SlideShare a Scribd company logo
ID 419 – What is your ECG diagnosis?
ID 419 – What is your ECG diagnosis? Do you see P waves? If you do, are they normal sinus P waves?
ID 419 – Ectopic atrial rhythm, 70/min.  P waves are clearly seen.  They are negative in II, III, aVF and V4-V6. They are not from the sinus node.  They  are not junctional  (the PR interval is 180 msec., in junctional rhythm the PR is usually < 120 msec)  They are  most likely from  a low atrial region (ectopic atrial rhythm )
ID 419 – Ectopic atrial rhythm, 70/min. Incomplete right bundle branch block  The QRS axis is normal – The QRS duration is 100 msec., with a rSR’ pattern (incomplete right bundle branch block).
ID 419 –  Final  diagnosis: Ectopic atrial rhythm, 70/min. Incomplete right bundle branch block  There are no signs of ventricular hypertrophy – No QRS signs of myocardial infarction- The ST segment and  T waves are normal.

More Related Content

What's hot

Stepwise interpretation of ECG - #14 no Dx ID123
Stepwise interpretation of ECG - #14 no Dx  ID123Stepwise interpretation of ECG - #14 no Dx  ID123
Stepwise interpretation of ECG - #14 no Dx ID123
Anas Nader
 
Stepwise interpretation of ECG - #14 no Dx ID123
Stepwise interpretation of ECG - #14 no Dx  ID123Stepwise interpretation of ECG - #14 no Dx  ID123
Stepwise interpretation of ECG - #14 no Dx ID123
Anas Nader
 
Stepwise interpretation of ECG ID123
Stepwise interpretation of ECG ID123Stepwise interpretation of ECG ID123
Stepwise interpretation of ECG ID123
Anas Nader
 
Stepwise interpretation of ECG - #08 no Dx ID478
Stepwise interpretation of ECG - #08 no Dx  ID478Stepwise interpretation of ECG - #08 no Dx  ID478
Stepwise interpretation of ECG - #08 no Dx ID478
Anas Nader
 
ECG (Electrocardiogram)
ECG (Electrocardiogram)ECG (Electrocardiogram)
ECG (Electrocardiogram)
Syed Nazmus Sakib
 
ECG #9 - ID594a - acute ASMI
ECG #9 - ID594a - acute ASMI ECG #9 - ID594a - acute ASMI
ECG #9 - ID594a - acute ASMI
Anas Nader
 
2. advanced 12 lead ecg interpretation by sammy
2. advanced 12 lead ecg interpretation by sammy2. advanced 12 lead ecg interpretation by sammy
2. advanced 12 lead ecg interpretation by sammy
Debre Markos University
 
ECG #6 - ID 168 LVH
ECG #6 - ID 168 LVHECG #6 - ID 168 LVH
ECG #6 - ID 168 LVH
Anas Nader
 
Cardiology Flash Cards
Cardiology Flash CardsCardiology Flash Cards
Cardiology Flash Cards
joannie Marie
 
Stepwise interpretation of ECG - #6 no Dx ID168
Stepwise interpretation of ECG - #6 no Dx  ID168Stepwise interpretation of ECG - #6 no Dx  ID168
Stepwise interpretation of ECG - #6 no Dx ID168
Anas Nader
 
stepwise interpretation ECG #6
stepwise interpretation ECG #6stepwise interpretation ECG #6
stepwise interpretation ECG #6
Anas Nader
 
Intracardiac Electrograms
Intracardiac ElectrogramsIntracardiac Electrograms
Intracardiac Electrograms
Taiwan Heart Rhythm Society
 
Easy ECG INTERPRETATION
Easy ECG INTERPRETATION Easy ECG INTERPRETATION
Easy ECG INTERPRETATION
Ravi Dabas
 
Stepwise interpretation #9
Stepwise interpretation #9Stepwise interpretation #9
Stepwise interpretation #9
Anas Nader
 
electrocardiogram
electrocardiogramelectrocardiogram
electrocardiogram
zsmu
 
Stepwise interpretation of ECG ID168
Stepwise interpretation of ECG ID168Stepwise interpretation of ECG ID168
Stepwise interpretation of ECG ID168
Anas Nader
 
ECG Basics
ECG BasicsECG Basics
ECG Basics
Harith Shoole
 

What's hot (17)

