ELECTROCARDIOGR

M
(normal and abnormal readings)
REGALA, BIANCA YSABELLE M.
BSN III-B
RLE GROUP 2
Table of Contents
01 03
Definition Normal Reading

02 04
ECG Normal &
Interpretation Abnormal
Readings
ELECTROCARDI
OGRAM
One of the simpliest and fastest test
used to evaluate the heart.

ECG/EKG
ELECTRO
DES
- Small, patches that stick to the skin.
- Placed at certain spots on the chest,
arms and legs and these electrodes
were connected to an ECG machine
by lead wires.
 ECG
INTERPRETATI
CARDIAC RHYTHM
CARDIAC RHYTHM &
ECG
 P wave Atrial depolarization <0.12

PR interval SA to AV conduction 0.12-0.2

QRS Complex Ventricular depolarization 0.06-0.11

T wave Ventricular repolarization Upright

ST segment Completeed ventricular 0.8-0.12

depolarization (Plateau)
ECG PAPER
NORMAL &
ABNORMAL
 NORMAL SINUS
RHYTHIM

Regular, P wave, Normal QRS rate 60-100

 SINUS TACHYCARDIA

HR: >100 BPM Normal P&T waves, regular rate & rhythm
 SINUS BRADYCARDIA

HR: <60 BPM Normal; P&QRS normal interval; Every QRS has
a P wave
 VENTRICULAR
FIBRILATION

No pulse; unresponsive; irregular rhythm; no recognizable

QRS; disorganized electrical signals
VENTRICULAR
TACHYCARDIA
MONOMORPHIC

Very broad QRS complexes

 VENTRICULAR
TACHYCARDIA
POLYMORPHIC

Pulseless; Regular no P wave, wide QRS Fast 100-250

 VENTRICULAR
TACHYCARDIA
TORADSES DES POINTES

Pulseless, Irregular No P wave, No QRS Very fast (150-300)

 ATRIAL FIBRILATION

Irregular ventricular & atrial rate; irregular rhythm; no P wave;

Normal QRS
 ATRIAL FLUTTER

Regular/Irregular; No P wave; Normal QRS; “Saw – toothed”

STEMI

ST Elevation
 PREMATURE
VENTRICULAR
CONTRACTIONS

Irregular, No P wave, Wide QRS

 SUPRAVENTRICULAR
TACHYCARDIA

Regular, Hidden P wave, Normal QRS (Fast 150-250)

1ST DEGREE AV BLOCK

PR interval >0.20
2ND DEGREE AV BLOCK
WENCKEBACH

Increasing PR interval until absent QRS

2ND DEGREE AV BLOCK
MOBITZ II

Constant PR interval until absent QRS

3RD DEGREE AV BLOCK

Complete absence of AV Conduction

ASYSTOLE

Pulseless