Course Objectives. Proper Lead Placements. Review the ECG print paper. Review the mechanics of the Myocardium. Review basics of ECG Rhythms

Size: px
Start display at page:

Download "Course Objectives. Proper Lead Placements. Review the ECG print paper. Review the mechanics of the Myocardium. Review basics of ECG Rhythms"

Transcription

1 ECG Interpretations

2 Course Objectives Proper Lead Placements Review the ECG print paper Review the mechanics of the Myocardium Review basics of ECG Rhythms

3 How Leads Work The ECG Leads we use are Bipolar When an electrical impulse moves towards the (+) lead Displays as an Upward Deflection When an electrical impulse moves toward the (-) lead Displays as a Downward Deflection Lead II is displayed on the monitor because it shows the most (+) moving activity

4 ECG Lead Placement Limb Leads If 3 Leads (RA, LA, LL) If 4 Leads (RA, LA, LL, RL) RA is ground for all leads (Including the 12 leads) If there is excess artifact or difficulty with display Replace the RA Lead with a fresh sticker Place Leads on muscle, not over bone When you can: Place the Leads on the Torso of the Patient

5 ECG Lead Placement RA (White) Negative (-) LA (Black) Negative (-) RL (Green) Positive (+) LL (Red) - Positive (+) Remember: Clouds over Grass, Smoke over Fire

6 Breakdown of the Cardiac Rhythm Strip:

7 ECG interpretations HOW TO READ THE PRINTOUT..

8 The ECG Paper Horizontally (Time) One small box sec One large box sec Vertically (Voltage) One large box mv

9 The ECG Paper (cont.) 3 sec 3 sec Every 3 seconds (15 large boxes) is marked by a vertical line. ECG Interpretations are based on 6 seconds

10 ECG interpretations THE MECHANICS OF THE MYOCARDIUM

11 Pacemakers of the Heart SA Node - Dominant pacemaker with an intrinsic rate of beats/minute. AV Node - Back-up pacemaker with an intrinsic rate of beats/minute. Ventricular cells - Back-up pacemaker with an intrinsic rate of bpm.

12 Impulse Conduction & the ECG Sinoatrial node AV node Bundle of His Bundle Branches Purkinje fibers

13 The PQRST P wave - Atrial depolarization QRS - Ventricular depolarization T wave - Ventricular repolarization The Atria repolarizes at the same time that the Ventricles depolarize

14 ECG interpretations MEASUREMENTS OF ECG INTERPRETATIONS.

15 Option 1 Step 1: Calculate Rate 3 sec 3 sec Count the Number of complete QRS complexes in a 6 second rhythm strip, then multiply by 10. Reminder: all rhythm strips in the modules are 6 seconds in length. What is the Rate on this Strip? 9 x 10 = 90 bpm

16 Option 2 Step 1: Calculate Rate R wave Find an R wave that lands on a bold line. Count the number of large boxes to the next R wave. If the second R wave is 1 large box away the rate is 300, 2 boxes - 150, 3 boxes - 100, 4 boxes - 75, etc. (cont.)

17 Option 2 Step 1: Calculate Rate Memorize the sequence: What is the Rate on this Strip? Approx. 1 box less than 100 = 95 bpm

18 Step 2: Determine regularity R R Look at the R-R distances (using a caliper or markings on a pen or paper). Regular (are they equal distance apart)? Occasionally irregular? Regularly irregular? Irregularly irregular?

19 Step 3: Assess the P waves Are P waves present? Do the P waves all look the same? Do the P waves occur at a regular rate? Is there one P wave before each QRS complex? Normal P waves with 1 P wave for every QRS

20 Step 4: Determine PR interval Normal: seconds. (3-5 boxes)

21 Step 5: QRS duration Normal: seconds. (1-3 boxes)

22 ECG interpretations PUTTING IT ALL TOGETHER.

23 Rhythm Analysis Step 1: Step 2: Step 3: Step 4: Step 5: Calculate rate. Determine regularity. Assess the P waves. Determine PR interval. Determine QRS duration.

24 Normal Sinus Rhythm (NSR) Rate Regularity P waves PR interval QRS duration bpm regular Before each QRS Complex sec sec

25 Sinus Rhythms: Sinus Tachycardia Sinus Bradycardia Sinus Arrhythmia

26 Sinus Tachycardia Rate Regularity P waves PR interval QRS duration between 100 and 150 bpm regular before each QRS Complex sec sec Remember: sinus tachycardia can be a response to physical or psychological stress, not a primary arrhythmia.

27 Sinus Bradycardia Rate Regularity P waves PR interval QRS duration less than 60 bpm regular before each QRS Complex sec sec

28 Sinus Arrhythmia Rate Regularity P waves PR interval QRS duration bpm irregular normal sec sec Can be related to respirations, common in pediatrics

29 Atrial Rhythms Wandering Atrial Pacemaker Atrial Tachycardia Atrial Flutter Atrial Fibrillation

30 Wandering Pacemaker Rate Regularity P waves PR interval QRS duration bpm slightly irregular change from beat to beat, may disappear completely sec sec

31 Atrial Tachycardia Rate Regularity P waves PR interval QRS duration more than 100 bpm regular normal, flat or inverted varies sec

32 Atrial Flutter Rate Regularity P waves PR interval QRS duration Ventricle Rate - normal Atrial Rate bpm regular flutter wave Multiple per each QRS Complex not measurable sec (Turning the strip upside down may make the saw tooth pattern more prominent)

33 Atrial Fibrillation Rate Regularity P waves PR interval QRS duration Atrial Rate can t be counted Ventricular Rate - varies irregularly irregular not distinguishable not measurable sec

34 Junctional Rhythms Junctional Escape Junctional Bradycardia Accelerated Junctional SVT

35 Junctional Escape Rate Regularity P waves PR interval QRS duration bpm regular inverted or flat < if before the QRS Complex usually <0.12 sec, but can be greater

36 Junctional Bradycardia Rate Regularity P waves PR interval QRS duration <40 bpm regular inverted or flat < 0.12 sec usually <0.12 sec, but can be greater

37 Accelerated Junctional Rate Regularity P waves PR interval QRS duration bpm regular inverted or flat < if before the QRS Complex usually <0.12 sec, but can be greater

38 Junctional Tachycardia Rate Regularity P waves PR interval QRS duration more than 100 bpm regular inverted or flat sec sec

