JILL IRENE Z. CAPISTRANO MD, FPCP, DPCCPostgraduate EducationBS Physical Therapy, Silliman University, 1996BS Zoology, MSU-Iligan Institute of Technology 1999Doctor of Medicine, Mindanao State University-College of MedicinePost-graduate InternshipUniversity of the Philippines, Philippine General Hospital 2003-2004Internal Medicine ResidencyUniversity of the Philippines, Philippine General Hospital 2004-2007Fellowship in CardiologyUniversity of the Philippines, Philippine General Hospital 2008-2011AffiliationsFellow, Philippine College of PhysciansFellow, Philippine Heart AssociationDiplomate, Philippine College of Cardiology
Dr. Jill Irene Z. Capistrano, FPCP,DPCC INTERNAL MEDICINE-CARDIOLOGY
R PR ST segment segment TP J point Q PR ST Sinterval interval QRS interval QT interval
RIGHT VENTRICULAR HYPERTROPHYSokolow-Lyon Criteria: R in V1 + S in V5-V6 > 11 mm R in V1 > 7mm R : S in V1 > 1 RAD > +90 degrees Additional Criteria: QR in V1 S1 Q3 pattern S1 S2 S3 pattern p pulmonale
A 55F hypertensive sought consult at the ER for a blood pressure of150/100. You requested for ancillary procedures, including an ECG.
13 X 2 S in V1 + R in V5 or V6 > 35mm VENTRICULAR LEFT 20 X 2 HYPERTROPHYSinus rhythm, normal axis, left ventricular hypertrophy
A 24 year-old male with Atrial Septal Defect was admitted for shortness of breath.
SINUS TACHYCARDIAInterval between QRS complex < 3majordivisions1500/# small squares = 1500/12 = 125beats/min
QRS downward in lead I and upright in lead aVF RIGHT AXIS DEVIATIONP waves tall and pointed in II andaVF RIGHT ATRIAL ENLARGEMENT
QRS upright in V1 Prominent S waves across precordial leads RIGHT VENTRICULAR HYPERTROPHYSinus tachycardia, right axis deviation, right atrial abnormality, right ventricularhypertrophy
Myocardial InjuryCriteria: 1. Elevation of the origin of ST segment at its junction (J point) with the QRS of: a. >1.0 mm (0.10 mV) in >2 limb leads lasting at least 80 msecs or b. >2.0 mm (0.20 mV) in >2 precordial leads
Myocardial InjuryCriteria: 2. Depression of the origin of ST segment at the J point >1.0 mm (0.20 mV) in at least 2 leads *ST segment deviation typically either horizontal or slope toward the direction of T waves
Myocardial InfarctionCriteria:1. Development of new Q waves on areas overlying the infarct which is: a. >0.04. secs duration b. >25% of the height of associated R wave
Onset and first several hours Normal ECG First and second day First dayAfter 2days Several days or months