ECG WTCC
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| 7 sinus rhythms | show 🗑
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| show | Less than 0.12 sec
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| No P-Wave indicates what | show 🗑
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| Normal PR-Interval is | show 🗑
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| PR- Intervals indicate the time impulse travels thru what part of the conduction system | show 🗑
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| show | Ventricular Myocardium, ventricular depolarization
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| show | 0.06-0.10
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| show | ST Segment depression
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| Acute MI can show up as what on ECG | show 🗑
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| show | May indicate early sign of STEMI, hyperkalemia
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| Flat T-Waves could indicate what | show 🗑
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| Normal QT-Interval is | show 🗑
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| show | 250-350 bpm / normal QRS/ Regular rhythm
Atrial rate to Ventricular rate can be a ratio like 2:1, 3:1, 4:1
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| Atrial Fibrillation rate | show 🗑
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| Rate of Junctional rhythm is | show 🗑
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| Rate of Junctional Tachycardia is | show 🗑
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| Junctional Rhythms have what in common | show 🗑
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| When impulse originates in ventricles or Junctional then QRS will look wide or narrow | show 🗑
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| show | Frequent PVC = 6 or more per minute
Couplet PVC’s are 2 in a row
bi, tri, quad, sustained , non sustained, occasional, Interpolated, Triplett, salvo, multifocal, unifocal
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| Term for when PVC occurs and does not interrupt the underlying rhythm | show 🗑
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| SAMPLE | show 🗑
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| show | 1/3 or more the amplitude of the R wave and duration greater then 0.04, indicates tissue death, seem in anatomically contiguous leads
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| Criteria for Idioventricular rhythm | show 🗑
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| show | Rhythm- usually regular
Rate- 40 - 60
P wave- inverted can be before, after or buried in QRS.
PRI- measurable only if before QRS and will be shorter
QRS- can be wide if impulse comes from lower av junct. and narrow from higher; may be inverted
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| Criteria for SVT - supraventricular tachycardia | show 🗑
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| Criteria for Accelerated Idioventricular rhythm | show 🗑
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| show | wide QRS with T wave deflection in the opposite direction of the QRS. produces a irregular rhythm. early beat. need to count as a beat with other beats.
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| show | Rhythm- atrial and ventricular have regular but are independent from each other
Rate- atrial faster than vent.
P wave- all blocks have P waves
PRI- varies as more P waves than QRS
QRS- normal with junct. and wide with Vent,
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| ECG for RBBB | show 🗑
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| show | Less than 2.5 mm
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| show | Rhythm- atrial and ventricular regular
Rate- atrial > vent. usually a ratio
P wave- no P wave , instead F waves-- 3:1, 2:1 ...
PRI- missing
QRS- normal 0.06 - 0.10
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| Criteria for Classical or Mobitz 2 / 2nd degree type 2 | show 🗑
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| Criteria for 1st degree AV Block | show 🗑
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| show | Rhythm- atrial regular and vent irregular
Rate- atrial > vent
P wave- normal, more P's than Q's
PRI- Progressively gets longer until QRS drops
QRS- normal
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| ECG for LBBB | show 🗑
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| Causes for left axis deviation LAD | show 🗑
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| show | ST elevation or depression
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| Issues that can trigger MAT | show 🗑
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| Term for placing limb leads on torso | show 🗑
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| Criteria for Preexcitation | show 🗑
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| Criteria for Accelerated Junctional rhythm | show 🗑
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| Criteria for Junctional Tachycardia | show 🗑
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| Types of Artifact | show 🗑
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| Sustained vs. non sustained V-Tach | show 🗑
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| show | Paroxysmal Event
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| show | Run of Ventricular Tachycardia , AKA = Triplett or Salvo
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| show | V tach or V fib
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| Criteria for A Fib | show 🗑
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| show | Rhythm- none
Rate- not measurable
P wave- missing
PRI- missing
QRS- missing just chaotic waves, can have fine or coarse 3mm, pt. will be unresponsive, no pulse/RR
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| show | V Tach = wide QRS and HR 101 - 250 with a least 3 PVC in row
SVT = narrow QRS and HR 150 - 250 and child 180 plus
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| show | PVC's , 2nd and 3rd degree HB, R on T PVC.
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| Criteria for PAC | show 🗑
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| Criteria for Sinus Dysrhythmia | show 🗑
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| Criteria for WAP ; wandering atrial pacemaker | show 🗑
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| show | Rhythm- Irregular
Rate- 101 - 150
P wave- Changes constantly, can be inverted or hidden
PRI- varies
QRS- normal
SAME as WAP but faster
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| 4 things to look for in T wave with ischemia | show 🗑
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| Ischemic region of heart can cause what dysrhythmic beat | show 🗑
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| Criteria for Ventricular Tachycardia | show 🗑
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| show | Rhythm, rate, P wave, PRI, QRS, Lead groups, Morphology
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| show | Restenosis
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| Measurement for LVH ; left ventricular hypertrophy | show 🗑
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| 2 leads that are use to determine Axis Deviation | show 🗑
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| show | Positive in lead 1 and negative in aVF
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| show | Negative in lead 1 and positive in lead aVF
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| Normal axis QRS in leads | show 🗑
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| show | Negative in both lead 1 and aVF
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| Lead 1 travels in what direction | show 🗑
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| Ventricular conduction in LBBB travels in what pathway to depolarize the LV | show 🗑
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| show | From Left to Right, ;, abnormal with LBBB
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| Causes of Right Axis Deviation | show 🗑
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| show | Rhythm- Reg or Irreg
Rate- Less than 20
P wave- missing
PRI- missing
QRS- wide and bizarre
Heart is dying
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| show | More than 1/2 the height of the QRS, should be less than 1/2
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| show | A- Fib has an Irregular rhythm
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| Condition that can cause a decrease of 20% - 30% of SV | show 🗑
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| Condition that can cause a decrease of 10% - 30% of CO | show 🗑
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| show | Rhythm- Irregular
Rate- varies
P wave- normal
PRI- normal
QRS- normal
pause 6 sec= Code Blue; HR < 60 may produce escape beat
Pause is not directly related to the R to R duration.