Stepwise interpretation of ECG - #14 no Dx ID123
Stepwise interpretation of ECG - #14 no Dx  ID123Stepwise interpretation of ECG - #14 no Dx  ID123
Stepwise interpretation of ECG - #14 no Dx ID123
 
Stepwise interpretation of ECG - #14 no Dx ID123
Stepwise interpretation of ECG - #14 no Dx  ID123Stepwise interpretation of ECG - #14 no Dx  ID123
Stepwise interpretation of ECG - #14 no Dx ID123
 
Stepwise interpretation of ECG ID123
Stepwise interpretation of ECG ID123Stepwise interpretation of ECG ID123
Stepwise interpretation of ECG ID123
 
Stepwise interpretation of ECG - #08 no Dx ID478
Stepwise interpretation of ECG - #08 no Dx  ID478Stepwise interpretation of ECG - #08 no Dx  ID478
Stepwise interpretation of ECG - #08 no Dx ID478
 
ECG (Electrocardiogram)
ECG (Electrocardiogram)ECG (Electrocardiogram)
ECG (Electrocardiogram)
 
ECG #9 - ID594a - acute ASMI
ECG #9 - ID594a - acute ASMI ECG #9 - ID594a - acute ASMI
ECG #9 - ID594a - acute ASMI
 
2. advanced 12 lead ecg interpretation by sammy
2. advanced 12 lead ecg interpretation by sammy2. advanced 12 lead ecg interpretation by sammy
2. advanced 12 lead ecg interpretation by sammy
 
ECG #6 - ID 168 LVH
ECG #6 - ID 168 LVHECG #6 - ID 168 LVH
ECG #6 - ID 168 LVH
 
Cardiology Flash Cards
Cardiology Flash CardsCardiology Flash Cards
Cardiology Flash Cards
 
Stepwise interpretation of ECG - #6 no Dx ID168
Stepwise interpretation of ECG - #6 no Dx  ID168Stepwise interpretation of ECG - #6 no Dx  ID168
Stepwise interpretation of ECG - #6 no Dx ID168
 
stepwise interpretation ECG #6
stepwise interpretation ECG #6stepwise interpretation ECG #6
stepwise interpretation ECG #6
 
Intracardiac Electrograms
Intracardiac ElectrogramsIntracardiac Electrograms
Intracardiac Electrograms
 
Easy ECG INTERPRETATION
Easy ECG INTERPRETATION Easy ECG INTERPRETATION
Easy ECG INTERPRETATION
 
Stepwise interpretation #9
Stepwise interpretation #9Stepwise interpretation #9
Stepwise interpretation #9
 
electrocardiogram
electrocardiogramelectrocardiogram
electrocardiogram
 
Stepwise interpretation of ECG ID168
Stepwise interpretation of ECG ID168Stepwise interpretation of ECG ID168
Stepwise interpretation of ECG ID168
 
ECG Basics
ECG BasicsECG Basics
ECG Basics
 

Similar to Stepwise interpretation of ECG ID419

Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419
Anas Nader
 
Aritm eng
Aritm engAritm eng
Aritm eng
Ruth Nwokoma
 
Electrocardiogram And It's Interpretation
Electrocardiogram And It's InterpretationElectrocardiogram And It's Interpretation
Electrocardiogram And It's Interpretation
NeamatullahAhmed2
 
Module 4b
Module 4bModule 4b
Module 4b
sayarthein
 
Stepwise interpretation of ECG ID175
Stepwise interpretation of ECG ID175Stepwise interpretation of ECG ID175
Stepwise interpretation of ECG ID175
Anas Nader
 
4- ECG.ppt
4- ECG.ppt4- ECG.ppt
4- ECG.ppt
mostafasayed645609
 
13973762 all-about-ecg
13973762 all-about-ecg13973762 all-about-ecg
13973762 all-about-ecg
Ngaire Taylor
 
Lec52
Lec52Lec52
All About ECG
All About ECGAll About ECG
All About ECG
Najib Bahurdin
 
Cardiac arrhythmias
Cardiac arrhythmiasCardiac arrhythmias
Cardiac arrhythmias
angleel
 
