How do you identify a pathological Q wave?

Q waves are considered pathological if:

  1. > 40 ms (1 mm) wide.
  2. > 2 mm deep.
  3. > 25% of depth of QRS complex.
  4. Seen in leads V1-3.

What does a pathologic Q wave look like?


Usually what happens is the Q wave is relatively quite large okay usually Q waves are so small that sometimes you can't even see it it's a the first deflection in the negative. Direction.

What is the difference between a physiologic Q wave and and a pathologic Q wave?

Q waves represent the initial phase of ventricular depolarization. They are pathologic if they are abnormally wide (>0.2 second) or abnormally deep (>5 mm). Q waves that are pathologically deep but not wide are often indicators of ventricular hypertrophy.

What can a significant Q wave indicate?

Technically, a Q wave indicates that the net direction of early ventricular depolarization (QRS) electrical forces projects toward the negative pole of the lead axis in question. Although prominent Q waves are a characteristic finding in myocardial infarction, they can also be seen in a number of noninfarct settings.

What does an abnormal Q wave on ECG mean?

Abstract. Background: Abnormal Q waves (AQW) in the electrocardiogram are commonly ascribed to underlying myocardial infarction (MI). As an imperfectly specific sign of MI, the usefulness of AQW in identifying MI depends on its incidence in the population studied.

How do you read Q waves on an ECG?

The Q wave is the first downward deflection after the P wave and the first element in the QRS complex. When the first deflection of the QRS complex is upright, then no Q wave is present. The normal individual will have a small Q wave in many, but not all, ECG leads.

What causes abnormal Q waves?

The majority of abnormal Q waves are due to myocardial infarction, although other causes clearly must be considered. Non–Q-wave myocardial infarction may be transient or permanent. Transient Q waves have been produced experimentally in animals and have been observed in patients during ischemic episodes.

Is an abnormal Q wave serious?

Conclusion: Abnormal Q waves on the admission electrocardiogram (ECG) are associated with higher peak creatine kinase, higher prevalence of heart failure, and increased mortality in patients with anterior MI. Abnormal Q waves on the admission ECG of patients with inferior MI are not associated with adverse prognosis.

Do Q waves always indicate MI?

Conclusion. The presence of pathologic Q waves on ECG is not always associated with the presence of prior myocardial infarction on cardiac MRI. In addition, Q waves appear to modestly correlate with the location of the prior MI.

What is Q wave infarction?

Q wave myocardial infarction refers to myocardial infarctions that in a Q wave forming on the 12-lead ECG once the infarction is completed.

What can a significant Q wave indicate quizlet?

Significant Q waves indicate either myocardial infarction or obstructive septal hypertrophy (IHSS).

When do Q waves develop after MI?

Q waves may develop within one to two hours of the onset of symptoms of acute myocardial infarction, though often they take 12 hours and occasionally up to 24 hours to appear. The presence of pathological Q waves, however, does not necessarily indicate a completed infarct.

Which disorder is likely to produce pathologic Q waves on an electrocardiogram tracing?

Acute myocardial infarction may be associated with the development of Q waves on the electrocardiogram (ECG), or with changes limited to the ST segment or T wave. The ECG changes do not accurately differentiate transmural from nontransmural infarction.