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    This document summarizes the electrocardiographic patterns seen in various cardiac arrhythmias, conduction abnormalities, myocardial infarctions, cardiomyopathies, pericardial diseases, pulmonary diseases and other cardiac conditions. It describes characteristics such as P wave morphology, PR and QT intervals, QRS axis and complexes, and ST-T wave patterns that are indicative of different underlying cardiac pathologies.

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    Ecg Compiled

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    30 views65 pages
    This document summarizes the electrocardiographic patterns seen in various cardiac arrhythmias, conduction abnormalities, myocardial infarctions, cardiomyopathies, pericardial diseases, pulmonary diseases and other cardiac conditions. It describes characteristics such as P wave morphology, PR and QT intervals, QRS axis and complexes, and ST-T wave patterns that are indicative of different underlying cardiac pathologies.

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    This document summarizes the electrocardiographic patterns seen in various cardiac arrhythmias, conduction abnormalities, myocardial infarctions, cardiomyopathies, pericardial diseases, pulmonary diseases and other cardiac conditions. It describes characteristics such as P wave morphology, PR and QT intervals, QRS axis and complexes, and ST-T wave patterns that are indicative of different underlying cardiac pathologies.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    30 views65 pages

    Ecg Compiled

    Uploaded by

    Vstreamhd
    This document summarizes the electrocardiographic patterns seen in various cardiac arrhythmias, conduction abnormalities, myocardial infarctions, cardiomyopathies, pericardial diseases, pulmonary diseases and other cardiac conditions. It describes characteristics such as P wave morphology, PR and QT intervals, QRS axis and complexes, and ST-T wave patterns that are indicative of different underlying cardiac pathologies.

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    © All Rights Reserved
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    Download as pdf or txt
    of 65

    Compiled by

    Dr. Bhargav Shreeram. G


    SINUS TACHYCARDIA
    REGULAR NARROW QRS COMPLEX TACHYCARDIA
    EVERY QRS COMPLEX PRECEEDED BY P WAVE
    PR INTERVAL - NORMAL
    REGULAR R-R INTERVAL
    FOCAL ATRIAL TACHYCARDIA / PAROXYSMAL ATRIAL TACHYCARDIA
    NARROW QRS COMPLEX TACHYCARDIA
    REGULAR R-R INTERVAL
    EVERY QRS COMPLEX PRECEEDED BY ABNORMAL MORPHOLOGY P WAVE
    MULTIFOCAL ATRIAL TACHYCARDIA
    NARROW QRS COMPLEX TACHYCARDIA
    IRREGULAR R-R INTERVAL
    >=3 ABNORMAL MORPHOLOGY P WAVES
    JUNCTIONAL TACHYCARDIA
    NARROW QRS COMPLEX TACHYCARDIA
    REGULAR R-R INTERVAL
    RETROGRADE P WAVE
    AV NODAL RE-ENTRANT TACHYCARDIA
    NARROW QRS COMPLEX TACHYCARDIA
    REGULAR R-R INTERVAL
    R-P INTERVAL <80ms
    P WAVE BURIED WITHIN QRS COMPLEX/ NOT SEEN (in 2/3rd patients)
    P WAVE ON ASCENDING LIMB OF T WAVE / PSEUDO S-WAVE(in 1/3rd patients)
    ORTHODROMIC AV RE-ENTRANT TACHYCARDIA (CONCEALED WPW)
    NARROW QRS COMPLEX TACHYCARDIA
    REGULAR R-R INTERVAL
    P WAVE LIES OUTSIDE QRS COMPLEX
    R-P INTERVAL >80ms
    ELECTRICAL ALTERNANS MAYBE SEEN

    ANTIDROMIC AV RE-ENTRANT TACHYCARDIA (MANIFEST WPW)


