Normal ECG Flashcards

(56 cards)

1
Q

P wave

A

Atrial depolarization

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2
Q

In what leads is the P wave upright?

A

1, 2, AVF, V4, V5, V6

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3
Q

In what leads is the P wave inverted?

A

AVR

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4
Q

PR Interval

A

From the beginning of the P wave to the beginning of the QRS complex

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5
Q

What does the PR interval represent?

A

Time from the SA node to the ventricular myocyte

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6
Q

Normally, the PR interval should be less than?

A

0.2 seconds

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7
Q

Each little box on an ECG represents ____ mm and ____ seconds

A

1 mm

0.04 seconds

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8
Q

Each bigger box (dark line to dark line) on an ECG represents _____ mm and ____ seconds

A

5 mm

0.20 seconds

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9
Q

QRS complex

A

Ventricular depolarization

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10
Q

The QRS complex should be less than ___ seconds

A

0.10

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11
Q

Q waves should be less than ____ seconds in width

A

0.03

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12
Q

ST segment takes place after?

A

QRS complex

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13
Q

Normally, the ST segment is?

A

Isoelectric (baseline)

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14
Q

The ST segment is NEVER normally depressed more than ___ mm

A

1/2

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15
Q

If the ST segment is elevated more than ___ mm, it could indicate subepicardial ischemia

A

1-2

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16
Q

If the ST segment is depressed more than 1/2 mm, it could indicate?

A

Subendocardial ischemia

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17
Q

T wave

A

Ventricular repolarization

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18
Q

In what leads is the T wave upright?

A

1, 2, V3 - V6

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19
Q

In what leads is the T wave inverted?

A

AVR

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20
Q

In standard leads, the T wave should not be taller than?

A

5 mm

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21
Q

In precordial leads, the T wave should not be taller than?

A

10 mm

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22
Q

QT interval

A

Ventricular systole

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23
Q

What is a U wave associated with?

24
Q

What are the bipolar limb leads?

25
What are the augmented limb leads?
AVR, AVL, AVF
26
What are the precordial chest leads?
V1 - V6
27
What leads take measurements from the lateral body wall?
1, AVL, V5, V6
28
What leads take measurements from the inferior side?
2, 3, AVF
29
AV block occurs when?
PR interval >> 0.2 seconds
30
For the QRS complex, what is the 1st downward deflection known as?
Q wave
31
For the QRS complex, what is the 1st upright deflection known as?
R wave
32
For the QRS complex, if a Q wave does NOT occur, what is the 1st upright deflection known as?
R wave
33
For the QRS complex, what is the downward deflection following an R wave known as?
S wave
34
If there are multiple R and S waves, they get what symbol designation?
Prime
35
What is classified as a sinus rhythm?
When a P wave occurs before every QRS complex
36
What are the best leads for reading P waves?
2 and V1
37
Heart rate greater than 100
Tachycardia
38
Heart rate slower than 60
Bradycardia
39
What are the numbers for calculating heart rate starting with the next dark line after the aligned R wave?
``` 300 150 100 75 60 50 43 ```
40
Lead I is perpendicular to?
AVF
41
Lead II is perpendicular to?
AVL
42
Lead III is perpendicular to?
AVR
43
The 6 limb leads (I, II, III, AVF, AVL, AVR) intersect where?
Heart
44
Lead I is what degrees?
0 and 180
45
Lead AVR is what degrees?
+30 and -150
46
Lead II is what degrees?
+60 and -120
47
Lead AVF is what degrees?
+90 and -90
48
Lead III is what degrees?
+120 and -60
49
Lead AVL is what degrees?
+150 and -30
50
A normal axis
Between 0 and +90
51
In what 2 leads are you looking for deflections for the axis?
Lead I and AVF
52
Normal axis deflections
Lead I: Positive | Lead AVF: Positive
53
Left axis
Between 0 and -90
54
Left axis deflections
Lead I: Positive | Lead AVF: Negative
55
Right axis
Between +90 and 180
56
Right axis deflections
Lead I: Negative | Lead AVF: Positive