CCT-ECG and IABP

  1. Uni polar or Precordial Leads are AKA
    v1-v6 are AKA
  2. BiPolar Leads are AKA
    Limb Leads are AKA
  3. Augmented leads are AKA
    AVl, AVr, AVf are AKA
  4. What MI has development of tall R waves
    Posterior MI has what unusual pattern
  5. ST elevation indicates
    Injury on a 12-lead is noted by
  6. ST depression indicates
    Ischemia on a 12 lead is noted by
  7. Q Waves indicate
    Infarction on a 12 lead is noted by
  8. To consider a Q wave indicative of infarction
    If the Q wave is >25% of the R wave it indicates
  9. Q waves with ST elevation indicates
    Acute injury on a 12-lead is noted by
  10. Q waves with ST depression indicates
    Indeterminate injury on a 12-lead is noted by
  11. Q waves without ST elevation indicates
    Old infarction on a 12-lead is noted by
  12. A short PRI may indicate
    WPW may show before the QRS as
  13. Delta waves may indicate
    WPW can be seen in the QRS as
  14. TCA OD may present in the QRS as
    Wide QRS can be a BBB or a
  15. Dig Dip can look like
    Salvador Dali's moustache looks like
  16. Diffuse ST elevation across entire ECG can be
    Pericarditis can present on a 12-lead as
  17. If Diacrotic notch is >2mm than Inflation point
    Early inflation of IABP is noted if
  18. If Diacrotic notch is <2mm than inflation point
    Normal inflation of IABP is noted if
  19. Primary trigger for inflation of the IABP is
    The R wave relates to what part of the IABP wavepoint
  20. The distal tip of the IABP is positioned
    2 cm below the level of the aortic arch is the landmark for
  21. The IABP inflates at ventricular
    At the onset of ventricular diastole, the IABP
  22. The IABP deflates at ventricular
    Just prior to the onset of ventricular systole, the IABP
  23. If the IABP ADIA > DIA
    Late deflation is noted on the IABP waveform by
  24. If the ADIA < DIA
    Normal deflation is noted on the IABP waveform by
  25. 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
  26. 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
  27. IABP primary treatment goals (2)
    • Increase Myocardial o2 supply
    • Decrease Myocardial o2 demand
  28. IABP Secondary treatment goal (7)
    • Improved CO
    • Improved EF
    • Increased CPP
    • Increased systemic perfusion
    • Decreased HR
    • Decreased PCWP
    • Decreased SVR
  29. IABP absolute contraindications (4)
    • Chronic end stage heart disease
    • Aortic insufficiency
    • Aortic aneurysm
    • Thoracic aneurysm
  30. IABP relative contraindications
    Peripheral vascular disease
  31. IABP complications (5)
    • Limb ischemia
    • Balloon leakage
    • Development of clots
    • Excessive bleeding
    • Aortic dissection
  32. Most lethal IABP complication is
    Late deflation is the IABP's
Author
Tmc9
ID
116678
Card Set
CCT-ECG and IABP
Description
ECG and IABP
Updated