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3.pendrik Tandean-Interpretasi EKG
3.pendrik Tandean-Interpretasi EKG
3.pendrik Tandean-Interpretasi EKG
ELEKTROKARDIOGRAFI
PENDRIK TANDEAN
CARDIAC CENTRE
RS. WAHIDIN SUDIROHUSODO MAKASSAR
Chest Leads
6 Unipolar leads
Also known as precordial leads
V1, V2, V3, V4, V5 and V6 - all positive
Atrial depolarization, P-wave
Ventricular depolarization, Q
Ventricular depolarization, R
Ventricular depolarization, S
Ventricular repolarization, T
ECG & dipole movement
Right sided chest leads are much more sensitive to the presence of right
ventricular infarction. The most useful lead is lead V4R (an electrode is place
10 ECG rules
Classical Appearences
QRS waveform nomenclature
R r qR qRs Qrs QS
Qr Rs rS qs rSr rSR
The 10 rules for a normal ECG
.2
Rule 1
1.0 R
PR
interval
0.5
PR interval should
T
Millivolts
be 120 to 200
P
milliseconds or 3 to
Q
0 5 little squares
S
-0.5
Milliseconds
Rule 1
1.0 R
PR
interval
0.5
T PR interval
Millivolts
P should be
Q 120 to 200
0 milliseconds or
3 to 5 little
squares
S
-0.5
Milliseconds
Rule 2
1.0 R
QRS complex
P
should not exceed
Q
0 110 ms, less than 3
little squares
S
-0.5
QRS
Milliseconds
Rule 3
The QRS
complex should
be dominantly
upright in leads I
and II
Rule 4
Q S
Rule 6
V6
V5
V4
V3
V1 V2