EKG's interpretation only Flashcards

(54 cards)

1
Q

What is the axis?

A

0

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2
Q

Rhythm?

A
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3
Q
A
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4
Q

Rhythm?

A

Atrial Bigeminy

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5
Q

Rhythm?

A

Inferior Wall MI

note the “firehat” sign in II, III and aVF

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6
Q

Rhythm?

A

Left ventricular hypertrophy with strain pattern

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7
Q

Rhythm?

A

Prolonged QT syndrome

(hypomagnesemia)

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8
Q

Rhythm?

A

Wolf-Parkinson-White (WPW)

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9
Q

Rhythm?

A

Second degree AV block

Mobitz type II

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10
Q

What is wrong here?

A

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

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11
Q

Rhythm?

A

WPW

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12
Q

Rhythm?

A

Third degree AV block

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13
Q

Diagnose!

A

Anterolateral Wall MI

Note ST elevation in I, aVL, V5 and V6

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14
Q

What do you see here?

A

Atrial Paced rhythm

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15
Q

Rhythm?

A

Mobitz Type II

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16
Q

What do you see here?

A

Wandering Pacemaker

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17
Q

What is the problem here?

A

Hyperkalemia

Note

  • flattened/widened P waves
  • Widened QRS complexes
  • Peaked T waves
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18
Q

Rhythm?

A

Right bundle branch block

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19
Q

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

A

Inferior Wall MI

note the ST elevation in II, III and aVF again

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20
Q

What are these findings indicative of?

A

Left atrial hypertrophy

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21
Q

What is going on here?

A

Dextrocardia

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22
Q

Rhythm?

23
Q

Rhythm?

A

Right atrial hypertrophy

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

24
Q

Rhythm?

A

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