    WIDE QRS COMPLEX TACHYCARDIA
    ATRIAL FLUTTER
    NARROW QRS COMPLEX TACHYCARDIA (250-350/min)
    REGULAR R-R INTERVAL
    SAW TOOTH PATTERN - POINTED P & T WAVES
    ATRIAL FLUTTER WITH AV-BLOCK
    IRREGULAR R-R INTERVAL
    ATRIAL FIBRILLATION
    NARROW QRS COMPLEX TACHYCARDIA (300-400/min)
    IRREGULAR R-R INTERVAL
    P WAVE - ABSENT
    VENTRICULAR PREMATURE BEAT / EXTRA SYSTOLE
    WIDE QRS COMPLEX, NOT PRECEEDED BY P WAVE
    ALWAYS FOLLOWED BY COMPENSATORY PAUSE
    CONSTANT COUPLING INTERVAL
    SECONDARY ST-T CHANGES

    VENTRICULAR BIGEMINY
    ONE VENTRICULAR PREMATURE BEAT AFTER EACH NORMAL BEAT
    VENTRICULAR TRIGEMINY
    ONE VENTRICULAR PREMATURE BEATS AFTER TWO NORMAL BEATS (or)
    TWO VENTRICULAR PREMATURE BEATS AFTER EACH NORMAL BEAT

    VENTRICULAR COUPLET
    TWO VENTRICULAR PREMATURE BEATS TOGETHER
    VENTRICULAR TACHYCARDIA
    WIDE QRS COMPLEX TACHYCARDIA - SPINDLE APPEARANCE
    >=3 CONSECUTIVE PREMATURE VENTRICULAR BEATS @ 100/min
    NORTHWEST AXIS (-120 DEGREES) WITH POSITIVE QRS COMPLEX IN aVR
    FUSION BEATS (AV DISSOCIATION) & CAPTURE BEATS
    JOSEPHSON'S SIGN - NOTCHING NEAR NADIR OF S-WAVE
    BRUGADA SIGN - DISTANCE FROM ONSET OF QRS COMPLEX TO NADIR OF S-WAVE >100ms
    TORSADES DE POINTES
    POLYMORPHIC VENTRICULAR TACHYCARDIA
    PROLONGED QT INTERVAL
    EARLY AFTER REPOLARIZATION
    VENTRICULAR FLUTTER
    MONOMORPHIC VENTRICULAR TACHYCARDIA (>250-300/min)
    VENTRICULAR FIBRILLATION
    DISORDERED VENTRICULAR ACTIVATION (>500/min)
    NO IDENTIFIABLE QRS COMPLEX
    P WAVES ABSENT
    WOLF PARKINSON WHITE (WPW) SYNDROME
    WIDE QRS COMPLEX TACHYCARDIA
    SHORT P-R INTERVAL
    P WAVE - NORMAL MORPHOLOGY
    SECONDARY ST-T CHANGES
    DELTA WAVES ON SLURRED UPSTROKE OF QRS COMPLEX
    DIGOXIN TOXICITY
    ATRIAL TACHYCARDIA WITH 2:1 BLOCK (TWO P WAVES FOLLOWED BY ONE QRS COMPLEX)
    DELAYED AFTER DEPOLARIZATION
    SHORTENED QT INTERVAL
    ST DEPRESSION / HOCKEY STICK SIGN
    NOT SEEN IN DIGOXIN TOXICITY - ATRIAL FIBRILLATION, TYPE 2B HEART BLOCK
    ACCELERATED IDIOVENTRICULAR RHYTHM
    REPERFUSION ARRHYTHMIA
    BROAD QRS COMPLEXES
    WELLEN SYNDROME
    BIPHASIC T WAVE IN V1-V3 - MARKER OF REPERFUSION OF ABORTED ANTERIOR STEMI
    ARRHYTHMOGENIC RV DYSPLASIA
    EPSILON WAVE
    LEFT BUNDLE BRANCH MORPHOLOGY
    SLIGHTLY WIDE QRS COMPLEXES IN LEADS I, aVL, V5,V6

