ModuIe 22

Pre-HospitaI 12 Lead ECGs

ECG1
Heart Rate: 90 bpm
PR interval: 0.162s
QRS interval: 0.102s
What is your interpretation of this ECG?
Answer:
ECG diagnosis: nferior M
ST elevation: , , aVF
Q wave: No
ST depression: , aVL, V1-V3 & V6
Other comments: No
ECG 2
Heart Rate: 42 bpm
PR interval: 0.128s
QRS interval: 0.088s
What is your interpretation of this ECG?
Answer:
ECG diagnosis: Anterolateral M
ST elevation: , V1-V5
Q wave: No
ST depression: aVL
Other comments: Bradycardia (ECG rate <60)
ECG 3
Heart Rate: 87 bpm
PR interval: 0.166s
QRS interval: 0.102s
What is your interpretation of this ECG?
Answer:
ECG diagnosis: Anterolateral M
ST elevation: , aVL, V1-V6
Q wave: No
ST depression:
Other comments: No
ECG 4
Heart Rate: 69 bpm
PR interval: 0.178s
QRS interval: 0.092s
What is your interpretation of this ECG?
Answer:
ECG diagnosis: Normal Sinus Rhythm (NSR)
ST elevation: No
Q wave: No
ST depression: No
Other comments: ECG within normal parameters
ECG 5
Heart Rate: 68 bpm
PR interval: 0.162s
QRS interval: 0.116s
What is your interpretation of this ECG?
Answer:
ECG diagnosis: nferior M
ST elevation: , , aVF
Q wave: Forming in , , aVF
ST depression: aVL
Other comments: No
ECG 6
Heart Rate: 96 bpm
PR interval: 0.126s
QRS interval: 0.092sWhat is your interpretation of this ECG?
Answer:
ECG diagnosis: Anterolateral M
ST elevation: , aVL, V1-V6
Q wave: V1-V4
ST depression: , , aVF
Other comments: Ventricular extrasystoles
(first beat in V4-V6)
ECG 7
Heart Rate: 61 bpm
PR interval: 0.190s
QRS interval: 0.094s
What is your interpretation of this ECG?
Answer:
ECG diagnosis: nferior M
ST elevation: , , avf
Q wave: No
ST depression: aVL, V2
Other comments: No
ECG 8
Heart Rate: 68 bpm
PR interval: 0.178s
QRS interval: 0.098sWhat is your interpretation of this ECG?
Answer:
ECG diagnosis: Lateral M
ST elevation: , aVL
Q wave: No
ST depression: , , aVF, V1-V6
Other comments: No
ECG 9
Heart Rate: 114 bpm
PR interval: 0.164s
QRS interval: 0.152s
What is your interpretation of this ECG?
Answer:
ECG diagnosis: Left bundle branch block (LBBB)
ST elevation: ?
Q wave: ?
ST depression: ?
Other comments: Unable to comment on ECG with LBBB (QRS >0.12s QS in V1) . Diagnosis should be
made on clinical findings.
ECG 10
Heart Rate: 55 bpm
PR interval: 0.148s
QRS interval: 0.088s
What is your interpretation of this ECG?
Answer:
ECG diagnosis: Anterior M
ST elevation: V1-V4
Q wave: No
ST depression: aVL
Other comments: Sinus bradycardia (ECG rate
<60)
ECG 11
Heart Rate: 66 bpm
PR interval: 0.170s
QRS interval: 0.086s
What is your interpretation of this ECG?
Answer:
ECG diagnosis: nferior M
ST elevation: , aVF,
Q wave:
ST depression: , aVL, V1-V3
Other comments: No
ECG 12
Heart Rate: 61 bpm
PR interval: 0.168s
QRS interval: 0.096s
What is your interpretation of this ECG?
Answer:
ECG diagnosis: Anterior M
ST elevation: V1-V4
Q wave: No
ST depression: nverted T in aVL
Other comments: No
ECG 13
Heart Rate: 86 bpm
PR interval: 0.200s
QRS interval: 0.156s
What is your interpretation of this ECG?
Answer:
ECG diagnosis: Right bundle branch block (RBBB)
ST elevation:
Q wave:
ST depression:
Other comments: rSR in V1-V2. Diagnosis should be made on clinical findings.
ECG 14
Heart Rate: 60 bpm
PR interval: 0.158s
QRS interval: 0.086s
What is your interpretation of this ECG?
Answer:
ECG diagnosis: Anterolateral M
ST elevation: , aVL, V2-V6
Q wave: No
ST depression: , aVF
Other comments: No
ECG 15
Heart Rate: 66 bpm
PR interval: 0.152s
QRS interval: 0.096s
What is your interpretation of this ECG?
