ECG Practice 1. Sinus Bradycardia
|
|
|
- Constance Bryan
- 7 years ago
- Views:
Transcription
1 ECG Practice 1 Mohamad Hababeh RN, MSN Sinus Bradycardia Source: Sensible Analysis of the 12 Lead ECG 1 1
2 Sinus Arrhythmia Source: Basic DysrhythmiasInterpretation and management (2002) 2 Second Degree Heart Block: Mobitz Type 2 Source: Simulator Standard ECG 3 2
3 Normal Sinus Rhythm with PAC Source: Basic DysrhythmiasInterpretation and management (2002) 4 Sinus Bradycardia Source: Basic DysrhythmiasInterpretation and management (2002) 5 3
4 Sinus Arrest Source: ECG workout exercises in arrhythmias interpretation (2006) 6 Sinus Exit Block Source: ECG workout exercises in arrhythmias interpretation (2006) 7 4
5 Wandering Atrial Pacemaker Source: Basic DysrhythmiasInterpretation and management (2002) 8 Atrial Fibrillation F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F Source: Sensible Analysis of the 12 Lead ECG (2000) 9 5
6 Source: Basic DysrhythmiasInterpretation and management (2002) Atrial Tachycardia Source: Basic DysrhythmiasInterpretation and management (2002) 10 6
7 Ventricular Stand Still Source: Simulator Standard ECG 11 Multifocal Atrial Tachycardia Source: Introduction to 12- Lead ECG, the art of interpretation (2003) 12 7
8 Atrial Flutter Source: Sensible Analysis of the 12 Lead ECG (2000) 13 Atrial Fibrillation with ST Source: Sensible Analysis of the 12 Lead ECG (2000) 14 8
9 Sinus Rhythm with PJC No P No P No P Source: Basic DysrhythmiasInterpretation and management (2002) 15 Junctional Escaped Beat No P Source: Introduction to 12- Lead ECG, the art of interpretation (2003) 16 9
10 Junctional Rhythm No P No P No P No P T T T T Source: Sensible Analysis of the 12 Lead ECG (2000) 17 Junctional Tachycardia P P P P P P P P P Source: Sensible Analysis of the 12 Lead ECG (2000) 18 10
11 Ventricular Tachycardia Source: Basic DysrhythmiasInterpretation and management (2002) 19 Accelerated Junctional Rhythm P P P P P P P Source: Basic DysrhythmiasInterpretation and management (2002) 20 11
12 Sinus Rhythm with Ventricular Bigeminy R R R P P P P T T T Source: Sensible Analysis of the 12 Lead ECG (2000) 21 Atrial Fibrillation with PVC PVC F F F F F T T T Source: Sensible Analysis of the 12 Lead ECG (2000) 22 12
13 Pacing Rhythm Source: Basic DysrhythmiasInterpretation and management (2002) 23 Ventricular Escaped Beat R No P T Source: Introduction to 12- Lead ECG, the art of interpretation (2003) 24 13
14 Second Degree Heart Block Mobitz Type 2 No QRS No QRS PR PR PR Source: Basic DysrhythmiasInterpretation and management (2002) 25 Accelerated Idioventricular Rhythm R R R R R No P No P No P No P No P T T T T T T Source: Sensible Analysis of the 12 Lead ECG (2000) 26 14
15 Second Degree Heart Block Mobitz Type 2 No QRS PR PR PR Source: Basic DysrhythmiasInterpretation and management (2002) 27 Torsade de Pointes Source: Introduction to 12- Lead ECG, the art of interpretation (2003) 28 15
16 Ventricular Flutter Source: Introduction to 12- Lead ECG, the art of interpretation (2003) 29 Ventricular Fibrillation (Coarse) Source: Basic DysrhythmiasInterpretation and management (2002) 30 16
17 Sinus Rhythm with First Degree Heart Block PR PR PR PR Source: Basic DysrhythmiasInterpretation and management (2002) 31 Second Degree Heart Block Mobitz Type 1 No QRS No QRS PR PR PR PR PR Source: Sensible Analysis of the 12 Lead ECG (2000) 32 17
18 Second Degree Heart Block Mobitz Type 2 No QRS No QRS PR PR PR PR PR PR PR Source: Basic DysrhythmiasInterpretation and management (2002) 33 Second Degree Heart Block Mobitz Type 2 No QRS No QRS No QRS PR PR PR PR PR PR Source: Basic DysrhythmiasInterpretation and management (2002) 34 18
19 Pacing Spikes Without Capture No QRS No QRS No QRS No QRS No QRS Source: Basic DysrhythmiasInterpretation and management (2002) 35 Ventricular Stand Still No QRS P P P P P Source: ECG workout exercises in arrhythmias interpretation (2006) 36 19
20 Sinus Arrest P P P P P P P P Source: ECG workout exercises in arrhythmias interpretation (2006) 37 Hypercalcemia QT QT QT QT QT Short QT Source: Basic DysrhythmiasInterpretation and management (2002) 38 20