    LEFT BUNDLE BRANCH PATTERN


    M PATTERN/RSR' PATTERN IN V5 & V6
    W PATTERN IN V1 & V2
    DOMINANT S WAVE IN V1
    ABSENCE OF Q WAVES IN V5,V6
    SLURRING OF R WAVE PEAK IN V5-V6
    RIGHT BUNDLE BRANCH BLOCK
    TALL T WAVE IN V1 & V2 WITH RSR' PATTERN/M PATTERN
    W PATTERN IN V5 & V6
    LEFT ANTERIOR FASCICULAR BLOCK
    LEFT AXIS DEVIATION
    qR COMPLEXES IN LEADS I, aVL
    rS COMPLEXES IN LEADS II, III, aVF
    PROLONGED R WAVE PEAK TIME IN aVL
    LEFT POSTERIOR FASCICULAR BLOCK
    RIGHT AXIS DEVIATION
    rS COMPLEXES IN LEADS I, aVL
    qR COMPLEXES IN LEADS II, III, aVF
    PROLONGED R WAVE PEAK TIME IN aVF
    BIFASCICULAR BLOCK
    RBBB CHANGES
    LEFT AXIS DEVIATION (LEFT ANTERIOR FASCICULAR BLOCK)
    TRIFASCICULAR BLOCK
    RBBB CHANGES
    LEFT AXIS DEVIATION (LEFT ANTERIOR FASCICULAR BLOCK)
    PROLONGED P-R INTERVAL (3rd DEGREE HEART BLOCK)
    LEFT ATRIAL ENLARGEMENT
    P MITRALE (WIDE & BIFID P WAVES)

    RIGHT ATRIAL ENLARGEMENT


    P PULMONALE ( TALL & PEAKED P WAVES)
    LEFT VENTRICULAR HYPERTROPHY
    (A) S-WAVE IN V1/V2 + R-WAVE IN V5/V6 >35mm or >7 Big Boxes
    Or
    (B) R-WAVE IN aVL >11mm
    RIGHT VENTRICULAR HYPERTROPHY
    (A) TALL R-WAVE IN V1>7mm (or) [R/S] RATIO IN V1>1
    or
    (B) DOMINANT S-WAVE IN V5/V6 >7mm DEEP (or) [R/S] RATIO IN V5 or V6<1
    BRUGADA SYNDROME
    ST ELEVATION IN V1-V3
    RBBB CHANGES
    NEGATIVE T WAVES IN V1-V3
    1ST DEGREE AV BLOCK
    PR INTERVAL PROLONGED
    P WAVE FOLLOWED BY QRS COMPLEX
    MOBITZ TYPE I / WENKEBACH BLOCK
    PR INTERVAL LENGTHENS TILL ONE P WAVE IS NOT FOLLOWED BY QRS COMPLEX

    MOBITZ TYPE II BLOCK


    PR INTERVAL REMAINS CONSTANT
    P WAVE NOT FOLLOWED BY QRS COMPLEX
    3RD DEGREE AV BLOCK / COMPLETE AV BLOCK
    NO RELATIONSHIP BETWEEN P WAVE & QRS COMPLEX
    P-P & R-R INTERVAL CONSTANT
    UNSTABLE ANGINA/ NSTEMI
    NORMAL ST SEGMENTS & T WAVES
    INVERTED U WAVES IN LATERAL LEADS
    ACUTE MYOCARDIAL INFARCTION
    1) HYPERACUTE PEAKED T WAVES FOLLOWED BY T WAVE INVERSION
    2) PATHOLOGICAL Q WAVES
    3) ST-T CHANGES or LBBB CHANGES
    INFERIOR WALL MI
    ST ELEVATION IN II,III,aVF
    LATERAL WALL MI
    ST ELEVATION IN I,aVL,V5,V6
    SEPTAL WALL MI
    ST ELEVATION IN V1,V2
    ANTERIOR WALL MI
    ST ELEVATION IN V2-V4
    ANTEROLATERAL WALL MI
    ST ELEVATION IN I,aVL,V3-V6

