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Osce - Ecg

The document discusses various ECG patterns, their causes, and notes. It describes patterns such as PJC, PSVT, PAC, PVCs, VTach, AV blocks, R-S-R pattern, LVH, septal MI, and posterior MI. For each pattern, it lists potential causes such as heart failure, digitalis toxicity, pulmonary disease, hypertension, left coronary artery occlusion. It also provides notes on characteristics of the patterns like rhythm regularity, AV node conduction delays, lead placements.

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0% found this document useful (0 votes)
25 views

Osce - Ecg

The document discusses various ECG patterns, their causes, and notes. It describes patterns such as PJC, PSVT, PAC, PVCs, VTach, AV blocks, R-S-R pattern, LVH, septal MI, and posterior MI. For each pattern, it lists potential causes such as heart failure, digitalis toxicity, pulmonary disease, hypertension, left coronary artery occlusion. It also provides notes on characteristics of the patterns like rhythm regularity, AV node conduction delays, lead placements.

Uploaded by

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Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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ECG Pattern Causes Notes

less than 3 boxes

Most people who get a


PJC have heart failure or
an existing heart condition. -

However, PJC can also


happen in healthy hearts.
- Digitalis toxicity

E- ☐

00 06

Prolonged runs of PSVT may


result in atrial fibrillation or atrial
flutter
• May be terminated by carotid
massage
O
'
f
pal

usually begins with PAC
1-
ECG Pattern Causes Notes

• Commonly seen in pulmonary disease,

hypoxia
electric abnormalities > 0.12 or more
increse SNS -> INCREASE EPI,NE
Uniform ADHD MEDICATIONS, COCCAINE
+9W - ↳ A- CAFFIENE

Multiform
%
writios usually regular rhythm
> than 3 PVCs IN A ROW is v tach R ON T
ECG Pattern Causes Notes

re entery or PVCs intiating R ON T

sqeegly looking

no dropped beats !!

winky; gives u
wanrning Prolonged conduction delay in the
AV node or Bundle of His

typically block occurs in the Bundle of His.

t
ECG Pattern Causes Notes

contstant p-p intervel


constant Q-Q intervel

00 R-S-R PATTERN

Broad, deep S waves IMP

≈ crown

1-
ECG Pattern Causes Notes

R wave > 7mm tall

v. →

← V5 hypertension

Septal Myocardial Infarction


ØOcclusion of the left coronary artery––left anterior descending branch

s
Leads V7-9 are placed on Posterior Myocardial Infarction
R wave in V1
Horizontal ST depression in V1-3
Tall, broad R waves (> 30ms) in V2-3
Dominant R wave (R/S ratio > 1) in V2
Upright T waves in V2-3
1-
"

By: Lama Abdullah Alkhwildi

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