21 Procainamide / Quinidine Toxicity QT QT QT QT Source: Basic DysrhythmiasInterpretation and management (2002) 39 Hyperkalemia Peaked T waves Source: Basic DysrhythmiasInterpretation and management (2002) 40 21
22 Digitalis Effect ST ( Scooped Out) PR PR PR PR PR T Wave ( Flat / Biphasic) Source: Basic DysrhythmiasInterpretation and management (2002) 41 Hypocalcemia QT QT QT QT Source: Basic DysrhythmiasInterpretation and management (2002) 42 22
23 Hypokalemia / Flat T Wave Source: Basic DysrhythmiasInterpretation and management (2002) 43 ECG Practice 2 23
24 Sinus Bradycardia with LAD+ LAH + NSSTTW Changes qr LAD LAH T rs Flat T HR= 56 Source: Introduction to 12- Lead ECG, the art of interpretation (2003) 1 LBBB QRS> 0.12 rs P QRS> 0.12 R Source: Introduction to 12- Lead ECG, the art of interpretation (2003) 2 24
25 RBBB QRS> 0.12 RSR Slurred S P LAD QRS> 0.12 Slurred S Source: Introduction to 12- Lead ECG, the art of interpretation (2003) 3 LVH+RAE+LAE Biphasic P = LAE P-Pulmonale= RAE S= 30 mm R= 22 mm Source: Introduction to 12- Lead ECG, the art of interpretation (2003) 4 25
26 LVH+ Lateral Wall Ischemia R > 12 mm Criteria For LVH Biphasic T Inverted T R > 11 mm Flat T Flat T Source: Patient ECG Strip 5 First Degree Heart Block + RVH R > S = RVH PR > 0.20 Sec RAD Source: Introduction to 12- Lead ECG, the art of interpretation (2003) 6 26
27 Anteroseptal Acute MI ST ST ST ST Source: Patient ECG Strip 7 Anteroseptal Acute MI with Lateral Extension ST ST ST (Reciprocal Changes) ST Source: Introduction to 12- Lead ECG, the art of interpretation (2003) 8 27
28 Lateral MI ST LAD ST (Reciprocal Changes) Source: Introduction to 12- Lead ECG, the art of interpretation (2003) 9 Inferior - Posterior MI ST (Reciprocal Changes) ST (Post. MI) ST Source: Introduction to 12- Lead ECG, the art of interpretation (2003) 10 28
29 Atrial Ectopic Rhythm P R > 12 mm = LVH P R > 11 mm = LVH P Ischemia Source: Introduction to 12- Lead ECG, the art of interpretation (2003) 11 Low Voltage 12 Lead ECG QRS in Limb Leads < 5 mm QRS in Precordial Leads < 10mm Source: Introduction to 12- Lead ECG, the art of interpretation (2003) 12 29
30 Ventricular Bigemeny Source: Introduction to 12- Lead ECG, the art of interpretation (2003) 13 Pericarditis + Hyperkalemia LAD Tall Symmetrical T waves PR Depression = Pericarditis Source: Introduction to 12- Lead ECG, the art of interpretation (2003) 14 30
31 Atrial Fibrillation with Lateral Wall Ischemia No P wave T Wave Inversion Source: Patient ECG Strip 15 Demand Pacemaker Spike QRS Source: Patient ECG Strip 16 31
32 Junctional Ryhthm (Bradycardia) No P wave No P wave No P wave No P wave No P wave Source: Patient ECG Strip 17 Normal ECG Source: The ECG Made Easy (2008) 18 32
33 Artifact Artifact Source: The ECG Made Easy (2008) 19 Ventricular Tachycardia Wide QRS Source: The ECG Made Easy (2008) 20 33
34 Sinus Rhythm with PVCs PVC PVC PVC Normal P / QRS PVC PVC PVC PVC PVC PVC Source: 150 ECG Problems (2003) 21 WPW RAD R in V1 Normal P Delta wave Short PR Source: 150 ECG Problems (2003) 22 34
35 1 st Degree Heart Block Prolonged PR Interval Normal P Source: 150 ECG Problems (2003) 23 Pulmonary Embolism Prominent S RSR RBBB Q Wave+ Inverted T T Wave Slurred S Source:lifeinthefastlane.com 24 35
36 Digitalis Effect Down Slope ST Down Slope ST Source: 25 Hyperkalemia + Hypocalcemia Tall Tented T Wave Prolonged QT Source:
37 References 1. Introduction to 12- Lead ECG, the art of interpretation, Thomas B. Garcia, Neil E. Holtz Jones and Bartlett Publishers, Sudbury, Massachusetts (2003) ECG Problems, 2 nd edition, John Hampton, Churchill Livingstone (2003). 3. The ECG Made Easy, 7 th edition, John Hampton Churchill Livingstone (2008). 4. ECG workout exercises in arrhythmias interpretation, 5 th edition Jane Huff, Lippincott Williams & Wilkins.(2006). 5. Basic Dysrhythmias Interpretation and management, 3 rd Edition, Robert J. Huszar, Mosby (2002). 6. Sensible Analysis of the 12 Lead ECG, Kathryn M. Lewis, Delmar (2000). 7. Real Patient s ECG strips Standard Simulator ECG. Thank You 37
Normal Sinus Rhythm. Sinus Bradycardia. Sinus Tachycardia. Rhythm ECG Characteristics Example (NSR) & consistent. & consistent.
