Professional Documents
Culture Documents
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Mary L. Dohrmann, MD
Professor of Clinical Medicine
Division of Cardiovascular Medicine
ECG Interpretation
Practice!
Practice!
Practice!
http://ecg.bidmc.harvard.edu/maven/maven
main.asp
What is ECG Wave-Maven?
Proficiency in electrocardiogram (ECG) interpretation is
an essential skill for medical students, housestaff, and
clinicians. However, medical school and postgraduate
resources to develop and upgrade the necessary high
level of "ECG literacy" are severely limited. Further,
current textbook and classroom instructional materials
do not adequately integrate ECG interpretation into
specific contexts where waveform findings must be
correlated with other clinical data. We have begun to
address the limitations in traditional approaches to ECG
pedagogy by creating the infrastructure for a unique
web-based tutorial.
ECG Interpretation
Observation
Conclusion
Clinical context/significance
Rhythm
In patient with angina and LVH, always think of aortic stenosis and
hypertrophic cardiomyopathy in differential diagnosis
40 y/o with chest pain & palpitations
short PR/delta wave c/w preexcitation
(WPW) – note pseudo-Qs inferiorly
70 y/o with exertional chest pain
LBBB
If need stress test in this patient, use pharmacologic stress with adenosine combined
with imaging modality (sestamibi or cardiac MRI)