39 Supraventricular Tachycardia (SVT) Rate Regularity P waves PR interval QRS duration greater than 150 bpm regular unable to be read buried in previous QRS Complex sec

40 Blocks 1 0 HB + Underlying Rhythm 2 0 Type I - Wenkebach 2 0 Type II - Classical 3 0 degree HB

41 1st Degree AV Block Prolonged conduction delay in the AV node or Bundle of His. PRI will be greater than 0.20 There will be one P wave in front of every QRS Complex The underlying rhythm is part of the interpretation

42 2 0 HB Mobitz I - Wenckebach Rate Regularity P waves PR interval QRS duration Atrial Rate normal Ventricular Rate Bradycardic regular normal progressively longer until the QRS is missed then recaptures sec

43 20 HB Block, Type II - Classical Rate Regularity P waves PR interval Atrial Rate normal Ventricular Rate Bradycardic regular ratio of 2:1, 3:1 (P waves to QRS) normal or prolonged when followed by a QRS Complex (P-R Interval will always be the same) QRS duration sec - P wave conduction is blocked in a consistent repeating pattern

44 3rd Degree AV Block Rate Regularity P waves PR interval QRS duration Atrial Rate normal Ventricular Rate Bradycardic Rate regular from P to P or QRS to QRS unrelated to QRS Complex unrelated to QRS Complex slower than 0.12 seconds The P waves are completely blocked in the AV junction; QRS complexes originate independently from below the AV junction.

45 Differentiating The Heart Blocks Look at the R to R intervals Are they regular or not Look at the PR intervals Are they consistent? If not, is there a pattern Heart Block R to R PR interval 2 0 Type I Wenckebach Irregular - Dropped QRS Irregular longer, longer, longer 2 0 Type II - Classical Regular if consistent degree of block Regular for PR interval; just more P s than QRS 3rd degree - complete Regular Irregular no pattern 45

46 Differentiating The Heart Blocks 46

47 Differentiating The Heart Blocks

48 Comparing Heart Blocks

49 Ectopic Beats Premature Atrial Contraction (PAC) Premature Junctional Contraction (PJC) Premature Ventricular Contraction (PVC) Uni-focal Multi-focal

50 Premature Atrial Contractions (PAC) Etiology: Excitation of an atrial cell forms an impulse that is then conducted normally through the AV node and ventricles.

51 Premature Junctional Contractions (PJC) Etiology: Excitation of cells in the AV Node. A pause is dependent on if the SA Node is depolarized when the impulse occurs.

52 Premature Ventricular Contraction (PVC) Ectopic beats originate in the ventricles resulting in wide and bizarre QRS complexes. Compare multiple premature beats: When multiple PVCs look alike, they are called uniform When multiple PVCs look different, they are called multifocal

53 Unifocal PVC Multifocal PVC

54 PVC Patterns Bigeminy: Every other beat is a PVC Trigeminy: Every third beat is a PVC Quadgeminy Every fourth beat is a PVC

55 Run of PVCs If 3 or more PVCs occur in a row: This is a Run of V-Tach (Ventricular Tachycardia)

56 Ventricular Rhythms Wolf Parkinson White (WPW) Ventricular Tachycardia (V-Tach) Torsade de pointes Ventricular Fibrillation (V-Fib) Asystole

57 Wolf Parkinson White (WPW) Congenital defect in conduction system Presence of abnormal electrical pathway that can cause tachycardia Episodes often begin occurring in teens and early 20 s Normal Conduction WPW Conduction 57

58 Wolf Parkinson White (WPW) The pacemaker impulse bypasses the AV Node Rate: bpm Rhythm: regular P wave: less than 0.12 sec QRS: >.12 seconds (wide and bizarre) Only Rhythm with Delta Wave 58

59 Ventricular Tachycardia (monomorphic) Ventricular cells fire continuously due to a looping re-entrant circuit Rate usually regular, bpm P wave: absent QRS: complexes bizarre, >.12 Rhythm: usually regular

60 Ventricular Tachycardia (polymorphic) Ventricular cells fire continuously due to a looping re-entrant circuit from multiple foci Rate usually regular, bpm P wave: may be absent, inverted or retrograde QRS: complexes bizarre, >.12 Rhythm: usually regular

61 Torsade de Pointes A Multifocal V-Tach Escape rhythm (safety mechanism) to prevent ventricular standstill Bundle of HIS/Purkinje Fiber pacemaker take over Rhythm: varies from beat to beat P wave: absent QRS: >.12 seconds (wide and bizarre) *Can be caused by mixture of antiarrhythmic drugs and non-sedating antihistamines, anti fungal meds and certain antibiotics * Can be seen in alcoholic, anorexia and/or bulimic patients 61

62 Ventricular Fibrillation Rhythm: irregular (coarse or fine), wave form varies in size and shape Fires continuously from multiple foci No organized electrical activity No cardiac output

63 Asystole Ventricular standstill, no electrical activity, no cardiac output no pulse! Remember! No defibrillation with Asystole Rate: absent due to absence of ventricular activity. Occasional P wave may be identified Not productive

64 Other Rhythms Idioventricular Accelerated Idioventricular Paced PEA

65 Idioventricular Rhythm Escape rhythm (safety mechanism) to prevent ventricular standstill HIS/Purkinje system takes over as the heart s pacemaker Rhythm: regular Rate: bpm P wave: absent QRS: >.12 seconds (wide and bizarre) 65

66 Accelerated Idioventricular Rhythm Escape rhythm (safety mechanism) to prevent ventricular standstill Bundle of HIS/Purkinje Fiber system takes over as the heart s pacemaker Rhythm: regular Rate: bpm P wave: absent QRS: >.12 seconds (wide and bizarre) 66

67 Paced Rhythm Man made mechanical pacing device Rhythm: regular if continuous firing Irregular if pacing on demand Rate: Based on what is programmed P wave: dependent on where pacer is originating from QRS: >.12 seconds (wide and bizarre) The only thing to identify is that it is a Paced Rhythm 67

68 Pulseless Electrical Activity (PEA) Pick any rhythm that we have discussed and remove the pulse This is only electrical activity with no mechanical function That is why we treat the patient, not the monitor. NO PULSE Consider the H s and T s to improve the patient s out come: - Hypoxia - Hypovolemia - Tension Pneumothorax - Hypothermia - Hypo/Hyperkalemia - Tamponade Cardiac - Hydrogen Ion (Acidosis) - Thrombosis Pulmonary - Thrombosis - Cardiac 68

