ekg 12 lead Test
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| A. 1 mm above baseline in limb lead, 2 mm above baseline in chest lead, 0.08 sec to right of J point. Lok for in towo or more leads facing same areaB. in RBBB, the QRS comples has 2 r waves which gives a double-peaked appearance in V1 and V2C. pointed, defined, distinctive R peaksD. I, AVL, V5, V6 sig Q waves in I and AVL is an old high lateral MI wheras ST segment elevation is called an acute high lateral MI. V5&V6 look at the "low" lateral surface so Q waves or ST elevation in these leads show old and acute "low lateral MI"E. I, V5 and V6 the S wave has a slurred appearance or the end of the wave doesnt return sharply back up to baselineF. 30G. count total small boxes X 0.04H. V1-V3 if the QRS complexes are mostly negative (like big Q waves) and the t waves are upright then confirmation of LBBBI. V1-V4 (ST segment elevation in V1 and V2 are slightly elevate.. do not over diagnose)J. at least 1 mm wide and greater than 1/3 the R waveK. two R waves, lazy slope in between the Rs - not as definedL. QRS is wide, mostly upright and t waves inverted in leads V5, V6, IM. successively longer PRI until one qrs failsN. PRI normal or prolongeds, PRI do not lengthen , sudden dropped QRS w/o prior changesO. count the number of complete QRS complexes in a 6 second strip and multiply by 10P. V1 and V2 for tall r waves that will not be accompanied by right axis deviation (hard to diagnose)Q. if difficult to find S wave, go 0.04 sec past R wave to determine S wave. Go 0.08 seconds from s wave to analyze st segmentR. no association between atria and ventricles. depolarizing independentlyS. 300, 150, 100, 75, 60, 50 |
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