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Exam (elaborations)

ECG Lead System Exam |Questions &Rationales

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  • CG and Basic Dysrhythmias:
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  • CG And Basic Dysrhythmias:

ECG Lead System Exam |Questions &Rationales

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  • September 8, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CG and Basic Dysrhythmias:
  • CG and Basic Dysrhythmias:
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KenAli
ECG Lead System Exam |Questions &Rationales

What do you look at for Anterior MI? - ✔MCL1 test lead



What do you look at for Inferior MI? - ✔Lead 11



12-Lead Testing System - ✔Whole picture of heart


6 are chest
6 are limb



A Leads - ✔aVR
aVL
aVF



RA - ✔aVR


Right arm: negative deflection because the hearts electrical activity moves away from the lead



LA - ✔aVL

,Left arm: positive deflection because the hearts electrical activity moves toward the lead



LL - ✔aVF



left leg: positive deflection positive deflection because the hearts electrical activity
moves toward the lead



V1 - ✔-corresponds to modified chest lead (MCL1) placed Right side of sternum, 4th
intrcostal space
-Distinguishes between right and left ventricular topic beats



V1 shows - ✔P-wave
QRS complex
ST segment



V1 monitors: - ✔-Ventricular arrhythmia
-ST segment changes
-Bundle branch blocks



V2 - ✔Placed left of sternum, 4th intercostal rib space



V3 - ✔Placed between 2 and 4



V4 - ✔placed at 5th intercostal space and midclavicular line



V5 - ✔Place at 5th intercostal space and anterior axillaryline

, positive deflection of ECG



V6 - ✔Placed level with v4 and midaxillary line


positive deflection



Biphasic - ✔Lead V1-3


with both positive and negative deflections



P-Wave - ✔Atrial Depolarization in response to SA node triggering



Atria are stimulated and contract, they push blood through tricuspid and mitral valve into
the relaxed ventricles


height: 2-3mm
duration: 0.06-0.12 seconds



What if P-waves are absent? - ✔Can indicate that the rhythm was generated
somewhere beside the sinus node. Maybe the AV junction



P-Wave disinformation - ✔Notched, peaked or inverted: atrial enlargement associated
with COPD, pulmonary emboli, valvular disease or CHF



PR Interval - ✔Delay of AV node to allow filling of ventricle

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