ABIM-style answer choices for interactive EKG interpretation |
Chapter 22
|
Abnormal Q wave |
Figure 61
|
Accelerated ventricular beats |
Figure 34
|
Accessory pathway |
Figure 46
|
Action Potential |
Figure 1
|
Acute cor pulmonale including pulmonary embolism |
Chapter 16,
Figure 73
|
Add the Augmented Limb Leads |
Chapter 5
|
Advanced Cardiac Life Support (ACLS) |
Figure 37
|
Anterior axillary line (V5) |
Figure 11
|
Anterior precordial leads (V3 and V4) |
Figure 12
|
Anterior wall MI |
Figure 64
|
Anteroseptal MI, acute |
Figure 71
|
Apical hypertrophic cardiomyopathy (Yamaguchi disease) |
Figure 101
|
Arrhythmias |
Chapter 10a,
Chapter 10b,
Chapter 10c,
Chapter 10d
|
Artifacts on EKG |
Chapter 18
|
Ashman phenomenon (Functional {rate-related} aberrant intraventricular conduction) |
Figure 28,
Figure 92
|
Atrial contraction |
Chapter 3,
Figure 4,
Chapter 7
|
Atrial fibrillation (Afib) |
Figure 16,
Figure 67,
Chapter 19,
Figure 92
|
Afib with rapid ventricular response |
Figure 28
|
Atrial flutter (Afl) |
Figure 29
|
Atrial premature complex (APC) |
Figure 17
|
Atrial tachycardia |
Figure 30,
Figure 69
|
Atrioventricular canal defect, complete |
Figure 56
|
Atrioventricular node (AV node) |
Figure 2,
Chapter 7
|
Atrioventricular nodal reentry tachycardia (AVNRT) |
Figure 32
|
Atrioventricular reentrant tachycardia (AVRT) |
Figure 46
|
Augmented limb leads aVR, aVL aVF |
Chapter 5,
Figure 9
|
Automatic AV junctional tachycardia |
Figure 31
|
AV block |
Chapter 11
|
AV bundle (His bundle) |
Chapter 3,
Figure 2,
Chapter 7
|
AV dissociation |
Figure 33,
Figure 42,
Figure 43
|
AV junction |
Chapter 3,
Figure 28
|
AV junctional escape beat |
Figure 24,
Figure 25,
Figure 26
|
AV junctional premature complexes |
Figure 19
|
AV node |
Chapter 3,
Figure 2,
Chapter 7
|
Axis Determination on an EKG |
Chapter 12
|
Bazett formula for calculating QTc |
Chapter 17,
Figure 77
|
Bifascicular block (LAFB and RBBB) |
Figure 71
|
Bifascicular block, intermittent (LPFB and RBBB) |
Figure 71a
|
Bipolar limb leads I, II, III (3 in all) |
Chapter 4,
Figure 7
|
Biventricular pacing (RBBB pattern) |
Chapter 19,
Figure 87
|
Blocked APCs |
Figure 18
|
Brugada syndrome |
Figure 93
|
Bundle branches |
Chapter 3,
Figure 2
|
Bundle Branch Block (BBB) |
Figure 44,
Figure 45
|
Calcium ions |
Figure 1
|
Capture beats |
Figure 34
|
Cardiopulmonary resuscitation (CPR) for ventricular fibrillation (VF) |
Figure 37
|
Central Nervous System (CNS) Disorders and the EKG |
Chapter 18
|
Chest (Precordial) Leads V1-V6 |
Chapter 6
|
Chest and Lung Disease and the EKG |
Chapter 16
|
Clock face for axis |
Figure 47
|
Colored quads for axis |
Figure 48
|
Compensatory pause |
Figure 17,
Figure 20
|
Competing AV junctional pacemaker |
Figure 16
|
Coordinating the Action Potential with the Surface EKG |
Chapter 2,
Figure 1
|
Coronal plane |
Chapter 4
|
Coronary artery anatomy and how it relates to the electrical conduction through the heart |
Chapter 15
|
Cornell Criteria for LVH: |
Chapter 13,
Figure 54,
Figure 55
|
Correct electrode placement RA & RL |
Figure 90
|
Course of electricity through the normal heart |
Chapter 3
|
Cushing reflex |
Figure 84
|
DDD BiV pacemaker |
Figure 84
|
Delta wave |
Figure 46
|
Depolarization |
Figure 1,
Chapter 3,
Figure 6
|
Determining rate of a wave on EKG graph paper |
Chapter 9
|
Dextrocardia, mirror image |
Figure 94,
Figure 95
|
Diagnostic EKGs that are important to recognize (8 of them as unknowns) |
Chapter 22
|
Digitalis effect |
Figure 68
|
Digitalis purpurea (foxglove) |
Figure 68
|
Digitalis toxicity |
Figure 69
|
Dofetilide and TdP |
Figure 36
|
Dominant coronary artery |
Chapter 15
|
Double standard voltage (20 mm/mV) |
Chapter 8
|
Drugs that are associated with QTc prolongation |
Chapter 17,
Figure 35,
Figure 36,
Figure 77,
Figure 78
|
Early repolarization (normal variant) |
Figure 96
|
Eccles, John C |
Chapter 1
|
Ectopic atrial focus |
Chapter 7
|
Einthoven, Willem |
Chapter 1
|
Einthoven’s triangle |
Figure 7
|
Einthoven’s triangle and the EKG Limb Leads I, II, and III |
Chapter 4,
Figure 8
|
Electrical alternans (diagnostic of cardiac tamponade) |
Figure 97
|
EKG is recorded on Graph Paper |
Chapter 8
|
Electrocardiogram |
Chapter 1
|
Electrocardiograph |
Chapter 1
|
Electrodes |
Figure 1,
Figure 20
|
Electrolyte Disturbances, Drug toxicity and the EKG |
Chapter 17
|
Escape mechanism |
Figure 42
|
First degree AV block |
Figure 38
|
Fixed coupling |
Figure 20
|
Functional (rate-related) aberrant intraventricular conduction (Ashman phenomenon) |
Figure 28,
Figure 92
|
Fusion beats |
Figure 34
|
Galvani, Luigi |
Chapter 1
|
Graph paper squares on EKG (timing) |
Chapter 8
|
Group beating |
Figure 40
|
Haloperidol, hypokalemia and TdP |
Figure 35
|
Half standard voltage (5 mm/mV) |
Chapter 8,
Figure 54
|
Heart Block |
Chapter 11
|
Heart Blocks and WPW |
Chapter 11
|
Heart failure with reduced ejection fraction (HFrEF) |
Figure 64,
Chapter 19
|
High-grade AV block |
Chapter 15
|
His bundle (AV bundle) |
Figure 2,
Chapter 7
|
Hodgkin, Alan L |
Chapter 1
|
Hurst, J. Willis |
Figure 68
|
Huxley, Andrew F |
Chapter 1
|
HypERcalcemia |
Chapter 17,
Figure 79
|
HypERkalemia |
Figure 38,
Chapter 17,
Figure 74,
Figure 75
|
HypERkalemia and hypocalcemia |
Chapter 17,
Figure 81
|
Hypertrophic cardiomyopathy (HCM) |
Chapter 13,
Figure 101
|
Hypertrophy and Enlargement |
Chapter 13
|
Hypertrophy influences QRS axis |
Chapter 12
|
HypOcalcemia |
Chapter 17,
Figure 80
|
HypOkalemia |
Chapter 17,
Figure 76,
Figure 78
|
HypOkalemia is not tolerated while taking sotalol with QT prolongation |
Figure 78
|
HypOmagnesemia |
Chapter 17,
Figure 80
|
Hypothermia (with Osborn waves) |
Figure 98,
Figure 99
|
Incorrect electrode placement, RA & LA (transposition) |
Figure 88
|
Incorrect electrode placement, RA & RL (transposition) with microvoltage in lead II |
Figure 89
|
Increased vagal tone |
Figure 61
|
Infarcted muscle (scarred) influences QRS axis |
Chapter 12
|
Infarction |
Chapter 14
|
Inferior Wall Myocardial Infarction (Inferior MI) |
Figure 44,
Figure 61,
Figure 62,
Figure 63
|
Injury |
Figure 60
|
Interpolated VPC: |
Figure 21
|
Intrinsicoid deflection (time from onset to peak of R wave ≥0.05 s in V5 and V6) in LVH |
Chapter 13,
Figure 101
|
Introduction |
Chapter 1
|
Inverted P wave |
Figure 19,
Chapter 9
|
Ischemia, Injury and Infarction |
Chapter 14
|
J waves (Osborn waves) of hypothermia |
Figure 98
|
Juvenile T wave pattern (normal variant) |
Figure 100
|
Lateral precordial leads (Left precordial leads) (V5, V6) |
Figure 12
|
Lateral wall injury |
Figure 65
|
Left atrial enlargement |
Figure 57
|
Left atrial appendage thrombus that forms during Afib might embolize |
Figure 28
|
Left bundle branch (LBB) |
Figure 2,
Chapter 7,
Chapter 15
|
Left Bundle Branch Block (LBBB) |
Figure 45
|
LBBB, incomplete |
Figure 45
|
Left anterior descending (LAD) branch |
Chapter 15
|
Left anterior fascicle |
Chapter 15
|
Left anterior fascicular block (LAFB): |
Chapter 15,
Figure 70,
Figure 71
|
LAFB with RBBB (bifascicular block) |
Figure 71
|
Left axis deviation |
Figure 49,
Figure 52,
Figure 64
|
Left axis deviation practice case |
Figure 52
|
Left circumflex (LCx) branch |
Chapter 15
|
Left coronary artery (LCA) |
Chapter 15
|
Left posterior fascicle |
Chapter 15
|
Left posterior fascicular block (LPFB) |
Chapter 15,
Figure 71a
|
LPFB with intermittent RBBB: |
Figure 71a
|
Left precordial leads (Lateral precordial leads) (V5, V6) |
Figure 12
|
LVH, diagnosis by precordial lead V1 |
Chapter 13
|
LVH (left ventricular hypertrophy) is usually in response to pressure overload |
Chapter 13,
Figure 54
|
LVH with LV volume overload |
Chapter 13,
Figure 55
|
Left ventricular aneurysm by EKG |
Figure 63,
Figure 64
|
Left ventricular pacing (RBBB pattern) |
Chapter 19
|
Limb leads I, II, III, aVR, aVL, aVF (6 in all) |
Figure 10
|
Location of the Precordial leads (V1-V6) in interspaces four and five in the coronal plane |
Figure 11
|
Long-term EKG rhythm monitoring when Afib is suspected but not found on 12-lead EKG |
Figure 28
|
Long QT from sotalol |
Chapter 17
|
Long QT + hypokalemia |
Figure 78
|
Low voltage in limb leads |
Chapter 16,
Figure 72,
Figure 92
|
Low voltage in Precordial leads |
Chapter 16,
Figure 92
|
Mean Vector |
Chapter 12
|
Microvoltage in lead II |
Figure 89
|
Mid-axillary line V6 |
Figure 11
|
Mid-clavicular line V4 |
Figure 11
|
Mobitz, Waldemar |
Figure 40,
Figure 41
|
Mobitz Type I, 2nd degree AV block |
Figure 40
|
Mobitz Type II, 2nd degree AV block |
Figure 41
|
Multifocal Atrial Tachycardia (MAT) |
Figure 15
|
Multifocal VPCs (Torsades de Pointes) |
Figure 35
|
Myocardial blood supply is Subepi to Subendo |
Chapter 14
|
Myocardial hypertrophy |
Chapter 13
|
Myocardial infarction |
Chapter 14
|
Myocardial ischemia |
Chapter 14
|
Nonspecific ST and/or T wave abnormalities |
Figure 92,
Figure 97
|
Normal axis practice cases |
Figure 51,
Figure 53
|
Normal EKG: |
Figure 95,
Figure 99
|
Normal standard voltage (10 mm/mV) |
Chapter 8
|
Normal variant EKG |
Figure 96,
Figure 100
|
Organization and Rationale for an EKG tracing |
Chapter 21,
Figure 91
|
Orientation of Precordial leads (V1-V6) in the Transverse Plane |
