Electrocardiogram (Ecg)

ELECTROCARDIOGRAM (ECG

)
 Electrocardiogram or electrocardiograph is a diagnostic tool used in assessing the cardiovascular system. It is a graphic recording of the electrical activity of the heart.

TYPES OF ECG
1. 12 Lead ECG (12LECG)  Commonly used to diagnose myocardial ischemia or infarction, high or low calcium and potassium levels and effects of some medications. 2. 15 Lead ECG  Three (3) additional chest leads across the precordium and is a valuable tool for the early diagnosis of the Right ventricular and posterior left ventricular infarction. 3. 18 Lead ECG  early detection of myocardial ischemia and injury

WAYS TO OBTAIN AN ECG
1. Standard 12 Lead ECG V1 > 4th intercostals space, right sternal border (Red) V2 > 4th intercostals space, Left sternal border (yellow) V3 > diagonally between V2 and V4 (green) V4 > 5th intercostal space left mid-clavicular line (brown) V5 > same level as V4 anterior axillary line (black) V6 > same level as V4 and V5 mid-axillary line (violet) 2. Hardwire Monitoring  3-5 electrodes ( cardiac monitor) 3. Telemetry  Small box that the patient carries and continuously transmits ECG information by radio waves to a central monitor elsewhere ( wireless) 4. Holter Monitor  10-24 hours  small, lightweight tape recorder like machine, continuously records the ECG on a tape which is later viewed and analyzed with a scanner

5. Trans-telephonic Monitoring
 The patient attaches a specific lead system for transmitting the signal and places a telephone mouth piece over the transmitter box: The ECG is recorded and evaluated at another location.

ELECTROCARDIOGRAM LEAD PLACEMENT
A. Limb electrode placement
LA RA RL LL Left Arm Right Arm Right leg Left Leg

LA RA RL LL

Yellow Red Black Green

B. Standard 12 Lead ECG Placement

C. 15 Lead ECG Placement

D. 18 LEAD ECG PLACEMENT

ECG PAPER

(Indicate the Name, age and the initial BP of the patient in the lower part of the ECG paper)

CARDIAC MONITOR

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