillation