This document provides an overview of electrocardiography (EKG/ECG) and how to interpret EKG results. It discusses:
1) Students will learn how to perform and analyze EKG tests, including how to attach electrodes and read EKG tracings.
2) It describes the normal waves of the EKG (P, QRS, ST-T) and intervals (PR, QT).
3) Guidelines are provided for interpreting EKGs through measuring waves and intervals, analyzing rhythm and conduction, describing waveforms, and comparing to prior tests. Characteristics of normal EKGs are also outlined.
1. The document discusses the basics of EKG interpretation including assessing rhythm, frequency, axis, and waveform morphology.
2. It outlines several common rhythms like sinus rhythm, atrial fibrillation, ventricular tachycardia and their characteristics.
3. The document also reviews cardiac axis, abnormalities of P waves, PR interval, QRS complex, ST segment and T waves and how they relate to conditions like myocardial infarction. Diagnosing MI involves looking for ST elevation, pathological Q waves and their patterns in different leads.
An electrocardiogram (ECG) records the electrical activity of the heart over time via electrodes placed on the skin. It detects the heart's electrical dipole by measuring the potential differences between electrodes. The ECG can be used to diagnose conditions like heart attacks, arrhythmias, electrolyte imbalances, and more by analyzing features of the P, QRS, and T waves as well as intervals between them. To perform an ECG, electrodes are attached to the patient's limbs after cleaning the skin. The ECG machine then records the signals from multiple leads to analyze the heart's rate, rhythm, and electrical axis.
This document provides an overview of electrocardiography (ECG). It defines an ECG as a tracing of the heart's electrical activity. The objectives are to learn how to perform an ECG, interpret the results, and recognize various pathologies. Key points covered include electrode placement, components of the ECG wave, the physiology of cardiac conduction, interpreting the rate, rhythm, axis, and analyzing P, QRS, and T waves. Causes of axis deviations and details on analyzing the P wave are also summarized.
This document provides a history and overview of cardiac implantable electronic devices (CIEDs) such as pacemakers and implantable cardioverter defibrillators (ICDs). It discusses the evolution of cardiac pacing from early external stimulation experiments to modern implantable devices. Key components of modern pacemakers and ICDs like leads, generators, batteries and programming functions are described. The document also reviews cardiac resynchronization therapy delivered by biventricular pacemakers and ICDs.
- The document is a lesson plan on electrocardiography from Dr. Leonel Rodriguez's Human Physiology class. It includes the names of 8 students and is from the School of Health Sciences at the National University of Chimborazo in Ecuador.
- The lesson covers the definition, importance, equipment, and procedure for electrocardiography. It also discusses the different lead types, waves, segments, and what a normal and abnormal electrocardiogram looks like. Practice activities are included to engage students.
This document provides an overview of arrhythmias for medical residents. It outlines an approach to classifying arrhythmias based on rate, regularity, and QRS width. Specific arrhythmias covered include sinus bradycardia, atrial fibrillation, atrial flutter, AV nodal reentrant tachycardia, ventricular tachycardia, and various types of heart block. The document also discusses how to determine if a wide complex tachycardia requires cardioversion or defibrillation versus medical treatment. Examples of EKGs are provided for different arrhythmias.
The document discusses pacemakers, including that they deliver electrical stimulation to cardiac tissue. It describes the different types of pacemakers and their indications. It then discusses the four parts of the pacing system: the pulse generator, lead(s), programmer, and patient. It provides details on pulse generators, lead systems, programming codes, implantation labs and their personnel, pre-implant protocols, implantation approaches, parameters, post-procedure management, complications, and discharge advice.
The document discusses methods for determining heart rate and QRS axis from an ECG.
To determine heart rate, it describes the 300 rule where the number of large boxes between beats is divided into 300. It also describes the 10 second rule where the number of beats in 10 seconds is multiplied by 6.
To determine QRS axis, it explains using the quadrant method to qualitatively classify the axis as normal, left axis deviation, right axis deviation, or extreme based on the positivity or negativity of the QRS complex in various leads. It also describes the equiphasic lead method to semi-quantitatively estimate the axis.
1. The document discusses the basics of EKG interpretation including assessing rhythm, frequency, axis, and waveform morphology.
2. It outlines several common rhythms like sinus rhythm, atrial fibrillation, ventricular tachycardia and their characteristics.
3. The document also reviews cardiac axis, abnormalities of P waves, PR interval, QRS complex, ST segment and T waves and how they relate to conditions like myocardial infarction. Diagnosing MI involves looking for ST elevation, pathological Q waves and their patterns in different leads.
An electrocardiogram (ECG) records the electrical activity of the heart over time via electrodes placed on the skin. It detects the heart's electrical dipole by measuring the potential differences between electrodes. The ECG can be used to diagnose conditions like heart attacks, arrhythmias, electrolyte imbalances, and more by analyzing features of the P, QRS, and T waves as well as intervals between them. To perform an ECG, electrodes are attached to the patient's limbs after cleaning the skin. The ECG machine then records the signals from multiple leads to analyze the heart's rate, rhythm, and electrical axis.
This document provides an overview of electrocardiography (ECG). It defines an ECG as a tracing of the heart's electrical activity. The objectives are to learn how to perform an ECG, interpret the results, and recognize various pathologies. Key points covered include electrode placement, components of the ECG wave, the physiology of cardiac conduction, interpreting the rate, rhythm, axis, and analyzing P, QRS, and T waves. Causes of axis deviations and details on analyzing the P wave are also summarized.
This document provides a history and overview of cardiac implantable electronic devices (CIEDs) such as pacemakers and implantable cardioverter defibrillators (ICDs). It discusses the evolution of cardiac pacing from early external stimulation experiments to modern implantable devices. Key components of modern pacemakers and ICDs like leads, generators, batteries and programming functions are described. The document also reviews cardiac resynchronization therapy delivered by biventricular pacemakers and ICDs.
- The document is a lesson plan on electrocardiography from Dr. Leonel Rodriguez's Human Physiology class. It includes the names of 8 students and is from the School of Health Sciences at the National University of Chimborazo in Ecuador.
- The lesson covers the definition, importance, equipment, and procedure for electrocardiography. It also discusses the different lead types, waves, segments, and what a normal and abnormal electrocardiogram looks like. Practice activities are included to engage students.
