ECG WTCC
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| 7 sinus rhythms | show 🗑
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| P-Wave duration is | show 🗑
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| No P-Wave indicates what | show 🗑
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| Normal PR-Interval is | show 🗑
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| show | Atria, to start of ventricular depolarization
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| show | Ventricular Myocardium, ventricular depolarization
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| Normal time for QRS | show 🗑
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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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| Atrial Flutter rate | show 🗑
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| show | 375 700 impulses / normal QRS / rhythm is irregularly
Ventricular rate will be 90 - 100
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| Rate of Junctional rhythm is | show 🗑
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| show | 101-180
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| show | P wave will be inverted, may be buried in QRS or after QRS. PR interval is only measurable if prior to QRS. PRI will be short if measurable. May appear as PJC if pt. in sinus arrest/pause.
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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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| show | Interpolated PVC
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| show | s/s, allergies, medications, previous history, last intake, events
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| Criteria for Pathological Q wave | show 🗑
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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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| show | Rhythm- regular
Rate- 150 - 250 adult 180 child
P wave- usually buried in QRS or T wave
PRI- short if seen
QRS- narrow and long, watch for Delta wave = WPW syndr.
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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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| Criteria for 3rd degree AV Block | show 🗑
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| show | Lead V1 will have RSR wave with wide QRS and V6 will have a negative deflection
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| show | Less than 2.5 mm
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| Criteria for A Flutter | show 🗑
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| show | Rhythm- atrial regular and vent irregular
Rate- atrial > vent
P wave- normal , more P's then Q's
PRI- constant and normal when paired with QRS.
QRS- normal but will be missing QRS complexes
CAN DEVELOP INTO 3RD DEGREE
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| show | Rhythm- regular
Rate- normal
P wave- normal
PRI- long > 0.20
QRS- normal
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| Criteria for 2nd degree type 1 or Wenckebach / Mobitz 1 | show 🗑
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| ECG for LBBB | show 🗑
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| Causes for left axis deviation LAD | show 🗑
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| Delay of repolarization can present how on ECG | show 🗑
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| show | Acute exacerbation of Emphysema, CHF or Mitral value regrug.
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| Term for placing limb leads on torso | show 🗑
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| show | Delta wave and wide QRS
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| show | Rhythm- normal
Rate- 60 - 100
P wave- inverted or buried in QRS, before after QRSS
PRI- measurable only prior to QRS and short
QRS- may be inverted, normal to wide
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| Criteria for Junctional Tachycardia | show 🗑
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| show | Interrupted, Somatic, Wandering Baseline, AC interference
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| Sustained vs. non sustained V-Tach | show 🗑
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| Term for witnessing rhythm change | show 🗑
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| show | Run of Ventricular Tachycardia , AKA = Triplett or Salvo
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| R on T PVC can cause what dysrhythmia | show 🗑
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| show | Rhythm- Irregular
Rate- atrial impulses of 375 - 700, vent. 90-100
P wave- P waves replaced with f- waves
PRI- missing
QRS- normal
thrombus , loss of SV of 20% - 30%
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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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| Difference B/w V tach and SVT | show 🗑
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| show | PVC's , 2nd and 3rd degree HB, R on T PVC.
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| show | Rhythm- produces a Irregular rhythm
Rate- usually normal
P wave- PAC will have different looking P than other complexes
PRI- normal
QRS- normal
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| Criteria for Sinus Dysrhythmia | show 🗑
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| show | Rhythm- slightly irregular
Rate- usually normal
P wave- 3 different morphologies in a lead
PRI- varies with P's
QRS- normal
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| Criteria for MAT ; multifocal atrial tachycardia | show 🗑
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| show | Peaked or tented T
Broad wide base,
symmetrical
Hyperacute
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| show | PVC, B/c area is more excitable or irritable
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| Criteria for Ventricular Tachycardia | show 🗑
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| 7 steps to ECG interpretation | show 🗑
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| show | Restenosis
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| show | Deepest S/QS wave in lead V1 / V2 and Tallest R wave in lead V5/ V6. Add both measurements together and if = 35mm or more then LVH, Known as Sokolov-Lyon criteria
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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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| Right axis deviation QRS in leads | show 🗑
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| Normal axis QRS in leads | show 🗑
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| NW axis deviation QRS in leads | show 🗑
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| Lead 1 travels in what direction | show 🗑
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| show | Down the RBB to depolar. the RV then current moves towards LV and causes the depolar. of the Intraventricular septum to depolar. abnormally from the R to L
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| show | From Left to Right, ;, abnormal with LBBB
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| show | Right Ventricular Hypertrophy, Anterolateral MI, ; Is considered normal for children and thin tall people.