Figure 12
|
Osborn waves of hypothermia |
Figure 98
|
Overshoot of depolarization |
Figure 1
|
P-mitrale |
Figure 57
|
P-pulmonale |
Figure 58
|
P wave |
Figure 6,
Chapter 7
|
P wave axis |
Figure 53
|
Pacemakers, introduction |
Chapter 19
|
Pacemaker nomenclature |
Chapter 19,
Figure 87
|
Pacemaker sensing problem |
Figure 86
|
Paper speed (sweep speed) on EKG (25 mm/s) |
Chapter 8
|
Pause in AV node |
Figure 4,
Chapter 7
|
Pericardial rub |
Figure 67
|
Pericarditis, acute |
Figure 67
|
Physiologic splitting of S2 vs paradoxic splitting of S2 |
Figure 45
|
Polarity |
Figure 1
|
Polymorphic VT (Torsades de Pointes) |
Figure 35,
Figure 36
|
Posterior wall MI |
Figure 66
|
Potassium (K) ions |
Figure 1
|
PQRST and Intervals for labeling of waves and intervals on the EKG |
Figure 6
|
PQRST on EKG graph paper |
Figure 13
|
Precordial leads (chest leads) V1-V6 (6 in all) |
Figure 11,
Figure 12
|
Precordial leads to help locate QRS vector |
Figure 53
|
PR interval |
Chapter 3,
Figure 6,
Chapter 7
|
Pseudo-inferior infarction in WPW |
Figure 91
|
Purkinje fibers |
Chapter 3,
Figure 2
|
Purkinje, Jan E. |
Figure 44
|
Q wave |
Chapter 3,
Figure 6,
Figure 61
|
QRS axis |
Chapter 12
|
QRS complex |
Chapter 3,
Figure 6
|
QT interval |
Chapter 17
|
QT prolongation |
Chapter 17,
Figure 35,
Figure 98
|
R on T phenomenon |
Figure 35
|
R wave |
Chapter 3,
Figure 6
|
Rate-related aberrant intraventricular conduction |
Figure 28,
Figure 92
|
Reciprocal changes |
Figure 65
|
Refractory period |
Chapter 2,
Figure 1,
Figure 18,
Figure 22,
Figure 86,
Figure 92
|
Repolarization |
Figure 1,
Chapter 3,
Figure 6
|
Repolarization changes of LV hypertrophy from hypertension |
Figure 54
|
Respiratory rate assessment in rhythm strip V1 |
Figure 72,
Figure 74
|
Retrograde-conducted P wave |
Figure 19
|
Rhythm strips, 3 best (V1, II and V5) |
Figure 45,
Chapter 21,
Figure 91
|
Right atrial enlargement |
Figure 58
|
Right atrial pacing |
Chapter 19
|
Right axis deviation |
Figure 50,
Figure 73
|
Right bundle branch (RBB) |
Figure 2,
Chapter 7,
Chapter 15
|
Right Bundle Branch Block (RBBB) |
Figure 41,
Figure 44,
Figure 71,
Figure 71a
|
RBBB, incomplete |
Figure 45,
Figure 93
|
Right coronary artery (RCA) |
Chapter 15
|
Right precordial leads (septal leads) (V1, V2) |
Figure 12
|
RVH (right ventricular hypertrophy) diagnosis by large R wave in V1 |
Chapter 13
|
RVH with tall R (V1-V3), repolarization changes and deep S (V5-V6) |
Figure 56
|
Right ventricular pacing (LBBB pattern) |
Chapter 19,
Figure 85,
Figure 86
|
Rosenbaum, Mauricio |
Chapter 15
|
S wave |
Chapter 3,
Figure 6
|
S1, Q3, T3 pattern |
Figure 73
|
SA block |
Figure 27
|
SA node (sino-atrial node) |
Chapter 3,
Figure 2,
Chapter 7
|
Salvos of Ventricular Tachycardia (VT) |
Figure 23,
Figure 63
|
Sampling frequency on EKG (100Hz) |
Figure 13,
Figure 85
|
Sawtooth pattern (Afl) |
Figure 29
|
Second degree AV block |
Figure 39,
Figure 40,
Figure 41
|
Septal leads (right precordial leads) (V1, V2) |
Figure 12
|
Short QTc with hypercalcemia |
Figure 79
|