This document provides an overview of arrhythmias for medical residents. It outlines an approach to classifying arrhythmias based on rate, regularity, and QRS width. Specific arrhythmias covered include sinus bradycardia, atrial fibrillation, atrial flutter, AV nodal reentrant tachycardia, ventricular tachycardia, and various types of heart block. The document also discusses how to determine if a wide complex tachycardia requires cardioversion or defibrillation versus medical treatment. Examples of EKGs are provided for different arrhythmias.
The document discusses pacemakers, including that they deliver electrical stimulation to cardiac tissue. It describes the different types of pacemakers and their indications. It then discusses the four parts of the pacing system: the pulse generator, lead(s), programmer, and patient. It provides details on pulse generators, lead systems, programming codes, implantation labs and their personnel, pre-implant protocols, implantation approaches, parameters, post-procedure management, complications, and discharge advice.
The document discusses methods for determining heart rate and QRS axis from an ECG.
To determine heart rate, it describes the 300 rule where the number of large boxes between beats is divided into 300. It also describes the 10 second rule where the number of beats in 10 seconds is multiplied by 6.
To determine QRS axis, it explains using the quadrant method to qualitatively classify the axis as normal, left axis deviation, right axis deviation, or extreme based on the positivity or negativity of the QRS complex in various leads. It also describes the equiphasic lead method to semi-quantitatively estimate the axis.
This document discusses temporary pacemakers. It explains that temporary pacemakers are indicated for bradyarrhythmias, conduction blocks, and permanent pacemaker malfunctions. It describes the principles of pacing, including electrical concepts, pacing types, wiring systems, modes of pacing, and parameters like output and sensitivity. It illustrates normal pacemaker behavior and various abnormalities including failure to capture, failure to sense, oversensing, competition, and Wenckebach behavior. It discusses evaluating underlying rhythm, assessing pacemaker strips, and troubleshooting issues like changing settings, electrodes, batteries, or reversing polarity.
This document contains questions and information about electrocardiography (ECG) asked by Muhammad Awais Munir, a student at Punjab Medical College. It includes questions about what ECG stands for, who invented it, myocardial infarction patterns on ECG, the heart's conduction system, sinus rhythm, pacemakers, electrodes, ECG waves, interpreting ECGs, calculating heart rate from ECG, determining electrical axis, identifying different heart walls on ECG leads, and more. Diagrams are provided to illustrate the heart's conduction system, ECG paper measurements, hexaxial arrays for determining electrical axis, and pacemaker modes. Guidelines for pacemaker implantation in acquired atrioventricular block are also summarized.
This presentation is very useful for undergraduate medical students, premedical students to know about the basics of ECG in a very less time.This presentation teaches us how to proceed systematically to interprate an electrocardiographic tracing.
The document provides an overview of pacemaker indications, functions, and operation. It discusses normal heart rhythm and conduction, abnormalities that can require pacing like sinus node dysfunction and AV block, pacemaker components, modes and how they work, factors in selecting an optimal pacing mode, and indications for various pacing therapies.
Pacemakers and implantable cardiac defibrillatorsAndrewCrofton
Cardiac pacemakers and implanted defibrillators are used to treat symptomatic bradycardia and tachycardia. Transcutaneous pacing can be used for emergency bradycardia and has a higher survival rate than other modalities. Permanent pacemakers are indicated for chronic symptomatic AV block or sinus node dysfunction. Different pacing modes like VVI are used depending on the underlying cardiac rhythm and conduction abnormalities. Overdrive pacing may terminate some tachycardias but risks inducing faster rhythms or ventricular fibrillation. Pacemaker function must be checked after countershocks to ensure proper functioning.
This document provides an overview of peri-arrest arrhythmias including objectives, ECG interpretation, bradycardia, tachycardia, treatment approaches, and specific arrhythmias like atrial fibrillation, ventricular tachycardia, supraventricular tachycardia, and electrolyte abnormalities. The objectives are ECG interpretation in context of patient assessment, concepts of symptomatic and unstable arrhythmias, basic ECG reading, and treatments for tachycardias and bradycardias. Evaluation of stability and symptoms is emphasized over rhythm alone for treatment decisions.
The document outlines a step-by-step process for reading an ECG, including calculating heart rate, assessing rhythm, cardiac axis, P waves, PR interval, QRS complex, ST segment, T waves, and U waves. Key items to evaluate at each step are identified, such as determining regular vs. irregular rhythm, signs of conduction abnormalities, and abnormalities that may indicate conditions like myocardial infarction. The overall goal is to systematically analyze all components of the E
Pacemaker timing & advanced dual chamber conceptsSunil Reddy D
This document discusses various concepts related to pacemaker timing and dual chamber pacing modes. It covers topics such as single chamber timing parameters like lower rate interval, refractory period and blanking period. It then discusses dual chamber timing concepts including the four main faces of DDD pacing, parameters like AV and VA intervals, and upper tracking rate behavior. Rate responsive pacing in modes like VVIR and AAIR is also summarized. Various pacing artifacts and issues like noise sensing, T-wave oversensing and interference are explained through diagrams of pacemaker timing cycles.
To summarize the document:
1. The document outlines the steps for systematically analyzing a 12-lead ECG: rate, rhythm, axis, intervals, hypertrophy, and evidence of infarction.
2. It describes how to calculate and interpret the PR, QRS, and QT intervals and defines normal values.
3. Criteria are provided to assess for right and left atrial enlargement, right and left ventricular hypertrophy on the ECG.
4. The document instructs the reader to look for abnormal Q waves, ST elevation or depression, and T wave changes when analyzing the ECG for evidence of a myocardial infarction.
This document provides an overview of ECG strip interpretation for ACLS certification. It begins with a review of normal sinus rhythm and ECG paper formatting. Key components of rhythm analysis are described, including rate, regularity, P waves, intervals and more. Examples of sinus rhythms, atrial rhythms, ventricular rhythms, and atrioventricular blocks are then outlined with their identifying features. The document concludes with two case scenarios describing patients' conditions and asking the reader to name the rhythms presented and their recommended management.
This document discusses pacemakers, including their history, types, components, functions, and complications. The main types of pacing discussed are transcutaneous, epicardial, transvenous, and permanent pacemakers. Components include the pulse generator, battery, leads, and settings like rate, output, and sensitivity. Pacing and sensing functions are explained. Complications include failure to capture, failure to sense, oversensing, undersensing, infection, and pacemaker syndrome. The role of magnets and perioperative management are also covered at a high level.
This document provides a detailed summary of EKG patterns and abnormalities, including:
- Normal EKG measurements and intervals
- Alterations in heart rhythm originating from the sinoatrial node
- Irregular rhythms caused by a wandering pacemaker or multifocal atrial tachycardia
- Premature beats, tachyarrhythmias, and other irregular rhythms originating from different areas of the heart
- Specific arrhythmias and conditions like atrial fibrillation, ventricular tachycardia, Wolff-Parkinson-White syndrome, and sick sinus syndrome
This document provides an overview of a course on ECG rhythm interpretation and supraventricular and ventricular arrhythmias. The course objectives are to recognize normal sinus rhythm, the 13 most common rhythm disturbances, and acute myocardial infarction on ECG. The learning modules cover ECG basics, rhythm analysis, normal sinus rhythm, various arrhythmias, and myocardial infarction diagnosis. Example rhythms are provided for arrhythmias including atrial fibrillation, atrial flutter, paroxysmal supraventricular tachycardia, ventricular tachycardia, and ventricular fibrillation. Causes and characteristics of each arrhythmia are described.
ECG analysis part (1) \ Mohammad Al-me`ani. , MSN, RN. almaani
The document discusses ECG analysis and provides details about:
1. The ECG records the electrical activity of the heart through electrodes placed on the skin. A 12-lead ECG provides views from 12 reference points.
2. The ECG traces the heart's electrical impulses on graph paper. It displays depolarization and repolarization processes and is used to diagnose various cardiac conditions.
3. The heart's conductive system includes the sinoatrial node, atrioventricular node, bundle of His, left and right bundle branches, and Purkinje fibers which coordinate heart rhythm and contractions.
The document provides an overview of electrocardiography (ECG). It discusses the history of ECG development. It then covers how to perform an ECG, how an ECG works by detecting electrical changes during heartbeats, ECG paper calibration, the 12 leads, and how to interpret various ECG components like rate, rhythm, axes, waves, intervals, and segments. Key points about normal ECG readings are also presented along with 10 interpretation rules.
Electrocardiography involves recording the electrical activity of the heart over time using skin electrodes. An ECG machine produces a graph called an electrocardiogram. ECGs can be used to identify arrhythmias, ischemia, chamber hypertrophy, and other cardiac conditions. The document discusses the history of ECG machines, basic heart anatomy, ECG calibration, waveforms, and how to interpret rate and rhythm.
This document provides an overview of how to systematically interpret an electrocardiogram (EKG or ECG). It describes evaluating the rhythm, rate, axis, intervals, waves, and arriving at a final diagnosis by considering abnormalities in relationship to clinical data. Key aspects include assessing the P wave, QRS complex, ST segment, T wave, and U wave in each lead in a specified order. Factors that can affect the ST segment, T wave, and U wave are also discussed.
This document provides an overview of electrocardiography (ECG) basics including:
1. It describes what an ECG is and what conditions it can be useful for diagnosing.
2. It outlines the different ECG leads including the standard and precordial leads used to measure electrical activity from different angles.
3. It explains the typical ECG waveforms including the P, QRS, T, and U waves as well as intervals like the PR and QT, and how to interpret abnormalities.
4. It provides guidance on interpreting an ECG including assessing lead position, rhythm, rate, axis, and looking for signs of conditions like bundle branch blocks or chamber enlargement.
This document outlines a standardized method for interpreting 12-lead electrocardiograms (ECGs). The method involves analyzing six major sections in a specific order: heart rate, PR interval, QRS duration, QT interval, QRS axis, and waveforms. Each section is analyzed to identify any abnormalities, including intervals outside normal ranges or irregular waveforms. After following this method, the interpreter provides an overall interpretation of the ECG as normal or abnormal, listing any findings.
This document provides an overview of electrocardiography (ECG) and how to interpret an ECG. It discusses the history and importance of ECG, the conduction system of the heart, how ECG leads work, what a normal ECG waveform looks like, how to evaluate rhythm and rate, and how to identify common abnormalities. Key aspects of a normal ECG that are described include the P wave, PR interval, QRS complex, ST segment, T wave, and QT interval. Common abnormalities that can be identified on an ECG include arrhythmias, myocardial infarction, chamber enlargement, and electrolyte imbalances.
Case-1: ECG with Normal axis ; Case-2: ECG with left axis deviation
Case-3: ECG with extreme right axis deviation
Case-4: ECG with right axis deviation
Clinical significance of cardiac axis
What is Electrical Axis? Types of electrical axis
What are the Methods of ECG Axis Interpretation? How ECG axis can be determined?
How Ventricular (QRS) Axis is determined in Bundle Branch Blocks ?
What is Undetermined axis/ Indeterminate axis?
What are the causes of abnormal heart axis?
What are the causes of Right Axis Deviation(RAD)?
What are the causes of Left Axis Deviation?
What are the causes of Extreme Axis Deviation (indeterminate axis/ northwest axis)?
This document discusses temporary pacemakers. It explains that temporary pacemakers are indicated for bradyarrhythmias, conduction blocks, and permanent pacemaker malfunctions. It describes the principles of pacing, including electrical concepts, pacing types, wiring systems, modes of pacing, and parameters like output and sensitivity. It illustrates normal pacemaker behavior and various abnormalities including failure to capture, failure to sense, oversensing, competition, and Wenckebach behavior. It discusses evaluating underlying rhythm, assessing pacemaker strips, and troubleshooting issues like changing settings, electrodes, batteries, or reversing polarity.
This document contains questions and information about electrocardiography (ECG) asked by Muhammad Awais Munir, a student at Punjab Medical College. It includes questions about what ECG stands for, who invented it, myocardial infarction patterns on ECG, the heart's conduction system, sinus rhythm, pacemakers, electrodes, ECG waves, interpreting ECGs, calculating heart rate from ECG, determining electrical axis, identifying different heart walls on ECG leads, and more. Diagrams are provided to illustrate the heart's conduction system, ECG paper measurements, hexaxial arrays for determining electrical axis, and pacemaker modes. Guidelines for pacemaker implantation in acquired atrioventricular block are also summarized.
This presentation is very useful for undergraduate medical students, premedical students to know about the basics of ECG in a very less time.This presentation teaches us how to proceed systematically to interprate an electrocardiographic tracing.
The document provides an overview of pacemaker indications, functions, and operation. It discusses normal heart rhythm and conduction, abnormalities that can require pacing like sinus node dysfunction and AV block, pacemaker components, modes and how they work, factors in selecting an optimal pacing mode, and indications for various pacing therapies.
Pacemakers and implantable cardiac defibrillatorsAndrewCrofton
Cardiac pacemakers and implanted defibrillators are used to treat symptomatic bradycardia and tachycardia. Transcutaneous pacing can be used for emergency bradycardia and has a higher survival rate than other modalities. Permanent pacemakers are indicated for chronic symptomatic AV block or sinus node dysfunction. Different pacing modes like VVI are used depending on the underlying cardiac rhythm and conduction abnormalities. Overdrive pacing may terminate some tachycardias but risks inducing faster rhythms or ventricular fibrillation. Pacemaker function must be checked after countershocks to ensure proper functioning.
This document provides an overview of peri-arrest arrhythmias including objectives, ECG interpretation, bradycardia, tachycardia, treatment approaches, and specific arrhythmias like atrial fibrillation, ventricular tachycardia, supraventricular tachycardia, and electrolyte abnormalities. The objectives are ECG interpretation in context of patient assessment, concepts of symptomatic and unstable arrhythmias, basic ECG reading, and treatments for tachycardias and bradycardias. Evaluation of stability and symptoms is emphasized over rhythm alone for treatment decisions.
The document outlines a step-by-step process for reading an ECG, including calculating heart rate, assessing rhythm, cardiac axis, P waves, PR interval, QRS complex, ST segment, T waves, and U waves. Key items to evaluate at each step are identified, such as determining regular vs. irregular rhythm, signs of conduction abnormalities, and abnormalities that may indicate conditions like myocardial infarction. The overall goal is to systematically analyze all components of the E
Pacemaker timing & advanced dual chamber conceptsSunil Reddy D
This document discusses various concepts related to pacemaker timing and dual chamber pacing modes. It covers topics such as single chamber timing parameters like lower rate interval, refractory period and blanking period. It then discusses dual chamber timing concepts including the four main faces of DDD pacing, parameters like AV and VA intervals, and upper tracking rate behavior. Rate responsive pacing in modes like VVIR and AAIR is also summarized. Various pacing artifacts and issues like noise sensing, T-wave oversensing and interference are explained through diagrams of pacemaker timing cycles.
To summarize the document:
1. The document outlines the steps for systematically analyzing a 12-lead ECG: rate, rhythm, axis, intervals, hypertrophy, and evidence of infarction.
2. It describes how to calculate and interpret the PR, QRS, and QT intervals and defines normal values.
3. Criteria are provided to assess for right and left atrial enlargement, right and left ventricular hypertrophy on the ECG.
4. The document instructs the reader to look for abnormal Q waves, ST elevation or depression, and T wave changes when analyzing the ECG for evidence of a myocardial infarction.
This document provides an overview of ECG strip interpretation for ACLS certification. It begins with a review of normal sinus rhythm and ECG paper formatting. Key components of rhythm analysis are described, including rate, regularity, P waves, intervals and more. Examples of sinus rhythms, atrial rhythms, ventricular rhythms, and atrioventricular blocks are then outlined with their identifying features. The document concludes with two case scenarios describing patients' conditions and asking the reader to name the rhythms presented and their recommended management.
This document discusses pacemakers, including their history, types, components, functions, and complications. The main types of pacing discussed are transcutaneous, epicardial, transvenous, and permanent pacemakers. Components include the pulse generator, battery, leads, and settings like rate, output, and sensitivity. Pacing and sensing functions are explained. Complications include failure to capture, failure to sense, oversensing, undersensing, infection, and pacemaker syndrome. The role of magnets and perioperative management are also covered at a high level.
This document provides a detailed summary of EKG patterns and abnormalities, including:
- Normal EKG measurements and intervals
- Alterations in heart rhythm originating from the sinoatrial node
- Irregular rhythms caused by a wandering pacemaker or multifocal atrial tachycardia
- Premature beats, tachyarrhythmias, and other irregular rhythms originating from different areas of the heart
- Specific arrhythmias and conditions like atrial fibrillation, ventricular tachycardia, Wolff-Parkinson-White syndrome, and sick sinus syndrome
This document provides an overview of a course on ECG rhythm interpretation and supraventricular and ventricular arrhythmias. The course objectives are to recognize normal sinus rhythm, the 13 most common rhythm disturbances, and acute myocardial infarction on ECG. The learning modules cover ECG basics, rhythm analysis, normal sinus rhythm, various arrhythmias, and myocardial infarction diagnosis. Example rhythms are provided for arrhythmias including atrial fibrillation, atrial flutter, paroxysmal supraventricular tachycardia, ventricular tachycardia, and ventricular fibrillation. Causes and characteristics of each arrhythmia are described.
ECG analysis part (1) \ Mohammad Al-me`ani. , MSN, RN. almaani
The document discusses ECG analysis and provides details about:
1. The ECG records the electrical activity of the heart through electrodes placed on the skin. A 12-lead ECG provides views from 12 reference points.
2. The ECG traces the heart's electrical impulses on graph paper. It displays depolarization and repolarization processes and is used to diagnose various cardiac conditions.
3. The heart's conductive system includes the sinoatrial node, atrioventricular node, bundle of His, left and right bundle branches, and Purkinje fibers which coordinate heart rhythm and contractions.
The document provides an overview of electrocardiography (ECG). It discusses the history of ECG development. It then covers how to perform an ECG, how an ECG works by detecting electrical changes during heartbeats, ECG paper calibration, the 12 leads, and how to interpret various ECG components like rate, rhythm, axes, waves, intervals, and segments. Key points about normal ECG readings are also presented along with 10 interpretation rules.
Electrocardiography involves recording the electrical activity of the heart over time using skin electrodes. An ECG machine produces a graph called an electrocardiogram. ECGs can be used to identify arrhythmias, ischemia, chamber hypertrophy, and other cardiac conditions. The document discusses the history of ECG machines, basic heart anatomy, ECG calibration, waveforms, and how to interpret rate and rhythm.
This document provides an overview of how to systematically interpret an electrocardiogram (EKG or ECG). It describes evaluating the rhythm, rate, axis, intervals, waves, and arriving at a final diagnosis by considering abnormalities in relationship to clinical data. Key aspects include assessing the P wave, QRS complex, ST segment, T wave, and U wave in each lead in a specified order. Factors that can affect the ST segment, T wave, and U wave are also discussed.
