EMERGENCY MEDICINE DIVISION (UHWI)

EMERGENCY MEDICINE STUDENT CLERKSHIP

ECG PRACTICE

PREPARED BY: DR. R. HUTSON

INTRODUCTION

 This exercise is intended as a self-test

 It is done after the introductory lecture of Basic ECG Interpretation
 be systematic in your approach- ALL THE TIME- and it will be easy (for the most part)
 Keep a strip of paper or calipers ( dividers from a geometry set would work fine) on hand
for your measurements

 HAVE FUN!!

Except for ECG 14 (taken from Learntheheart), all ECGs were obtained from patients at A&E, UHWI.

Revised 2018
 EMERGENCY MEDICINE CLERKSHIP

Students' guide: ECG interpretation

A complete interpretation of an ECG must have the following:

- the rhythm: ie sinus, atrial fibrillation etc
- the rate
-the axis
-any abnormalities eg:
- first degree heart block
- right /left bundle branch block
- prolonged QT
- inferior/septal/anterior (or other combination) myocardial infarction AND type
(ST elevation or depression MI)

NB: a description of an ECG calls for all measurements to be documented (those above as well
as intervals, QRS width etc)

The interpretation of the ECG above is given:

This is sinus rhythm with a rate of 60 beats per minute, with normal axis and features in
keeping with an ST elevation inferior wall myocardial infarction

Dr R Hutson

Revised 2018
 ECG 1

ECG 2

Revised 2018
 ECG 3

ECG 4

Revised 2018
 ECG 5

ECG 6

Revised 2018
ECG 7

ECG 8

Revised 2018
ECG 9

ECG 10

Revised 2018
ECG 11

ECG 12

Revised 2018
ECG 13

ECG 14

Revised 2018
 ECG 15

Revised 2018
Revised 2018