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    ECG Interp

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    France Pal
    This ECG shows sinus tachycardia with a heart rate of 107 bpm and ST segment elevations in the inferior wall leads and high lateral leads. The second ECG shows atrial tachycardia with a heart rate of 150 bpm, negative P waves in inferior leads, and prolonged PR interval causing dropped beats. The third ECG shows ventricular tachycardia originating from the right ventricle with a heart rate of 188 bpm, no P waves, right axis deviation, and LBBB pattern with sudden transition of R waves at V3.

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    ECG Interp

    Uploaded by

    France Pal
    20 views3 pages
    This ECG shows sinus tachycardia with a heart rate of 107 bpm and ST segment elevations in the inferior wall leads and high lateral leads. The second ECG shows atrial tachycardia with a heart rate of 150 bpm, negative P waves in inferior leads, and prolonged PR interval causing dropped beats. The third ECG shows ventricular tachycardia originating from the right ventricle with a heart rate of 188 bpm, no P waves, right axis deviation, and LBBB pattern with sudden transition of R waves at V3.

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    This ECG shows sinus tachycardia with a heart rate of 107 bpm and ST segment elevations in the inferior wall leads and high lateral leads. The second ECG shows atrial tachycardia with a heart rate of 150 bpm, negative P waves in inferior leads, and prolonged PR interval causing dropped beats. The third ECG shows ventricular tachycardia originating from the right ventricle with a heart rate of 188 bpm, no P waves, right axis deviation, and LBBB pattern with sudden transition of R waves at V3.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    20 views3 pages

    ECG Interp

    Uploaded by

    France Pal
    This ECG shows sinus tachycardia with a heart rate of 107 bpm and ST segment elevations in the inferior wall leads and high lateral leads. The second ECG shows atrial tachycardia with a heart rate of 150 bpm, negative P waves in inferior leads, and prolonged PR interval causing dropped beats. The third ECG shows ventricular tachycardia originating from the right ventricle with a heart rate of 188 bpm, no P waves, right axis deviation, and LBBB pattern with sudden transition of R waves at V3.

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    This is ECG is not identified, it’s well calibrated and with no baseline artifacts

    Looking at the rhythm strip we a see a regular rhythm

    heart rate of 107 bpm (Tachycardia)

    Normal cardiac axis (Lead I +, aVF +)

    Sinus rhythm (P waves +ev in leads I,II and -ve in lead aVR) so sinus Tachycardia

    Normal PR interval // narrow QRS complexes // no U/delta waves

    Normal R wave progression // normal QT interval

    ST segment elevations in leads the inferior wall leads (II, III, aVF) Also in leads V4, V5, V6 (last two are
    high lateral wall lead

    …………………………………………………………………………………………………………………………………………………………….......

    This is ECG is not identified, it’s not well calibrated and with no baseline artifacts

    Regular rhythm(regular P to P intervals // heart rate is 150 bpm (2 large squares divided by 300)

    So this is an atrial tachycardia ( as the SA node cannot generate such speeds)

    P waves are negative in leads II, III and aVF // Also left Axis deviation (Lead I +, aVF -)

    Prolonged QRS complex // normal R wave progression // R wave seen notched in multiple leads

    Also dropped beats that seem to be caused by progressively prolonged PR interval

    …………………………………………………………………………………………………………………………………………………………….......

    This is ECG is not identified, it’s well calibrated and with no baseline artifacts

    Respiratory alternans is noticed in rhythm strip (and other)

    Regular rhythm // heart rate of 188 bpm (abnormally high) Tachycardia

    Right axis deviation (Lead I -, aVF +)

    I see no P waves // there are more than three ventricular premature complex beats occurring Obvious
    pattern of Ventricular Tachycardia

    No ST segment elevation/depression

    abnormal R wave progression with sudden transition from negative to positive R wave at V3 (most likely
    a left bundle branch block)

    meaning that the VT is originating from the right ventricle


    (We did not take on how to read an ECG of a patient with a Pacemaker)

    This is ECG is not identified, it’s well calibrated and with no baseline artifacts

    This ECG is irregularly Irregular at the start but then goes back to normal at the end (sinus rhythm)

    When normal sinus rhythm Heart rate is 68 bpm

    R wave progression is not normal (most likely cause of the pacemaker)

    Wide QRS // no ST segment elvations/depression

    Deep S waves in leads ( V2-V5)

    This patient has a pacemaker that malfunctioned after the second beat and after the third beat

    Which was the cause of near syncope in this patient

    …………………………………………………………………………………………………………………………………………………………….......

    This is ECG is not identified, it’s not well calibrated and with no baseline artifacts

    Very poor ECG to read: no rhythm strip and no 3 consecutive beats that can be read in any lead

    Regular rhythm

    HR: 56 bpm // Bradycardia

    No P waves seen

    Ventricular Rhythm

    Very wide QRS complexes ( >0.12 sec) very wide in lead V1 (around 6 small squares)

    Left axis deviation (Lead I +, aVF -)

    Sine wave appearance in lead V1

    Tall upright T waves from lead V3, V4, V5 and V6

    …………………………………………………………………………………………………………………………………………………………….......

    This is ECG is not identified, it’s well calibrated and with no baseline artifacts

    A pacemaker is being used in this patient, noted because of the small spike that comes before a p wave
    is generated

    Regular rhythm // HR: 83 bpm (within normal range)

    Normal heart axis (Lead I +, aVF +)


    Sinus rhythm (P waves +ev in leads I,II and -ve in lead aVR)

    In the rhythm strip beats 10 and 11 seem to have happened prematurely by PACs

    Narrow QRS complex // with normal PR interval

    ST segment elevation is present in V2-V6 and the inferior wall leads (II, III, aVF)

    T wave looks to be merging with the S waves in multiple lead

    No U waves present

    T wave looks to be merging with the S waves in multiple lead

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