This document provides an overview of electrocardiography (ECG) basics including:
1. It describes what an ECG is and what conditions it can be useful for diagnosing.
2. It outlines the different ECG leads including the standard and precordial leads used to measure electrical activity from different angles.
3. It explains the typical ECG waveforms including the P, QRS, T, and U waves as well as intervals like the PR and QT, and how to interpret abnormalities.
4. It provides guidance on interpreting an ECG including assessing lead position, rhythm, rate, axis, and looking for signs of conditions like bundle branch blocks or chamber enlargement.
This document outlines a standardized method for interpreting 12-lead electrocardiograms (ECGs). The method involves analyzing six major sections in a specific order: heart rate, PR interval, QRS duration, QT interval, QRS axis, and waveforms. Each section is analyzed to identify any abnormalities, including intervals outside normal ranges or irregular waveforms. After following this method, the interpreter provides an overall interpretation of the ECG as normal or abnormal, listing any findings.
This document provides an overview of electrocardiography (ECG) and how to interpret an ECG. It discusses the history and importance of ECG, the conduction system of the heart, how ECG leads work, what a normal ECG waveform looks like, how to evaluate rhythm and rate, and how to identify common abnormalities. Key aspects of a normal ECG that are described include the P wave, PR interval, QRS complex, ST segment, T wave, and QT interval. Common abnormalities that can be identified on an ECG include arrhythmias, myocardial infarction, chamber enlargement, and electrolyte imbalances.
Case-1: ECG with Normal axis ; Case-2: ECG with left axis deviation
Case-3: ECG with extreme right axis deviation
Case-4: ECG with right axis deviation
Clinical significance of cardiac axis
What is Electrical Axis? Types of electrical axis
What are the Methods of ECG Axis Interpretation? How ECG axis can be determined?
How Ventricular (QRS) Axis is determined in Bundle Branch Blocks ?
What is Undetermined axis/ Indeterminate axis?
What are the causes of abnormal heart axis?
What are the causes of Right Axis Deviation(RAD)?
What are the causes of Left Axis Deviation?
What are the causes of Extreme Axis Deviation (indeterminate axis/ northwest axis)?
The document provides information on the history and development of the electrocardiogram (ECG). It discusses key individuals who contributed to advancements in ECG technology and interpretation. The summary also outlines the main components of an ECG reading including waveforms, intervals, leads, and how to interpret cardiac electrical activity and identify abnormalities.
This document provides a summary of the basics of electrocardiography (ECG). It discusses the history and development of ECG technology. It describes the normal cardiac conduction system and the waves that make up a normal ECG, including the P, QRS, and T waves. It outlines the 12 standard ECG leads and how they are positioned on the body. It reviews criteria for interpreting common cardiac abnormalities based on ECG findings such as hypertrophy, infarction, and arrhythmias.
Review of the anatomy and physiology
Review of the conduction system
ECG:basics term,
ECG RECORDING: leads, electrodes, waveforms and intervals
Determining heart rate
ECG Analysis/Interpretation
-Normal ECG & Abnormal ECG
This presentation covers few basic things about ECG, especially for UG Medical students like ECG leads, normal ECG waves, axis of ECG and how to look for common ECG misplacements.
This document provides an overview of ECG basics:
- It outlines the history of ECG development from early discoveries in the 1800s to modern uses. Key figures mentioned include Matteucci, Marey, Einthoven.
- Components of the ECG waveform are defined including the P wave, QRS complex, T wave, and segments. Normal values and interpretations are provided.
- The 12-lead ECG system is described including standard and augmented limb leads and precordial leads.
- Normal sinus rhythm and procedures for analyzing ECGs such as determining heart rate and electrical axis are explained.
- Common abnormalities that can be detected from the ECG are listed such as arrhythmias,
This document provides an overview of electrocardiography (ECG), including how an ECG works, the basics of recording an ECG, ECG leads, normal ECG waveforms and intervals, interpreting an ECG, common abnormalities, and how to report an ECG. It discusses topics such as the cardiac conduction system, Einthoven's triangle, the 12-lead ECG, determining heart rate and axis, normal sinus rhythm, P waves, QRS complex, ST segment, T waves, and the QT interval.
This document provides information about performing and interpreting a standard 12-lead electrocardiogram (ECG). It discusses how to position the patient and properly apply the 10 electrodes in their correct locations. It describes the waves seen on an ECG including the P, QRS, T, and U waves as well as intervals such as PR and QT. Common cardiac rhythms like normal sinus rhythm, sinus bradycardia, premature ventricular contractions, atrial fibrillation and ventricular tachycardia are summarized along with their characteristics. Bundle branch blocks and axes are also mentioned. The overall document serves as a guide for technicians on how to obtain 12-lead ECGs and what the traces mean.
This document provides a history of the electrocardiogram (EKG/ECG) and describes how it is used to evaluate cardiac electrical activity and identify various cardiac conditions. Some key points:
- The EKG was developed in the late 19th/early 20th century, with scientists like Matteucci, Marey, and Einthoven contributing to its invention and clinical use.
- An EKG records the heart's electrical activity through electrodes on the skin and can be used to detect arrhythmias, ischemia, infarction, and other conditions.
- It analyzes the P wave, QRS complex, ST segment, and T wave to evaluate conduction and identify abnormalities.
This is presentation of basics of Electrocardiography and its fundamentals specially for beginners of medical professions. The content is intended keeping first year medical professionals as center point.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Kosmoderma Academy, a leading institution in the field of dermatology and aesthetics, offers comprehensive courses in cosmetology and trichology. Our specialized courses on PRP (Hair), DR+Growth Factor, GFC, and Qr678 are designed to equip practitioners with advanced skills and knowledge to excel in hair restoration and growth treatments.
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdfRahul Sen
Time-lapse embryo monitoring is an advanced imaging technique used in IVF to continuously observe embryo development. It captures high-resolution images at regular intervals, allowing embryologists to select the most viable embryos for transfer based on detailed growth patterns. This technology enhances embryo selection, potentially increasing pregnancy success rates.
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdfrightmanforbloodline
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
Co-Chairs, Val J. Lowe, MD, and Cyrus A. Raji, MD, PhD, prepared useful Practice Aids pertaining to Alzheimer’s disease for this CME/AAPA activity titled “Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neuroradiology in Diagnosis and Treatment.” For the full presentation, downloadable Practice Aids, and complete CME/AAPA information, and to apply for credit, please visit us at https://bit.ly/3PvVY25. CME/AAPA credit will be available until June 28, 2025.
Summer is a time for fun in the sun, but the heat and humidity can also wreak havoc on your skin. From itchy rashes to unwanted pigmentation, several skin conditions become more prevalent during these warmer months.
10 Benefits an EPCR Software should Bring to EMS Organizations Traumasoft LLC
The benefits of an ePCR solution should extend to the whole EMS organization, not just certain groups of people or certain departments. It should provide more than just a form for entering and a database for storing information. It should also include a workflow of how information is communicated, used and stored across the entire organization.
1. Lab. Ketrampilan Medik PPD Unsoed
Modul SkillabA-JILID I 1
Oleh : dr. Mustofa
Mahasiswa mampu melakukan pemeriksaan EKG dan menganalisis hasil
rekaman EKG:
1. Mahasiswa mampu memasang elektrode EKG
2. Mahasiswa mampu mengoperasikan EKG
3. Mahaisiwa mampu menganalisis rekaman EKG
Elek
trok
ardiografi adalah representasi aktivitas listrik jantung yang direkam oleh
elektrode pada permukaan tubuh.
BENTUK GELOMBANG EKG
1. Gelombang EKG ( EKG wave) dan interval
a. P wave/ gelombang P : Depolarisasi atrium kanan dan kiri
b. QRS complex/ kompleks QRS : Depolarisasi ventrikel kanan
dan kiri
c. ST-T wave : Repolarisasi ventrikel
d. U wave/ gelombang U : asal gelombang ini tidak jelas, tetapi
mungkin representasi dari “afterdepolarizations” di ventrikel.
e. PR interval/ Interval PR : interval waktu dari onset depolarisasi
atrium sampai onset depolarisasi ventrikel.
f. QRS duration/ durasi QRS: durasi depolarisasi otot ventrikel.
g. QT interval/ interval QT : durasi dari depolarisai dan repolarisasi
ventrikel
h. RR interval/ interval RR: durasi dari siklus ventrikel jantung(
indicator kecepatan ventrikel)
i. PP interval : durasi dari siklus atrial
2. Orientasi spasial 12 lead EKG
Penting untuk di ingat bahwa EKG 12 lead menyediakan informasi
spasial tentang aktivitas listrik jantung dalam sedikitnya 3 daerah
ortogonal (RA = right arm; LA = left arm, LF = left foot).
Setiap lead standar representasi orientasi ruang, sebagai mana ditunjukkan di
bawah ini:
ELEKTROCARDIOGRAFI
LEARNING OUTCOME
TINJAUAN TEORI
2. Lab. Ketrampilan Medik PPD Unsoed
Modul SkillabA-JILID I 2
Bipolar limb leads (frontal plane):
o Lead I: RA (-) to LA (+) (Right Left, or lateral)
o Lead II: RA (-) to LF (+) (Superior Inferior)
o Lead III: LA (-) to LF (+) (Superior Inferior)
Augmented unipolar limb leads (frontal plane):
o Lead aVR: RA (+) to [LA & LF] (-) (Rightward)
o Lead aVL: LA (+) to [RA & LF] (-) (Leftward)
o Lead aVF: LF (+) to [RA & LA] (-) (Inferior)
Unipolar (+) chest leads (horizontal plane):
o Leads V1, V2, V3: (Posterior Anterior)
o Leads V4, V5, V6:(Right Left, or lateral)
1. Mesin EKG
2. Jelly
3. Tissu
4. Elektroda
1. P
ersia
pan alat
Siapkan alat di dekat tempat tidur penderita. hubungkan arder/
ground ke lantai atau tempat arder. Nyalakan EKG, cek
kaliberasi.
2. Persiapan penderita
Berikan penjelasan kepada penderita tentang prosedur
pemeriksaan. Baringkan penderita pada alas yang rata, tidak
berhubungan langsung dengan tanah/ lantai tidak menyentuh
logam, orang lain.
3. Pasang elektrode pada kulit penderita yang sebelumnya telah
diberi jelly.
Kabel merah /R : tangan kanan
Kabel kuning/L : tangan kiri
Kabel hijau /F : kaki kiri
Kabel hitam /N : kaki kanan
Kabel merah /C1 : SIC IV linea sternalis dextra
Kabel kuning/C2 : SIC IV linea sternalis sinistra
Kabel hijau /C3 : SIC V linea mid axillaris sinistra
Kabel coklat /C4 : pertengahan elektrode C2 dan C3
Kabel hitam /C5 : setinggi C4, linea axillaris anterior
sinistra
Kabel violet /C6 : setinggi C4, linea axillaris lateral sinistra
Alat dan bahan
PROSEDUR PEMERIKSAAN
3. Lab. Ketrampilan Medik PPD Unsoed
Modul SkillabA-JILID I 3
4. Lakukan pemeriksaan EKG
Masing-masing lead minimal 3 gelombang, beri/ buat tanda
pemisah masing-masing lead. Tuliskan identitas lengkap, tanggal,
dan waktu pemeriksaan. Apabila diperlukan, lead II diperpanjang
sampai 10 gelombang.
5. Lepaskan eletroda, rapikan peralatan.
6. Baca dan analisis hasil perekaman EKG
METODA INTERPRETASI EKG
Metoda ini disarankan ketika membaca semua Lead EKG dari 12 lead
standar. Seperti pemeriksaan fisik, sangat dianjurkan mengikuti urutan
langkah-langkah untuk menghindari kelainan jantung yang terlewat ketika
membaca EKG, yang mungkin mempunyai arti klinis penting. Enam bagian
utama yang harus dipertimbangkan adalah:
1. Pengukuran
2. Analisis irama
3. Analisis konduksi jantung
4. Deskripsi bentuk gelombang
5. Interpretasi ekg
6. Pembandingan dengan hasil perekaman EKG terdahulu
1. Pengukuran
Biasanya dibuat pada Lead frontal
4. Lab. Ketrampilan Medik PPD Unsoed
Modul SkillabA-JILID I 4
o Heart Rate (HR) : (nyatakan atrium dan ventrikel bila keduanya
mempunyai frekuensi yang berbeda)
o Interval PR : dari awal gelombang P hingga awal kompleks
QRS
o Durasi QRS kompleks : (width of most representative QRS)
o Interval QT : dari awal kompleks QRS hingga akhir
gelombang T
o Aksis QRS kompleks pada Lead Frontal
First find the isoelectric lead if there is one; i.e., the lead with equal
forces in the positive and negative direction. Often this is the lead
with the smallest QRS.
