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Uni polar or Precordial Leads are AKA
v1-v6 are AKA
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BiPolar Leads are AKA
Limb Leads are AKA
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Augmented leads are AKA
AVl, AVr, AVf are AKA
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What MI has development of tall R waves
Posterior MI has what unusual pattern
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ST elevation indicates
Injury on a 12-lead is noted by
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ST depression indicates
Ischemia on a 12 lead is noted by
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Q Waves indicate
Infarction on a 12 lead is noted by
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To consider a Q wave indicative of infarction
If the Q wave is >25% of the R wave it indicates
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Q waves with ST elevation indicates
Acute injury on a 12-lead is noted by
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Q waves with ST depression indicates
Indeterminate injury on a 12-lead is noted by
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Q waves without ST elevation indicates
Old infarction on a 12-lead is noted by
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A short PRI may indicate
WPW may show before the QRS as
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Delta waves may indicate
WPW can be seen in the QRS as
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TCA OD may present in the QRS as
Wide QRS can be a BBB or a
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Dig Dip can look like
Salvador Dali's moustache looks like
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Diffuse ST elevation across entire ECG can be
Pericarditis can present on a 12-lead as
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If Diacrotic notch is >2mm than Inflation point
Early inflation of IABP is noted if
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If Diacrotic notch is <2mm than inflation point
Normal inflation of IABP is noted if
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Primary trigger for inflation of the IABP is
The R wave relates to what part of the IABP wavepoint
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The distal tip of the IABP is positioned
2 cm below the level of the aortic arch is the landmark for
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The IABP inflates at ventricular
At the onset of ventricular diastole, the IABP
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The IABP deflates at ventricular
Just prior to the onset of ventricular systole, the IABP
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If the IABP ADIA > DIA
Late deflation is noted on the IABP waveform by
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If the ADIA < DIA
Normal deflation is noted on the IABP waveform by
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Left Ventricular Assisted Device Criteria
- Pt must be a heart transplant candidate
- Pt must demonstrate reversible end-stage organ disease
- BSA must be large enough to contain the device
- Meets the New York Heart Association Class IV criteria
- Demonstrates the ability to take care of device
- Pt has hemodynamic criteria:
- CI<2.0,
- Either MAP<65mmHg,
- or PAWP/PAP>18mmHg,
- or Deadly arrythmias unresponsive to medicine
- or Pt needs support of two positive inotropes
- or Pt has an IABP placed
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IABP indications(9)
- Acute mitral valve rupture
- VSD
- Left main occlusion
- Cardiogenic shock
- Postoperative CABG
- Bridge to heart transplant
- Procedure support during angiography and PTCA
- Acute MI
- Unstable Angina
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IABP primary treatment goals (2)
- Increase Myocardial o2 supply
- Decrease Myocardial o2 demand
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IABP Secondary treatment goal (7)
- Improved CO
- Improved EF
- Increased CPP
- Increased systemic perfusion
- Decreased HR
- Decreased PCWP
- Decreased SVR
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IABP absolute contraindications (4)
- Chronic end stage heart disease
- Aortic insufficiency
- Aortic aneurysm
- Thoracic aneurysm
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IABP relative contraindications
Peripheral vascular disease
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IABP complications (5)
- Limb ischemia
- Balloon leakage
- Development of clots
- Excessive bleeding
- Aortic dissection
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Most lethal IABP complication is
Late deflation is the IABP's
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