EKG's interpretation only Flashcards Preview

Question 1

1

What is the axis?

0

Answer

Atrial Bigeminy

Answer

Inferior Wall MI

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

Answer

Left ventricular hypertrophy with strain pattern

Answer

Prolonged QT syndrome

(hypomagnesemia)

Answer

Wolf-Parkinson-White (WPW)

Answer

Second degree AV block

Mobitz type II

Answer

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

Answer

Third degree AV block

Answer

Anterolateral Wall MI

Note ST elevation in I, aVL, V5 and V6

Answer

Atrial Paced rhythm

Answer

Mobitz Type II

Answer

Wandering Pacemaker

Answer

Hyperkalemia

Note

flattened/widened P waves
Widened QRS complexes
Peaked T waves

Answer

Right bundle branch block

Answer

Inferior Wall MI

note the ST elevation in II, III and aVF again

Answer

Left atrial hypertrophy

Answer

Dextrocardia

Answer

Junctional

Answer

Right atrial hypertrophy

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

Answer

Atrial Fibrillation

Answer

First degree AV block

Answer

Wenckebach (type I second degree heart block)

Answer

Left bundle branch block

Answer

Left atrial Hypertrophy

P waves are biphasic and primarily negative

Answer

Torsades de Points

Answer

Prolonged QT syndrome

Answer

Hypocalcemia

Note

Prolonged QT interval
Flattened T waves

Answer

Right ventricular hypertrophy with strain pattern

Answer

Anterior Ischemia

Note the depressed ST segments in V3, V4

Answer

Atrial Flutter

Answer

Anterior Ischemia

Answer

Pericardial Effusion

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

Answer

~75 bpm

Normal Sinus rythym

Answer

Hypothermia

Answer

Hypokalemia

Note

Flattened T waves
Prominent U waves

Answer

Junctional Tachycardia

Answer

Ventricular Bigeminy

Answer

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

Answer

Ventricular Tachycardia

Answer

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

Answer

Right bundle branch block

Answer

Wenckebach

Answer

Hypercalcemia

Note

Shortened QT interval
Widened T wave

Answer

Ventricular paced rhythm

note the sharp spikes in the P waves

Answer

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

Answer

Ventricular Fibrillation

Question 2

2

Rhythm?

Question 3

3

Question 4

4

Rhythm?

Question 5

5

Rhythm?

Question 6

6

Rhythm?

Question 7

7

Rhythm?

Question 8

8

Rhythm?

Question 9

9

Rhythm?

Question 10

10

What is wrong here?

Question 11

11

Rhythm?

WPW

Question 12

12

Rhythm?

Question 13

13

Diagnose!

Question 14

14

What do you see here?

Question 15

15

Rhythm?

Question 16

16

What do you see here?

Question 17

17

What is the problem here?

Question 18

18

Rhythm?

Question 19

19

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

Question 20

20

What are these findings indicative of?

Question 21

21

What is going on here?

Question 22

22

Rhythm?

Question 23

23

Rhythm?

Question 24

24

Rhythm?

Question 25

25

Rhythm?

Question 26

26

Rhythm?

Question 27

27

Axis?

-90

Question 28

28

Rhythm?

Question 29

29

Rhythm?

Question 30

30

Rhythm?

Question 31

31

Rhythm?

Question 32

32

What is the axis?

-60

Question 33

33

What is wrong here?

Question 34

34

Axis?

+100

Question 35

35

What is the axis?

+30

Question 36

36

Rhythm?

Question 37

37

Rhythm?

Question 38

38

Rhythm?

Question 39

39

Rhythm?

Question 40

40

What is shown in this strip?

Question 41

41

Rate and Rhythm?

Question 42

42

What's going on here?

Question 43

43

What is the problem here?

Question 44

44

Rhythm?

Question 45

45

Rhythm?

Question 46

46

Rhythm?

Question 47

47

Rhythm?

Question 48

48

What is shown here?

Question 49

49

Rhythym?

Question 50

50

Rhythm?

Question 51

51

Name that problem!

Question 52

52

What do you see here?

Question 53

53

Rhythm?

Question 54

54

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EKG's interpretation only Flashcards Preview

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

What is the axis?

0

Rhythm?

Rhythm?

Atrial Bigeminy

Rhythm?

Inferior Wall MI note the "firehat" sign in II, III and aVF

Rhythm?

Left ventricular hypertrophy with strain pattern

Rhythm?

Prolonged QT syndrome (hypomagnesemia)

Rhythm?

Wolf-Parkinson-White (WPW)

Rhythm?

Second degree AV block Mobitz type II

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

Rhythm?

WPW

Rhythm?

Third degree AV block

Diagnose!

Anterolateral Wall MI Note ST elevation in I, aVL, V5 and V6

What do you see here?

Atrial Paced rhythm

Rhythm?

Mobitz Type II

What do you see here?

Wandering Pacemaker

What is the problem here?

Hyperkalemia Note flattened/widened P waves Widened QRS complexes Peaked T waves

Rhythm?

Right bundle branch block

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

What are these findings indicative of?

Left atrial hypertrophy

What is going on here?

Dextrocardia

Rhythm?

Junctional

Rhythm?

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

Rhythm?

Atrial Fibrillation

Rhythm?

First degree AV block

Rhythm?

Wenckebach (type I second degree heart block)

Axis?

-90

Rhythm?

Left bundle branch block

Rhythm?

Left atrial Hypertrophy P waves are biphasic and primarily negative

Rhythm?

Torsades de Points

Rhythm?

Prolonged QT syndrome

What is the axis?

-60

What is wrong here?

Hypocalcemia Note Prolonged QT interval Flattened T waves

Axis?

+100

What is the axis?

+30

Rhythm?

Right ventricular hypertrophy with strain pattern

Rhythm?

Anterior Ischemia Note the depressed ST segments in V3, V4

Rhythm?

Atrial Flutter

Rhythm?

Anterior Ischemia

What is shown in this strip?

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

Brainscape's Knowledge Genome^TM

Inferior Wall MI

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

Prolonged QT syndrome

(hypomagnesemia)

Second degree AV block

Mobitz type II

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

Anterolateral Wall MI

Note ST elevation in I, aVL, V5 and V6

Hyperkalemia

Note

flattened/widened P waves

Widened QRS complexes

Peaked T waves

Inferior Wall MI

note the ST elevation in II, III and aVF again

Right atrial hypertrophy

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

Left atrial Hypertrophy

P waves are biphasic and primarily negative

Hypocalcemia

Note

Prolonged QT interval

Flattened T waves

Anterior Ischemia

Note the depressed ST segments in V3, V4

Pericardial Effusion

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

~75 bpm

Normal Sinus rythym

Hypokalemia

Note

Flattened T waves

Prominent U waves

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

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

Hypercalcemia

Note

Shortened QT interval

Widened T wave

Ventricular paced rhythm

note the sharp spikes in the P waves

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