The QRS axis is perpendicular to that lead's orientation (see above
diagram).
Since there are two perpendiculars to each isoelectric lead, chose
the perpendicular that best fits the direction of the other ECG leads.
If there is no isoelectric lead, there are usually two leads that are
nearly isoelectric, and these are always 30o
apart. Find the
perpendiculars for each lead and chose an approximate QRS axis
within the 30o
range.
Occasionally each of the 6 frontal plane leads is small and/or
isoelectric. The axis cannot be determined and is called
indeterminate. This is a normal variant
Contoh axis normal:
5. Lab. Ketrampilan Medik PPD Unsoed
Modul SkillabA-JILID I 5
Lead aVF is the isoelectric lead.
The two perpendiculars to aVF are 0 o
and 180 o
.
Lead I is positive (i.e., oriented to the left).
Therefore, the axis has to be 0 o
.
Kelainan axis:
1. LAD ( Left Axis Deviation)
Lead aVR is the smallest and isoelectric lead.
The two perpendiculars are -60 o
and +120 o
.
Leads II and III are mostly negative (i.e., moving
away from the + left leg)
The axis, therefore, is -60 o
.
2. RAD ( Right Axis Deviation)
6. Lab. Ketrampilan Medik PPD Unsoed
Modul SkillabA-JILID I 6
Lead aVR is closest to being isoelectric (slightly more
positive than negative)
The two perpendiculars are -60 o
and +120 o
.
Lead I is mostly negative; lead III is mostly positive.
Therefore the axis is close to +120 o
. Because aVR is
slightly more positive, the axis is slightly beyond +120 o
(i.e., closer to the positive right arm for aVR).
2. Analisis irama
o Irama dasar (seperti: "normal sinus rhythm", "atrial fibrillation", dan
lain-lain)
o Identifikasi irama tambahan bila ada (seperti: "PVC's", "PAC's", dan
lain-lain)
o Pertimbangkan asal irama, dari atrium, AV junction, ventrikel.
3. Analisis konduksi
Konduksi normal berarti konduksi SA node, AV node, interventrikular.
o Identifikasi abnormalitas konduksi berikut ini:
SA block: 2nd degree (type I vs. type II)
AV block: 1st, 2nd (type I vs. type II), and 3rd degree
IV block: bundle branch, fascicular, and nonspecific blocks
Exit blocks: blocks just distal to ectopic pacemaker site
4. Diskripsi bentuk gelombang
Analisis secara hati-hati kelainan bentuk gelombang EKG yang mungkin
pada semua lead standar: gelombang P (P-wave), QRS complex, ST
segment, T wave, U wave.
o P wave : apakah terlalu lebar, terlalu tinggi, bentuk yang aneh,
ektopik, dan lain-lain.
o QRS complex : carilah gelombang Q patologis
o ST segment : carilah elevasi, depresi segmen ST abnormal
o T wave : carilah Inverted T wave abnormal
o U wave : carilah prominent atau inverted U waves
7. Lab. Ketrampilan Medik PPD Unsoed
Modul SkillabA-JILID I 7
5. Interpretasi EKG
Ini merupakan kesimpulan dari analisis di atas. Interpretasikanlah
sebagai "Normal", or "Abnormal". Biasanya istilah "borderline"
digunakan bila ditemukan kelainan yang tidak signifikan. Cantumkan
semua abnormalitas yang ditemukan, seperti:
o Miocard Infark (MI) inferior, kemungkinan akut
o Old anteroseptal MI
o Left anterior fascicular block (LAFB)
o Left ventricular hypertrophy (LVH)
o Nonspecific ST-T wave abnormalities
o Abnormalitas irama yang lain, seperti:
Left Anterior Fascicular Block (LAFB)-KH
Frank G.Yanowitz, M.D.
HR=72bpm; PR=0.16s; QRS=0.09s; QT=0.36s; QRS axis = -70o
(left axis deviation). Normal sinus rhythm; normal SA and AV
conduction; rS in leads II, III, aVF.
Interpretation: Abnormal ECG: 1)Left anterior fascicular block
6. Pembandingan dengan hasil perekaman EKG terdahulu
bila ada hasil rekaman EKG terdahulu penderita, EKG sekarang
sebaiknya dibandingkan untuk melihat apakah ada perubahan yang
signifikan. Perubahan ini mungkin mempunyai dampak penting dalam
pengambilah keputusan klinis.
Penti
ng
diing
KARAKTERISTIK EKG NORMAL
8. Lab. Ketrampilan Medik PPD Unsoed
Modul SkillabA-JILID I 8
at bahwa ada variasi normal yang luas pada lead standar. Perlu pengalaman .
Berikut karakteristik EKG normal, (meskipun tidak absolute):
Topiks :
1. Pengukuran
2. Irama
3. Konduksi jantung
4. Deskripsi bentuk gelombang
1. Pengukuran
Heart Rate: 60 - 90 x per menit
Because ECG paper moves at a standardized 25mm/sec, the
vertical lines can be used to measure time. There is a 0.20 sec
between 2 of the large lines. Therefore, if you count the number
of heart beats (QRS complexes) in between 30 large boxes (6
seconds) and multiply by 10, you have beats per minute.
Conveniently, ECG paper usually has special markings every 3
seconds so you don't have to count 30 large boxes.
There is, however, an easier and quicker way to estimate the
heart rate. As seen in the diagram below, when QRS complexes
are 1 box apart the rate is 300 bpm. 2 boxes apart...150 bpm, etc.
So if you memorize these simple numbers you can estimate the
heart rate at a glance!
PR Interval : 0.12 - 0.20 sec
QRS Duration : 0.06 - 0.10 sec
QT Interval (QTc < 0.40 sec)
9. Lab. Ketrampilan Medik PPD Unsoed
Modul SkillabA-JILID I 9
o Bazett's Formula : QTc = (QT)/SqRoot RR (in seconds)
o Poor Man's Guide to upper limits of QT: For HR = 70 bpm,
QT<0.40 sec; for every 10 bpm increase above 70 subtract 0.02
sec, and for every 10 bpm decrease below 70 add 0.02 sec. For
example:
QT < 0.38 @ 80 bpm
QT < 0.42 @ 60 bpm
Frontal Plane QRS Axis: +90 o to -30 o (in the adult)
2. Rhythm/ Irama:
Normal sinus rhythm, Gelombang P di lead I dan II harus upright
(positive), jika irama berasal dari sinus node.
