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Systematic
Interpretation of
ECG
Shaza Ali
BCPS, ALS(ERC),
ICU Clinical Pharmacist
Content Outline
1. ECG Fundamentals
a) Cardiac Conduction System
b) ECG Leads
2. Normal ECG Morphology .
3. 6 Steps Scheme to interpret an ECG
4. Major Cardiac Abnormalities
Detection From ECG
1. ECG Fundamentals
a) Cardiac Conduction System
b) ECG Leads
Electric Conduction
Representation in ECG
12 ECG Leads
ECG Paper, leads order
Leads View
ECG Paper
2.Normal ECG Morphology
1. QRS Morphologies
2. R wave progression
3. aVR : Inverted waves
1. ECG Fundamentals
a) Cardiac Conduction System
b) ECG Leads
2. Normal ECG Morphology .
3. 6 Steps Scheme to interpret an ECG
4. Major Cardiac Abnormalities
Detection From ECG
3. 6 Steps Scheme to
interpret
an ECG
6 Steps:
1. Rhythm : present / Absent,,, Regular / Irregular
2. Rate
P
R
RATE ???
6 Steps: 3- AXIS
4- P & PR interval
1.P wave Morphology
2.Height and width
3.Abnormalities include: P mitral
& P Pulmonale
4. : What if No P wave???
V1
PR Interval
1.Normal
2.Prolonged
5- QRS
1.Bundle Branch Block
2.Ventricular Hypertrophy
3.Myocardial Infarction Localization
Arrythmias
https://www.youtube.com/watch?v=riU
AFkV7HCU

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ECG slides shaza PDF