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• An enigma?
• Confusing?
• Difficult?
ECG Paper
Schematic representation of normal ECG
Whenever you look at an EKG, you will
Need to assess the rhythm.
• 0.12 - 0.20seconds.
• Delay at AV node
»Protect ventricles
»Allow for ventricular filling
Criteria QRS complex
• QTc Interval
QRS
segments
Pr Int QT Interval
Limb leads
–Measurements - lead II
–QRS Axis
–P wave Axis
Chest Leads
–Transitional Zone
–Phases of Activation
Depolarisation Stages
1
3
2
Typical complexes in the Pre-cordial
leads
RV RV IVS IVS LV LV
V1 V2 V3 V4 V5 V6
Progression of R waves throughout the
chest leads
• *Sinus Arrest*
• Checklist
• Criteria
ECG INTERPRETATION