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    Abnormal ECG

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    shazia kazi
    Dr. Shazia Kazi is an assistant professor in the Department of Cardiology at Isra University Hospital in Hyderabad. She presented her approach to ECG interpretation, which involves analyzing the rate, rhythm, axis, wave morphology, intervals, and segments. She discussed tools for determining rate such as the "rule of 300" and "10 second rule" and analyzing rhythm, axis, signs of chamber enlargement, arrhythmias including tachycardias and bradycardias, ischemia, and practice quizzes. The goal was to provide guidance on the full process of ECG interpretation.

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    Abnormal ECG

    Uploaded by

    shazia kazi
    16 views43 pages
    Dr. Shazia Kazi is an assistant professor in the Department of Cardiology at Isra University Hospital in Hyderabad. She presented her approach to ECG interpretation, which involves analyzing the rate, rhythm, axis, wave morphology, intervals, and segments. She discussed tools for determining rate such as the "rule of 300" and "10 second rule" and analyzing rhythm, axis, signs of chamber enlargement, arrhythmias including tachycardias and bradycardias, ischemia, and practice quizzes. The goal was to provide guidance on the full process of ECG interpretation.

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    Dr. Shazia Kazi is an assistant professor in the Department of Cardiology at Isra University Hospital in Hyderabad. She presented her approach to ECG interpretation, which involves analyzing the rate, rhythm, axis, wave morphology, intervals, and segments. She discussed tools for determining rate such as the "rule of 300" and "10 second rule" and analyzing rhythm, axis, signs of chamber enlargement, arrhythmias including tachycardias and bradycardias, ischemia, and practice quizzes. The goal was to provide guidance on the full process of ECG interpretation.

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    © All Rights Reserved
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    16 views43 pages

    Abnormal ECG

    Uploaded by

    shazia kazi
    Dr. Shazia Kazi is an assistant professor in the Department of Cardiology at Isra University Hospital in Hyderabad. She presented her approach to ECG interpretation, which involves analyzing the rate, rhythm, axis, wave morphology, intervals, and segments. She discussed tools for determining rate such as the "rule of 300" and "10 second rule" and analyzing rhythm, axis, signs of chamber enlargement, arrhythmias including tachycardias and bradycardias, ischemia, and practice quizzes. The goal was to provide guidance on the full process of ECG interpretation.

    Copyright:

    © All Rights Reserved
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    Download as pptx, pdf, or txt
    of 43

    Dr.

    Shazia Kazi
    Assistant Professor
    Department of Cardiology
    Isra University Hospital Hyderabad
    INTERPRETATION OF ECG
    ECG Interpretation
    What is your approach to reading an ECG?
    •Rate
    •Rhythm
    •Axis
    •Wave morphology
    •Intervals and
    •Segment analysis
    The rule of 300

    No of big Rate (apprx)


    boxes
    1 300
    2 150
    3 100
    4 75
    5 60
    6 50
    Normal ECG
    10 second rule
    • As most ECG record 10 seconds of rhythm per
    page, one can simply count the number of beats
    present on the ECG and multiply by 6 to get the
    number of beats per seconds.
    • Rate: (Number of waves in 10 second
    strips)x6

    • This method works well for irregular rhythm


    Count QRS in 10 second rhythm strip x 6  use this
    method to determine rate when rhythm is irregular
    (e.g., atrial fibrillation)
    Rhythm
    Look at the rhythm strip below and answer the
    questions
    • Are P waves present?
    • yes

    • Is there a P wave before every QRS complex and a QRS


    complex after every P wave?
    • yes
    Yes to all these
    • Are the P waves and QRS complexes regular? questions, so this is
    • yes normal sinus rhythm!

    • Is the PR interval constant?


    • yes
    Normal Sinus Rhythm

     ECG rhythm characterized by a usual rate


    of anywhere between 60 and 100 beats per
    min.
     Every P wave must be followed by a QRS
     And every QRS is preceded by P wave.
     Normal duration of PR interval is 3-5 small
    squares
    • The P wave is upright in leads I and II.
    Axis
     Axis is the general flow of electricity as
    it passes through the heart
     The QRS axis represents the net
    overall direction of the heart’s electrical
    activity.
    The Quadrant Approach
    • Examine the QRS complex in Leads I
    determine and aVF to if they
    predominantly negative.
    are predominantly
    positive or
    • The combination should place the axis into one of
    qua
    the Idrant
    4 beAol w .
    V F
    s Axis
    + + Normal
    + - LAD
    - + RAD
    INTERPRETATION

    • RATE
    • RHYTHM
    • AXIS
    • P,QRS,T
    • INTERVALS
    • SEGMENT
    CHAMBER ENLARGMENT
    CHAMBER ENLARGMENT
    LVH
    RVH
    •
    ARRHYTMIAS
    TACHYARRHYTMIAS
    • NARROW COMPLEX (REGULAR/IRREGULAR)

    • WIDE COMPLEX ( REGULA/IRREGULAR)


    SINUS TACHYCARDIA
    HR>100B/M
    •
    SVT/AVNRT
    ATRIAL FIBRILLATION
    VENTRICULAR TACHYCARDIA
    VENTRICULAR FIBRILLATION
    SINUS BRADYCARDIA
    AV BLOCKS
    AV BLOCKS
    ISCHEMIA
    ST ELEVATION
    ST ELEVATION
    ST DEPRESSION
    PRACTICE QUIZ
    PRACTICE QUIZ
    PRACTICE QUIZ
    PRACTICE QUIZ
    PRACTICE QUIZ
    PRACTICE QUIZ

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