ECG

For Nurse
Learn ECG Practice For Nurse
SLIDESMANIA.COM
 Definition

• An electrocardiogram (ECG) is a common and painless

medical test used to quickly detect heart problems and
monitor your heart’s health .

• ECG is an abbreviation for electrocardiogram

• also called ECGs or EKGs

SLIDESMANIA.COM
 Type Of ECG
There are 3 main types of ECG :

• Resting ECG

• Stress or Exercise ECG

• Ambulatory ECG ( Holter Monitor)

SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
 Indications
Evaluate the following symptoms : To Diagnosis and Detect Heart Problems

1. Chest pain (Angina) 1. Myocardial infarction ( MI (

2. Feeling heart beat ( palpitation ( 2. Ischaemic heart diseases (CAD)
3. Shortness of breath (Dyspnea) 3. Cardiac Arrhythmias ( SVT , AF, VT (
4. Epigastric Pain 4. Cardiac Enlargement ( LVH , RVH)
5. Nausea And Vomiting 5. Inflammatory Diseases ( Pericarditis)
6. Cold sweating (diaphoresis) 6. Heart block ( Third degree AV Block(
7. Loss of consciousness (syncope) 7. Electrolyte imbalance ( hyperkalemia (
8. Increase heart beat ( Tachycardia ) 8. Drug effect (Digoxin toxicity)
9. bluish color in the skin, lips (Cyanosis) 9. Pulmonary embolism ( PE )
SLIDESMANIA.COM

10. Fatigue , Dizziness , Hypothermia , Edema 10. Pre-surgical procedure

 Basic of ECG Lead
• An electrode niks eht ot dehcatta si taht dap evitcudnoc a si
.stnerruc lacirtcele fo gnidrocer selbane dna

• An ECG lead is a graphical description of the electrical activity

of the heart and it is created by analysing several electrodes

• A 12 Lead ECG uses10 Electrodes

• Four of these Electrodes are placed on the limbs.

• Six eht no decalp era sedortcele Chest .

SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
 Chest Lead
• The chest Lead Consist of 6 Lead ( V) 6V- 1

• V4 :1 th Intercostal Spaces Right Sternal Border

• V4 :2 th Intercostal Space , Left Sternal Border

• V2 V ( neewteB yawdiM :3 and V ) 4

• V5 :4 th Intercostal Space , Midclavicular Line

• V5 :5 th Intercostal Space , Anterior Axiliary Line

SLIDESMANIA.COM

• V5 :6 th Intercostal Space ,Mid Axiliary Line

SLIDESMANIA.COM
SLIDESMANIA.COM
 Limb Lead
• Placement of limb leads:

• Red : Right arm "RA"

• Yellow : Left arm " LA"

• Green : Left leg "F "

• Black : Right leg " htraE - dnuorG " N

SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM
ECG Equipment
SLIDESMANIA.COM
 Procedure
• Wash your hands and introduce yourself to the patient

• The standard tneitap eht htiw demrofrep yllareneg si GCE dael- 12

.noitisop enipus eht ni ylteiuq gniyl

• apply the ECG lead from the patient in correct placement And Use
lubricant for good touching Electrodes from the skin

• Remove any Iron equipment and mobile phone and turn off or Avoid
any source of current during ECG recording

• Ask the patient to lie still And not to talk , move and stay relax
when recording ECG
SLIDESMANIA.COM
 Procedure
• Observe the tracing quality " Speed , Calibration , All Lead Work Good "

• Press The PRINT button .

• When the machine finishes recording the ehT evomer ,GCE dael- 12
’tneilc eht naelc dna sedortcele s skin

• Write The Patient History on the ECG paper such as

) Name , Age , Gender , Time , Symptom during ECG Recording (

SLIDESMANIA.COM
SLIDESMANIA.COM
 Normal ECG ( Normal Sinus Rhythm )
• Rate : 100 – 60 BPM

• Rhythm : Regular

• P waves : Upright and round , one preceding each QRS complex

• PR Interval : 0.20 – 0.12 seconds in duration

• QRS complexes : Narrow , 0.12 – 0.06 seconds in duration

• ST segment : Flat and isoelectric ( level with the base line )

SLIDESMANIA.COM

• T waves : Upright and slightly asymmetrical

 Normal Sinus Rhythm
SLIDESMANIA.COM
SLIDESMANIA.COM
SLIDESMANIA.COM