12 lead EKG SAMPLES - cdn.ymaws.com · Answers 1. Normal sinus 14. V F (Torsade’s de points) 2....
Transcript of 12 lead EKG SAMPLES - cdn.ymaws.com · Answers 1. Normal sinus 14. V F (Torsade’s de points) 2....
12 lead EKG SAMPLES
1.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(Good)
2.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(BAD)
3.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(BAD)
4.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(BAD)
5.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(BAD)
6.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(BAD)
7.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(BAD)
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8.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(BAD)
9.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(BAD)
10.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(BAD)
11.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(BAD)
12.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(BAD)
13.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(UGLY)
14.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(UGLY)
15.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(BAD)
16.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(BAD)
17.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(UGLY)
18.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(BAD if symptomatic)
19.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
Ok, (Bad if symptomatic)
20.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(BAD)
21.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
OK, (BAD if symptomatic)
22.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(OK, (BAD if Symptmatic)
23.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(Kinda GOOD, Can be BaD if symptomatic)
24.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(UGLY)
What are these…….
25.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(GOOD)
26.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(GOOD), can be BAD if Symptomatic and fast
27.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(OK, or Good if young athletic young person) can be BAAD if symptomatic
28.
Rate: Atrial__________________________ Ventricular__________________________
Rhythm: Atrial ______________________ Ventricular___________________________
Conduction: PR Interval_________________ QRS Duration ________________________
Configuration / Location P wave____________ QRS complex_______________________
ST Segment____________________________ T wave_____________________________
(probably ok but BAD if …..)
Answers
1. Normal sinus 14. V F (Torsade’s de points)
2. Normal sinus with inferior MI 15. Second degree AV block wenke bach (mobits 1)
3. NST with ant & Lat ST elevations 16. Second degree AV block type II (Mobitz II)
4. NST with lat and posterior changes 17. Complete heart block (HR 22 bpm)
5. NSR with Epson notch, 1st degree, inv T 18. NSR with Right bundle branch block
6. sinus arrhythmia 19. NSR with left bundle branch block
7. AF with RVR 20. NRS with inverted T waves all leads
8. AF with RVR 21. NSR with frequent PVCs (mono)
9. AF (rate controlled) 22. NSR with Left BBB
10. Atrial flutter 2:1 23. NST with depressed ST segment (inferior leads)
11. atrial flutter 4:1 24. Ventricular tachycardia
12. Atrial flutter 3:1 25. Pacing rhythm
13. Ventricular tachycardia 26. Incomplete Delta waves (wolf Parkinson white)
27. NSR slight ST elevations in multiple leads (early depolarization)