Normal Sinus Rhythm (NSR) Rate: 60-100 per minute Rhythm: R- R = P waves: Upright, similar P-R: 0.12-0.20 second & consistent P:qRs: 1P:1qRs Sinus Tachycardia Exercise Hypovolemia Medications Fever Hypoxia
ACLS RHYTHM TEST. 2. A 74-year-old woman with chest pain. Blood pressure 192/90 and rates her pain 9/10.
ACLS RHYTHM TEST Name Date Choose the best answer for each of the following questions. Each of the following strips is 6 seconds in length. 1. Identify the following rhythm a. Sinus bradycardia with 2
RAPID INTERPRETATION OF. EKG s
Personal Quick Reference Sheets 333 (pages 333 to 346) There is no need to remove these reference pages from your book. To download and print them in full color, go to: www.themdsite.com Reference Sheets
NEONATAL & PEDIATRIC ECG BASICS RHYTHM INTERPRETATION
NEONATAL & PEDIATRIC ECG BASICS & RHYTHM INTERPRETATION VIKAS KOHLI MD FAAP FACC SENIOR CONSULATANT PEDIATRIC CARDIOLOGY APOLLO HOSPITAL MOB: 9891362233 ECG FAX LINE: 011-26941746 THE BASICS: GRAPH PAPER
Understanding the Electrocardiogram. David C. Kasarda M.D. FAAEM St. Luke s Hospital, Bethlehem
Understanding the Electrocardiogram David C. Kasarda M.D. FAAEM St. Luke s Hospital, Bethlehem Overview 1. History 2. Review of the conduction system 3. EKG: Electrodes and Leads 4. EKG: Waves and Intervals
EKG Abnormalities. I. Early repolarization abnormality:
I. Early repolarization abnormality: EKG Abnormalities A. A normal variant. Early repolarization is most often seen in healthy young adults. Look for ST elevation, tall QRS voltage, "fishhook" deformity
BIPOLAR LIMB LEADS UNIPOLAR LIMB LEADS PRECORDIAL (UNIPOLAR) LEADS VIEW OF EACH LEAD INDICATIVE ECG CHANGES
BIPOLAR LIMB LEADS Have both a distinctive positive and negative pole. Lead I LA (positive) RA (negative) Lead II LL (positive) RA (negative) Lead III LL (positive) LA (negative) UNIPOLAR LIMB LEADS Have
Atrial & Junctional Dysrhythmias
Atrial & Junctional Dysrhythmias Atrial & Junctional Dysrhythmias Atrial Premature Atrial Complex Wandering Atrial Pacemaker Atrial Tachycardia (ectopic) Multifocal Atrial Tachycardia Atrial Flutter Atrial
12-Lead EKG Interpretation. Judith M. Haluka BS, RCIS, EMT-P
12-Lead EKG Interpretation Judith M. Haluka BS, RCIS, EMT-P ECG Grid Left to Right = Time/duration Vertical measure of voltage (amplitude) Expressed in mm P-Wave Depolarization of atrial muscle Low voltage
Systematic Approach to 12 Lead EKG Interpretation
Systematic Approach to 12 Lead EKG Interpretation Maureen Knechtel MPAS, PA-C Wellmont CVA Heart Institute Disclosure Statement of Financial Interest I, Maureen Knechtel, do not have a financial interest/arrangement
ECG Measurments and Interpretation Programs
ECG Measurments and Interpretation Programs Physician s Guide Distributed by Welch Allyn 4341 State Street Road, PO Box 220 Skaneateles Falls, NY 13153-0220 www.welchallyn.com Sales and Service information:
QRS Complexes. Fast & Easy ECGs A Self-Paced Learning Program
6 QRS Complexes Fast & Easy ECGs A Self-Paced Learning Program Q I A ECG Waveforms Normally the heart beats in a regular, rhythmic fashion producing a P wave, QRS complex and T wave I Step 4 of ECG Analysis
Electrophysiology Daymar College. Lisa H. Young, RN, BSN, MAE 2011
Electrophysiology Daymar College Lisa H. Young, RN, BSN, MAE 2011 Electrical Conduction Pathway Chemical Basis for Impulse Formation Cardiac Action Potential Phases http://www.youtube.com/watch?v=oqpffilde0e
ST Segment Elevation Nothing is ever as hard (or easy) as it looks
ST Segment Elevation Nothing is ever as hard (or easy) as it looks Cameron Guild, MD Division of Cardiology University of Mississippi Medical Center February 17, 2012 Objectives 1. Describe the electrical
HTEC 91. Topic for Today: Atrial Rhythms. NSR with PAC. Nonconducted PAC. Nonconducted PAC. Premature Atrial Contractions (PACs)
HTEC 91 Medical Office Diagnostic Tests Week 4 Topic for Today: Atrial Rhythms PACs: Premature Atrial Contractions PAT: Paroxysmal Atrial Tachycardia AF: Atrial Fibrillation Atrial Flutter Premature Atrial
By the end of this continuing education module the clinician will be able to:
EKG Interpretation WWW.RN.ORG Reviewed March, 2015, Expires April, 2017 Provider Information and Specifics available on our Website Unauthorized Distribution Prohibited 2015 RN.ORG, S.A., RN.ORG, LLC Developed
INTRODUCTORY GUIDE TO IDENTIFYING ECG IRREGULARITIES
INTRODUCTORY GUIDE TO IDENTIFYING ECG IRREGULARITIES NOTICE: This is an introductory guide for a user to understand basic ECG tracings and parameters. The guide will allow user to identify some of the
Objectives. The ECG in Pulmonary and Congenital Heart Disease. Lead II P-Wave Amplitude during COPD Exacerbation and after Treatment (50 pts.
