2013/12/7

SA node 60 - 100

His Bundle 40 - 60

AV node 40 - 60

Ventricle < 40

ACLS

25 mm/sec
25 cm = 10 sec

1.

2.

()

3.

QRS

4.

QRS P

5.

P QRS

1.

Normal ECG
1 mm = 0.04 s = 40 ms
PR/PQ interval < 5 mm =
0.20 s = 200 ms
QRS complex < 3 mm =
0.12 s = 120 ms
Corrected QT interval
Male < 430 ms (> 450 ms)
Female < 450 ms (>470ms)
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Rate = 79 /min < 100 /min, normal sinus rhythm

2.-1

PR = 176 ms < 200 ms (5 = 0.04 sec*5 = 0.2 sec)

300 (= 5 )

8
HR 38

2
HR 150

1500 39 - 41
bradycardia, 37 - 39

1500 10 - 11
tachycardia, 136-150

QRS = 92 ms < 120 ms (3 = 0.04 sec*3 = 0.12 sec)

2.-2
-

10

4. QRS P

1 = 0.2 30 (15cm, 6 )
QRS 10
HR = 9 * 10 = 90

3. QRS

QRS > 3

11

Sinus, Junctional, Idioventricular

QRS < 3

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5. P QRS
P

EKG Diagnosis

Sinus bradycardia (SB), HR 50

QRS

QRS
P

P
QRS

QRS
P

QRS

QRS

QRS

QRS

QRS
13

1.

2.

()

3.

QRS

4.

QRS P

5.

P QRS

16

EKG Diagnosis
Sinus tachycardia (ST), HR 125

!!
14

17

EKG Diagnosis

EKG Diagnosis

Normal sinus rhythm (NSR), HR 83

Atrial flutter (AFL) 4:1 conduction, HR 75

P
P
P
P
15

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EKG Diagnosis

3:1 conduction
Rate = 100

Paroxysmal SupraVentricular Tachycardia

(PSVT), HR 187

19

22

EKG Diagnosis

EKG Diagnosis

Atrial fibrillation (Af), HR 90

Junctional bradycardia (JB), HR 52

20

23

EKG Diagnosis

EKG Diagnosis

Multifocal atrial tachycardia (MAT), HR 150

Idioventricular rhythm (IVR), HR 34

21

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EKG Diagnosis

EKG Diagnosis

Ventricular tachycardia (VT), HR 155

Asystole

25

28

EKG Diagnosis

EKG Diagnosis

Ventricular fibrillation (VF)

First degree AV block, HR 68

26

29

EKG Diagnosis

EKG Diagnosis

Torsades de Pointes

Second degree AV block, Mobitz type I

PR

Edhouse J , Morris F BMJ 2002;324:776-779

2002 by British Medical Journal Publishing Group

27

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EKG Diagnosis

Premature Ventricular Contraction (VPC)

Second degree AV block, Mobitz type II

P R

QRS, QRS , T
QRS

!
31

EKG Diagnosis

34

Right bundle branch block (RBBB)

Third degree AV block, HR 50

RSR in
V1, V2

QRS > 3mm

Slurred S
in V5, V6

32

35

EKG Diagnosis

Left bundle
branch block

V1 V2
S QS

QRS

APC/VPC (premature A/V contraction)

bundle branch block (BBB)
ST-T change

I, aVL, V5 V6
R

33

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ST elevation in leads II, III, aVF

aVL

High

aVF

Lateral

Septal
Anterior
True

Inferior

Lateral

37

40

ST elevation in leads V2-3-4-5, I and aVL

Reciprocal ST depression in leads III, aVF

Lateral
High

Anterior

Septal

Lateral

Anterior

Inferior

Lateral

True

Inferior

Lateral

38

41

ST-T change

Google: ACLS

Q&A
39