Stepwise interpretation of ECG - #05 no Dx ID175
Stepwise interpretation of ECG - #05 no Dx  ID175Stepwise interpretation of ECG - #05 no Dx  ID175
Stepwise interpretation of ECG - #05 no Dx ID175
Anas Nader
 
Stepwise interpretation of ECG - #5 no Dx ID175
Stepwise interpretation of ECG - #5 no Dx  ID175Stepwise interpretation of ECG - #5 no Dx  ID175
Stepwise interpretation of ECG - #5 no Dx ID175
Anas Nader
 
Stepwise interpretation ECG #5
Stepwise interpretation ECG #5Stepwise interpretation ECG #5
Stepwise interpretation ECG #5
Anas Nader
 
Stepwise interpretation of ECG - #5 no Dx ID659
Stepwise interpretation of ECG - #5 no Dx  ID659Stepwise interpretation of ECG - #5 no Dx  ID659
Stepwise interpretation of ECG - #5 no Dx ID659
Anas Nader
 
ECG Analysis
ECG AnalysisECG Analysis
ECG Analysis
SCGH ED CME
 
Understanding ecg
Understanding ecgUnderstanding ecg
Understanding ecg
Syed Saifuddin
 
Ecg presentation
Ecg presentationEcg presentation
Ecg presentation
Dr. Nasir Mustafa
 
Cardiac arrhythmias
Cardiac arrhythmiasCardiac arrhythmias
Cardiac arrhythmias
Farhan Ali
 
Basics of ECG.ppt
Basics of ECG.pptBasics of ECG.ppt
Basics of ECG.ppt
DrQamarmalik1
 
Ecg for beginners
Ecg for beginnersEcg for beginners
Ecg for beginners
Dheeraj kumar
 

Similar to Stepwise interpretation of ECG ID419 (20)

Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419
 
Aritm eng
Aritm engAritm eng
Aritm eng
 
Electrocardiogram And It's Interpretation
Electrocardiogram And It's InterpretationElectrocardiogram And It's Interpretation
Electrocardiogram And It's Interpretation
 
Module 4b
Module 4bModule 4b
Module 4b
 
Stepwise interpretation of ECG ID175
Stepwise interpretation of ECG ID175Stepwise interpretation of ECG ID175
Stepwise interpretation of ECG ID175
 
4- ECG.ppt
4- ECG.ppt4- ECG.ppt
4- ECG.ppt
 
13973762 all-about-ecg
13973762 all-about-ecg13973762 all-about-ecg
13973762 all-about-ecg
 
Lec52
Lec52Lec52
Lec52
 
All About ECG
All About ECGAll About ECG
All About ECG
 
Cardiac arrhythmias
Cardiac arrhythmiasCardiac arrhythmias
Cardiac arrhythmias
 
Stepwise interpretation of ECG - #05 no Dx ID175
Stepwise interpretation of ECG - #05 no Dx  ID175Stepwise interpretation of ECG - #05 no Dx  ID175
Stepwise interpretation of ECG - #05 no Dx ID175
 
Stepwise interpretation of ECG - #5 no Dx ID175
Stepwise interpretation of ECG - #5 no Dx  ID175Stepwise interpretation of ECG - #5 no Dx  ID175
Stepwise interpretation of ECG - #5 no Dx ID175
 
Stepwise interpretation ECG #5
Stepwise interpretation ECG #5Stepwise interpretation ECG #5
Stepwise interpretation ECG #5
 
Stepwise interpretation of ECG - #5 no Dx ID659
Stepwise interpretation of ECG - #5 no Dx  ID659Stepwise interpretation of ECG - #5 no Dx  ID659
Stepwise interpretation of ECG - #5 no Dx ID659
 
ECG Analysis
ECG AnalysisECG Analysis
ECG Analysis
 
Understanding ecg
Understanding ecgUnderstanding ecg
Understanding ecg
 
Ecg presentation
Ecg presentationEcg presentation
Ecg presentation
 
Cardiac arrhythmias
Cardiac arrhythmiasCardiac arrhythmias
Cardiac arrhythmias
 
Basics of ECG.ppt
Basics of ECG.pptBasics of ECG.ppt
Basics of ECG.ppt
 
Ecg for beginners
Ecg for beginnersEcg for beginners
Ecg for beginners
 

More from Anas Nader

ECG #11 - ID 108 - 2nd degree AV block
ECG #11 - ID 108 - 2nd degree AV blockECG #11 - ID 108 - 2nd degree AV block
ECG #11 - ID 108 - 2nd degree AV block
Anas Nader
 
