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EKG Axis
PA CLin Med
32
Health Care
Graduate
10/16/2009

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Cards

Term
when dealing with axis the vector will move toward ___________ and away from any _______
Definition
toward hypertrophy and away from any infarct
Term
which two leads are most commonly used to determine axis?
Definition
Lead I and AVf
Term
lead I positive and AVf positive =
Definition
normal axis 0-90
Term
Lead I +, aVF - :
Definition
LAD but you must also check lead II if it is still positive then the axis is still normal
Term
lead I -, aVF +
Definition
RAD
Term
Lead I -, aVF -
Definition
indeterminate axis: although it may help to see which lead is at isoelectric point. This lead will be perpindicular to the vector
Term
considering V2 the QRS is usually: positive or negative?
Definition
negative: vector is moving posteriorly
Term
among the chest leads which are normally isoelectric?
Definition
V3/V4
Term
which chest leads are negative?
Definition
V1/V2
Term
which chest leads are positive?
Definition
V4/V5/V6
Term
when the isoelectric point rotates to V1-V2 this is known as:
Definition
rightward rotation
Term
which lead gives the best info about the atria?
Definition
V1; directly over the atria
Term
with atrial enlargement the p wave is usually:
Definition
diphasic (both positive and negative) has deflections above and below the baseline
Term
if the initial portion of the diphasic p wave is larger then it is:
Definition
right atrial enlargement
Term
If the height of the p wave in any of the LIMB leads exceeds ___mm suspect right atrial enlargement.
Definition
2.5
Term
if the diphasic p wave has a larger terminal component then there is:
Definition
left atrial enlargement usually caused by mitral valve stenosis
Term
in right ventricular hypertrophy there is a large _ wave in V1.
Definition
large R wave in V1
Term
What is the formula for LVH interpretation?
Definition
Swave in V1orV2 + R wave in V5orV6 = >35mm
Term
What is the formular for RVH interpretation?
Definition
Rwave>Swave in V1 and Rwave get smaller as you move to V6
Term
which lead gives the best picture of the atrium?
Definition
V1
Term
what is the formula for RAH interpretation?
Definition
Pwave > 3mm tall in lead II;
Right Atrial Hypertrophy "Reaches"
Term
what is the formula for LAH interpretation?
Definition
Pwave in Lead II >3mm wide;
Left Atrial Hypertrophy is "long"
Term
what is the most common cause of left atrail hypertophy?
Definition
mitral valve stenosis
Term
define the strain pattern:
Definition
inverted T waves in V5-V6
Term
what is the EKG sign of ischemia?
Definition
T wave inversion
Term
what is the EKG sign for acute injury?
Definition
ST elevation
Term
what EKG finding is indicative of infarct?
Definition
pathologic Q waves; the very first deflection in QRS complex is down.
Term
which leads represent the anteroseptal wall of the left ventricle?
Definition
V1,V2
Term
which leads represent the anterior wall of the left ventricle?
Definition
V3,V4
Term
which leads represent the anterolateral wall of the left ventricle?
Definition
V5,V6
Term
which leads represent the inferior wall of the left ventricle?
Definition
II,III,AVF
Term
which leads represent the lateral wall of the left ventricle?
Definition
I,AVL
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