This document outlines a systematic approach to interpreting electrocardiograms (ECGs). It begins with an overview of ECG fundamentals, including the cardiac conduction system and the 12 ECG leads. It then covers normal ECG morphology and a 6-step scheme for ECG interpretation. The 6 steps are: 1) analyze rhythm, rate, and regularity, 2) determine axis, 3) examine P and PR intervals, 4) analyze the QRS complex, 5) check for abnormalities. The document aims to provide guidance on interpreting ECGs and detecting major cardiac abnormalities.