    EXTENSIVE ANTEROLATERAL WALL MI


    ST ELEVATION IN I,aVL,V1-V6
    ANTEROSEPTAL WALL MI
    ST ELEVATION IN V1-V4
    POSTERIOR WALL MI
    ST DEPRESSION IN V1-V4, TALL R WAVES
    RIGHT VENTRICULAR MI
    ST ELEVATION IN V3r-V6r, V1
    ST DEPRESSION IN V2
    NSTEMI / SUBENDOCARDIAL INFARCTION
    SYMMETRIC T WAVE INVERSIONS
    HYPOTHERMIA
    OSBORN WAVES / J WAVES
    HYPERCALCEMIA
    OSBORN WAVES / J WAVES
    SHORTENED QT INTERVAL
    DECREASED ST SEGMENT DURATION
    HYPOCALCEMIA
    PROLONGED QT INTERVAL
    LENGTHENING OF ST SEGMENT
    HYPERMAGNESEMIA
    WIDE QRS COMPLEX
    PROLONGED QT INTERVAL
    PROLONGED PR INTERVAL
    HYPOMAGNESEMIA
    WIDE QRS COMPLEX
    PROLONGED QT INTERVAL
    POLYMORPHIC VENTRICULAR TACHYCARDIA (TORSADES DE POINTES)
    HYPERKALEMIA
    TALL/PEAKED T WAVES
    WIDE QRS COMPLEX
    PROLONGED PR INTERVAL
    ST SEGMENT DEPRESSION
    SMALL/ABSENT P WAVES
    SINE WAVE PATTERN
    SHORTENED QT INTERVAL
    ATRIAL FIBRILLATION
    HYPOKALEMIA
    FLAT T WAVE
    WIDE QRS COMPLEX
    PROLONGED PR INTERVAL
    ST SEGMENT DEPRESSION
    SIGNIFICANT U-WAVE >2/3rd of T-WAVE - PSEUDO P PULMONALE
    ROLLER COASTER PATTERN - INVERTED T WAVE
    PROLONGED QT INTERVAL
    ACUTE PERICARDITIS
    GLOBAL ST ELEVATION (CONCAVE UPWARDS)
    PR SEGMENT DEPRESSION (EXCEPT in aVR - ELEVATED)
    DIFFUSE T WAVE INVERSION
    CONSTRICTIVE PERICARDITIS
    LOW VOLTAGE QRS COMPLEXES
    DIFFUSE T WAVE FLATTENING
    CARDIAC TAMPONADE
    ELECTRICAL ALTERNANS - R-R INTERVAL CONSTANT, BUT ALTERNATING HEIGHT OF R
    WAVES (TALL & SHORT)
    MITRAL STENOSIS
    P MITRALE (WIDE & BIFID P WAVES)
    RIGHT AXIS DEVIATION
    RVH CHANGES
    AORTIC STENOSIS
    LVH CHANGES
    RESTRICTIVE CARDIOMYOPATHY
    LOW VOLTAGE QRS COMPLEXES
    DILATED CARDIOMYOPATHY
    NON SPECIFIC ST-T CHANGES
    HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY
    LVH CHANGES
    ST-T CHANGES
    GIANT T WAVE INVERSIONS
    TAKOTSUBO CARDIOMYOPATHY
    STEMI LIKE CHANGES IN V2-V6 - TOMBSTONE PATTERN
    LEFT SIDED PNEUMOTHORAX
    REDUCED R WAVE AMPLITUDE
    AMPLITUDE CHANGES IN QRS COMPLEX
    T WAVE INVERSION IN PRECORDIAL LEADS
    RIGHT AXIS DEVIATION
    MASSIVE PULMONARY EMBOLISM / COR PULMONALE
    TACHYCARDIA
    S1Q3T3 PATTERN
    DEEP S WAVE IN LEAD I
    DEEP Q WAVES IN LEAD III
    INVERTED T WAVES IN LEAD III
    PULMONARY ARTERIAL HYPERTENSION
    [R/S] RATIO IN V1
    RIGHT AXIS DEVIATION
    RVH CHANGES
    DEXTROCARDIA
    REVERSE R WAVE PROGRESSION
    RIGHT AXIS DEVIATION
    GLOBAL NEGATIVITY IN LEAD I

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