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04 ECG Normal

The document summarizes the 10 rules for a normal electrocardiogram (ECG). The rules are: 1) The P waves should be upright in leads I, II, and V2 to V6. 2) The PR interval should be between 120-200 milliseconds. 3) There should be no Q wave or only a small Q wave less than 0.04 seconds in leads I, II, V2 to V6. 4) The QRS complex width should not exceed 120 milliseconds.

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Jevisco Lau
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97 views

04 ECG Normal

The document summarizes the 10 rules for a normal electrocardiogram (ECG). The rules are: 1) The P waves should be upright in leads I, II, and V2 to V6. 2) The PR interval should be between 120-200 milliseconds. 3) There should be no Q wave or only a small Q wave less than 0.04 seconds in leads I, II, V2 to V6. 4) The QRS complex width should not exceed 120 milliseconds.

Uploaded by

Jevisco Lau
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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ECG Normal

Dr. David D. Ariwibowo SpJP, FIHA


The 10 rules for a normal ECG
I II III aVR aVL aVF V1 V2 V3 V4 V5 V6

.2
Rule 1

I II III aVR aVL aVF V1 V2 V3 V4 V5 V6

The P waves should be upright in I, II, and V2 to V6


Rule 2

1.0 R

PR
interval
0.5
T
PR interval should be 120
Millivolts

P to 200 milliseconds or 3 to
Q
0 5 little squares

-0.5 S

0 200 400 600

Milliseconds
Rule 3

I II III aVR aVL aVF V1 V2 V3 V4 V5 V6

There should be no Q wave or only a small q less


than 0.04 seconds in width in I, II, V2 to V6
Rule 4

1.0 R

0.5
T
The width of the QRS
Millivolts

P complex should not exceed


Q
0 120 ms, less than 3 little
squares
-0.5 S
QRS

0 200 400 600

Milliseconds
Rule 5

I II III aVR aVL aVF

The QRS complex should be


dominantly upright in leads I
and II
Rule 6

I II III aVR aVL aVF

QRS and T waves tend to have


the same general direction in
the limb leads
Rule 7

P All waves are negative in lead aVR

Q S
Rule 8
V6
V5
V4
V3
V2
V1

The R wave in the precordial leads must grow from V1 to at


least V4
Rule 9

I II III aVR aVL aVF V1 V2 V3 V4 V5 V6

The ST segment should start isoelectric except in V1


and V2 where it may be elevated
Rule 10

I II III aVR aVL aVF V1 V2 V3 V4 V5 V6

The T wave must be upright in I, II, V2 to V6


Thank You

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