3. Konduksi:
Normal Sino-atrial (SA), Atrio-ventricular (AV), and Intraventricular (IV.
Conduction, bila kedua PR interval dan QRS duration berada dalam range
di atas.
4. Diskripsi bentuk gelombang:
EKG normal ditunjukkan di bawah ini, bandingkan dengan diskripsi
selanjutnya.
o P Wave
Penting diingat bahwa P wave merupakan representasi aktifitas
atrium dekstra dan sinistra, dan sering terlihat notch atau biphasic P
waves
P duration < 0.12 sec
P amplitude < 2.5 mm
Frontal plane P wave axis: 0o to +75o
May see notched P waves in frontal plane
o QRS Complex
10. Lab. Ketrampilan Medik PPD Unsoed
Modul SkillabA-JILID I 10
Merupakan representasi aktivitas depolarisasi ventrikel dekstra dan
sinistra.
QRS duration < 0.10 sec
QRS amplitude berbeda pada tiap lead, pada tiap individu. Dua
determinan dari tegangan QRSadalah:
- Ukuran ventrikel, semakin besar ventrikel, semakin besar
tegangan.
- Jarak electrode dari ventrikel, semakin dekat, semakin besar
tegangan.
o Frontal plane leads:
Range QRS axis normal (+90 o to -30 o ); ini berarti QRS
komplex positive (upright) di leadsII dan I.
Normal q-waves reflect normal septal activation (beginning on
the LV septum); they are narrow (<0.04s duration) and small
(<25% the amplitude of the R wave). They are often seen in leads
I and aVL when the QRS axis is to the left of +60o, and in leads
II, III, aVF when the QRS axis is to the right of +60o. Septal q
waves should not be confused with the pathologic Q waves of
myocardial infarction.
o Precordial leads: (see Normal ECG)
Normal ECG
Frank G. Yanowitz, M.D., copyright 1997
- Small r-waves begin in V1 or V2 and progress in size to V5. The R-V6 is
usually smaller than R-V5.
- In reverse, the s-waves begin in V6 or V5 and progress in size to V2. S-V1
is usually smaller than S-V2.
- The usual transition from S>R in the right precordial leads to R>S in the
left precordial leads is V3 or V4.
- Small "septal" q-waves may be seen in leads V5 and V6.
11. Lab. Ketrampilan Medik PPD Unsoed
Modul SkillabA-JILID I 11
o ST Segment dan T wave
In a sense, the term "ST segment" is a misnomer, because a discrete
ST segment distinct from the T wave is usually absent. More often
the ST-T wave is a smooth, continuous waveform beginning with the
J-point (end of QRS), slowly rising to the peak of the T and followed
by a rapid descent to the isoelectric baseline or the onset of the U
wave. This gives rise to an asymmetrical T wave. In some normal
individuals, particularly women, the T wave is symmetrical and a
distinct, horizontal ST segment is present.
The normal T wave is usually in the same direction as the QRS
except in the right precordial leads. In the normal ECG the T wave
is always upright in leads I, II, V3-6, and always inverted in lead
aVR.
Normal ST segment elevation: this occurs in leads with large S waves
(e.g., V1-3), and the normal configuration is concave upward. ST
segment elevation with concave upward appearance may also be
seen in other leads; this is often called early repolarization, although
it's a term with little physiologic meaning (see example of "early
repolarization" in leads V4-6):
Convex or straight upward ST segment elevation (e.g., leads II, III,
aVF) is abnormal and suggests transmural injury or infarction:
12. Lab. Ketrampilan Medik PPD Unsoed
Modul SkillabA-JILID I 12
ST segment depression is always an abnormal finding, although often
nonspecific (see ECG below):
ST segment depression is often characterized as "upsloping",
"horizontal", or "downsloping".
13. Lab. Ketrampilan Medik PPD Unsoed
Modul SkillabA-JILID I 13
o The normal U Wave: (the most neglected of the ECG waveforms)
U wave amplitude is usually < 1/3 T wave amplitude in same
lead
U wave direction is the same as T wave direction in that lead
U waves are more prominent at slow heart rates and usually
best seen in the right precordial leads.
Origin of the U wave is thought to be related to
afterdepolarizations which interrupt or follow repolarization.
Laporan Hasil Rekaman
pengukuran
Heart Rate (HR) 60 - 90 x per
menit
: Kali per menit
Interval PR 0.12 - 0.20 sec : Detik
Durasi QRS kompleks 0.06 - 0.10
sec
: Detik
Interval QT (QTc < 0.40 sec) : Detik
Aksis QRS kompleks : º
P wave
P duration < 0.12 sec
P amplitude < 2.5 mm
Frontal plane P wave axis: 0o
to +75o
May see notched P waves in
frontal plane
:
:
:
:
Detik
Detik
º
ST segment Isoelektrik
Elevasi
Depresi
"upsloping",
14. Lab. Ketrampilan Medik PPD Unsoed
Modul SkillabA-JILID I 14
"horizontal",
"downsloping"
T wave
U wave
Irama:
o Irama dasar :
o Irama tambahan bila :
o Asal irama :
Abnormalitas konduksi :
Interpretasi :
15. Lab. Ketrampilan Medik PPD Unsoed
Modul SkillabA-JILID I 15
PENILAIAN MONITORING EKG
Nama :
Nim :
NO KETERANGAN SCORE
0 1 2
1 Persiapan alat
2 Cek kaliberasi
3 Persiapan penderita
4 Oleskan jelly pada tempat pemasangan
elektrda
5 Pasang elektrode pada kulit extremitas
6 Pasang elektrode precordial*
7 Melakukan perekaman lead I, II, III, aVR,
aVL, aVF
8 Melakukan perekaman lead V1, V2, V3, V4,
V5, V6
9 Menulis identitas penderita, waktu perekaman pada
elektrokardiogram
10 Memberikan tanda pemisah pada tiap lead
11 Lepaskan eletroda, rapikan peralatan.
12 Baca dan analisis hasil perekaman EKG
TOTAL
KETERANGAN
Score 0 : bila tidak dikerjakan
Score1 : bila dikerjakan, tetapi tidak sempurna
Score 2 : bila dikerjakan dengan sempurna
Nilai = skor total/24 X 100%
Purwokerto, 2005
Penguji,
(................................................)