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MED239 Chapter 15
| Question | Answer |
|---|---|
| major coronary artery and vessel supply the inferior wall of the left ventricle | Right main and right acute marginal branch |
| Analyze V5 and V6; measure and select the taller of the two views; and then measure from the isoelectric line up to the tip of the tallest R wave | Step 2 in determining left ventricular hypertrophy |
| possible causes of left axis deviation | obesity, left ventricular hypertrophy, pregnancy |
| pathologic Q wave | It indicates tissue death and is defined as measuring 0.04 second and/or greater than or equal to one-third the height of the R wave in that lead tracing. |
| occurs when there is a reduction or interruption in blood flow and oxygen to the myocardium for a short period of time | Myocardial ischemia |
| Analyze V1 and V2; measure and select the deeper QRS of the two views; then measure from the isoelectric line down to the tip of the deepest QS complex | Step 1 in determining left ventricular hypertrophy |
| Which major coronary artery and vessel supply the septal wall of the left ventricle | Left main and septal |
| Which major coronary artery and vessel supply the lateral wall of the left ventricle | Left main and circumflex artery |
| Which major coronary artery and vessel supply the anterior wall of the left ventricle | Left main and left anterior descending |
| Signs of myocardial ischemia may include | ST segment depression and T wave inversion. |
| Signs of myocardial injury may include | ST segment elevation. |
| most common sign on a 12-lead ECG that an infarction has occurred | ST segment elevation. |
| What two views are referred to when determining electrical axis? | I and aVF |
| determining axis deviation, if lead I and lead aVF both have predominantly positive QRS complexes, the patient has | normal axis. |
| determining axis deviation, if the QRS complex in lead I is predominantly negative and the QRS in lead aVF is predominantly positive | right axis deviation. |
| determining axis deviation, if lead I and lead aVF both have predominantly negative QRS complexes, the patient has | extreme right axis deviation. |
| determining axis deviation, if the QRS complex in lead I is predominantly positive and the QRS in lead aVF is predominantly negative, the patient has | left axis deviation. |
| MCOT | Mobile cardiac outpatient Telemetry |