The ECG in Pulmonary and Congenital Heart Disease Gabriel Gregoratos, MD Objectives Review the pathophysiology and ECG signs of pulmonary dysfunction Review the ECG findings in patients with: COPD (chronic
the basics Perfect Heart Institue, Piyavate Hospital
ECG INTERPRETATION: the basics Damrong Sukitpunyaroj MD Damrong Sukitpunyaroj, MD Perfect Heart Institue, Piyavate Hospital Overview Conduction Pathways Systematic Interpretation Common abnormalities in
BASIC CARDIAC ARRHYTHMIAS Revised 10/2001
BASIC CARDIAC ARRHYTHMIAS Revised 10/2001 A Basic Arrhythmia course is a recommended prerequisite for ACLS. A test will be given that will require you to recognize cardiac arrest rhythms and the most common
MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.
Exam Name MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question. 1) What term is used to refer to the process of electrical discharge and the flow of electrical
Interpreting a rhythm strip
3 Interpreting a rhythm strip Just the facts In this chapter, you ll learn: the components of an ECG complex and their significance and variations techniques for calculating the rate and rhythm of an ECG
ECG made extra easy. medics.cc
ElectroCardioGraphyraphy ECG made extra easy Overview Objectives for this tutorial What is an ECG? Overview of performing electrocardiography on a patient Simple physiology Interpreting the ECG Objectives
Electrocardiography Review and the Normal EKG Response to Exercise
Electrocardiography Review and the Normal EKG Response to Exercise Cardiac Anatomy Electrical Pathways in the Heart Which valves are the a-v valves? Closure of the a-v valves is associated with which heart
The abbreviation EKG, for electrocardiogram,
CLIN PEDIATR OnlineFirst, published on January 28, 2010 as doi:10.1177/0009922809336206 Simplified Pediatric Electrocardiogram Interpretation Clinical Pediatrics Volume XX Number X Month XXXX xx-xx 2009
ECG INTERPRETATION MANUAL
Lancashire & South Cumbria Cardiac Network ECG INTERPRETATION MANUAL THE ABNORMAL ECG Lancashire And South Cumbria Cardiac Physiologist Training Manual AV NODAL BLOCKS (HEART BLOCKS) Disturbances of intra
Copyright 2006 Blaufuss Multimedia. All rights reserved. Page 1
Copyright 2006 Blaufuss Multimedia. All rights reserved. Page 1 002 Sinus Rhythm, atrial rate 90 Mobitz II AVB, Ventricular rate 50 Left Atrial Enlargement Left Ventricular Hypertrophy RBBB a) Long R-R
Basics of EKG Interpretation: A Programmed Study - Barbara Ritter Ed.D, FNP
Basics of EKG Interpretation: A Programmed Study - Barbara Ritter Ed.D, FNP Acknowledgement is given to Leslie K. Muma, MS, RN, NP for assistance in preparation of this learning module. Description The
Electrolyte Physiology. Something in the way she moves
Electrolyte Physiology Something in the way she moves me Electrolyte Movement CONCENTRATION GRADIENT ELECTRICAL GRADIENT DRIVING FORCE NERNST NUMBER (E-ion) CONDUCTANCE (G-ion) PERMEABILITY CHANNELS: small
The P Wave: Indicator of Atrial Enlargement
Marquette University e-publications@marquette Physician Assistant Studies Faculty Research and Publications Health Sciences, College of 8-12-2010 The P Wave: Indicator of Atrial Enlargement Patrick Loftis
Diagnosis Code Crosswalk : ICD-9-CM to ICD-10-CM Cardiac Rhythm and Heart Failure Diagnoses
Diagnosis Code Crosswalk : to 402.01 Hypertensive heart disease, malignant, with heart failure 402.11 Hypertensive heart disease, benign, with heart failure 402.91 Hypertensive heart disease, unspecified,
HOW TO READ AN ECG. Rate = 300 / big squares 1 line = 300 2 line = 150 3 line = 75 4 line = 60 5 line = 50 6 line = 42 7 line = 38
HOW TO READ AN ECG Pathophysiology Pacemaker Rates: SAN 60-100 AVN 40-60 Ventricle 20-40 Areas of ECG Horizontal scale: 1mm = 0.04s 5mm = 0.2s Calculating Rate Rate = 300 / big squares 1 line = 300 2 line
ECG Measurement and Interpretation
ECG Measurement and Interpretation Statement of accuracy for analysing ECG units *2.530036* Physicians Guide Sales and Service Information The SCHILLER sales and service centre network is world-wide. For
How to read the ECG in athletes: distinguishing normal form abnormal
How to read the ECG in athletes: distinguishing normal form abnormal Antonio Pelliccia, MD Institute of Sport Medicine and Science www.antoniopelliccia.it Cardiac adaptations to Rowing Vagotonia Sinus
An ECG Primer. Quick Look. I saw it, but I did not realize it. Elizabeth Peabody
4 An ECG Primer Quick Look Cardiac Monitoring System - p. 64 ECG Paper - p. 73 Lead Polarity and Vectors - p. 77 Basic ECG Components - p. 79 Heart Rate and Pulse Rate - p. 91 Summary - p. 94 Chapter Quiz
Equine Cardiovascular Disease
Equine Cardiovascular Disease 3 rd most common cause of poor performance in athletic horses (after musculoskeletal and respiratory) Cardiac abnormalities are rare Clinical Signs: Poor performance/exercise
Introduction to Electrocardiography. The Genesis and Conduction of Cardiac Rhythm
Introduction to Electrocardiography Munther K. Homoud, M.D. Tufts-New England Medical Center Spring 2008 The Genesis and Conduction of Cardiac Rhythm Automaticity is the cardiac cell s ability to spontaneously