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| show | Rhythm- Irregular
Rate- 101 - 250
P wave- missing
PRI- missing
QRS- wide with a long QT duration; Ribbon looking ; VT
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| show | Poor lead contact, pulling on leads, GEL, dirty oily hairy skin
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| What type of dysrhythmia is Wolf-Parkinson-White syndr. | show 🗑
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| Normal height of T wave | show 🗑
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| Main difference B/w BBB and IVR is | show 🗑
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| Which lead can show precursor to MI | show 🗑
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| Lead 3 travels in what direction | show 🗑
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| show | Treatment for choric Angina. helps to develop Collateral Blood Vessels by squeezing the butt and legs, performed daily for one hour each.
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| Possible cause for Sinus Tachycardia | show 🗑
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| show | 40 - 150 Hz
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| show | Take systolic pressure and multiple it to HR , estimates the amount of O2 use of heart
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| show | Onset, Provoke, Quality, Radiation, Severity, Time = use to gauge pain level
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| show | PVC starts on the downslope of the T wave not allowing complete repolarization of the ventricles and can cause V Tach or V Fib
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| show | 0.6 to 1 second
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| show | 0.39 -0.45
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| show | 0.12 - 0.2
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| show | 0.06 - 0.10
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| show | Distended Jugular Vein, Clear lung sounds, Hypotension, also Edema and Ascites MAIN Causes Chronic lung D and L/S HF
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| show | Same as Interrupted artifact with bad leads ; if pt. can talk to you NO V FIB
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| show | Troponin and CK, CBC, Lipid panel, PT/INR, PT/PTT, Electrolyte,
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| show | The Pause on Sinus Arrest is NOT directly related to the underlying rhythm and Sinus Block IS directly related to the underlying rhythm, it will walk out.
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| show | From the Right Arm Neg to The Left Leg Pos
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| show | ECG shows electrical activity but no palpatory pulse is felt. not shockable B/C already have ele.
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| show | Inferior
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| show | Lateral
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| show | Septum
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| Lead aVR looks at what region | show 🗑
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| Leads V3 and V 4 look at what region | show 🗑
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| Leads V5 and V6 look at what region | show 🗑
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| measurement of ST segment elevation in any Leads | show 🗑
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| Measurement of ST segment depression in any leads | show 🗑
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| show | Ischemia or Hyperkalemia, biphasic morphology can be neg to pos or pos to neg.
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| show | Old MI , New MI, LVH, LBBB, PE
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| Measurement of Q wave | show 🗑
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| show | Symptom event monitor, no storage before activation.
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| Coronary Art. that supplies the anterior wall of the LV | show 🗑
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| show | Loop Memory Monitor, can press button prior, during or after event.
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| show | Under sensing
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| Ambulatory monitor that produces complete ECG tracing and worn for 24 - 48 Hours | show 🗑
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| show | Telemetry, no need for diary
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| Issues with under sensing with pacemakers | show 🗑
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| show | Myocardial injury or infarct
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| show | RBBB
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| ST Depression on stress test ECG could indicate what | show 🗑
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| Pacing complication Malfunction is | show 🗑
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| Pacing complication Malsensing is | show 🗑
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| show | No Depolarization
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| Pacing complication Oversensing is | show 🗑
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| show | Triggering impulses when not needed and never turning off.
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| Chemical stress test uses which 2 methods | show 🗑
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| Ways STEMI can present on ECG | show 🗑
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| Why NSTEMI hard to detect on ECG | show 🗑
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| show | Myocardial Ischemia
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| Atrioventricular Pacing presents like what BBB | show 🗑
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| show | 1mm, would suggest Myocardial Injury/Infarction
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| show | 2mm
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| Pacemaker batteries last how long | show 🗑
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| show | Left main coronary art. and Circumflex art.
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| show | ST Elevation/Depression, T wave inversion, Pathological Q wave, Tombstoning
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| Major coronary art. that supplies the Septal wall of LV | show 🗑
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| Major coronary art. that supplies the Inferior wall LV and Right Atrium | show 🗑
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| 3 Phases of exercise stress test | show 🗑
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| Malsensing is AKA | show 🗑
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| Way to find the end of the T wave if it does not continue down to the isoelectric line | show 🗑
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| show | Bruce, Modified Bruce, Naughton ;; Time and Incline
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| Intake requirements prior to stress test. | show 🗑
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| show | Fixed rate ( not really used anymore ), Demand ( sends or inhibits impulses ) and Rate Response ( adjust rate to meet metabolic demand )
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| Ambulatory monitor that can record up to 96 hrs | show 🗑
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| show | Impulses for 3rd degree are all blocked ABOVE the ventricles and other BBB some impulses get thru
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| AV delay with pacemaker is same as what with normal heart | show 🗑
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| show | Insertable loop recorder
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| show | Unstable Angina, STEMI and NSTEMI
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| Pathological Q wave indicates what | show 🗑
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| Population of people that WAP may be a normal finding for | show 🗑
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| show | Ectopic Impulses. could be damage from MI or Valvular issues. If AV node is faster than the SA node then it runs the show.
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| 6 Sinus Rhythms are | show 🗑
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| show | Alcohol, sunlight, plastic, x-ray film
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