69 ECG interpretations INTERPRETATIONS

70 Normal Sinus Rhythm

71 Atrial Fibrillation Is the patient stable or unstable? Patients can walk around in this rhythm with no problems Watch for medication hx to include: Coumadin, Prodaxa, Eliquis, Xarelto or Lovenox

72 Sinus Rhythm w/ Run of V-Tach Is the patient stable or unstable? Are there multiple occurrences? Interventions: ASA (ACS SOP) and Amiodarone

73 2 0 HB Mobitz II (Classical) Is the patient stable or unstable Interventions: Dopamine, TCP

74 Sinus Rhythm w/1 0 Heart Block Not Normal Sinus Rhythm w/1 0 Heart Block

75 Monomorphic V-Tach Is the patient stable or unstable? Intervention: Amiodarone 150mg in 50 ml 0.9 NS drip Be ready for Synchronized Cardioversion

76 Torsades de Pointes Is the patient stable or unstable? Intervention: Magnesium 2 Gm w/16 ml 0.9 NS over 5 min or you may get the 2 Gm in 40 ml bag. Be ready for Defibrillation

77 Junctional Escape Is the patient stable or unstable? Interventions: Atropine, Dopamine, TCP

78 Artificial Paced Rhythm Is the patient stable or unstable?

79 NO PULSE Start CPR Pulseless Electrical Activity (PEA) Consider H s and T s Interventions: Epinephrine, Possibly Sodium Bicarbonate

80 REVIEW.. 80

81 Review For every strip we look at: Rate Regularity Determine P waves Measure PR interval Determine QRS duration Pacemaker Rates: SA Node Dominant pacemaker: bpm AV Node Back-up pacemaker: bpm Ventricular cells - Back-up pacemaker: bpm 81

82 Review.. Each small square is 0.04 seconds and a large box is 0.20 seconds P wave - Atrial depolarization QRS Ventricular depolarization T wave - Ventricular repolarization * The Atria repolarizes at the same time that the Ventricles depolarize 82

83 Questions? 83

-RHYTHM PRACTICE- By Dr.moanes Msc.cardiology Assistant Lecturer of Cardiology Al Azhar University. OBHG Education Subcommittee

-RHYTHM PRACTICE- By Dr.moanes Msc.cardiology Assistant Lecturer of Cardiology Al Azhar University. OBHG Education Subcommittee -RHYTHM PRACTICE- By Dr.moanes Msc.cardiology Assistant Lecturer of Cardiology Al Azhar University The Normal Conduction System Sinus Node Normal Sinus Rhythm (NSR) Sinus Bradycardia Sinus Tachycardia

More information

CRC 431 ECG Basics. Bill Pruitt, MBA, RRT, CPFT, AE-C

CRC 431 ECG Basics. Bill Pruitt, MBA, RRT, CPFT, AE-C CRC 431 ECG Basics Bill Pruitt, MBA, RRT, CPFT, AE-C Resources White s 5 th ed. Ch 6 Electrocardiography Einthoven s Triangle Chest leads and limb leads Egan s 10 th ed. Ch 17 Interpreting the Electrocardiogram

More information

Basic Dysrhythmia Interpretation

Basic Dysrhythmia Interpretation Basic Dysrhythmia Interpretation Objectives 2 To understand the Basic ECG To understand the meaning of Dysrhythmia To describe the normal heart conduction system. To describe the normal impulse pathways.

More information

2017 BDKA Review. Regularity Rate P waves PRI QRS Interpretation. Regularity Rate P waves PRI QRS Interpretation 1/1/2017

2017 BDKA Review. Regularity Rate P waves PRI QRS Interpretation. Regularity Rate P waves PRI QRS Interpretation 1/1/2017 1. 2017 BDKA Review 2. 3. 4. Interpretation 5. QT 6. 7. 8. 9. 10. QT 11. 12. 13. 14. 15. 16. 17. 18. QT 19. 20. QT 21. 22. QT 23. 24. Where are pacer spikes? Before the P wave or before the QRS complex?

More information

Arrhythmia Study Guide 3 Junctional and Ventricular Rhythms

Arrhythmia Study Guide 3 Junctional and Ventricular Rhythms Arrhythmia Study Guide 3 Junctional and Ventricular Rhythms JUNCTIONAL RHYTHMS The AV Junction (Bundle of His and surrounding cells) only acts as pacemaker of the heart when the SA Node is not firing normally

More information

CORONARY ARTERIES. LAD Anterior wall of the left vent Lateral wall of left vent Anterior 2/3 of interventricluar septum R & L bundle branches

CORONARY ARTERIES. LAD Anterior wall of the left vent Lateral wall of left vent Anterior 2/3 of interventricluar septum R & L bundle branches CORONARY ARTERIES RCA Right atrium Right ventricle SA node 55% AV node 90% Posterior wall of left ventricle in 90% Posterior third of interventricular septum 90% LAD Anterior wall of the left vent Lateral

More information

ABCs of ECGs. Shelby L. Durler

ABCs of ECGs. Shelby L. Durler ABCs of ECGs Shelby L. Durler Objectives Review the A&P of the cardiac conduction system Placement and obtaining 4-lead and 12-lead ECGs Overview of the basics of ECG rhythm interpretation Intrinsic

More information

BEDSIDE ECG INTERPRETATION

BEDSIDE ECG INTERPRETATION BEDSIDE ECG INTERPRETATION Presented by: Ryan Dean, RN, MSN, CCRN, CCNS, CFRN Flight Nurse 2017 Based on presentations originally by Gennifer DePaoli, RN Objectives Hospital policies Electrical conduction

More information

UNDERSTANDING YOUR ECG: A REVIEW

UNDERSTANDING YOUR ECG: A REVIEW UNDERSTANDING YOUR ECG: A REVIEW Health professionals use the electrocardiograph (ECG) rhythm strip to systematically analyse the cardiac rhythm. Before the systematic process of ECG analysis is described

More information

Basic EKG Interpretation. Nirja Parikh, PT, DPT

Basic EKG Interpretation. Nirja Parikh, PT, DPT Basic EKG Interpretation Nirja Parikh, PT, DPT Electrocardiogram (EKG) Using surface electrodes record the electrical activity of the heart electrical activity (usually) correlates to mechanical function

More information

Rate: The atrial and ventricular rates are equal; heart rate is greater than 100 bpm (usually between bpm).

