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Premature Complexes Atrial Abnormalities and VCD ST, T, and Repolarization Abnormalities

JTRI ............. Junctional rhythm with VPCs in a trigeminy RAE............. Right atrial enlargement SDM............ Minimal ST depression
pattern RAA ............ Right atrial abnormality SD15NS ..... Nonspecific ST depression
VBIG ........... Ventricular bigeminy LAE ............. Left atrial enlargement SD2IN ........ ST depression, consider ischemia, inf leads
IntelliSpace ECG VTRI............ Ventricular trigeminy LAA............. Left atrial abnormality SD2AN ...... ST depression, consider ischemia, ant leads
PVPC .......... Paired ventricular premature complexes BAA ............ Biatrial abnormalities SD2LA........ ST depression, consider ischemia, lat leads
Philips 12-Lead Algorithm
RVPC .......... Run of ventricular premature complexes IVCD .......... Intraventricular conduction delay SD2AL........ ST depression, consider ischemia, ant-lat lds
Version 0A
MFVPC ....... Multiform ventricular premature complexes IRBBB ......... Incomplete right bundle branch block SD2WI ....... ST depression, consider ischemia, diffuse lds
MFPVPC..... Paired multiform ventricular complexes
Quick Reference Guide MFRVPC .... Run of multiform ventricular complexes
RBBB .......... Right bundle branch block
LAFB ........... Left anterior fascicular block
T1IN ........... Nonspecific T abnormalities, inferior leads
T1AN ......... Nonspecific T abnormalities, anterior leads
LPFB............ Left posterior fascicular block T1LA .......... Nonspecific T abnormalities, lateral leads
• Criteria Codes Impulse Formation and AV Conduction
• Severity & Modifier Codes for Criteria RLAFB ........ RBBB and LAFB T1AL .......... Nonspecific T abnormalities, ant-lat leads
Disorders RLPFB......... RBBB and LPFB T1DI ........... Nonspecific T abnormalities, diffuse leads
• Rx & DX Codes
SPR .............. Short PR interval, accelerated AV conduction ILBBB.......... Incomplete left bundle branch block T6IN ........... Abnormal T, probable ischemia, inferior lds
BAVCD ...... Borderline AV conduction delay LBBB ........... Left bundle branch block T6AN ......... Abnormal T, probable ischemia, anterior lds
ADULT AND PEDIATRIC RHYTHM DEXC......... Consider dextrocardia T6LA .......... Abnormal T, probable ischemia, lateral leads
1AVB .......... First degree AV block
STATEMENT CODES VPE.............. Ventricular preexcitation T6AL .......... Abnormal T, probable ischemia, ant-lat leads
2AVB .......... Second degree AV block
2AVB2 ........ Predominant 2:1 AV block VPEL ........... Ventricular preexcitation, left accessory pathway T6IL ............ Abnormal T, probable ischemia, inferolateral
Basic Cardiac Rhythms 2AVB3 ........ Predominant 3:1 AV block VPER........... Ventricular preexcitation, right accessory T6WI.......... Abnormal T, probable ischemia, widespread
pathway REPNS........ Nonspecific repolarization abnormalities
2AVB4 ........ Predominant 4:1 AV block
SR ................Sinus rhythm REPII ........... Repol abnrm suggests ischemia, inferior lds
2AVBV........ Varying second degree AV block
SB.................Sinus bradycardia
3AVB .......... Complete AV block, A-rate ***
Ventricular Hypertrophies REPIA ......... Repol abnrm suggests ischemia, anterior lds
ST ................Sinus tachycardia REPILA ....... Repol abnrm suggests ischemia, lateral leads
RVH ............ Right ventricular hypertrophy
EAR .............Ectopic atrial rhythm REPIAL....... Repol abnrm suggests ischemia, ant-lat leads
Pacemaker RVHR ......... RVH with secondary repolarization abnrm
EAB .............Ectopic atrial bradycardia REPIIL......... Repol abnrm suggests ischemia, inferolateral
LVHV.......... LVH by voltage
EAT .............Ectopic atrial tachycardia APACE ....... Atrial-paced rhythm REPIDI........ Repol abnrm suggests ischemia, diffuse lds
LVH............. Left ventricular hypertrophy
