Important points to remember about each EKG

First category is of all the supraventricular arrhythmias

Atrial Fibrillation

- Narrow complex

- Irregular R R interval

- No discrete P waves

Atrial Flutter

-Narrow complex

- Saw tooth waves

- Regular R R interval

PSVT

- Narrow complex

- Regular RR

- No P waves You just have QRS and then T again QRS and then T

- Tachycardia
Second Category is Ventricular arrythmias which all will have broad complexes

VTach

Broad complex

Only R waves

Tachycardia

Regular symmetric R waves

V FIB

-Broad complex

-Only R waves

-Tachycardia

-Irregular rhythm
Torsades De pointes

-Polymorphic ventricular tachycardia

-Regular

-Spindle shaped pattern

-Tachycardia

WPW syndrome

-Broad QRS because of Delta wave

-Shorten PR interval because of Delta wave

-Delta wave

Pericarditis

-Diffuse ST elevation in all the leads

-PR depression

-Do not confuse with MI

Heart blocks

First degree

-Prolonged PR interval

-Normal duration is 3-5 small blocks

-Count blocks from the beginning of P wave

Second degree Mobitz 1

-Progressive lengthening of PR interval and then a dropped beat

Second degree Mobitz 2

-Constant PR interval and then droped beat

Third degree

-Constant PP interval

-Constant R R interval

-Complete dissociation between P and QRS complexes

Myocardial infraction

ST elevation in following leads

INFARCT LOCATION LEADS WITH ST ELEVATIONS OR Q WAVES

-Anteroseptal (LAD) V1–V2

-Anteroapical (distal LAD) V3–V4

-Anterolateral (LAD or LCX) V5–V6

-Lateral (LCX) I, aVL

-InFerior (RCA) II, III, aVF

-Posterior (PDA) V7–V9, ST depression in V1–V3 with tall R waves

Electrical alternans

-S/O pericardial effusion

-Different amplitude of R waves in different leads

Normal Interval in the EKG

-PR interval 120-200 msec

QRS duration < 120 sec

-AV node causes 100 msec delay

-QT interval 360-440 msec