ELECTROCARDIOGRA
PHY (ECG)
NORMAL VALUE
CONTENT
• Physiology of cardiac conduction & waveforms
• Normal values of ECG
TECHNICAL INDICES
TECHNICAL INDICES
RATE & REGULARITY
RATE
• REGULAR or IRREGULAR
• RATE
• REGULARITY
• REGULAR (& recording speed: 25 mm/s)
Heart rate = 300 / Large square number
= 1500 / Small square number
• IRREGULAR
• Counting both ATRIAL & VENTRICULAR rates
AXIS
AXIS: CARDIAC AXIS & COMPONENT WAVE
AXIS
C1
C2
RHYTHM
RHYTHM
Sinus rhythm:
1. “Sinus” P
2. A - P wave before each QRS
3. A 1:1 ratio of P waves: QRS complexes.
4. An upright P wave in lead II.
5. Regular rhythm—i.e., the amount of time doesn’t change between beats.
6. Rate between 60 and 100 beats per minute (for an adult).
WAVES, INTERVALS &
SEGMENTS
WAVES
P WAVE
MORPHOLOGY
PR INTERVAL
QRS COMPLEX
Q WAVE
RS
ST SEGMENT
T WAVE
QT INTERVAL
U WAVE