JERA ...........Accelerated junctional escape rhythm VPACE ....... Ventricular-paced rhythm REPRR........ Repolarization abnormality, prob rate related
LVHREP ..... LVH with secondary repolarization abnormality
JER ...............Junctional escape rhythm ASVP........... Atrial-sensed ventricular-paced rhythm PUW .......... Prominent U waves
BVH ............ Biventricular hypertrophy
JRA ..............Accelerated junctional rhythm VPACEF ..... Afib/flutter and ventricular-paced rhythm
JT ................Junctional tachycardia AVDPC ...... Atrial-ventricular dual-paced complexes ST Elevation
SA ................Sinus arrhythmia ***.*** AVDP.......... Atrial-ventricular dual-paced rhythm
Infarcts
LLAR ...........Low left atrial rhythm BVPACE..... Biventricular paced rhythm IMI ............... Inferior infarct EREPOL ..... ST elev, probable normal early repol pattern
HLAR ..........High left atrial rhythm PCNSNC ... Pacemaker failure to capture and sense IMIA ............ Inferior infarct, acute STEND....... Nondiagnostic ST elevation
LRAR...........Low right atrial rhythm PACEM....... Failure to sense and/or capture (?magnet) IMIQ ........... Inferior infarct, age indeterminate PERI ........... ST elevation suggests pericarditis
HRAR .........High right atrial rhythm AOO........... Rhythm consistent with AOO pacing IMI64........... Inferior infarct, old STE.............. ST elevation, subepical injury
WPACE......Wandering pacemaker VOO........... Rhythm consistent with VOO pacing ASMI ........... Anteroseptal infarct CINJI........... ST elevation, consider inferior injury
AVDIS.........AV dissociation DOO .......... Rhythm consistent with DOO pacing ASMIA ........ Anteroseptal infarct, acute CINJA......... ST elevation, consider anterior injury
ETACH.......Extreme tachycardia AAI.............. Rhythm consistent with AAI pacing ASMIQ ....... Anteroseptal infarct, age indeterminate CINJL ......... ST elevation, consider lateral injury
SVT..............Supraventricular tachycardia VVI .............. Rhythm consistent with VVI pacing AMI ............ Anterior infarct CINJAL ...... ST elevation, consider anterolateral injury
VTACH ......Extreme tachycardia with wide complex DVI.............. Rhythm consistent with DVI pacing AMIA .......... Anterior infarct, acute PINJI ........... ST elevation, probable inferior injury
AFIB ............Atrial fibrillation , V-rate ***.*** DDI ............. Rhythm consistent with DDI pacing AMIQ ......... Anterior infarct, age indeterminate PINJL .......... ST elevation, probable lateral injury
AFLT ...........Atrial flutter, A-rate *** VDD............ Rhythm consistent with VDD pacing AMI60......... Anterior infarct, old PINJA.......... ST elevation, probable anterior injury
AFLT2.........A-flutter w/ predom 2:1 AV block, A-rate *** DDD........... Rhythm consistent with DDD pacing LMI .............. Lateral infarct PINJAL ....... ST elevation, probable anterolateral injury
AFLT3.........A-flutter w/ predom 3:1 AV block, A rate *** LMIA .......... Lateral infarct, acute
AFLT4.........A-flutter w/ predom 4:1 AV block, A-rate *** QT, Electrolyte Abnormalities, & Drug Effects
ADULT MORPHOLOGY STATEMENT LMIQ .......... Lateral infarct, age indeterminate
AFLTV ........A-flutter w/ varied AV block, A-rate *** CODES LMI64 ......... Lateral infarct, old TTW .......... Tall T waves
ALI ............. Anterolateral infarct TTW10...... Tall T, consider metabolic/ischemic abnrm
Premature Complexes ALIA ........... Anterolateral infarct, acute TTW20...... Tall T waves, consider hyperkalemia
QRS Axis/Low Voltage ALIQ........... Anterolateral infarct, age indeterminate SQT ............ Short QT interval
APC.............Atrial premature complex
RAD............ Right axis deviation ALI64 .......... Anterolateral infarct, old HPRCA ...... Short QT interval, consider hypercalcemia
JPC...............Junctional premature complex
LAD ............ Left axis deviation ILMI............. Inferolateral infarct LQT ............ Prolonged QT interval
VPC .............Ventricular premature complex