ECG #10 - ID122 - Atrial Flutter
ECG #10 - ID122 -  Atrial Flutter 				ECG #10 - ID122 -  Atrial Flutter
ECG #10 - ID122 - Atrial Flutter
Anas Nader
 
ECG#8 - ID478 - LVH BAE
ECG#8 - ID478 - LVH BAEECG#8 - ID478 - LVH BAE
ECG#8 - ID478 - LVH BAE
Anas Nader
 
ECG #7 - ID 279 - RVH
ECG #7 - ID 279 - RVHECG #7 - ID 279 - RVH
ECG #7 - ID 279 - RVH
Anas Nader
 
ECG #2 - ID 352 - Premature Atrial Complexes
ECG #2 - ID 352 - Premature Atrial Complexes ECG #2 - ID 352 - Premature Atrial Complexes
ECG #2 - ID 352 - Premature Atrial Complexes
Anas Nader
 
ECG #1 - ID 380 – Normal ECG
ECG #1 - ID 380 – Normal ECG ECG #1 - ID 380 – Normal ECG
ECG #1 - ID 380 – Normal ECG
Anas Nader
 
ECG #5 - ID 168 - Left bundle branch block
ECG #5 - ID 168 - Left bundle branch block ECG #5 - ID 168 - Left bundle branch block
ECG #5 - ID 168 - Left bundle branch block
Anas Nader
 
ECG #4 - ID 383 – Atrial fibrillation
ECG #4 - ID 383 – Atrial fibrillation ECG #4 - ID 383 – Atrial fibrillation
ECG #4 - ID 383 – Atrial fibrillation
Anas Nader
 
ID 352 –Sinus rhythm With premature atrial complex
ID 352 –Sinus rhythm With premature atrial complexID 352 –Sinus rhythm With premature atrial complex
ID 352 –Sinus rhythm With premature atrial complex
Anas Nader
 
Atrio-ventricular dissociation
Atrio-ventricular dissociationAtrio-ventricular dissociation
Atrio-ventricular dissociation
Anas Nader
 
Lead errors: reversal of limb leads
Lead errors: reversal of limb leadsLead errors: reversal of limb leads
Lead errors: reversal of limb leads
Anas Nader
 
Stepwise interpretation of ECG - #9 no Dx ID 594
Stepwise interpretation of ECG - #9 no Dx ID 594Stepwise interpretation of ECG - #9 no Dx ID 594
Stepwise interpretation of ECG - #9 no Dx ID 594
Anas Nader
 
Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419
Anas Nader
 
Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419
Anas Nader
 
Stepwise interpretation of ECG - #12 no Dx ID 111
Stepwise interpretation of ECG - #12 no Dx ID 111Stepwise interpretation of ECG - #12 no Dx ID 111
Stepwise interpretation of ECG - #12 no Dx ID 111
Anas Nader
 
Stepwise interpretation of ECG - #12 no Dx ID111
Stepwise interpretation of ECG - #12 no Dx  ID111Stepwise interpretation of ECG - #12 no Dx  ID111
Stepwise interpretation of ECG - #12 no Dx ID111
Anas Nader
 
Stepwise interpretation of ECG - #912 no Dx ID111
Stepwise interpretation of ECG - #912 no Dx  ID111Stepwise interpretation of ECG - #912 no Dx  ID111
Stepwise interpretation of ECG - #912 no Dx ID111
Anas Nader
 
Stepwise interpretation of ECG - #12 no Dx ID111
Stepwise interpretation of ECG - #12 no Dx  ID111Stepwise interpretation of ECG - #12 no Dx  ID111
Stepwise interpretation of ECG - #12 no Dx ID111
Anas Nader
 

More from Anas Nader (18)

ECG #11 - ID 108 - 2nd degree AV block
ECG #11 - ID 108 - 2nd degree AV blockECG #11 - ID 108 - 2nd degree AV block
ECG #11 - ID 108 - 2nd degree AV block
 
ECG #10 - ID122 - Atrial Flutter
ECG #10 - ID122 -  Atrial Flutter 				ECG #10 - ID122 -  Atrial Flutter
ECG #10 - ID122 - Atrial Flutter
 
