ECG - BASICS

ECG LEADS
Normal 12 lead ECG
ECG VECTOR
Systematic approach
1. Rate
2. Rhythm
3. QRS axis
4. P wave
5. PR interval
6. QRS complexes
7. ST segment
8. T waves
9. U waves
ECG
ECG in ischemic heart disease
Myocardial infarction
Electrocardiographic
phases
 HYPER ACUTE PHASE

 FULLY EVOLVED PHASE

 CHRONIC STABILIZED PHASE

ECG patterns
 T wave changes- ischemia

 ST elevation- injury

 Q wave- infarction
Myocardial infarction
evolution
Tall T waves and Q wave and T
ST elevation wave inversion
Acute MI
3
1
2
8ER
6
7MN
5
16
18