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    Basic ECG Interpretation For Coass

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    Slamet Katib
    This document provides an overview of basic electrocardiogram (ECG) interpretation. It discusses ECG anatomy and physiology, the standard 12-lead view of the heart, how to analyze waves, segments, complexes and intervals, and common abnormalities including myocardial infarction, chamber hypertrophy, and arrhythmias. The goal is to equip medical students with fundamental ECG interpretation skills for clinical practice.

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    Basic ECG Interpretation For Coass

    Uploaded by

    Slamet Katib
    59 views61 pages
    This document provides an overview of basic electrocardiogram (ECG) interpretation. It discusses ECG anatomy and physiology, the standard 12-lead view of the heart, how to analyze waves, segments, complexes and intervals, and common abnormalities including myocardial infarction, chamber hypertrophy, and arrhythmias. The goal is to equip medical students with fundamental ECG interpretation skills for clinical practice.

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    Original Title

    Basic ECG Interpretation for Coass

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    This document provides an overview of basic electrocardiogram (ECG) interpretation. It discusses ECG anatomy and physiology, the standard 12-lead view of the heart, how to analyze waves, segments, complexes and intervals, and common abnormalities including myocardial infarction, chamber hypertrophy, and arrhythmias. The goal is to equip medical students with fundamental ECG interpretation skills for clinical practice.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    59 views61 pages

    Basic ECG Interpretation For Coass

    Uploaded by

    Slamet Katib
    This document provides an overview of basic electrocardiogram (ECG) interpretation. It discusses ECG anatomy and physiology, the standard 12-lead view of the heart, how to analyze waves, segments, complexes and intervals, and common abnormalities including myocardial infarction, chamber hypertrophy, and arrhythmias. The goal is to equip medical students with fundamental ECG interpretation skills for clinical practice.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 61

    Basic ECG Interpretation

    for Co-ass

    Firman B. Leksmono

    Cardiology and Vascular


    Department
    Medical Faculty of Hasanuddin
    University

    For What?

    Anatomy

    Action Potential

    Leads

    Leads
    LEADS

    VIEW OF HEART

    I, aVL

    Lateral

    II, III, aVF

    Inferior

    V1, V2

    Antero-Septal

    V3, V4

    Antero-Apical

    V5, V6

    Antero-Lateral

    I, aVL, V5, V6

    High Lateral

    V1-V6

    Whole Anterior

    How to Interprate ECG?

    Rhytme?
    Rate?
    Axis?
    P wave?
    PR interval?
    QRS complex?
    ST segment?
    T wave?

    Ischemia/Infarctio
    n?
    Chamber
    Hipertrophy?
    Arrhytmia?

    Boxes

    Standarization :
    Speed Paper : 25 m/s
    Amplitudo : 10 mm/1 mv

    Heart Rate

    Large Boxes 300/R-R


    interval
    Small Boxes 1500/R-R
    interval

    Axis

    Waves, Segment, Complex and


    Interval

    Sinus Rhytme
    Rate 60-100 bpm
    Constant R R interval
    Negative P wave in lead aVR and positive
    in lead II
    P wave is always followed by QRS
    complex

    P wave

    No more than 2.5 mm in


    height
    No more than 0.11 sec in
    duration

    P-R Interval

    Duration 0.12 0.20 sec in


    adult, may be shorter in children
    and longer in elders.

    PR segment

    QRS Complex

    Duration 0.06 0.12


    sec
    Q : 1st negative deflection
    after P
    R : 1st positive deflection
    after P
    S : negative deflection
    after R

    R wave Progression

    QT interval

    Normal <0,40 s

    Qtc= Qt
    measured
    RR
    interval

    ST segment

    Normal Isoelektrik

    T wave

    Limb lead : no more than 5


    mm
    Precordial lead : no more
    than 10 mm

    Normal ECG

    Sinus Rhytme, HR : 80 bpm, Normoaxis, P wave : 0,06 s, PR


    interval : 0,12 s, QRS complex : 0,08 s, ST segment : isoelectric,
    T wave : normal.
    Conclussion : Normal ECG

    Myocardial Infarction

    Myocardial Infarction
    Ischemia
    Injury
    Necrosis

    STEMI evolution

    Infarct Location

    Coronary Oclution
    LOCALIZED

    S-T ELEVATION

    CORONARY ARTERY

    Anterior MI

    V1-V6

    LAD

    Septal MI

    V1-V4

    LAD

    Lateral MI

    I, aVL, V5, V6

    RCX

    Inferior MI

    II, III, aVF

    RCA (80%) RCX (20%)

    Posterior MI

    V7, V8, V9

    RCX or RCA

    NB :
    LAD Left Anterior Descending
    Artery
    RCX Ramus Circumflexa
    LM Left Main Artery
    RCA Right Coronary Artery

    Acute Anterior
    Infarction

    Acute Inferior
    Infarction

    Chamber Hypertrophy

    Atrial Enlargement
    P - Pulmonal

    P - Mitral

    Ventricular Hypertrophy

    Left Ventricular
    Hypertrophy
    S wave in V1/V2 + R
    wave in V5/V6 35
    mm (mV)
    Strain pattern in V5
    and V6
    May be accompanied
    by LAD

    Ventricular Hypertrophy

    Right Ventricular Hypertrophy


    RAD
    Reversed R-wave
    progression (taller R
    waves and smaller S
    waves in V1 & V2; deeper
    S waves & small R waves
    in V5 & V6

    Common Arrhytmia

    Atrial Fibrilation

    No P wave, Irreguler R-R


    Interval

    Atrial Flutter

    Saw teeth App. Reguler/Irreguler RR Interval

    Supraventricular
    Tachycardia

    Narrow QRS, Reguller, Ussually P waves


    is not seen,

    Extrasystole

    Narrow QRS, Reguller, Ussually P waves


    is not seen,

    Ventricular Tachycardia

    Wide QRS, Reguller

    Ventricular Fibrilation

    1st Degree

    AV blocks

    2nd Degree, Type 1 (wenckebach)

    2nd Degree, Type 2

    3rd Degree (Total AV block)

    Thank
    You

    Quiz

    Thank
    You

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