MEANS ECG Physicians Manual for Welch Allyn CP Series Electrocardiographs
MEANS ECG Physicians Manual f Welch Allyn CP Series Electrocardiographs Welch Allyn 4341 State Street Road PO Box 220 Skaneateles Falls, NY 13153-0220 USA 2013, DIR: 80011564, Ver: E www.welchallyn.com
The new generation in ECG interpretation
The new generation in ECG interpretation Philips DXL ECG Algorithm, Release PH100B The Philips DXL ECG Algorithm, developed by the Advanced Algorithm Research Center, uses sophisticated analytical methods
Rigel 333 Multi Parameter Patient Simulator Version 2.0
INSTRUCTION MANUAL Rigel 333 Multi Parameter Patient Simulator Version 2.0 Rigel Medical Seaward Group 18 Bracken Hill Peterlee, County Durham SR8 2SW England www.rigelmedical.com Dear User: We appreciate
Advanced EKG Interpretation
Advanced EKG Interpretation JUNCTIONAL RHYTHMS AND NURSING INTERVENTIONS Objectives Identify specific cardiac dysrhythmias Describe appropriate nursing interventions for specific dysrhythmias Junctional
ACLS Chapter 3 Rhythm Review Instructor Lesson Plan to Accompany ACLS Study Guide 3e
ACLS Chapter 3 Rhythm Review Lesson Plan Required reading before this lesson: ACLS Study Guide 3e Textbook Chapter 3 Materials needed: Multimedia projector, computer, ACLS Chapter 3 Recommended minimum
PRO-CPR. 2015 Guidelines: PALS Algorithm Overview. (Non-AHA supplementary precourse material)
PRO-CPR 2015 Guidelines: PALS Algorithm Overview (Non-AHA supplementary precourse material) Please reference Circulation (from our website), the ECC Handbook, or the 2015 ACLS Course Manual for correct
2 ECG basics. Leads and planes. Leads. Planes. from different perspectives, which are called leads and planes.
558302.qxp 3/14/12 10:47 PM Page 12 2 ECG basics One of the most valuable diagnostic tools available, an electrocardiogram (ECG) records the heart s electrical activity as waveforms. By interpreting these
Basic Cardiac Rhythms Identification and Response
Basic Cardiac Rhythms Identification and Response Module 1 ANATOMY, PHYSIOLOGY, & ELECTRICAL CONDUCTION Objectives Describe the normal cardiac anatomy and physiology and normal electrical conduction through
Review of Important ECG Findings in Patients with Syncope Joseph Toscano, MD
92 Review of Important ECG Findings in Patients with Syncope Joseph Toscano, MD Abstract Guidelines recommend 12-lead ECG as an important test to perform in patients with syncope. Though the incidence
Basics of Pacing. Ruth Hickling, RN-BSN Tasha Conley, RN-BSN
Basics of Pacing Ruth Hickling, RN-BSN Tasha Conley, RN-BSN The Cardiac Conduction System Cardiac Conduction System Review Normal Conduction Conduction QRS QRS Complex Complex RR PP ST ST segment segment
Guideline for the management of arrhythmias
Guideline for the management of arrhythmias The following guideline is approved only for use at University College London Hospitals NHS Foundation Trust. It is provided as supporting information for the
An Introduction to Tachyarrhythmias R. A. Seyon MN, NP, CCN(C) & Dr. R. G. Williams
Arrhythmias 1 An Introduction to Tachyarrhythmias R. A. Seyon MN, NP, CCN(C) & Dr. R. G. Williams Things to keep in mind when analyzing arrhythmias: Electrical activity recorded in 12 and 15 leads Examine
Electrophysiology Introduction, Basics. The Myocardial Cell. Chapter 1- Thaler
Electrophysiology Introduction, Basics Chapter 1- Thaler The Myocardial Cell Syncytium Resting state Polarized negative Membrane pump Depolarization fundamental electrical event of the heart Repolarization
Tips and Tricks to Demystify 12 Lead ECG Interpretation
Tips and Tricks to Demystify 12 Lead ECG Interpretation Mission: Lifeline North Dakota Regional EMS and Hospital Conference Samantha Kapphahn, DO Essentia Health- Interventional Cardiology June 5th, 2014
Banner Staff Service ECG Study Guide
Banner Staff Service ECG Study Guide Edited by Larry H. Lybbert, MS, RN Table of Contents ECG STUDY GUIDE... 3 ECG INTERPRETATION BASICS... 4 EKG GRAPH PAPER...4 RATE MEASUREMENT...9 The Six Second Method...9
School of Health Sciences
School of Health Sciences Cardiology Teaching Package A Beginners Guide to Normal Heart Function, Sinus Rhythm & Common Cardiac Arrhythmias Welcome This document extends subjects covered in the Cardiology
Sleep Heart Health Study (SHHS) ECG Protocol
Sleep Heart Health Study (SHHS) ECG Protocol SHHS 1 Electrocardiography (ECG) Baseline ECG is performed in all parent study clinic visits preceding the PSG. All sites perform a standard resting 12-lead
Arrhythmia Monitoring Algorithm
Arrhythmia Monitoring Algorithm Application Note Introduction The ST/AR (ST and Arrhythmia) algorithm is an ECG algorithm that the HeartStart MRx and XL+ monitor/defibrillators utilize for basic and cardiotach
The Electrocardiogram (ECG)
The Electrocardiogram (ECG) Preparation for RWM Lab Experiment The first ECG was measured by Augustus Désiré Waller in 1887 using Lippmann's capillary electrometer. Recorded ECG: http://www.youtube.com/watch_popup?v=q0jmfivadue&vq=large
Table of Contents Error! Bookmark not defined.