Rate: The atrial and ventricular rates are equal; heart rate is greater than 100 bpm (usually between bpm). Sinus Bradycardia Regularity: The R-R intervals are constant; the rhythm is regular. Rate: The atrial and ventricular rates are equal; heart rate is less than 60 bpm. P wave: There is a uniform P wave

More information

Electrocardiography for Healthcare Professionals

Electrocardiography for Healthcare Professionals Electrocardiography for Healthcare Professionals Chapter 9: Ventricular Dysrhythmias 2012 The Companies, Inc. All rights reserved. Learning Outcomes 9.1 Describe the various ventricular dysrhythmias 9.2

More information

TEST BANK FOR ECGS MADE EASY 5TH EDITION BY AEHLERT

TEST BANK FOR ECGS MADE EASY 5TH EDITION BY AEHLERT Link download full: http://testbankair.com/download/test-bank-for-ecgs-made-easy-5thedition-by-aehlert/ TEST BANK FOR ECGS MADE EASY 5TH EDITION BY AEHLERT Chapter 5 TRUE/FALSE 1. The AV junction consists

More information

4/14/15 HTEC 91. Topics for Today. Guess That Rhythm. Premature Ventricular Contractions (PVCs) Ventricular Rhythms

4/14/15 HTEC 91. Topics for Today. Guess That Rhythm. Premature Ventricular Contractions (PVCs) Ventricular Rhythms 4/14/15 Topics for Today HTEC 91 Medical Office Diagnostic Tests Week 5 Ventricular Rhythms PVCs: Premature Ventricular Contractions VT: Ventricular Tachycardia VF: Ventricular Fibrillation Asystole Study

More information

EKG Intermediate Tips, tricks, tools

EKG Intermediate Tips, tricks, tools Birmingham Regional Emergency Medical Services System 2018 ALCTE Summer Conference EKG Intermediate Tips, tricks, tools Brian Gober, MAT, ATC, NRP, CSCS Education Services Manager ECC Training Center Coordinator

More information

EKG Rhythm Interpretation Exam

EKG Rhythm Interpretation Exam as EKG Rhythm Interpretation Exam Name: Date: ID# Unit Assume each strip is a 6 second strip. Passing is 80%. 1. Identify the following rhythm: a. Asystole b. Ventricular fibrillation c. Atrial fibrillation

More information

Cardiac Arrhythmia How to approach นพ.พ น จ แกวส วรรณะ หน วยโรคห วใจและหลอดเล อด

Cardiac Arrhythmia How to approach นพ.พ น จ แกวส วรรณะ หน วยโรคห วใจและหลอดเล อด Cardiac Arrhythmia How to approach นพ.พ น จ แกวส วรรณะ หน วยโรคห วใจและหลอดเล อด EKG paper is a grid where time is measured along the horizontal axis. Each small square is 1 mm in length and represents

More information

Electrocardiography for Healthcare Professionals

Electrocardiography for Healthcare Professionals Electrocardiography for Healthcare Professionals Chapter 7: Junctional Dysrhythmias 2012 The Companies, Inc. All rights reserved. Learning Outcomes 7.1 Describe the various junctional dysrhythmias 7.2

More information

8/20/2012. Learning Outcomes (Cont d)

8/20/2012. Learning Outcomes (Cont d) 1 2 3 4 Electrocardiography for Healthcare Professionals Chapter 7: Junctional Dysrhythmias Learning Outcomes 7.1 Describe the various junctional dysrhythmias 7.2 Identify premature junctional complexes

More information

COURSE DESCRIPTION. Rev 2.0 7/2013. Page 1 of 26

COURSE DESCRIPTION. Rev 2.0 7/2013. Page 1 of 26 COURSE DESCRIPTION Ventricular dysrhythmias (arrhythmias) are unique and potentially dangerous cardiac rhythms. They are often associated with Code Blue calls, and life and death situations. The only two

More information

Step by step approach to EKG rhythm interpretation:

Step by step approach to EKG rhythm interpretation: Sinus Rhythms Normal sinus arrhythmia Small, slow variation of the R-R interval i.e. variation of the normal sinus heart rate with respiration, etc. Sinus Tachycardia Defined as sinus rhythm with a rate

More information

Rhythm ECG Characteristics Example. Normal Sinus Rhythm (NSR)

Rhythm ECG Characteristics Example. Normal Sinus Rhythm (NSR) Normal Sinus Rhythm (NSR) Rate: 60-100 per minute Rhythm: R- R = P waves: Upright, similar P-R: 0.12-0.20 second & consistent P:qRs: 1P:1qRs Sinus Tachycardia Exercise Hypovolemia Medications Fever Substances

More information

ECG Interpretation. Introduction to Cardiac Telemetry. Michael Peters, RN, CCRN, CFRN CALSTAR Air Medical Services

ECG Interpretation. Introduction to Cardiac Telemetry. Michael Peters, RN, CCRN, CFRN CALSTAR Air Medical Services ECG Interpretation Introduction to Cardiac Telemetry Michael Peters, RN, CCRN, CFRN CALSTAR Air Medical Services Disclosures Nothing to disclose Objectives Describe the electrical conduction pathway in

More information

EKG Competency for Agency

EKG Competency for Agency EKG Competency for Agency Name: Date: Agency: 1. The upper chambers of the heart are known as the: a. Atria b. Ventricles c. Mitral Valve d. Aortic Valve 2. The lower chambers of the heart are known as

More information

2) Heart Arrhythmias 2 - Dr. Abdullah Sharif

2) Heart Arrhythmias 2 - Dr. Abdullah Sharif 2) Heart Arrhythmias 2 - Dr. Abdullah Sharif Rhythms from the Sinus Node Sinus Tachycardia: HR > 100 b/m Causes: o Withdrawal of vagal tone & Sympathetic stimulation (exercise, fight or flight) o Fever

More information

PATIENT WITH ARRHYTHMIA IN DENTIST S OFFICE. Małgorzata Kurpesa, MD., PhD. Chair&Department of Cardiology

PATIENT WITH ARRHYTHMIA IN DENTIST S OFFICE. Małgorzata Kurpesa, MD., PhD. Chair&Department of Cardiology PATIENT WITH ARRHYTHMIA IN DENTIST S OFFICE Małgorzata Kurpesa, MD., PhD. Chair&Department of Cardiology Medical University of Łódź The heart is made up of four chambers Left Atrium Right Atrium Left Ventricle

