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  • ECG Abnormalities Resident Teaching

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    Moon Stars Moon
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    This document discusses various ECG abnormalities including: 1) It describes the cardiac conduction system and shows diagrams of the His bundle, left and right bundle branches. 2) It discusses different waves seen on ECGs including P, Q, R, S and T waves and shows their locations. 3) It outlines the regions of the myocardium that different leads on the ECG examine including the lateral, anterior/septal, and inferior regions. 4) It provides examples of ST segment depression, elevation, diffuse ST elevation, diffuse T wave elevation and depression and their potential causes. 5) It examines various rhythm abnormalities at the atrial level including atrial fibrillation/

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    This document discusses various ECG abnormalities including: 1) It describes the cardiac conduction system and shows diagrams of the His bundle, left and right bundle branches. 2) It discusses different waves seen on ECGs including P, Q, R, S and T waves and shows their locations. 3) It outlines the regions of the myocardium that different leads on the ECG examine including the lateral, anterior/septal, and inferior regions. 4) It provides examples of ST segment depression, elevation, diffuse ST elevation, diffuse T wave elevation and depression and their potential causes. 5) It examines various rhythm abnormalities at the atrial level including atrial fibrillation/

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    20 views28 pages

    ECG Abnormalities Resident Teaching

    Uploaded by

    Moon Stars Moon
    This document discusses various ECG abnormalities including: 1) It describes the cardiac conduction system and shows diagrams of the His bundle, left and right bundle branches. 2) It discusses different waves seen on ECGs including P, Q, R, S and T waves and shows their locations. 3) It outlines the regions of the myocardium that different leads on the ECG examine including the lateral, anterior/septal, and inferior regions. 4) It provides examples of ST segment depression, elevation, diffuse ST elevation, diffuse T wave elevation and depression and their potential causes. 5) It examines various rhythm abnormalities at the atrial level including atrial fibrillation/

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 28

    ECG abnormalities

    W Sawalha MBBS(London), JBM, JBC, MRCP(UK)


    FRCP (London), FRCP (Edinburgh)
    Conduction System

    His Bundle

    L Bundle

    R Bundle

    SAWALHA QAHI
    Waves
    R

    T
    P

    Q
    S SAWALHA QAHI
    W SAWALHA - QAHI
    V6
    +
    V5
    +
    V4
    V1 V3 +
    - V2 +
    -
    W SAWALHA -QAHI
    Regions of the Myocardium

    Lateral
    I, AVL,
    V5-V6

    Anterior /
    Inferior Septal
    II, III, aVF V1-V4
    W SAWALHA - QAHI
    ST segment depression

    http://www.emedu.org/
    ST segment depression

    Pe
    r
    ica
    LVH ISCHEMIA

    rd
    i
    LBBB

    al
    t
    yp
    RBBB

    e
    ST segment Elevation

    http://www.emedu.org/
    ST segment Elevation

    http://www.emedu.org/
    Diffuse ST segment Elevation

    http://www.emedu.org/
    Diffuse T wave Elevation

    • Hyperkalemia
    • Renal failure

    http://www.emedu.org/
    Diffuse T wave Depression

    • Digoxin

    http://www.emedu.org/
    Rhythm abnormalities

    Atrial level
    Atrial fibrillation / Flutter

    • Valvular heart disease (+++ mitral valve)


    • Manipulation of right atrium (canulation)
    • Electrolyte disturbances
    • Hypovolemia
    • Hyperthyroidism
    http://www.emedu.org/
    Atrial fibrillation / Flutter

    http://www.emedu.org/
    Supraventricular tachycardia

    http://www.emedu.org/
    Supraventricular tachycardia

    http://www.emedu.org/
    Supraventricular tachycardia

    http://www.emedu.org/
    Multifocal Atrial tachycardia

    • Valve surgery (+++): Mitral, tricuspid


    • COPD and advanced Pulmonary hypertension

    http://www.emedu.org/
    Rhythm abnormalities

    Ventricular level
    Ventricular fibrillation
    Ventricular tachycardia

    http://www.emedu.org/
    Conduction abnormalities
    Sinus bradycardia

    • Beta-blockers
    • Calcium Channel blockers
    Katrina Kardos, MD
    PGY-3
    Albany Medical Center
    LBBB

    http://www.emedu.org/
    RBBB

    http://www.emedu.org/

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