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  • Ecg Nickrobinson25062016

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    Baha'aeddin Hammad
    13 views65 pages
    This document provides guidance on performing and interpreting electrocardiograms (ECGs). It outlines how to correctly place the limb and chest electrodes, ensure the ECG is free of artifacts, and make basic observations about heart rate, rhythm, intervals, and ST segments. It describes the box method for analyzing the ECG and differentiates between sinus rhythm, ectopic beats, atrial flutter, and supraventricular versus ventricular rhythms. Normal values for rate, axis, intervals and morphology are provided. The overall goal is to relax, focus on major points, and develop pattern recognition when evaluating ECGs.

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    This document provides guidance on performing and interpreting electrocardiograms (ECGs). It outlines how to correctly place the limb and chest electrodes, ensure the ECG is free of artifacts, and make basic observations about heart rate, rhythm, intervals, and ST segments. It describes the box method for analyzing the ECG and differentiates between sinus rhythm, ectopic beats, atrial flutter, and supraventricular versus ventricular rhythms. Normal values for rate, axis, intervals and morphology are provided. The overall goal is to relax, focus on major points, and develop pattern recognition when evaluating ECGs.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    13 views65 pages

    Ecg Nickrobinson25062016

    Uploaded by

    Baha'aeddin Hammad
    This document provides guidance on performing and interpreting electrocardiograms (ECGs). It outlines how to correctly place the limb and chest electrodes, ensure the ECG is free of artifacts, and make basic observations about heart rate, rhythm, intervals, and ST segments. It describes the box method for analyzing the ECG and differentiates between sinus rhythm, ectopic beats, atrial flutter, and supraventricular versus ventricular rhythms. Normal values for rate, axis, intervals and morphology are provided. The overall goal is to relax, focus on major points, and develop pattern recognition when evaluating ECGs.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 65

    MAKING ECG’S EASY

    EVALUATING THE ECG

    Dr Nick Robinson
    01206 504320
    nickrobinson129@gmail.com
    Don’t PANIC
    • BASICS

    • RELAX

    • MAJOR POINTS ONLY

    • PATTERN RECOGNITION
    2
    You will be able to:

    • Perform ECG correctly


    • Describe ECG
    • Understand main features
    • Identify basic normal ECG
    • Distinguish between ECG
    arrhythmia and artefact
    3
    4
    5
    6
    7
    8
    9
    LATERAL

    LATERAL

    10
    INFERIOR

    INFERIOR INFERIOR

    11
    RIGHT SIDE

    12
    13
    Antero-Septal
    ANT & RV

    Lateral
    ANT & RV

    Antero-Septal Lateral

    14
    15
    16
    RELATIONSHIP

    17
    18
    19
    INFORMATION ON THE
    12-LEAD ECG

    20
    WHAT YOU NEED TO
    LOOK FOR

    • Are the limb leads set up


    correctly?
    • Are the chest leads set up
    correctly?
    • Is the ECG free of artifact.

    21
    IS the ECG SET UP
    CORRECTLY?
    LIMB LEADS CHEST LEADS

    • AVR – always • R wave progression


    negative • Small to Tall
    • Lead I – always
    positive

    22
    23
    OTHER PROBLEMS
    WITH THE ECG

    • Artifact
    • Electrical interference
    • Muscle tremor
    • Wandering baseline

    24
    FIND THE ARTEFACT

    25
    MUSCLE TREMOR

    26
    ELECTRICAL
    INTERFERANCE

    27
    BASIC OBSERVATIONS

    • Heart Rate
    • Rhythm: regular? sinus?
    • Intervals: PR, QRS
    • ST segment

    28
    29
    BOX METHOD

    30
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    ECTOPIC BEATS

    34
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    40 y/o with chest pain & palpitations

    short PR/delta wave (WPW)


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    Atrial Flutter
    Saw tooth baseline
    Atrial rate 300 bpm

    56
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    Rhythm

    Sinus Not sinus

    Morphology Supraventricular Ventricular


    The Normal ECG
    The Normal ECG
    Sinus rhythm (P before QRS)
    Rate 50 – 100 bpm
    Axis +90o to –30o
    Intervals: PR .12-.20 sec
    QRS <.12 sec
    SUMMARY
    Correct electrode placement

    ? Regular ? Sinus/ ’p’ wave

    Rate

    Recognize basic values


    64
    Dr Nick Robinson
    07973 437009

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