Table of Contents EKG TRACING...1 Figure 1 - EKG Tracing... Error! Bookmark not defined. STEP 1...1 Rate... 1 Figure 2 - Determining the Rate... 1 Step 2...2 Rhythm... 2 Figure 3 - Determining the Rhythm
Electrodes placed on the body s surface can detect electrical activity, APPLIED ANATOMY AND PHYSIOLOGY. Circulatory system
4 READING AND INTERPRETING THE ELECTROCARDIOGRAM Electrodes placed on the body s surface can detect electrical activity, which occurs in the heart. The recording of these electrical events comprises an
Lead avr: The Neglected Lead
Chapter 22 Lead avr: The Neglected Lead M Chenniappan INTRODUCTION Lead avr, one of the 12 electrocardiographic leads, is frequently ignored in clinical medicine. In fact, many clinicians refer to the
Bradycardia CHAPTER 12 CODE SCENARIO
Senecal-12.qxd 14/04/2005 09:44 AM Page 69 CHAPTER 12 Bradycardia CODE SCENARIO A code is called for a 78-year-old man who was admitted to the hospital for syncope of unknown etiology. He was resting comfortably
Glasgow 12-lead ECG Analysis Program
Glasgow 12-lead ECG Analysis Program For use with the LIFEPAK 15 MONITOR/DEFIBRILLATOR STATEMENT OF VALIDATION AND ACCURACY Glasgow 12-lead ECG Analysis Program For use with the LIFEPAK 15 MONITOR/DEFIBRILLATOR
ECG Findings. IV Access. 12 Lead Interpretation: STEMI and NSTEMI. ACLS Acute Coronary Syndrome Chest Pain Suggestive of Ischemia.
12 Lead Interpretation: STEMI and NSTEMI Presented by Annmarie Keck, RN, BSN, CEN Northwest MedStar Clinical Outreach Educator ACLS Acute Coronary Syndrome Chest Pain Suggestive of Ischemia Immediate Assessment
Introduction to Electrophysiology. Wm. W. Barrington, MD, FACC University of Pittsburgh Medical Center
Introduction to Electrophysiology Wm. W. Barrington, MD, FACC University of Pittsburgh Medical Center Objectives Indications for EP Study How do we do the study Normal recordings Abnormal Recordings Limitations
«Δυσλειτουργία βηματοδότη. Πως μπορούμε να την εκτιμήσουμε στο ιατρείο.» Koσσυβάκης Χάρης Καρδιολογικό Τμήμα Γ.Ν.Α. «Γ. ΓΕΝΝΗΜΑΤΑΣ
«Δυσλειτουργία βηματοδότη. Πως μπορούμε να την εκτιμήσουμε στο ιατρείο.» Koσσυβάκης Χάρης Καρδιολογικό Τμήμα Γ.Ν.Α. «Γ. ΓΕΝΝΗΜΑΤΑΣ Diagnostic tools History: symptoms, physical examination 12 leads ECG,
Episode 20 Atrial fibrillation Prepared by Dr. Lucas Chartier
Episode 20 Atrial fibrillation Prepared by Dr. Lucas Chartier Most common dysrhythmia seen in ED, and incidence increasing with ageing population Presentation Common presentations: younger patients often
Recurrent AF: Choosing the Right Medication.
