project: document title: cardiology – ekg interpretation
TRANSCRIPT
![Page 1: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/1.jpg)
Project: Ghana Emergency Medicine Collaborative Document Title: Cardiology – EKG Interpretation Author(s): Patrick Carter (University of Michigan), MD 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/
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#"
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5@<"=2*'+"2>4"?>7'3*26+"• P wave: the sequential activation
(depolarization) of the right and left atria
• QRS complex: right and left ventricular depolarization (normally the ventricles are activated simultaneously)
• ST-T wave: ventricular repolarization
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5@<"=2*'+"2>4"?>7'3*26+"• U wave: origin for this wave is not clear - but
probably represents "after depolarizations" in the ventricles
• PR interval: time interval from onset of atrial depolarization (P wave) to onset of ventricular depolarization (QRS complex)
• QRS duration: duration of ventricular muscle depolarization
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5@<"=2*'+"2>4"?>7'3*26+"• QT interval: duration of ventricular depolarization
and repolarization
• RR interval: duration of ventricular cardiac cycle (an indicator of ventricular rate)
• PP interval: duration of atrial cycle (an indicator or atrial rate)
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19232(7'3-+)(+"/0"2"h:/(234-26"?>023(7"A. Anterior Infarction
A. V1,V2,V3,V4 B. Left Anterior Descending (LAD)
B. Lateral Infarction A. I, AVL B. Circumflex branch of Left Coronary Artery
C. Posterior Infarction A. Depression in V1,V2,V3 B. Right Coronary C. Provides blood supply to SA Node, AV Node, His Bundle
D. Inferior Infarction A. II, III, AVF B. Right or Left Coronary
A. Most Commonly Right Coronary
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b-r'3'>)26"b-2;>/+-+"/0"G2(9:(234-2"
Tachycardia Narrow Complex Wide Complex
Regular ST SVT Atrial flutter
ST w/ aberrancy SVT w/ aberrancy
VT
Irregular A-fib A-flutter w/ variable conduction MAT
A-fib w/ aberrancy
A-fib w/ WPW VT
KN"
![Page 48: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/48.jpg)
Source Undetermined KO"
![Page 49: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/49.jpg)
E73-26"c6Fj'3"
Source Undetermined K\"
![Page 50: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/50.jpg)
Source Undetermined LR"
![Page 51: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/51.jpg)
E73-26"c-%3-662)/>"
Source Undetermined L!"
![Page 52: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/52.jpg)
Source Undetermined L#"
![Page 53: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/53.jpg)
=-4'"1/C86'I"G2(9:(234-2"
• b-r'3'>)26"b-2;>/+-+"– ]'>73-(F623"G2(9:(234-2"– W]G".-79"E%'332>(:"
LJ"
![Page 54: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/54.jpg)
Source Undetermined LK"
![Page 55: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/55.jpg)
WF832*'>73-(F623"G2(9:(234-2"
Narrow complex, regular; retrograde P waves
Retrograde P waves
Source Undetermined LL"
![Page 56: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/56.jpg)
Source Undetermined LM"
![Page 57: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/57.jpg)
A4-:A@'H@I44C-'<:4J'KA-:A1@C'1@L?F'
LN"
![Page 58: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/58.jpg)
Source Undetermined LO"
![Page 59: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/59.jpg)
A!4C-L(CE4A@'5ML?A-B:A@':!HA-?4:L!'
L\"
![Page 60: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/60.jpg)
Source Undetermined MR"
![Page 61: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/61.jpg)
:!HC-:L-'EL(4C-:L-'5ML?A-B:A@':!HA-?4:L!'
M!"
![Page 62: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/62.jpg)
Source Undetermined M#"
![Page 63: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/63.jpg)
5A((:KC'A5:NNNN'
MJ"
![Page 64: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/64.jpg)
Source Undetermined
Source Undetermined
MK"
![Page 65: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/65.jpg)
EL@M5L-EJ:?'KC!4-:?I@A-'4A?JM?A-B:A'4L-(ABC('BC'EL:!4C('
ML"
![Page 66: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/66.jpg)
Source Undetermined MM"
![Page 67: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/67.jpg)
KC!4-:?I@A-'H:1-:@@A4:L!'
MN"
![Page 68: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/68.jpg)
Source Undetermined MO"
![Page 69: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/69.jpg)
<:BC'?L5E@CD'4A?JM?A-B:A'Th/+7"A-`'6:D"h/>/C/893-("]'>73-(F623"G2(9:(234-2U"
M\"
![Page 70: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/70.jpg)
Source Undetermined NR"
![Page 71: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/71.jpg)
(K4'<:4J'(:G!('LH'-A4C'BCEC!BC!4':(?JC5:A'
N!"
![Page 72: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/72.jpg)
[:8/`26'C-2"
U waves; Can also see PVCs, ST depression, small T waves
Source Undetermined N#"
![Page 73: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/73.jpg)
[:8'3`26'C-2"
Tall, narrow and symmetric T waves
Source Undetermined NJ"
![Page 74: Project: Document Title: Cardiology – EKG Interpretation](https://reader030.vdocuments.us/reader030/viewer/2022012803/61bd222c61276e740b0fb29b/html5/thumbnails/74.jpg)
VF'+)/>+s"
Dkscully, Flickr
NK"