ecg interpretation.ppt

7/26/2019 ECG interpretation.ppt

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HOW TO READ

ELECTROCARDIOGRAPHY

ZULKARNAINI

Department of Cardiolo! and "a#$%lar &edi$ine

'a$%lt! of &edi$ine Uni(er#it! of Indone#ia

National Cardio(a#$%lar Center Harapan Kita


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")"*

"+

","-

".

")R"*R

"+R",R

&id$la(i$%lar line

Anterior a/illar! line

&ida/illar! line

Unipolar Pre$odial 0C1e#t2 Lead#

Mervin J. Goldman, MD. 11thedition Principles of clinical Electrocardiography. Clinical Professor of Medicine University ofCalifornia School of Medicine San Francisco @199!19"#


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V7 V8V9 V9RV8RV7R

Horizontal plane ofV4-6

Unipolar Pre$odial 0C1e#t2 Lead#

Mervin J. Goldman, MD. 11thedition Principles of clinical Electrocardiography. Clinical Professor of Medicine University ofCalifornia School of Medicine San Francisco @199!19"#


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T1e ele$tro$ardioram

0ECG2 ill%#trate#

$ond%$tion of ele$tri$al

imp%l#e# in t1e 1eart3

T1e depolari4ation of t1e

(entri$le# o$$%r# from

t1e endo$ardi%m0in#ide2 to t1e

epi$ardi%m 0o%t#ide2

5e6

T1e repolari4ation of t1e

(entri$le# o$$%r# in t1e

oppo#ite dire$tion3 56


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ECG INTERPRETATION.3 RATE

-3 RHYTH&

,3 A7I8

+3 HIPERTROPHIC 8IGN8

*3 &YOCARDIAL IN'ARCTION

)3 ARRHYTH&IA


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.3 RATE

Normal 1eart rate 9 ): ; .:: /


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-3 RHYTH&

Normal $ardia$ r1!t1m 9 8INU8 r1!t1m

8in%# r1!t1m $1ara$teri#ti$# 9Rate ):.:: @pmCon#tant R ; R inter(alNeati(e P Fa(e in a"R and po#iti(e di IIP Fa(e i# alFa!# folloFed @! R8 $omple/


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,3 A7I8


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+3 HYPERTROPHIC 8IGN8


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*3 &YOCARDIAL IN'ARCTION

Ischemia

Injury Necrosis


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ANTERIOR IN'ARCTION


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IN'ERIOR IN'ARCTION


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PO8TEROLATERAL IN'ARCTION


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ARRHYTH&IA


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A" ?LOCK


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WHATB8 WRONG

Lead Error9 ". and ", are Tran#po#ed

In this normal 12-lead ECG the V1 and V3 chest electrodes are

interchanged. Exerienced ECG interreters should !e a!le to sot this

lead lacement error.


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"I#C$##I%N


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#inus arrhythmia


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&im! lead re'ersal


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Early reolari(ation


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#u!endocardial ischemia.

)nterolateral #*-se ment de ression


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$nsta!le angina


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acute anterolateral myocardial in+arction


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,igh lateral in+arction


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&ateral myocardial in+arction


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ight 'entricular in+arction


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)cute in+eroosterior myocardial in+arction


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le+t 'entricular aneurysm


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o!it( I


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,igh-grade atrio'entricular !loc/


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0ol++-ar/inson-0hite syndrome


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0ol++-ar/inson-0hite syndrome


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)trial +i!rillation


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)trial +lutter


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remature 'entricular contraction


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#ura'entricular tachycardia


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0ide comlex tachycardia


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Ventricular +lutter


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ecg interpretation.ppt

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