ELECTROCARDIOGRAPHY

ECG duration of waves

Normal 12 lead ECG
views
Six Limb leads..three unipolar ,three bipolar
leads
Chest leads
Chest leads
Orientation of Limb leads
Einthoven ‘s triangle
Normal variants
Normal
variants
Normal ECG
Normal ECG

rS pattern

qRs pattern
RS pattern
Chest leads
Frontal plane leads
Normal ECG - chest leads
 Reading the ECG

1. 12 lead ECG
2 . Standardization 1 Mv
3. Heart rate..75/min
4. Rhythm..sinus
5. Electrical axis normal

6.P waves normal (< 2.5 small sq)

7.PR interval normal ( < 5 small sq)
8.QRS Cx.. Normal ( < 3 small sq)

9. ST segment normal
10. T wave normal
This is normal ECG
Reading an ECG
Normal ECG
 HR – 75 /min , Sinus rhythm
HR= 300 No. of big squares between R-R

Ecg roll moves at the rate of 25mm per second

VENTRICULAR ECTOPIC
SUPRA VENTRICULAR TACHYCARDIA
Heart blocks
Atrial fibrillation
sinus arrythmia…is normal respiratory
variation in heart rate
Short P-R…WPW syndrome
•
WENCHEBATCH PHENOMENON
AXIS –NORMAL..LD1 & F +VE
Axis
Axis
Normal ECG
Axis ..normal-Ld-1 &aVF are positive
Axis normal..between o-90
P MITRALE – P PULMONALE…lead II

LAD

RAD
 RT & LT atrial enlargement…lead V1

RAD LAD
RT & LT atrial enlargement
LBBB…………….M- PATTERN
RBBB
Guess ?
LBBB or RBBB ?
Left ventricular hypertrophy
RT -Axis.. RVH
Low voltage complexes
Acute inf wall M II
Acute MI evolution
VENTRICULAR TACHYCARDIA
VT
Read the ECG
THANK YOU