More information

1. Normal sinus rhythm 2. SINUS BRADYCARDIA

1. Normal sinus rhythm 2. SINUS BRADYCARDIA 1. Normal sinus rhythm 2. SINUS BRADYCARDIA No signs and symptoms observe There are severe signs or symptoms o What are the signs and symptom Hypotension

More information

Dr.Binoy Skaria 13/07/15

Dr.Binoy Skaria  13/07/15 Dr.Binoy Skaria binoyskaria@hotmail.com binoy.skaria@heartofengland.nhs.uk 13/07/15 Acknowledgement Medtronic, Google images & Elsevier for slides Natalie Ryan, Events Manager, HEFT- for organising the

More information

Lake EMS Basic EKG Review: Atrial Rhythms. The Lake EMS Quality Development Team

Lake EMS Basic EKG Review: Atrial Rhythms. The Lake EMS Quality Development Team Lake EMS Basic EKG Review: Atrial Rhythms The Lake EMS Quality Development Team This program is the Intellectual Property of Lake Emergency Medical Services Use of this program is limited to training and

More information

The ABCs of EKGs/ECGs for HCPs. Al Heuer, PhD, MBA, RRT, RPFT Professor, Rutgers School of Health Related Professions

The ABCs of EKGs/ECGs for HCPs. Al Heuer, PhD, MBA, RRT, RPFT Professor, Rutgers School of Health Related Professions The ABCs of EKGs/ECGs for HCPs Al Heuer, PhD, MBA, RRT, RPFT Professor, Rutgers School of Health Related Professions Learning Objectives Review the basic anatomy of the heart Describe the cardiac conducting

More information

Review Packet EKG Competency This packet is a review of the information you will need to know for the proctored EKG competency test.

Review Packet EKG Competency This packet is a review of the information you will need to know for the proctored EKG competency test. Review Packet EKG Competency 2015 This packet is a review of the information you will need to know for the proctored EKG competency test. Normal Sinus Rhythm Rhythm: Regular Ventricular Rate: 60-100 bpm

More information

Basic ECG Interpretation Module Notebook

Basic ECG Interpretation Module Notebook Basic ECG Interpretation Module Notebook ECG_Notebook_04.27.05 Page 1 of 142 Basic ECG Interpretation Table of Contents Module Objectives... 3 Module Outline... 6 Lesson I... 6 Lesson II... 8 Lesson III...

More information

EKG Abnormalities. Adapted from:

EKG Abnormalities. Adapted from: EKG Abnormalities Adapted from: http://www.bem.fi/book/19/19.htm Some key terms: Arrhythmia-an abnormal rhythm or sequence of events in the EKG Flutter-rapid depolarizations (and therefore contractions)

More information

ELECTROCARDIOGRAPHY KEVIN REBECK PA-C. For more presentations

ELECTROCARDIOGRAPHY KEVIN REBECK PA-C. For more presentations ELECTROCARDIOGRAPHY KEVIN REBECK PA-C For more presentations www.medicalppt.blogspot.com Objectives ECG History Pathophysiology Basics Case Historys Electrical activation of the heart In the heart

More information

CORONARY ARTERIES HEART

CORONARY ARTERIES HEART CARDIAC/ECG MODULE THE HEART CORONARY ARTERIES FIBRILLATING HEART CORONARY ARTERIES HEART PRACTICE RHYTHMS PRACTICE RHYTHMS ELECTRICAL CONDUCTION SA Node (60 100) Primary pacemaker AV Node (40 60) ***Creates

More information

Cardiology Flash Cards

Cardiology Flash Cards Cardiology Flash Cards EKG in a nut shell www.brain101.info Conduction System www.brain101.info 2 Analyzing EKG Step by step Steps in Analyzing ECG'S 1. Rhythm: - Regular _ Sinus, Junctional or Ventricular.

More information

Paramedic Rounds. Tachyarrhythmia's. Sean Sutton Dallas Wood

Paramedic Rounds. Tachyarrhythmia's. Sean Sutton Dallas Wood Paramedic Rounds Tachyarrhythmia's Sean Sutton Dallas Wood Objectives At the end of this session, the paramedic will be able to: State the key components of the cardiac conduction pathway, along with the

More information

Anesthesia Assistants Review Course

Anesthesia Assistants Review Course American Association of Oral and Maxillofacial Surgeons Anesthesia Assistants Review Course Four Seasons Las Vegas February 24-25, 2018 Las Vegas, Nevada Anesthesia Assistants Review Course EKG Lecture

More information

Lab Activity 24 EKG. Portland Community College BI 232

Lab Activity 24 EKG. Portland Community College BI 232 Lab Activity 24 EKG Reference: Dubin, Dale. Rapid Interpretation of EKG s. 6 th edition. Tampa: Cover Publishing Company, 2000. Portland Community College BI 232 Graph Paper 1 second equals 25 little boxes

More information

CSI Skills Lab #5: Arrhythmia Interpretation and Treatment

CSI Skills Lab #5: Arrhythmia Interpretation and Treatment CSI 202 - Skills Lab #5: Arrhythmia Interpretation and Treatment Origins of the ACLS Approach: CSI 202 - Skills Lab 5 Notes ACLS training originated in Nebraska in the early 1970 s. Its purpose was to

More information

How To Think About Rhythms and Conduction

How To Think About Rhythms and Conduction How To Think About Rhythms and Conduction Frank Yanowitz, MD Professor of Medicine (Cardiology) University of Utah School of Medicine Medical Director, IHC ECG Services Intermountain Healthcare http://ecg.utah.edu

More information

3/26/15 HTEC 91. EKG Sign-in Book. The Cardiac Cycle. Parts of the ECG. Waves. Waves. Review of protocol Review of placement of chest leads (V1, V2)

3/26/15 HTEC 91. EKG Sign-in Book. The Cardiac Cycle. Parts of the ECG. Waves. Waves. Review of protocol Review of placement of chest leads (V1, V2) EKG Sign-in Book HTEC 91 Review of protocol Review of placement of chest leads (V1, V2) Medical Office Diagnostic Tests Week 2 http://www.cvphysiology.com/arrhythmias/a013c.htm The Cardiac Cycle Represents

More information

Chapter 28, Part 1 Cardiology. Cardiac Physiology. Cardiovascular Anatomy

Chapter 28, Part 1 Cardiology. Cardiac Physiology. Cardiovascular Anatomy Chapter 28, Part 1 Cardiology Part 1: Cardiovascular Anatomy & Physiology, ECG Monitoring, and Dysrhythmia Analysis 1 2 Cardiovascular Anatomy Coronary Circulation Cardiac Physiology The cardiac cycle

