Lecture 4 - The Heart Axis Flashcards

(47 cards)

1
Q

What is flat line also known as?

A

Asystole

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2
Q

What is asystole?

A

A condition in which the heart ceases to beat (no systolic beat) No proper ventricle activity

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3
Q

What is the preferred method of restart?

A

CPR and/or injection with vasopressin

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4
Q

The equipment: lead

A

Place on body and it would record a voltage shift as the waves of electrical activity sweep over the heart

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5
Q

If the wave is traveling in the direction of (parallel to) the lead…

A

It will give a strong signal

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6
Q

If the wave is travelling perpendicular to lead…

A

It will give no signal as the voltage is not being changed in favour of the positive or negative electrode

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7
Q

Where does a wave of depolarisation travel toward?

A

Positive lead - positive deflection of the ECG trace

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8
Q

A wave of repolarization travel toward

A

Positive lead results in the opposite

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9
Q

What results in opposite deflections?

A

Waves travelling away from positive electrode

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10
Q

What is fibrillation?

A

When the heart is totally out of sync

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11
Q

What is tachycardia?

A

Ventricles are beating too fast

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12
Q

What is the Einthoven’s triangle?

A

Imaginary formation of 3 limb lead in a triangle used in electrocardiography formed by 2 shoulders and pubis

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13
Q

What is lead I?

A

Right arm to left arm

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14
Q

What is lead II?

A

Right arm to left leg

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15
Q

What is lead III?

A

Left arm to left leg

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16
Q

What does the electrode placed on the right leg serve?

A

As a ground and does not record Reduces noise interference

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17
Q

What are the unipolar leads?

A

avR, avL and avF

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18
Q

What is he direction of ECG dependent on?

A

The direction of the depolarisation and depolarisation wave moving across the heart

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19
Q

What is used to view the heart?

A

2 leads One lead: positive electrode Other:negative electrode

20
Q

What does unipolar lead measure?

A

Electric impulses at only one only one point

21
Q

avR (augmented vector right)

A

Positive electrode right shoulder

22
Q

avL (augmented vector left)

A

Positive electrode left shoulder

23
Q

AvF (augmented vector foot)

A

Positive electrode on foot

24
Q

What can one wave of AP give?

A

Higher or lower recordings depending on which lead you are considering

25
How can you find a cardiac vector?
Looking at all 3 leads of the triangle
26
What is heart axis defined by?
Magnitude an angle
27
What can the axial reference system be used to determine?
Electrical axis of heart
28
What does each lead pick up?
Electrical activity from a different position on heart muscle
29
Extreme right axis deviation or No man’s land
Emphysema Hyperkalemia. Lead transposition Ventricular pacing Ventricular arrhythmia
30
What are the causes of Right axis deviation?
Right Ventricular hypertrophy (Right ventricle is enlarged and generate more electrical activity) Heart axis pulled to the right Loss of tissue of left ventricle Pulmonary embolism (obstruction in pulmonary artery - the right ventricle generate greater pressure to pump blood in PA - greater electrical activity)
31
Extreme right axis deviation or No man’s land
Emphysema Hyperkalemia. Lead transposition Ventricular pacing Ventricular arrhythmia
32
What are the causes of Right axis deviation?
Right Ventricular hypertrophy (Right ventricle is enlarged and generate more electrical activity) Heart axis pulled to the right Loss of tissue of left ventricle Pulmonary embolism (obstruction in pulmonary artery - the right ventricle generate greater pressure to pump blood in PA - greater electrical activity)
33
Left axis deviation
Past inferior MI Left anterior fascicular block Ventricular pacing Emphysema Hyperkalemia WPW Tricuspid atresia Ostium primum atrial septum defect
34
What do clinics use?
3 auxiliary leads
35
Where are the precordual leads placed?
Sternum travelling in a posterior direction
36
V1
Fourth intercostal space, on the right sternal border
37
V2
Opposite v1, on the left sternal border
38
v3
Between v2 and v4
39
V4
Fifth intercostal space, on mid-clavicular line
40
V5
Same level as v4, anterior axillary line
41
V6
Same level as v4, mid axillary line
42
Lead I
0 degrees +-180 degree
43
Lead II
+60 degree -120 degree
44
Lead III
+120 degree -60 degree
45
Lead avR
+30 degree -150 degree
46
Lead avL
-30 degree +150 degree
47
Lead avF
+90 degree -90 degree