AXSUP ....... Superior QRS axis ILMIA.......... Inferolateral infarct, acute HPOCA ..... Prolonged QT int., consider hypocalcemia
MAPC .........Multiple atrial premature complexes
AXIND....... Indeterminate QRS axis ILMIQ ......... Inferolateral infarct, age indeterminate HPOK ........ Prolonged QT interval, consider hypokalemia
MVPC .........Multiple ventricular premature complexes
LVOLT ....... Low voltage throughout PMI.............. Posterior infarct DIG1........... Repol abnormality, consider digitalis effect
MVSPC .......Multiple premature complexes, vent & supraven
CPDP.......... Chronic pulmonary disease pattern PMIA........... Posterior infarct, acute DIG2........... Repolarization abnormalities c/w digitalis effect
SVBIG .........Supraventricular bigeminy
CPDLV ....... Low voltage consistent with COPD PMIQ .......... Posterior infarct, age indeterminate
SVTRI..........Supraventricular trigeminy
IPMI............. Inferoposterior infarct
JBIG .............Junctional rhythm with VPCs in a bigeminy
pattern IPMIA.......... Inferoposterior infarct, acute
PEDIATRIC MORPHOLOGY Q Wave Abnormalities MODIFIERS FOR 0A CRITERIA DX CODES
STATEMENT CODES PIMI ............. Abnormal Q suggests inferior infarct
ACMI.......... Acute myocardial infarct
PAMI ........... Abnormal Q suggests anterior infarct Age Modifiers AOVD........ Aortic valvular disease
QRS Axis/Low Voltage PLMI............ Abnormal Q suggests lateral infarct
EV................ Evolving ARRY ......... Arrhythmia
PALMI......... Abnormal Q suggests anterolateral infarct
RAD ............Right axis deviation AC............... Acute CM.............. Cardiomyopathy
LAD.............Left axis deviation SU................ Subacute CLRT.......... Chest leads right-sided
ST, T, and Repolarization Abnormalities CPCC......... Chest pain chief complaint
AXSUP .......Superior QRS axis XA............... Possibly acute
AXIND.......Indeterminate QRS axis EREPOL ..... ST elevation, probable normal early repol pattern RE................ Recent CPSC.......... Chest pain secondary
LVOLT........Low voltage throughout STEND ....... Nondiagnostic ST elevation X0 ............... Probably old PTCA ......... Coronary angioplasty
CPDP ..........Chronic pulmonary disease pattern STE .............. ST elevation, subepicardial injury OL............... Old CAD ........... Coronary artery disease
CPDLV .......Low voltage consistent with COPD PERI............. ST elevation suggests pericarditis AI................. Age indeterminate CHD........... Congenital heart disease
SEINP.......... ST elevation, probably normal variation, inf TX............... Heart transplant
Atrial Abnormalities and VCD SEANP........ ST elev, probably normal variation, ant leads Probability Modifiers HYPT.......... Hypertension
SEALP ......... ST elevation, probably normal variation, ant-lat MVD ........... Mitral valvular disease
RAE .............Right atrial enlargement BO............... Borderline NOCP........ No chest pain
SDINP......... Nonspecific ST depression, inferior leads
RAA ............Right atrial abnormality SDANP....... Nonspecific ST depression, anterior leads CE ............... Cannot exclude OLMI .......... Old myocardial infarct
LAE..............Left atrial enlargement CO .............. Consider PACE.......... Pacemaker
SDALP ........ Nonspecific ST depression, anterolateral leads
LAA .............Left atrial abnormality CW ............. Consistent with PROP.......... Preoperative ECG
TIN1 ........... Abnormal T waves, inferior leads
BAA.............Biatrial abnormalities TAN1 ......... Abnormal T waves, anterior leads PO............... Possible POCV......... Post-op cardiac surgery
IVCDP ........Nonspecific intraventricular conduction delay PR................ Probable COPD ........ Pulmonary disease
TLA1........... Abnormal T waves, lateral leads
IRBBBP .......Incomplete right bundle branch block TAL1........... Abnormal T waves, anterolateral leads PMV ............ V3 moved to V3R
