Absence of R wave (start with q ) in RBBB in v1 - Anteriro wall MI ( No septal

depolarisation)
RBBB : rSR' in v1 - R' is due to slow depolarisation of the right ventricle as
right bundle absent and I showing wide S (same reason) -- QRS
PROLONGED,INTRINSICOID DEFLECTION TIME IN V1 (<40 MS)
LBBB : Monophasic R wave in V1 and I (no left bundle ,so no left to right travel
ever , so no negative component in v6 and I) --- QRS PROLOGED
SINUS RYTHM / NOT (Orgin of rythm) - - - P wave should be +v in I II and aVF
(Depolarisation direction)
canon A wave n jvp ---- AV dissociation as Atria may contract while ventricle
tricuspids closed----Canon A wave !
If Q wave present in ST elevation (MI) --- Necrosis
POSTERIOT WALL mi : flip THE ECG AND look for ST depression
WPW : Short PR interval and delta waves (Slow upsloping) - mecha ism of wpw ?
2 functions of av node

LT limb + , RT arm - , LT arm depedneding

ECG speed = 25mm/ s so 1 sec = 5 big box = 25 small box

depolarization is from ENDOCARDIUM to PERI whle repola is opp.

RATE : 1500/300 - small box/big box or LEAD 2 x 6

RYTHM : ALL p WAVE BEFORE ALL qrs ? --- REGULARLY REGULAR

AXIS : LOOK AT ANY PERPENDICULAR AND SEE : 1 AND AVF / 3 AND AVR OR EASIER IS LOOK
AT EQUIPHASIC (its value is cancelled) and then just look at its perpendicular

P wave : WIDENDED - LAH (> 3 short box)

TALLEDNED - RAH

PR interval : PROLONGED - Block present (any degree)

QRS wave : WIDENDED (slow transmission - myocte transmission / venricular aryhtmia

[since its transmission is slow than sa ])
LENGTHENED : Ventricular hypertrophy (L/R depednds on leads)

QT interval : PROLONGED - sign of arythmogenicity

ST segmnet : ELEVATED - MI
DEPRESSED - Ischemia

T wave : INVERSION - Ischemia/inarct

TALL : Hyperkalemia

eg : if P wave is -ve in v1 means : LAH...

ventricle check checking QRS wave (widended?)
Atrial check checking P wave
Rr' is when ventricle partially contracrted and then , ventrical contract by
self (r')