More information

ECG Interpretation and Clinical Significance

ECG Interpretation and Clinical Significance Confirming Pages ECG Interpretation and Clinical Significance Chapter Outline 5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5.9 5.10 Learning Outcomes Key Terms Introduction (p. 114) Identifying the Components of the

More information

Electrocardiography Abnormalities (Arrhythmias) 7. Faisal I. Mohammed, MD, PhD

Electrocardiography Abnormalities (Arrhythmias) 7. Faisal I. Mohammed, MD, PhD Electrocardiography Abnormalities (Arrhythmias) 7 Faisal I. Mohammed, MD, PhD 1 Causes of Cardiac Arrythmias Abnormal rhythmicity of the pacemaker Shift of pacemaker from sinus node Blocks at different

More information

ACLS Study Guide for Precourse Self-Assessment

ACLS Study Guide for Precourse Self-Assessment 20 rhythm strips on Precourse Self-Assessment with the following matching choices: Agonal Rhythm/Asystole Atrial Fibrillation Flutter Ventricular Fibrillation Monomorphic Ventricular Normal Sinus Rhythm

More information

Please check your answers with correct statements in answer pages after the ECG cases.

Please check your answers with correct statements in answer pages after the ECG cases. ECG Cases ECG Case 1 Springer International Publishing AG, part of Springer Nature 2018 S. Okutucu, A. Oto, Interpreting ECGs in Clinical Practice, In Clinical Practice, https://doi.org/10.1007/978-3-319-90557-0

More information

ECG Interpretation Cat Williams, DVM DACVIM (Cardiology)

ECG Interpretation Cat Williams, DVM DACVIM (Cardiology) ECG Interpretation Cat Williams, DVM DACVIM (Cardiology) Providing the best quality care and service for the patient, the client, and the referring veterinarian. GOAL: Reduce Anxiety about ECGs Back to

More information

Cardiac Arrhythmias in Sleep

Cardiac Arrhythmias in Sleep Cardiac Arrhythmias in Sleep Only 53 Slides! Gauresh H Kashyap, MD, FACP, FCCP, FAASM 1 2 Cardiac Arrhythmias in Sleep Out of 400 Patients with OSA, 48% had some Arrhythmias 20% - 2 PVCs/min 7% - Bradycardia

More information

Chapter 16: Arrhythmias and Conduction Disturbances

Chapter 16: Arrhythmias and Conduction Disturbances Complete the following. Chapter 16: Arrhythmias and Conduction Disturbances 1. Cardiac arrhythmias result from abnormal impulse, abnormal impulse, or both mechanisms together. 2. is the ability of certain

More information

Cardiac Telemetry Self Study: Part One Cardiovascular Review 2017 THINGS TO REMEMBER

Cardiac Telemetry Self Study: Part One Cardiovascular Review 2017 THINGS TO REMEMBER Please review the above anatomy of the heart. THINGS TO REMEMBER There are 3 electrolytes that affect cardiac function o Sodium, Potassium, and Calcium When any of these electrolytes are out of the normal

More information

Arrhythmic Complications of MI. Teferi Mitiku, MD Assistant Clinical Professor of Medicine University of California Irvine

Arrhythmic Complications of MI. Teferi Mitiku, MD Assistant Clinical Professor of Medicine University of California Irvine Arrhythmic Complications of MI Teferi Mitiku, MD Assistant Clinical Professor of Medicine University of California Irvine Objectives Brief overview -Pathophysiology of Arrhythmia ECG review of typical

More information

ECG Interpretation Made Easy

ECG Interpretation Made Easy ECG Interpretation Made Easy Dr. A Tageldien Abdellah, MSc MD EBSC Lecturer of Cardiology- Hull University Hull York Medical School 2007-2008 ECG Interpretation Made Easy Synopsis Benefits Objectives Process

More information

Cardiac Arrhythmias & Drugs used in Advanced Life Support and Cardiac Emergencies

Cardiac Arrhythmias & Drugs used in Advanced Life Support and Cardiac Emergencies Cardiac Arrhythmias & Drugs used in Advanced Life Support and Cardiac Emergencies CNHE Ballarat Health Services Valid from 1 st March 2016 to 31 st June 2018 1 Supraventricular Tachycardia (SVT) An atrial

More information

I have no conflicts of interest relative to this lecture.

I have no conflicts of interest relative to this lecture. PATHWAYS AROUND THE PITFALLS OF EKG RHYTHM INTERPRETATION Donald D. Brown, MD April 4, 2019 I have no conflicts of interest relative to this lecture. OBJECTIVES FOR PATHWAYS AROUND PITFALLS OF EKG RHYTHM

More information

INDEX. Kingston General Hospital May Introduction Page 2. Cardiac Conduction System Page 3. Introduction to Cardiac Monitoring Page 5

INDEX. Kingston General Hospital May Introduction Page 2. Cardiac Conduction System Page 3. Introduction to Cardiac Monitoring Page 5 Kingston General Hospital May 2008 INDEX Introduction Page 2 Cardiac Conduction System Page 3 Introduction to Cardiac Monitoring Page 5 Recording Electrical Events Page 9 Waves of the ECG Complex Page

More information

The Electrocardiogram part II. Dr. Adelina Vlad, MD PhD

The Electrocardiogram part II. Dr. Adelina Vlad, MD PhD The Electrocardiogram part II Dr. Adelina Vlad, MD PhD Basic Interpretation of the ECG 1) Evaluate calibration 2) Calculate rate 3) Determine rhythm 4) Determine QRS axis 5) Measure intervals 6) Analyze

More information

PEDIATRIC CARDIAC RHYTHM DISTURBANCES. -Jason Haag, CCEMT-P

PEDIATRIC CARDIAC RHYTHM DISTURBANCES. -Jason Haag, CCEMT-P PEDIATRIC CARDIAC RHYTHM DISTURBANCES -Jason Haag, CCEMT-P General: CARDIAC RHYTHM DISTURBANCES - More often the result and not the cause of acute cardiovascular emergencies - Typically the end result

More information

PACIFIC MEDICAL TRAINING Arrhythmia Interpretation

PACIFIC MEDICAL TRAINING Arrhythmia Interpretation PACIFIC MEDICAL TRAINING Arrhythmia Interpretation Introduction Activity Summary Target Audience Educational Objectives Nursing Educational Objective Faculty Physician Continuing Medical Education Nursing

