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ECG Basics

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show positive  
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show negative  
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In lead III, the left leg electrode is...   show
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show Left foot electrode is +. Right and Left arm electrodes are ground.  
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What are the two ground electrodes in lead AVR? The positive electrode?   show
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show Positive = Left arm.  
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show I, II, III, AVR, AVL, AVF  
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The limb leads lie in what plane?   show
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Which leads are the "lateral" leads?   show
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Which leads are the "inferior" leads?   show
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show Chest leads (V1-V6)  
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show Positive electrode  
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show By positive deflection  
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Amount of time represented b/n two heavy black lines   show
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show .04 second  
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show 5  
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P wave: define and normal duration   show
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QRS: define and normal duration   show
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QT interval: define and normal duration   show
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P-R interval: define and normal duration   show
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Normal axis:   show
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show 60-100 bpm  
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show 60-80 bpm  
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show 40-60 bpm  
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Inherent rate of ventricular voci   show
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Charictaristics of NSR   show
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Rate and rhythm of Sinus Arrhythmia   show
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show P waves: uniform, + in lead II, one preceds each QRS, at very fast rates it may be diff to distinguish a P from T waves; PR: 0.12 - 0.20 sec and constant; QRS: 0.06 - 0.12 sec  
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show Rate: <60 bpm; Rhythm: Regular; P: uniform, + in lead II, one preceding each QRS; PR: 0.12 - 0.20 sec and constant; QRS: 0.06 < 0.12 sec  
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show Rate: 101-180 bpm; Rhythm: reg; P: uniform, + in lead II, one preceding each QRS; @ very fast rates it may be diff to distinguish P from T waves; PR: 0.12 - 0.20 and constant; QRS: 0.06 - 0.12 sec  
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What is an axis of depolarization   show
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show Left axis deviation  
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What is the axis if lead I is negative and and aVF is positive   show
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show extreme right axis deviation  
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Dipole theory   show
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General characteristics of supraventricular dysrhythmias   show
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show the impulse will conduct down the normal ventricular conducting system -> QRS will be of normal duration  
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show Rate: usually 60 - 100 bpm, but may be slower; Rhythm: may be irregular as the pacemaker site changes from teh SA node to ectopic foci  
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show Multifocal atrial tachycardia  
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show P: size, shape and direction may change from beat to beat, at least 3 different P morphologies needed to Dx; PR: variable; QRS: 0.06 - 0.12 sec  
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What rhythm am I? Rate: 400-600, ventricular rate varies; Ventricular rhythm: irregularly irregular; P waves: none identifiable, fibrillatory waves present, erratic & wavy baseline; PR: not measurable; QRS: usually <0.12   show
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Rate and rhythm of SA Block   show
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P, PR, and QRS characteristics in SA block   show
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show Rate: usually normal; Rhythm: irreg b/c or undetermined length of puase (doesn't march out); P: uniform, may be diff to distinguish P from T; PR: 0.12 - 0.20 and constant; QRS: 0.06 - 0.12  
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Origin of escape beat during sinus arrest   show
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show P prime wave present but is not from the sinus. PR interval will be wider than a junction escape.  
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show Represents atrial depolarization by an automaticity focus, as opposed to normal sinus-paced P waves  
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show Rate: usually w/in normal range but depends on underlying rhythm; Rhythm: regular and late beats; P waves: may occur before, during, or after QRS, inverted in leads II, III, aVF; PR: if P occurs before QRS, it will usually be < or= 0.12; QRS: usully<0.12  
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Rate and rhythm of Junctional Escape Rhythm   show
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P, PR, and QRS characteristics in junctional escape rhythm   show
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Charictaristics of Ventricular Escape   show
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