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EKG

Algorithm

  1. Rhythm
    • Rate, regularity
  2. Atrial activity
    • P wave morphology (normal? / mitrale? / pulmonale?)
    • Or check for fibrillation / flutter waves
    • Relation with ventricular QRS complexes (in sync? / superimposed? / other?)
    • PR interval (AV blockages?)
  3. Ventricular activity
    • QRS axis
    • QRS width
    • Voltage, alternans
    • Q waves?
    • Delta waves?
  4. ST
    • ST segment (elevation? / depression?)
    • (L/R)BBB (width, notches)
    • T morphology (height? / biphasic? / inversion?)
    • QT interval ( < 0.5 x RR ?)

Youtube | Intro to EKG interpretation

Life in the fastlane - ECG Library