ECG#8 - ID478 - LVH BAE
ECG#8 - ID478 - LVH BAEECG#8 - ID478 - LVH BAE
ECG#8 - ID478 - LVH BAE
 
ECG #7 - ID 279 - RVH
ECG #7 - ID 279 - RVHECG #7 - ID 279 - RVH
ECG #7 - ID 279 - RVH
 
ECG #2 - ID 352 - Premature Atrial Complexes
ECG #2 - ID 352 - Premature Atrial Complexes ECG #2 - ID 352 - Premature Atrial Complexes
ECG #2 - ID 352 - Premature Atrial Complexes
 
ECG #1 - ID 380 – Normal ECG
ECG #1 - ID 380 – Normal ECG ECG #1 - ID 380 – Normal ECG
ECG #1 - ID 380 – Normal ECG
 
ECG #5 - ID 168 - Left bundle branch block
ECG #5 - ID 168 - Left bundle branch block ECG #5 - ID 168 - Left bundle branch block
ECG #5 - ID 168 - Left bundle branch block
 
ECG #4 - ID 383 – Atrial fibrillation
ECG #4 - ID 383 – Atrial fibrillation ECG #4 - ID 383 – Atrial fibrillation
ECG #4 - ID 383 – Atrial fibrillation
 
ID 352 –Sinus rhythm With premature atrial complex
ID 352 –Sinus rhythm With premature atrial complexID 352 –Sinus rhythm With premature atrial complex
ID 352 –Sinus rhythm With premature atrial complex
 
Atrio-ventricular dissociation
Atrio-ventricular dissociationAtrio-ventricular dissociation
Atrio-ventricular dissociation
 
Lead errors: reversal of limb leads
Lead errors: reversal of limb leadsLead errors: reversal of limb leads
Lead errors: reversal of limb leads
 
Stepwise interpretation of ECG - #9 no Dx ID 594
Stepwise interpretation of ECG - #9 no Dx ID 594Stepwise interpretation of ECG - #9 no Dx ID 594
Stepwise interpretation of ECG - #9 no Dx ID 594
 
Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419
 
Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419
 
Stepwise interpretation of ECG - #12 no Dx ID 111
Stepwise interpretation of ECG - #12 no Dx ID 111Stepwise interpretation of ECG - #12 no Dx ID 111
Stepwise interpretation of ECG - #12 no Dx ID 111
 
Stepwise interpretation of ECG - #12 no Dx ID111
Stepwise interpretation of ECG - #12 no Dx  ID111Stepwise interpretation of ECG - #12 no Dx  ID111
Stepwise interpretation of ECG - #12 no Dx ID111
 
Stepwise interpretation of ECG - #912 no Dx ID111
Stepwise interpretation of ECG - #912 no Dx  ID111Stepwise interpretation of ECG - #912 no Dx  ID111
Stepwise interpretation of ECG - #912 no Dx ID111
 
Stepwise interpretation of ECG - #12 no Dx ID111
Stepwise interpretation of ECG - #12 no Dx  ID111Stepwise interpretation of ECG - #12 no Dx  ID111
Stepwise interpretation of ECG - #12 no Dx ID111
 

Stepwise interpretation of ECG ID419

  • 1. ID 419 – What is your ECG diagnosis?
  • 2. ID 419 – What is your ECG diagnosis? Do you see P waves? If you do, are they normal sinus P waves?
  • 3. ID 419 – Ectopic atrial rhythm, 70/min. P waves are clearly seen. They are negative in II, III, aVF and V4-V6. They are not from the sinus node. They are not junctional (the PR interval is 180 msec., in junctional rhythm the PR is usually < 120 msec) They are most likely from a low atrial region (ectopic atrial rhythm )
  • 4. ID 419 – Ectopic atrial rhythm, 70/min. Incomplete right bundle branch block The QRS axis is normal – The QRS duration is 100 msec., with a rSR’ pattern (incomplete right bundle branch block).
  • 5. ID 419 – Final diagnosis: Ectopic atrial rhythm, 70/min. Incomplete right bundle branch block There are no signs of ventricular hypertrophy – No QRS signs of myocardial infarction- The ST segment and T waves are normal.