ECG Workshop

Semester 4
2019
Dr. Eric Neilson
Dr. Nancy Selfridge
Clinical Foundations
ECG Workshop Learning Objectives
Correctly interpret each 12-lead ECG using a methodical, systematic
approach to determine
• Rate
• Rhythm (and conduction)
• Axis
• Hypertrophy
• Ischemia/Infarction
To determine rhythm/conduction use the following approach
• Fast or slow?
• Regular or irregular?
• Check Ps (Uniformity; P for Q; Q for P)
• Check QRS (Uniformity; wide or narrow)
• Check intervals
• Ectopics?
#1: 28-year-old white male; ECG done for insurance examination.

Rate
Rhythm
Axis
#2: 32-year-old woman; initial visit for a routine physical examination.

Rate
Rhythm
Axis
#3: 54-year-old man recovered from MI; reports occasional palpitations.
Hint: Why does lead III appear more organized?

Rate
Rhythm
Axis
Which limb is affected?
#4: 62-year-old woman; history of coronary disease and hypertension.

Rate
Rhythm
Axis
#5: 22-year-old male marathon runner; routine ECG.

Rate
Rhythm
Axis
#6: 75-year-old man; students disagree with computer interpretation.

Rate
Rhythm
Axis
#7: 68-year-old woman admitted with bacterial pneumonia.

Rate
Rhythm
Axis
#8: 82-year-old man; history of hypertension, SOB with moderate exercise.

Rate
Rhythm
Axis
#9: 42-year-old woman has an unrepaired atrial septal defect; appears
mildly cyanotic and short of breath.

Rate
Rhythm
Axis
#10: 67-year-old man with longstanding hypertension; routine follow-up
ECG.

Rate
Rhythm
Axis
#11: 24 year-old man with longstanding history of heroin abuse; mildly
hypertensive.

Rate
Rhythm
Axis
#12: 55 year-old healthy man; routine physical examination.

Rate
Rhythm
Axis
#13: 74 year-old woman with history of a fainting spell while attending
a church service.

Rate
Rhythm
Axis
#14: 55-year-old woman with a history of supraventricular arrhythmia; was
placed on digoxin and beta blockers.

Rate
Rhythm
Axis
#15: ECG of an 88-year-old who arrived to the ED after a syncopal episode.

Rate
Rhythm
Axis
 82 year-old woman fainted at a shopping mall; was transported to the
#16: ED where this ECG was obtained. (Be careful with your analysis!)

Rate
Rhythm
Axis
#17: 52-year-old man with a history of hypertension.

Rate
Rhythm
Axis
#18: 41-year-old man with history of heart failure and dilated
cardiomyopathy.

Rate
Rhythm
Axis
#19: 36-year-old with acute renal failure as complication of septic abortion.

Rate
Rhythm
Axis
#20: 65-year-old man with a history of hypertension and congestive
heart failure.

Rate
Rhythm
Axis
#21: 18-year-old male is asymptomatic; an ECG is obtained for a college
athletic scholarship.

Rate
Rhythm
Axis
#22: 63-year-old man arrived to ED with severe constrictive chest pain
radiating to left arm.

Rate
Rhythm
Axis