RBBBP.........Right bundle branch block Location Modifiers VHD ........... Valvular heart disease
RBBBM .......Marked right bundle branch block QT & Electrolyte Abnormalities UNKN ....... No known DX
AN .............. Anterior
LAFBP .........Left anterior fascicular block
SQT............. Short QT interval AL................ Anterolateral
RLAFBP ......RBBB and LAFB
LBBBP .........Left bundle branch block HPRCA ...... Short QT interval, consider hypercalcemia AS................ Anteroseptal RX CODES
LQTB.......... Borderline prolonged QT interval IN ................ Inferior
DEXC .........Consider dextrocardia
IL.................. lnferolateral ACEI ........... ACE inhibitor
VPE..............Ventricular preexcitation LQTS .......... Prolonged QT, probably secondary to wide QRS
IP ................. Inferoposterior ARHY......... Antiarrhythmia drug
VPER ...........Ventricular preexcitation, right accessory LQT ............ Prolonged QT interval
LA................ Lateral AMIO ......... Amiodarone
pathway HPOCA ..... Prolonged QT int., consider hypocalcemia
PS................. Posterior BETA .......... Beta blocker drug
VPEL............Ventricular preexcitation, left accessory pathway HPOK......... Prolonged QT int., consider hypokalemia
PL ................ Posterolateral CABL.......... Calcium blocker
VPERA ........Vent preexcitation, a right ant-septal accessory
pathway Anatomical Diagnoses SN ............... Subendocardial DIG............. Digitalis
VPELA.........Vent preexcitation, a left ant-septal accessory SP................. Subepicardial PTZ............. Phenothiazine
pathway ARVO......... Acute right ventricular overload DI ................ Diffuse PROC......... Procainamide
VPERP.........Vent preexcitation, a right post-septal accessory ACP............. Acute cor pulmonale EX ............... Extensive PRES ........... Pressor drug
pathway ASD............. Atrial septal defect MF ............... Multifocal PSYC .......... Psychoactive drug
VPELP .........Vent preexcitation, a left post-septal accessory AVSD.......... Atrioventricular septal defect WI ............... Widespread QUIN ......... Quinidine
pathway CM .............. Cardiomyopathy TRIC........... Tricyclic antidepressant
VPERL .........Vent preexcitation, a right lateral accessory
pathway
CTA ............ Consider tricuspid atresia Rhythm Modifiers UNKN ....... No known RX
CECD ......... Consider endocardial cushion defect
VPELL .........Vent preexcitation, a left lateral accessory S................... Sinus
pathway CASD ......... Consider atrial septal defect, septum secundum
CAOCA..... Prob ant-lat infarct, cons anom orig of C. A. AR ............... Atrial
J.................... Junctional
Ventricular Hypertrophies CEA............. Consider Ebstein anomaly
V .................. Ventricular
RVHTA.......Consider right ventricular hypertrophy M ................. Multiple
RVHR1 .......Probable right ventricular hypertrophy AN .............. Alternating
RVH2V .......Right ventricular hypertrophy
SEVERITY CODES IM ................ Intermittent
Philips Medical Systems
3000 Minuteman Road
LVHR6 ........LVH by voltage Used to add common severity modifiers to any PX ............... Paroxysmal Andover, MA 01810 USA
LVHTA .......Consider left ventricular hypertrophy diagnostic report.
LVHEV ........Left ventricular hypertrophy NS ............... No severity assigned Miscellaneous Modifiers Copyright 2012 Koninklijke Philips Electronics N.V.
LVHRE ........LVH w/secondary repolarization abnormalities All rights are reserved.
NO.............. Normal ECG NS ............... Nonspecific Printed in U.S.A.
LSH..............Left septal hypertrophy ON.............. Otherwise normal ECG 453564380721
OC .............. Occasional
BVHC .........Consider biventricular hypertrophy BO............... Borderline ECG Edition 1
SL................. May be secondary to LVH
BVHPED.....Biventricular hypertrophy AB................ Abnormal ECG
DE ............... Defective ECG *453564380721*
*1*

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