In the name of God Shiraz E-Medical Journal Vol. 11, No. 3, July 2010 http://semj.sums.ac.ir/vol11/jul2010/89015.htm Recurrent AF: Choosing the Right Medication. Basamad Z. * Assistant Professor, Department
The Basics of 12 Lead EKG s
EMS Solutions Presents The Basics of 12 Lead EKG s NOTICE: You DO NOT Have the Right to Reprint or Resell this Publication. However, you MAY give this report away, provided you do not change or alter the
QT analysis: A guide for statistical programmers. Prabhakar Munkampalli Statistical Analyst II Hyderabad, 7 th September 2012
QT analysis: A guide for statistical programmers Prabhakar Munkampalli Statistical Analyst II Hyderabad, 7 th September 2012 Agenda ECG ICH E14 Thorough QT/QTc study Role of Statistical Programmer References
Intermediate Life Support (ILS) For Stage 3 Medical Students. Reading Materials and Resources
Intermediate Life Support (ILS) For Stage 3 Medical Students Reading Materials and Resources Nathan Moore and Andrew Coggins (SILECT Instructors) ILS Pre reading and Materials Page 1 Introduction During
Section Four: Pulmonary Artery Waveform Interpretation
Section Four: Pulmonary Artery Waveform Interpretation All hemodynamic pressures and waveforms are generated by pressure changes in the heart caused by myocardial contraction (systole) and relaxation/filling
NAME OF THE HOSPITAL: 1. Coronary Balloon Angioplasty: M7F1.1/ Angioplasty with Stent(PTCA with Stent): M7F1.3
1. Coronary Balloon Angioplasty: M7F1.1/ Angioplasty with Stent(PTCA with Stent): M7F1.3 1. Name of the Procedure: Coronary Balloon Angioplasty 2. Select the Indication from the drop down of various indications
Crash Cart Drugs Drugs used in CPR. Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University
Crash Cart Drugs Drugs used in CPR Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University Introduction A list of the drugs kept in the crash carts. This list has been approved by the
Electrocardiography I Laboratory
Introduction The body relies on the heart to circulate blood throughout the body. The heart is responsible for pumping oxygenated blood from the lungs out to the body through the arteries and also circulating
ACLS Rhythms for the ACLS Algorithms
ACLS Rhythms for the ACLS Algorithms The Basics 1. Anatomy of the cardiac conduction system: relationship to the ECG cardiac cycle. A, Heart: anatomy of conduction system. B, P-QRS-T complex: lines to
EKG Refresh and Practice Normal Sinus Rhythm. P-Waves: PRInterval:
EKG Refresh and Practice Normal Sinus. : 60-100 beats per minute r Rhythrn: Atrial - - o Pwaves: Uniform in appearance Upright w/ normal shape One Preceding each QRS Nor more than.10 second o PR interval:
Atrial Fibrillation Peter Santucci, MD Revised May, 2008
Atrial Fibrillation Peter Santucci, MD Revised May, 2008 Atrial fibrillation (AF) is an irregular, disorganized rhythm characterized by a lack of organized mechanical atrial activity. The atrial rate is
Interpretation of Laboratory Values
Interpretation of Laboratory Values Konrad J. Dias PT, DPT, CCS Overview Electrolyte imbalances Renal Function Tests Complete Blood Count Coagulation Profile Fluid imbalance Sodium Electrolyte Imbalances
Adult Cardiac Surgery ICD9 to ICD10 Crosswalks
164.1 Malignant neoplasm of heart C38.0 Malignant neoplasm of heart 164.1 Malignant neoplasm of heart C45.2 Mesothelioma of pericardium 198.89 Secondary malignant neoplasm of other specified sites C79.89
Cardiac Arrest: General Considerations
Andrea Gabrielli, MD, FCCM Cardiac Arrest: General Considerations Cardiopulmonary resuscitation (CPR) is described as a series of assessments and interventions performed during a variety of acute medical
American Heart Association ACLS Pre-Course Self Assessment Dec., 2006. ECG Analysis. Name the following rhythms from the list below:
American Heart Association ACLS Pre-Course Self Assessment Dec., 2006 ECG Analysis This pre-test is exactly the same as the pretest on the ACLS Provider manual CD. This paper version can be completed in
ACLS Cardiac Arrest Algorithm Neumar, R. W. et al. Circulation 2010;122:S729-S767
ACLS Cardiac Arrest Algorithm Neumar, R. W. et al. Circulation 2010;122:S729-S767 Copyright 2010 American Heart Association ACLS Cardiac Arrest Circular Algorithm Neumar, R. W. et al. Circulation 2010;122:S729-S767
HEART HEALTH WEEK 3 SUPPLEMENT. A Beginner s Guide to Cardiovascular Disease HEART FAILURE. Relatively mild, symptoms with intense exercise
WEEK 3 SUPPLEMENT HEART HEALTH A Beginner s Guide to Cardiovascular Disease HEART FAILURE Heart failure can be defined as the failing (insufficiency) of the heart as a mechanical pump due to either acute
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services NEW product from the Medicare Learning Network (MLN) Provider Compliance Tips for Computed Tomography (CT) Scans Podcast,
Interpreting AV (Heart) Blocks: Breaking Down the Mystery
Interpreting AV (Heart) Blocks: Breaking Down the Mystery 2 Contact Hours Copyright 2012 by RN.com. All Rights Reserved. Reproduction and distribution of these materials is prohibited without the express
12 Lead ECGs: Ischemia, Injury & Infarction Part 2
12 Lead ECGs: Ischemia, Injury & Infarction Part 2 McHenry Western Lake County EMS Localization: Left Coronary Artery Right Coronary Artery Right Ventricle Septal Wall Anterior Descending Artery Left Main
For more information about the use of the Propaq monitor, refer to the Propaq Directions For Use.