More information

Electrocardiography for Healthcare Professionals

Electrocardiography for Healthcare Professionals Electrocardiography for Healthcare Professionals Kathryn A. Booth Thomas O Brien Chapter 5: Rhythm Strip Interpretation and Sinus Rhythms Learning Outcomes 5.1 Explain the process of evaluating ECG tracings

More information

The ECG Course. Boone County Fire Protection District EMS Education

The ECG Course. Boone County Fire Protection District EMS Education The ECG Course Level I G rated material AV Blocks What Causes AV Block? Long list of bad things that includes ischemia and.. Old age / disease Medications or drugs Electrolyte imbalances Physiologic Blocks

More information

ECGs and Arrhythmias: Family Medicine Board Review 2009

ECGs and Arrhythmias: Family Medicine Board Review 2009 Rate Rhythm Intervals Hypertrophy ECGs and Arrhythmias: Family Medicine Board Review 2009 Axis Jess (Fogler) Waldura, MD University of California, San Francisco walduraj@nccc.ucsf.edu Ischemia Overview

More information

Answer: The electrical current has difficulty traveling down the normal conduction pathway.

Answer: The electrical current has difficulty traveling down the normal conduction pathway. 1 Electrocardiography for Healthcare Professionals Chapter 8: Heart Block Dysrhythmias 2 3 4 5 6 Learning Outcomes 8.1 Describe the various heartblock dysrhythmias 8.2 Identify first degree heartblock

More information

Minding your P s and Q s Understanding ECG s. Samantha Knell, RVT

Minding your P s and Q s Understanding ECG s. Samantha Knell, RVT Minding your P s and Q s Understanding ECG s Samantha Knell, RVT In Veterinary field for 20 years RVT since 7/2015 Team Leader at Rockville CVCA since 8/2016 Vice President of Maryland Veterinary Technician

More information

12/2/2016. Basic Cardiac Anatomy. Blood Flow Through the Heart. Fun Fact.. Layers of the Heart. Layers of the Heart

12/2/2016. Basic Cardiac Anatomy. Blood Flow Through the Heart. Fun Fact.. Layers of the Heart. Layers of the Heart Basic Cardiac Anatomy Blood Flow Through the Heart Septum 1. Blood enters right atrium via inferior & superior vena cava 2. Right atrium contracts, sending blood through the tricuspid valve and into the

More information

Appendix D Output Code and Interpretation of Analysis

Appendix D Output Code and Interpretation of Analysis Appendix D Output Code and Interpretation of Analysis 8 Arrhythmia Code No. Description 8002 Marked rhythm irregularity 8110 Sinus rhythm 8102 Sinus arrhythmia 8108 Marked sinus arrhythmia 8120 Sinus tachycardia

More information

3. AV Block 1. First-degree AV block 1. Delay in AV node 2. Long PR interval 3. QRS complex follows each P wave 4. Benign, no tx

3. AV Block 1. First-degree AV block 1. Delay in AV node 2. Long PR interval 3. QRS complex follows each P wave 4. Benign, no tx 1. Rhythms & arrhythmias SA nodal rhythms Sinus rhythm Sinus tachycardia Sinus bradycardia Sinus arrhythmia Sick sinus syndrome SA block Sinus arrest AV blocks First-degree Second-degree Mobitz Type I

More information

Junctional Premature Contraction (JPC)

Junctional Premature Contraction (JPC) Where s the PAC? Junctional Premature Contraction (JPC) A junctional premature contraction (JPC) is a beat that originates prematurely in the AV node. It can occur sporadically or in a grouped pattern.

More information

TELEMETRY BASICS FOR NURSING STUDENTS

TELEMETRY BASICS FOR NURSING STUDENTS TELEMETRY BASICS FOR NURSING STUDENTS Accuracy of cardiac monitoring is an important component of patient safety in hospitalized patients who meet the criteria for dysrhythmia monitoring. (AACN, 2016,

More information

WHAT S THAT RHYTHM I AM HEARING? GUIDE TO AUSCULTATION OF ARRHYTHMIAS IN HORSES

WHAT S THAT RHYTHM I AM HEARING? GUIDE TO AUSCULTATION OF ARRHYTHMIAS IN HORSES WHAT S THAT RHYTHM I AM HEARING? GUIDE TO AUSCULTATION OF ARRHYTHMIAS IN HORSES Michelle Henry Barton DVM, PhD, DACVIM University of Georgia, Athens, GA INTRODUCTION The purpose of this talk is to review

More information

Chapter 20 (2) The Heart

Chapter 20 (2) The Heart Chapter 20 (2) The Heart ----------------------------------------------------------------------------------------------------------------------------------------- Describe the component and function of

More information

ECG Interactive Session

ECG Interactive Session SA HEART 2018 PRE-CONGRESS WORKSHOP 4 OCTOBER 2018 ECG Interactive Session Ashley Chin Cardiologist/Electrophysiologist University of Cape Town Groote Schuur Hospital ECG 1 Which ONE of the following is

More information

CRITICAL CARE OF THE CARDIAC PATIENT WEBINAR VET 2017

CRITICAL CARE OF THE CARDIAC PATIENT WEBINAR VET 2017 CRITICAL CARE OF THE CARDIAC PATIENT WEBINAR VET 2017 The Heart The heart is undoubtedly the most important organ in the body. Unfortunately, when it is not functioning properly, it can have dire consequences.

