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Ecg Reading

The document provides information about electrocardiogram (ECG) readings, including normal heart rates, axis deviations, irregular rhythms, and what different parts of the ECG tracing represent. It discusses evaluating the ECG for regularity, rhythm, rate, and intervals like the PR interval, QRS duration, and QT interval. Common conditions that can cause axis deviations are also listed.

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theodore_estrada
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44 views

Ecg Reading

The document provides information about electrocardiogram (ECG) readings, including normal heart rates, axis deviations, irregular rhythms, and what different parts of the ECG tracing represent. It discusses evaluating the ECG for regularity, rhythm, rate, and intervals like the PR interval, QRS duration, and QT interval. Common conditions that can cause axis deviations are also listed.

Uploaded by

theodore_estrada
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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 Normal rate: 60-100 bpm

Regular Irregular

5. AXIS

Right Axis Left Axis Deviation Extreme Axis


Deviation deviation
 RVH  LAHB: left anterior  Emphysema
 COPD hemiblock  Hyperkalemia
 Pulmonary  LBBB: left bundle  Lead transposition
embolism brunch block  Artificial pacing
 Dextrocardia  LVH: left ventricular
hypertrophy

ECG READING
Lead I + (upward) Lead I – (downward)
1. STANDARDIZATION Lead II + Lead II – aVF + aVF -
 Standard speed: 25 mm/sec Normal Axis Left Axis Right axis Extreme Axis
 Standard amplitude: 10 mm/mV Deviation deviation Deviation
 Small square: 0.04 seconds and 0.1 Mv Trick from internet
 5 small squares: 0.2 seconds and 0.3 mV
2. REGULARITY
 Check if P waves are regular (same P to P)
 Check if QRS complex are regular
3. RHYTHM “SINUS” because main pulse is from sinus node by an
upward P
 Regular sinus rhythm:
o Equal P to P
o All P waves are succeeded by QRS complex (upward)
4. RATE
6. INTERVAL
 P wave “Atrial Depolarization”
o Duration: < 12 seconds
o Amplitude: <2.5 mV
 PR Interval: start atrial depolarization to start ventricular
depolarization
o Normal: 0.12- 0. 20 seconds
 QRS interval: Ventricular depolarization
o Normal: <10 seconds
 QRS complex
 ST segment: end of ventricular depolarization to start of
ventricular repolarization
o Depress: ISCHEMIA
o Elevate: MYOCARDIAL INFARCTION
 T wave: ventricular repolarization
 QT interval: beginning of ventricular depolarization to end
ventricular repolarization

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