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| Criteria for Agonal rhythm | show 🗑
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| Measurement for Hyperacute T wave | show 🗑
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| Difference B/w A-Fib and Somatic artifact on tracing | show 🗑
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| show | A - FIB
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| show | A- Flutter
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| Criteria for Sinus Arrest | show 🗑
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| Criteria for Torsade de Pointes | show 🗑
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| Reasons for Wandering Baseline / Baseline Shift | show 🗑
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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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| show | BBB has P wave, morphology of QRS
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| show | aVR shows ST elevation
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| show | Left arm Neg to Left Leg Pos.
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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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| Usual setting for Artifact Filter | show 🗑
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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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| R to R duration time | show 🗑
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| show | 0.39 -0.45
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| PRI duration | show 🗑
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| QRS duration | show 🗑
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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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| 6 Blood samples that may be taken for MI | show 🗑
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| Difference B/w Sinus Arrest and Sinus Block | show 🗑
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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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| Leads 2, 3, and aVF look at what region | show 🗑
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| Leads 1 and aVL look at what region | show 🗑
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| show | Septum
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| Lead aVR looks at what region | show 🗑
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| show | Anterior
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| show | Lateral
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| show | Elevation in any Lead of 1 mm except V2 and V3, Elevation of 2mm in V2 and V3
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| Measurement of ST segment depression in any leads | show 🗑
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| Biphasic T wave could indicate | show 🗑
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| Reasons for Pathological Q wave to present | show 🗑
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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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| show | Left main coronary art. and LAD, left anterior descending coronary art.
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| show | Loop Memory Monitor, can press button prior, during or after event.
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| Term for when Pacemaker does not sense any electrical impulse and does not turn off | show 🗑
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| show | Holt Monitor, must keep diary
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| Ambulatory monitor that is real time and monitored by tech. | show 🗑
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| Issues with under sensing with pacemakers | show 🗑
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| ST segment elevation can indicate what | show 🗑
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| Atriobiventricular pacing looks like what BBB rhythm | show 🗑
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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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| show | Failure to sense
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| show | No Depolarization
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| show | Inhibiting Impulses, may be caused by muscle movement being picked up by pacemaker as heart
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| Pacing complication Undersensing is | show 🗑
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| Chemical stress test uses which 2 methods | show 🗑
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| show | ST segment elevation or depression , T wave inversion, Development of Pathological Q wave,, Ischemia delays repolar.
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| Why NSTEMI hard to detect on ECG | show 🗑
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| ST depression with T wave inversion can indicate what | show 🗑
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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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| Major coronary art. that supplies Lateral Wall of LV | show 🗑
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| ECG trace STEMI | show 🗑
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| Major coronary art. that supplies the Septal wall of LV | show 🗑
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| show | Right coronary art. and Marginal art.
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| 3 Phases of exercise stress test | show 🗑
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| Malsensing is AKA | show 🗑
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| show | Maximum Slope Intercept method
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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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| 3 Programs of pacemakers | show 🗑
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| show | MCOT mobile cardiac outpatient telemetry, sends data to monitor by radio frequency then to monitor center by cellular.
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| Main Difference for 3rd degree AV block and other BBB is | show 🗑
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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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| show | Tissue Death
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| show | Children, Older adults and Well conditioned Athletes.
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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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| What items can erase ecg tracing | show 🗑
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