Sinoatrial exit block |
Figure 27
|
Sino-atrial node (SA node) |
Figure 2
|
Sinus arrest |
Figure 26,
Figure 75
|
Sinus arrhythmia |
Figure 14,
Figure 34,
Figure 96
|
Sinus bradycardia |
Chapter 7,
Figure 84,
Figure 92,
Figure 98,
Figure 101
|
Sinus pause |
Figure 26
|
Sinus rhythm |
Chapter 7,
Figure 93,
Figure 94,
Figure 95,
Figure 96,
Figure 100
|
Sinus tachycardia |
Chapter 7,
Figure 33,
Figure 97
|
Sodium ions |
Figure 1
|
ST segment |
Figure 6,
Chapter 7,
Chapter 14
|
ST segment depression |
Figure 59
|
Stokes Adams Syndrome |
Figure 42
|
Subarachnoid hemorrhage with ST and/or T wave changes resemble myocardial ischemia |
Figure 82,
Figure 83
|
Supraventricular tachycardia (SVT) with automatic focus or with reentrant mechanism |
Figure 31,
Figure 32
|
Surface EKG |
Figure 1
|
Sustained VT |
Figure 33
|
T wave |
Chapter 3,
Figure 6,
Chapter 7
|
T waves, tall and upright with LVH due to volume overload |
Figure 55
|
T wave axis |
Figure 53
|
Ta waves: |
Figure 57,
Figure 58
|
The importance of correct EKG electrode placement |
Chapter 20
|
The 2 most common errors in EKG electrode placement |
Chapter 20
|
Third degree AV block (3rd degree AV block) |
Figure 42,
Chapter 15,
Figure 85
|
Third degree AV block (congenital) |
Figure 43
|
Torsades de Pointes (TdP) |
Figure 35,
Figure 36,
Figure 78
|
Transcutaneous pacing |
Chapter 19
|
Transvenous pacing |
Chapter 19
|
Transverse plane |
Chapter 6,
Figure 12
|
Two to One AV block (2nd degree AV block with 2:1 AV conduction) |
Figure 39
|
U waves (prominent) with hypOkalemia |
Figure 76
|
Unifocal Ventricular Premature Complexes (VPCs) |
Figure 20,
Figure 22
|
Unipolar limb leads aVR, aVL, aVF (3 in all) |
Chapter 5
|
Unknown Cases to practice what you have learned |
Case 1,
Case 2,
Case 3,
Case 3a,
Case 4,
Case 5,
Case 6,
Case 6a,
Case 7,
Case 8
|
Vector direction |
Figure 46a
|
Vector in mathematics |
Chapter 12
|
Vector magnitude |
Figure 46a
|
Ventricular bigeminy, trigeminy, quadrigeminy |
Figure 23
|
Ventricular contraction |
Chapter 3,
Chapter 7,
Chapter 12
|
Ventricular depolarization |
Figure 5
|
Ventricular depolarization ENDO to EPI |
Chapter 12
|
Ventricular escape beat |
Figure 24
|
Ventricular escape rhythm |
Figure 75
|
Ventricular fibrillation |
Figure 37
|
Ventricular foci |
Chapter 7
|
Ventricular hypertrophy |
Chapter 13
|
Ventricular Parasystole |
Figure 22
|
Ventricular relaxation |
Chapter 7
|
Ventricular repolarization |
Figure 5,
Chapter 7
|
Ventricular tachycardia (VT) with AV dissociation |
Figure 33
|
Volta, Alessandro |
Chapter 1
|
Voltage on Y axis |
Chapter 8
|
VVI pacemaker |
Figure 85
|
Waller, Augustus D. |
Chapter 1
|
Wandering atrial pacemaker |
Figure 15
|
Wenckebach 2nd degree AV block (Mobitz Type I, 2nd degree AV block) |
Figure 40
|
Wilson, Frank N. |
Chapter 1,
Chapter 5
|
Withering, William |
Figure 68
|
Wolff-Parkinson-White (WPW) |
Figure 46,
Figure 91
|
WPW Syndrome |
Figure 46
|
X axis (timing) |
Chapter 8
|
Y axis (voltage) |
Chapter 8
|
Yamaguchi disease (apical hypertrophic cardiomyopathy) |
Figure 101
|