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ECG
Shirjeel Murtaza(M.B.B.S)
Abnormalities of P
 P Pulmonale
 P Mitrale
Abnormalities of QRS
Abnormalities of QRS
 Increased Width
 Increased Height
RVH
 These criteria have been expressed in simple mathematics:
o In lead V1, the R wave is larger than the S wave.
o In lead V6, the S wave is larger than the R wave.
o Lead I is slightly more negative ( Right Axis Deviation )
RVH
LVH
 SV1 + RV6 = 35 mm
TEST
Secondary repolarization abnormality
with Hypertrophy
 Also called previously Strain Pattern
ST- T wave changes
Pericarditis. Generalized Concave
(Saddle shaped)
Reciprocal Changes
Localizing Infarct
 An acute lateral wall
infarction. ST
elevation can be seen
in leads I, AVL,
 V5, and V6. Note also
the deep Q waves in
leads II, III, and AVF,
signifying
 a previous inferior
infarction. Did you
notice the deep Q
waves in leads V3
 through V6? These are
the result of another
lateral infarction that
occurred
 years ago.

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Ecg 2