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Advanced 12-Lead EKG
Exam 1
15
Medical
Graduate
10/11/2010

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Cards

Term
What is the sequence of 12-Lead Analysis?
Definition

*Rate

*Rhythm

*Axis

*Hypertrophy

   -Bundle Branch Block

*Ischemia/Infarction

Term
How many fascicles are there in the Left bundle?
Definition
*Three- Anterior, posterior and septal fascicle.
Term
What are some causes of right axis deviation?
Definition

*Normal in adolescents and in children

*Right ventricular hypertrophy

*Left posterior hemiblock

*PHTN (COPD, emphysema)

*Dextrocardia

*Ectopic ventricular beats and rhythms

Term
What are some causes of left axis deviation?
Definition

*Left anterior Hemiblock (LAH)

*Ectopic ventricular beats and rhythms

*MI

*Pregnancy

Term
What are the leads used to determine axis?  What is the system called?
Definition

*Leads I, II, III, aVR, aVL, aVF

*Hexaxial lead system

Term
What does pathologic left axis deviation indicate?
Definition
* Left anterior hemiblock
Term
What is the most common cause of a left anterior hemiblock?
Definition
*Coronary artery disease
Term
What is diagnostic for RVH?
Definition
*Right axis deviation
Term
What does the small R wave in V1 represent?
Definition
*Interventricular septum depolarization
Term
What amplitude and duration does one little box represent?
Definition

*Amplitude: 1mm

*Duration: 40msec (0.04 sec)

 

Term
What does one large box represent in amplitude and duration?
Definition

*Amplitude: 5mm

*Duration: 200msec or 0.2sec

Term
What is a normal standardization mark?
Definition
*Typically 10mm high and 0.2 sec long
Term
What part of the ECG is considered the baseline?
Definition
*TP segment
Term

Why is there a delay in AV junction?

 

Definition

*To protect ventricle from rapid rates

*To allow the heart to work as an effective pump (allows time for filling)

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