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    ECG Interpretation

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    Iin Widya Sari Siregar
    The document discusses electrocardiography (ECG) and ECG interpretation. It describes the conduction of electrical impulses in the heart from the endocardium to epicardium during depolarization and the reverse during repolarization. It also outlines the standard leads placed on the chest and limbs to record the heart's electrical activity. Finally, it provides guidance on interpreting ECGs by evaluating rate, rhythm, axis, signs of hypertrophy, myocardial infarction, and arrhythmias.

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    ECG Interpretation

    Uploaded by

    Iin Widya Sari Siregar
    67 views82 pages
    The document discusses electrocardiography (ECG) and ECG interpretation. It describes the conduction of electrical impulses in the heart from the endocardium to epicardium during depolarization and the reverse during repolarization. It also outlines the standard leads placed on the chest and limbs to record the heart's electrical activity. Finally, it provides guidance on interpreting ECGs by evaluating rate, rhythm, axis, signs of hypertrophy, myocardial infarction, and arrhythmias.

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    The document discusses electrocardiography (ECG) and ECG interpretation. It describes the conduction of electrical impulses in the heart from the endocardium to epicardium during depolarization and the reverse during repolarization. It also outlines the standard leads placed on the chest and limbs to record the heart's electrical activity. Finally, it provides guidance on interpreting ECGs by evaluating rate, rhythm, axis, signs of hypertrophy, myocardial infarction, and arrhythmias.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    67 views82 pages

    ECG Interpretation

    Uploaded by

    Iin Widya Sari Siregar
    The document discusses electrocardiography (ECG) and ECG interpretation. It describes the conduction of electrical impulses in the heart from the endocardium to epicardium during depolarization and the reverse during repolarization. It also outlines the standard leads placed on the chest and limbs to record the heart's electrical activity. Finally, it provides guidance on interpreting ECGs by evaluating rate, rhythm, axis, signs of hypertrophy, myocardial infarction, and arrhythmias.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 82

    ELECTROCARDIOGRAPHY

    Unipolar Precodial (Chest) Leads


    Midclavicular line
    Anterior axillary line
    Midaxillary line

    V6R V6
    V5
    V5R
    V4
    V4R V3
    V3R V2
    V1

    Mervin J. Goldman, MD. 11th edition Principles of clinical Electrocardiography. Clinical Professor of Medicine University of
    California School of Medicine San Francisco @1995-1982
    Unipolar Precodial (Chest) Leads

    Horizontal plane of V4-6

    V7 V8 V9 V9RV8RV7R

    Mervin J. Goldman, MD. 11th edition Principles of clinical Electrocardiography. Clinical Professor of Medicine University of
    California School of Medicine San Francisco @1995-1982
    The electrocardiogram
    (ECG) illustrates
    conduction of electrical
    impulses in the heart.
    The depolarization of the
    ventricles occurs from
    the endocardium
    (inside) to the
    epicardium (outside)
    [e]
    The repolarization of the
    ventricles occurs in the
    opposite direction. [g]
    ECG INTERPRETATION
    1. RATE
    2. RHYTHM
    3. AXIS
    4. HIPERTROPHIC SIGNS
    5. MYOCARDIAL INFARCTION
    6. ARRHYTHMIA
    1. RATE
    Normal heart rate : 60 – 100 x/minutes
    • > 100 x/minutes : Sinus Tachycardia
    • < 60 x/minutes : Sinus Bradicardia

    Determination heart rate (normal paper speed 25 mm/s):


    • 300
    Count number of large square (bold boxes in one R – R’ interval)
    • 1500
    Count number of small square in one R – R’ intervals
    • Number of QRS complex in 6 seconds, multiply by 10
    2. RHYTHM

    Normal cardiac rhythm : SINUS rhythm

    Sinus rhythm characteristics :


    • Rate 60-100 bpm
    • Constant R – R interval
    • Negative P wave in aVR and positive di II
    • P wave is always followed by QRS complex
    3. AXIS
    4. HYPERTROPHIC SIGNS
    5. MYOCARDIAL INFARCTION

     Ischemia
     Injury
     Necrosis
    ANTERIOR INFARCTION
    INFERIOR INFARCTION
    POSTEROLATERAL INFARCTION
    ARRHYTHMIA
    AV BLOCK
    WHAT’S WRONG??
    Lead Error: V1 and V3 are Transposed!
    In this normal 12-lead ECG the V1 and V3 chest electrodes are
    interchanged. Experienced ECG interpreters should be able to spot this
    lead placement error.
    DISCUSSION
    Sinus arrhythmia
    Limb lead reversal
    Early repolarization
    Subendocardial ischemia.
    Anterolateral ST-segment depression
    Unstable angina
    acute anterolateral myocardial infarction
    High lateral infarction
    Lateral myocardial infarction
     Right ventricular infarction
    Acute inferoposterior myocardial infarction
    left ventricular aneurysm
    Mobitz I
    High-grade atrioventricular block
    Wolff-Parkinson-White syndrome
    Wolff-Parkinson-White syndrome
    Atrial fibrillation
    Atrial flutter
    premature ventricular contraction
    Supraventricular tachycardia
    Wide complex tachycardia
    Ventricular flutter
    Idioventricular rhythm

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