ECG Interpretation

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1.

...

2.

2, II

12.

Atrial flutter

This is called ___.

13.

Biphasic

Both A and B are sub-types of __ degree, type __

heart block.
3.

2nd

___ degree heart block is characterized by partical

communication between atria and ventricals.

4.

3rd

With a __ degree heart block, no communication

takes place between the artia and ventricals.

5.

100

Junctional tach begins at __ beats per minute.

6.

100

Tachycardia is HR greater than __.

7.

150

Ventricular tach begins at ___ beats per minute.

8.

Asystole

These P waves are __, usually due to L atrial

enlargement.
14.

BP

__ = CO x Peripheral vascular resistance

15.

CO

___ = HR x SV

16.

Conduction

The wide QRS (above) is an example of

aberrant ventricular ____.
Name above condition.
9.

17.

Delta

Atrial
Fib

Abnormal slurring (A) of this QRS complex is

called a ___ wave.
10.

11.

Atrial
fib

Example of totally irregular (irregularly irregular)

rhythm with no consistency = ___.

18.

Ectopic
tachycardia

Atrial
Flutter

Top = AV; Bottom = Ventricular origin*

19.

Fast or slow

First question to ask when looking at an

ECG = ___.

20.

First

Prolonged PR intervals is an example of

___ degree heart block.

21.

26.

Normal

First degree
heart block
___ progression of impulse from AV to perkinje
fibers gives QRS complex above.

Delay between P and QRS (3rd arrow) is

seen with what condition?
22.

27.

Normal

28.

Notched

Two questions to ask about P waves. Do they have

a ___ appearance? Does one come before every
QRS?

I
First image is a ___ P wave.
29.

Nothing

This type of heart block is 2nd degree type

___, with increasing delays due fatiged AV
node.
23.

Idioventricular

What is wrong with this ECG?

30.

Opposite

Slow (20), ____ escape rhythm is pictured

above with a wide QRS from ___ (same)
pacemaker.
24.

Inverted

QRS complexes are ___ the direction of the T wave

= ventricular dysrhythmias.
This P' wave is ___.
25.

31.

Most __ waves are round and upright when

normal.

32.

To check whether atrial rhythm is irregular, use

calipers to measure distance between ___ waves.

33.

If atria and ventricular rhythm is associated like it

should be, every QRS will have a __ wave.

34.

P wave

Supra-ventricular tachycardia is characterized by

an absent ___.

Normal

Name above condition

35.

P wave

42.

Preexitation

Hmmm. Something's missing.

36.

PAC

37.

Pacemaker

An early atrial impulse generated outside the SA

node causes a ___.

The condition represented above is called

ventricular ___.
43.

44.

Arrow points to ___ spike seen preceding this

wide abnormal QRS.

Premature
atrial
PVC

Name above condition.

45.

Q wave.

What is missing in every cycle?

Two questions to ask about P waves. Do they
have a normal appearance? Does one come
before every ___?

Perkinje
fibers

The isoelectric line between the P wave and the

QRS is when the impulse is traveling through
the ___.

46.

QRS

39.

PR

The ___ interval encompasses the entire

impulse from SA through the Perkinje fibers.

47.

QRS

40.

PR

38.

PAC stands for ___ complex.

B. indicates a repeated and complete drop of

what complex?
A has an increasingly prolonged ___ interval
until QRS is dropped.
41.

Preexcitation

48.

49.

50.

___ (above) result from a ectopic ventricular

impulse before the SA can fire. Note QRS is wide.

To check whether verntricular rhythm is

irregular, use calipers to measure distance
between ___ waves.

Regular or
Irregular

Second question to ask when looking at an

ECT = ___.

SA node

All these P waves lack __ impulse generation.

51.

Shorter

The PR segment is ___ because the impulse

has less distance to travel. The pacemaker is
closer to the AV node.

52.

Supraventricular

58.

thyroid

Wide bizarre QRS complexes (above) are

associated with ___ impulse generation.
53.

Tachycardia
Fat or fluid in chest, and hyper____ can cause
low voltage QRS (seen above).
59.

Torsades
de pointes

This person is in ventricular ___.

54.

Tachycardia

Multiple PVC's with rotating ventricular ectopic

pacemakers (above) are called __.
60.

V fib

3 PVC's in a row (above) is Ventricular

___, also with wide QRS and an ectopic
ventricular pacemaker.
55.

Tall

This person is in ___.

61.

V. Fib

__ QRS complexes (seen above) are the

result of ventricular hypertrophy or
conduction problems.
56.

Third

Name above ventricular condition.

62.
63.

This is an example of ___ degree heart

block.
57.

V. Tach

Three or more PVC's in a row is termed ___.

Weinkebach

Third degree
heart block

A. P gets further away from QRS until QRS is

dropped. This is called ___.
Name above condition.

64.

Weinke-bach

This abnormal ECG is called ___.

65.

Wide, notched

Second P wave is both ___ and ___.

66.

Wider, shorter

P' is __ than P due to its location closer to the AV node.