Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 38 views

    12 Lead ECG

    Uploaded by

    pop lop
    The document provides an overview of electrocardiography (ECG or EKG), including defining ECG, describing the indications for an ECG, and explaining how to perform a 12-lead ECG by detailing the placement of electrodes and the waveforms analyzed. Proper ECG technique is demonstrated to identify cardiac abnormalities, arrhythmias, or other issues by examining the electrical activity and conduction pathways of the heart.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    12 Lead ECG

    Uploaded by

    pop lop
    38 views31 pages
    The document provides an overview of electrocardiography (ECG or EKG), including defining ECG, describing the indications for an ECG, and explaining how to perform a 12-lead ECG by detailing the placement of electrodes and the waveforms analyzed. Proper ECG technique is demonstrated to identify cardiac abnormalities, arrhythmias, or other issues by examining the electrical activity and conduction pathways of the heart.

    Original Description:

    12 Lead ECG

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document provides an overview of electrocardiography (ECG or EKG), including defining ECG, describing the indications for an ECG, and explaining how to perform a 12-lead ECG by detailing the placement of electrodes and the waveforms analyzed. Proper ECG technique is demonstrated to identify cardiac abnormalities, arrhythmias, or other issues by examining the electrical activity and conduction pathways of the heart.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    38 views31 pages

    12 Lead ECG

    Uploaded by

    pop lop
    The document provides an overview of electrocardiography (ECG or EKG), including defining ECG, describing the indications for an ECG, and explaining how to perform a 12-lead ECG by detailing the placement of electrodes and the waveforms analyzed. Proper ECG technique is demonstrated to identify cardiac abnormalities, arrhythmias, or other issues by examining the electrical activity and conduction pathways of the heart.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 31

    12 Lead ECG

    Ali Hussein
    Assistant lecturer
    Critical Care and Emergency Nursing
    Learning objectives:
    By the end of this clinical lab session
    every candidate will:
    - Define electrocardiography.
    -determine indications of 12 ECG.
    -Describe the correct placement of all
    electrodes.
    - Practice making 12 lead ECG.
    - Demonstrate Care of the ECG
    machine, and electrodes.
    Physiology of Cardiac
    Conductive System
    SA Node
    – The SA node, the pacemaker of the
    heart, is located at the junction of
    the SVC and right atrium
    – Fires at rate of 60-100 b/min
    Nodal pathway
    • Internodal Pathways
    - Carry the impulse from the SA node
    to the AV node
    • AV Node and AV Junction
    – Protects the ventricles from:
    – run away atrial rates and delays
    conduction allowing for ventricular
    filling time.
    –Firs at rate of 40-60 b/min
    Bundle Branches

    – Right and Left bundle branches.


    – Have slow unreliable rate(20-40 bpm).
    Purkinje fibers

    – The bundles divides numerous times


    into the Purkinje fibers.
    • Final pathways of conduction to the
    ventricles
    12 Lead ECG
    Definition
    • Electrocardiography (ECG) is a graphic,
    noninvasive procedure that represents
    the electrical events of the cardiac
    cycle

    • Each event has a distinctive waveform,


    the study of which can lead to greater
    insight into a patient’s cardiac
    pathophysiology
    Indications for ECG monitoring
    • Routine checkup
    • identify
    – Primary conduction abnormalities
    – Cardiac arrhythmias
    – Cardiac hypertrophy
    – Pericarditis
    – Electrolyte imbalances
    – Myocardial ischemia and the site and
    extent of myocardial infarction.
    Indications for ECG monitoring cont.,

    • Monitoring recovery from an MI.


    • Evaluating the effectiveness of
    cardiac medication.
    • Assessment of pacemaker
    performance
    • Monitoring patient with syncope.
    Waveforms
    12 Lead ECG Basics
    The leads of the 12 lead ECG
    are divided into 6 Limb Leads
    and 6 Precordial or Chest Leads.
    •There are six positive electrodes
    on the chest, yielding six leads.
    •There are four electrodes on the
    limbs from which the ECG machine
    makes another six leads.
    • Each lead has one positive electrode.

    • Positive electrode is a camera.

    • view is from the positive electrode

    toward the negative electrode.


    Einthoven’s Triangle

    Lead I
    extends from - +
    the right to the
    left arm
    -
    Lead III
    extends from the
    left arm to the left
    foot

    Lead II
    extends from
    the right arm to
    +
    the left foot
    Limb Leads
    Standard LL
    Augmented
    Lead I aVR
    Lead II aVL
    Lead III aVF
     

    Red Right Arm


    Yellow Left Arm
    Green Left Leg
    Black Right Leg
    Precordial Leads

    V1 V4
    V2 V5
    V3 V6
    Leads V1 - V2
    Leads V3 - V4
    Leads I-AVL -V5 - V6
    Limb Leads II, III, aVF
    – V1 - fourth intercostal, right sternal border.
    – V2 - fourth intercostal, left sternal border.
    – V3 - equal distance between V2 and V4.
    – V4 - fifth intercostal, left mid clavicular line.
    – V5 - anterior axillary line, same level with V4.
    – V6 - mid axillary line, same level with V4 and
    V5.
    \
    RT side ECG
    Acquiring the 15-Lead (V4R)

    • Run standard 12-lead


    • Lead V4R: 5th IC
    space midclavicular
    on right side
    • Same as left side V4
    • Attach V4 wire to the
    V4R position
    Acquiring a 15-Lead (V8, V9)

    • Posterior leads
    • V8: 5th IC space
    midscapular line
    • V9 goes between V8
    and the spine
    • Place Lead V5 wire
    on V8 and V6 wire on
    V9
    • Acquire the second
    12-lead
    • Re-label the new
    leads
    Start The Procedure

    You might also like