ECG Interpretation and Physiology
Ischemia and Lead Selection
Arrhythmias and Conduction Blocks
Pulm Physiology
Compliance and Ventilation
100

This ECG interval represents atrial depolarization through AV nodal delay.

PR interval

100

This lead is best for monitoring arrhythmias due to optimal P wave visualization.

Lead 2

100

This AV block is characterized by prolonged PR interval > 0.20 seconds with no dropped beats.

1st degree AV block

100

This lung volume is the sum of ERV and RV and represents volume at end expiration.

FRC

100

This type of compliance is measured when air is NOT moving.

Static

200

This ECG finding suggests interventricular conduction delay.

QRS duration > 0.12 seconds

200

These two precordial leads are most sensitive for detecting perioperative ischemia.

V3 and V4

200

This type of second-degree AV block shows progressively lengthening PR intervals until a beat is dropped.

Mobitz I (Wenckebach)

200

This condition occurs when alveoli are perfused but not ventilated.

Shunt

200

This type of compliance is affected by airway resistance and bronchospasm.

dynamic compliance

300

This is considered the true isoelectric line on an ECG

J point

300

This modified lead placement allows monitoring of anterior and lateral wall ischemia using a 3-lead system.

MCL5 or CS5

300

This AV block has constant PR intervals with dropped QRS complexes and risk of progressing to complete heart block.

Mobitz II

300

This condition occurs when alveoli are ventilated but not perfused.

Dead space

300

This condition increases lung compliance due to loss of elastic recoil.

emphysema

400

This electrolyte abnormality is associated with the presence of U waves.

Hypokalemia (most often)

400

This physiologic imbalance is the underlying cause of perioperative myocardial ischemia.

mismatch between myocardial oxygen supply and demand

400

This conduction abnormality presents with wide QRS, absent Q waves in V1/V6, and makes ischemia difficult to detect.

Left Bundle Branch Block (LBBB)

400

This physiologic reflex diverts blood away from poorly ventilated alveoli.

HPV

400

This formula is used to calculate static compliance.

TV / (Plateau pressure – PEEP)

500

This ECG change is diagnostic for ischemia when ST depression exceeds -1 mm in most leads.

ST segment depression

500

This ECG change suggests transmural ischemia rather than subendocardial ischemia.

ST elevation

500

This rhythm is suggested when aVR is upright and indicates a ventricular origin.

ventricular tachyarrhythmia

500

This equation describes transpulmonary pressure.

alveolar pressure minus intrapleural pressure

500

This airflow pattern requires higher pressure and is associated with airway obstruction.

Turbulent Flow

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