Answer:
ECG diagnosis: nferior M
ST elevation: , , aVF
Q wave: No
ST depression: aVL
Other comments: No
ECG 16
Heart Rate: 97 bpm
PR interval: 0.180s
QRS interval: 0.096sWhat is your interpretation of this ECG?
Answer:
ECG diagnosis: Widespread ischaemia
ST elevation: No
Q wave: No
ST depression: , , aVF, V2-V6
Other comments: Ventricular extrasystoles
ECG 17
Heart Rate: 63 bpm
PR interval: 0. 222s
QRS interval: 0.092sWhat is your interpretation of this ECG?
Answer:
ECG diagnosis: Anterior M
ST elevation: V1-V4
Q wave: V1-V4
ST depression:
Other comments: First degree heart block (PR
interval >0.2)
ECG 18
Heart Rate: 94 bpm
PR interval: 0.124s
QRS interval: 0.100s
What is your interpretation of this ECG?
Answer:
ECG diagnosis: Anterior M
ST elevation: V1-V4
Q wave: No
ST depression: No
Other comments: No
ECG 19
Heart Rate: 85 bpm
PR interval: 0.152s
QRS interval: 0.172s
What is your interpretation of this ECG?
Answer:
ECG diagnosis: Left bundle branch block (LBBB)
ST elevation: ?
Q wave: ?
ST depression: ?
Other comments: Unable to comment on ECG with LBBB (QRS >0.12s QS in V1). Diagnosis should be
made on clinical findings.
ECG 20
What is your interpretation of this ECG?
Answer:
ECG diagnosis: Anterior M
ST elevation: V1-V4
Q wave: V2
ST depression: , , aVF, V6
Other comments: No
ECG 21
Heart Rate: 59 bpm
PR interval: 0.142s
QRS interval: 0.094s
What is your interpretation of this ECG?
Answer:
ECG diagnosis: Anterior M
ST elevation: V1-V4
Q wave: V2-V3
ST depression: , aVF,
Other comments: No
ECG 22
Heart Rate: 76 bpm
PR interval: 0.182s
QRS interval: 0.092s
What is your interpretation of this ECG?
Answer:
ECG diagnosis: nferior M
ST elevation: , , aVF
Q wave: No
ST depression: aVL, V1-V5
Other comments: No
ECG 23
Heart Rate: 104 bpm
PR interval: 0.182s
QRS interval: 0.108s
What is your interpretation of this ECG?
Answer:
ECG diagnosis: Anterior M
ST elevation: V1-V4
Q wave: No
ST depression: , , , aVF, V6
Other comments: Sinus tachycardia (ECG rate
>100)
ECG 24
Heart Rate: 46 bpm
PR interval: 0.000s
QRS interval: 0.068s
What is your interpretation of this ECG?
Answer:
ECG diagnosis: nferior M
ST elevation: , , aVF
Q wave: No
ST depression: , aVL, V2-V4
Other comments: Junctional rhythm (no P
waves). Wandering baseline V1
ECG 25
Heart Rate: 90 bpm
PR interval: 0.252s
QRS interval: 0.090s
What is your interpretation of this ECG?
Answer:
ECG diagnosis: nferior M
ST elevation: , , aVF
Q wave: No
ST depression: , aVL, V1-V2
Other comments: No
ECG 26
Heart Rate: 110 bpm
PR interval: 0.180s
QRS interval: 0.106s
What is your interpretation of this ECG?
Answer:
ECG diagnosis: nferior M
ST elevation: , , aVL
Q wave: , , aVL
ST depression: , aVL, V1-V5
Other comments: Sinus tachycardia (ECG rate
>100)
ECG 27
Heart Rate: 90 bpm
PR interval: 0.148s
QRS interval: 0.088s
What is your interpretation of this ECG?
Answer:
ECG diagnosis: Anterior M
ST elevation: V1-V4
Q wave: No
ST depression: No
Other comments: No
ECG 28
Heart Rate: 67 bpm
PR interval: 0.200s
QRS interval: 0.086sWhat is your interpretation of this ECG?
Answer:
ECG diagnosis: Anterolateral M
ST elevation: V2-V6
Q wave: No
ST depression: No
Other comments: Muscular artefact in the limb
leads
ECG 29
Heart Rate: 48 bpm
PR interval: 0.142s
QRS interval: 0.108sWhat is your interpretation of this ECG?
Answer:
ECG diagnosis: nferior M
ST elevation: , , aVF
Q wave:
ST depression: , aVL
Other comments: Muscular artefact in the limb leads
ECG 30
What is your interpretation of this ECG?
Answer:
ECG diagnosis: nferior M
ST elevation: , , aVF
Q wave: No
ST depression: , aVL, V1-V6
Other comments: Ventricular extrasystoles and a irregular rhythm (atrial fibrillation)
Heart rate: 110 bpm
PR interval: 0.000s
QRS interval: 0.108s