Analysis and Interpretation of the Electrocardiogram
Analysis and Interpretation of the Electrocardiogram
Introduction
How to use this module
Objectives
The 12 lead ECG
Waves and complexes
Intervals and segments
Normal values
Approach to the ECG
Step 1: Determine the heart rate
Step 2: Measure important intervals
Step 3a: Calculate the electrical axis
Step 3b: Calculate the electrical axis
Step 3c: Calculate the electrical axis
Step 4: Evaluate the cardiac rhythm
Step 5: Inspect P waves for atrial enlargement
Step 6: Inspect QRS complexes for ventricular hypertrophy or low voltage
Step 7a: Inspect QRS complexes for bundle branch block or fascicular block
Step 7b: Inspect QRS complexes for bundle branch block or fascicular block
Step 7c: Inspect QRS complexes for bundle branch block or fascicular block
Step 7d: Inspect QRS complexes for bundle branch block or fascicular block
Step 7e: Inspect QRS complexes for bundle branch block or fascicular block
Step 8: Assess Q waves and determine significance
Step 9: Assess ST segments and T waves
Step 10: Measure QT interval for specific diagnoses
ECG index
Cases
Printable version
Credits
Links
Approach to the ECG
Developing a systematic approach to the interpretation of the ECG is a critical skill for all clinicians. The following outlines one such approach.
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