EKG Roundtable

Question 1

What are the three conditions that can give you an irregularly irregular rhythm on ECG?

Answer 1

1. atrial fibrillation
2. multifocal atrial tachycardia
3. atrial flutter with a variable block

Question 2

Describe the CHADS score, and what it is used to determine.

Answer 2

C: CHF
H: HTN
A: Age > 75
D: Diabetes Mellitus
S: Stroke or TIA (2+)

This is used to determine if a patient should be put on a blood thinner other than aspirin

Question 3

Congenital heart abnormality. Most common cause of ventricular pre-excitation. Most people are asymptomatic, but patients who undergo Afib or SVT can die. What is this syndrome?

Answer 3

Wolff-Parkinson-White

Question 4

What will you see on the ECG in Wolff-Parkinson-White?

Answer 4

delta wave before QRS

short PR interval

Question 5

What are pathologic Q waves indicative for?

Answer 5

prior myocardial infarction