1.

Normal ECG
2. Chamber enlargements
3. IHD and AMI
4. Conduction abnormalities
5. Rhythm abnormalities

Pattern recognition
Didactic
Explanation on first-line
principles
Introduction to basic
abnormalities (level 3)

Pattern
Pattern
1. Machine design

>> Positive deflection

>> Negative deflection


2. Cardiac axis
vs.
Limb leads positions

(I, II, III, aVR, aVL, aVF)


Normal:-30 to+110

RAD: > +110

LAD: > -30



3. Sequence of activation
vs.
Chest leads positions

(V1 6)
1. P wave: < 0.11sec
< 2.5 mm

2. PR interval: 0.12-
0.2 sec.
3. QRS: < 0.11sec
SV1 + RV6<35mm
4. ST: isoelectric
5. T wave: upright

1. Rate: 300 R_R (large sq.)
2. Rhythm
3. Cardiac Axis
4. P wave, PR interval, QRS, ST, T
5. Interpretation
Normal
Abnormal > ECG diagnosis