Clinical Support 8500 S.W. Creekside Pl. Beaverton, OR 97008-7107 U.S.A. Telephone: 503-526-4200 Toll Free: 800-289-2500 clinicalsupport@protocol.com ELECTROCARDIOGRAPHY Introduction This article provides
Scott Hubbell, MHSc, RRT-NPS, C-NPT, CCT Clinical Education Coordinator/Flight RRT EagleMed
Scott Hubbell, MHSc, RRT-NPS, C-NPT, CCT Clinical Education Coordinator/Flight RRT EagleMed Identify the 12-Lead Views Explain the vessels of occlusion Describe the three I s Basic Interpretation of 12-Lead
Medtronic Cardiac Rhythm and Heart Failure ICD-10 Coding for Physicians
Medtronic Cardiac Rhythm and Heart Failure ICD-10 Coding for Physicians May 19, 2015 Disclaimer This presentation is intended for educational use. Any duplication is prohibited without written consent
ST Segment Monitoring. IntelliVue Patient Monitor and Information Center, Application Note
ST Segment Monitoring ST/AR Algorithm IntelliVue Patient Monitor and Information Center, Application Note This application note describes principles and uses for continuous ST segment monitoring. It also
Premature Ventricular Contractions. Ralph Augostini, MD FACC FHRS
Premature Ventricular Contractions Ralph Augostini, MD FACC FHRS Orlando, Florida October 7-9, 2011 Premature Ventricular Contractions: ACC/AHA/ESC 2006 Guidelines for Management of Patients With Ventricular
Simple Optical Methods for the Recognition of Atrial Flutter, Especially at Slow Atrial Rates
Simple Optical Methods for the Recognition of Atrial Flutter, Especially at Slow Atrial Rates By DAVID A. RYTAND, M.D., ARTHUR FRANK, M.D., AND GENE R. PROFANT, M.D. the auricles usually displays itself
ECG Signal Analysis Using Wavelet Transforms
Bulg. J. Phys. 35 (2008) 68 77 ECG Signal Analysis Using Wavelet Transforms C. Saritha, V. Sukanya, Y. Narasimha Murthy Department of Physics and Electronics, S.S.B.N. COLLEGE (Autonomous) Anantapur 515
Relax and Learn at the FARM 2012. History of Cardiac Monitoring. History of Cardiac Monitoring 10/17/2012
Relax and Learn at the FARM 2012 Session 3: Bedside Cardiac Monitoring: Arrhythmias, ST Segments, and QT Interval Karen MarzlinDNP, RN, CCNS, CCRN-CMC, CHFN Cardiovascular Nursing Education Associates
Tachyarrhythmias (fast heart rhythms)
Patient information factsheet Tachyarrhythmias (fast heart rhythms) The normal electrical system of the heart The heart has its own electrical conduction system. The conduction system sends signals throughout
Third Degree AV Block
Third Degree AV Block Third degree AV block (Complete Heart Block) EKG P wave และ QRS complexes ไม ส มพ นธ ก น โดยท จ านวน P wave จะ มากกว า QRS complexes ( atrial rate > ventricular rate; PP inteval
Cardiac Arrhythmias. Introduction. Sinus Rhythms. Premature Beats. Secondary article. John A Kastor, University of Maryland, Baltimore, Maryland, USA
John A Kastor, University of Maryland, Baltimore, Maryland, USA Cardiac arrhythmias are disturbances in the rhythm of the heart manifested by irregularity or by abnormally fast rates ( tachycardias ) or
ANNE ARUNDEL MEDICAL CENTER CRITICAL CARE MEDICATION MANUAL DEPARTMENT OF NURSING AND PHARMACY. Guidelines for Use of Intravenous Isoproterenol
ANNE ARUNDEL MEDICAL CENTER CRITICAL CARE MEDICATION MANUAL DEPARTMENT OF NURSING AND PHARMACY Guidelines for Use of Intravenous Isoproterenol Major Indications Status Asthmaticus As a last resort for
GUIDELINE 11.9 MANAGING ACUTE DYSRHYTHMIAS. (To be read in conjunction with Guideline 11.7 Post-Resuscitation Therapy in Adult Advanced Life Support)
AUSTRALIAN RESUSCITATION COUNCIL GUIDELINE 11.9 MANAGING ACUTE DYSRHYTHMIAS (To be read in conjunction with Guideline 11.7 Post-Resuscitation Therapy in Adult Advanced Life Support) The term cardiac arrhythmia
Podcast with Dr. Kossick
Podcast with Dr. Kossick Interviewed by Western Carolina University Graduate Anesthesia Student Kristin Andrejco From the Head of the Bed main@fromtheheadofthebed.com December 5, 2014 (33 min) EKG Lead
Assessment, diagnosis and specialist referral of adults (>16 years) with an episode of transient loss of consciousness (TLoC) or a blackout.
Assessment, diagnosis and specialist referral of adults (>16 years) with an episode of transient loss of consciousness (TLoC) or a blackout. TLoC is common huge variation in management range of clinicians