More information

Full file at

Full file at MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question. 1) What electrical event must occur for atrial kick to occur? 1) A) Atrial repolarization B) Ventricular

More information

SIMPLY ECGs. Dr William Dooley

SIMPLY ECGs. Dr William Dooley SIMPLY ECGs Dr William Dooley Content Basic ECG interpretation pattern Some common (examined) abnormalities Presenting ECGs in context Setting up an ECG Setting up an ECG 1 V1-4 th Right intercostal space

More information

physiology 6 Mohammed Jaafer Turquoise team

physiology 6 Mohammed Jaafer Turquoise team 15 physiology 6 Mohammed Jaafer 22-3-2016 Turquoise team Cardiac Arrhythmias and Their Electrocardiographic Interpretation Today, we are going to talk about the abnormal excitation. As we said before,

More information

Supraventricular Arrhythmias. Reading Assignment. Chapter 5 (p17-30)

Supraventricular Arrhythmias. Reading Assignment. Chapter 5 (p17-30) Supraventricular Arrhythmias Reading Assignment Chapter 5 (p17-30) The Supraventricular Rhythms In Our Lives Site of Origin Single Events Slow Rates Intermediate Rates Fast Rates (>100 bpm) Sinus Sinus

More information

Contents ECG Study Guide American Heart Association (AHA) Guidelines Highlights Update for Cardiopulmonary Resuscitation (CPR) and

Contents ECG Study Guide American Heart Association (AHA) Guidelines Highlights Update for Cardiopulmonary Resuscitation (CPR) and ECG Study Guide Contents ECG Study Guide... 4 2015 American Heart Association (AHA) Guidelines Highlights Update for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC).... 4 ECG

More information

1 Cardiology Acute Care Day 22 April 2013 Arrhythmia Tutorial Course Material

1 Cardiology Acute Care Day 22 April 2013 Arrhythmia Tutorial Course Material 1 Cardiology Acute Care Day 22 April 2013 Arrhythmia Tutorial Course Material Arrhythmia recognition This tutorial builds on the ECG lecture and provides a framework for approaching any ECG to allow the

More information

5AB Dysrhythmia Interpretation tation and Management Review Please complete and return by:

5AB Dysrhythmia Interpretation tation and Management Review Please complete and return by: 1 5AB Dysrhythmia Interpretation tation and Management Review 2014 RN Please complete and return by: Overview 2 This review begins with a discussion of the physiology of cardiac conduction, and then covers

More information

Chapter 9. Learning Objectives. Learning Objectives 9/11/2012. Cardiac Arrhythmias. Define electrical therapy

Chapter 9. Learning Objectives. Learning Objectives 9/11/2012. Cardiac Arrhythmias. Define electrical therapy Chapter 9 Cardiac Arrhythmias Learning Objectives Define electrical therapy Explain why electrical therapy is preferred initial therapy over drug administration for cardiac arrest and some arrhythmias

More information

Cardiac Arrhythmias. Cathy Percival, RN, FALU, FLMI VP, Medical Director AIG Life and Retirement Company

Cardiac Arrhythmias. Cathy Percival, RN, FALU, FLMI VP, Medical Director AIG Life and Retirement Company Cardiac Arrhythmias Cathy Percival, RN, FALU, FLMI VP, Medical Director AIG Life and Retirement Company The Cardiovascular System Three primary functions Transport of oxygen, nutrients, and hormones to

More information

McHenry Western Lake County EMS System Optional CE for EMT-B, Paramedics and PHRN s Bradycardia and Treatments Optional #7 2018

McHenry Western Lake County EMS System Optional CE for EMT-B, Paramedics and PHRN s Bradycardia and Treatments Optional #7 2018 McHenry Western Lake County EMS System Optional CE for EMT-B, Paramedics and PHRN s Bradycardia and Treatments Optional #7 2018 This month we will be looking at a specific ECG Rhythm and its treatments

More information

Dysrhythmias that every Learn how to recognize an abnormal cardiac rhythm and intervene appropriately. By AnneMarie Palatnik, RN, APN-BC, MSN

Dysrhythmias that every Learn how to recognize an abnormal cardiac rhythm and intervene appropriately. By AnneMarie Palatnik, RN, APN-BC, MSN Too fast, too slow, too ugly: Dysrhythmias that every Learn how to recognize an abnormal cardiac rhythm and intervene appropriately. By AnneMarie Palatnik, RN, APN-BC, MSN 2.5 ANCC CONTACT HOURS CONTINUOUS

More information

Introduction to Electrocardiography

Introduction to Electrocardiography Introduction to Electrocardiography Class Objectives: Introduction to ECG monitoring Discuss principles of interpretation Identify the components and measurements of the ECG ECG analysis ECG Monitoring

More information

RN-BC, MS, CCRN, FAHA

RN-BC, MS, CCRN, FAHA Presented By: Barbara Furry, RN-BC, MS, CCRN, FAHA Director The Center of Excellence in Education Director of HERO Follow me on Twitter! CEE Med Updates@BarbaraFurryRN Like me on Facebook! 1 A. Atropine

More information

Conduction Problems / Arrhythmias. Conduction

Conduction Problems / Arrhythmias. Conduction Conduction Problems / Arrhythmias Conduction Wolf-Parkinson White Syndrome (WPW) and Lown-Ganong-Levine (LGL): Atrial impulses bypass the AV node through an accessory pathway or bypass tract (bundle of

More information

a lecture series by SWESEMJR

a lecture series by SWESEMJR Arrhythmias Automaticity- the ability to depolarize spontaneously. Pacemakers: Sinoatrial node: 70 bpm AV-nodal area: 40 bpm His-Purkinje: 20-40 bpm it Mechanisms of arrhythmias 1. Increased automaticity

More information

Huseng Vefali MD St. Luke s University Health Network Department of Cardiology

Huseng Vefali MD St. Luke s University Health Network Department of Cardiology Huseng Vefali MD St. Luke s University Health Network Department of Cardiology Learning Objectives Establish Consistent Approach to Interpreting ECGs Review Essential Cases for Paramedics and first responders

More information

ECG interpretation basics

ECG interpretation basics ECG interpretation basics Michał Walczewski, MD Krzysztof Ozierański, MD 21.03.18 Electrical conduction system of the heart Limb leads Precordial leads 21.03.18 Precordial leads Precordial leads 21.03.18

More information

Miscellaneous Stuff Keep reading the Outline

Miscellaneous Stuff Keep reading the Outline Miscellaneous Stuff Keep reading the Outline Welcome to the 5-Step Method ECG #: Mearurements: Rhythm (s): Conduction: Waveform: Interpretation: A= V= PR= QRS= QT= Axis= 1. Compute the 5 basic measurements:

More information

Northwest Community Healthcare Paramedic Education Program AV Conduction Defects/AV Blocks Connie J. Mattera, M.S., R.N., EMT-P

Northwest Community Healthcare Paramedic Education Program AV Conduction Defects/AV Blocks Connie J. Mattera, M.S., R.N., EMT-P Northwest Community Healthcare Paramedic Education Program AV Conduction Defects/ Connie J. Mattera, M.S., R.N., EMT-P Reading assignments: Bledsoe Vol. 3: pp. 88-93; 120-121 (atropine, norepinephrine,

More information

Presented By: Barbara Furry, RN-BC, MS, CCRN, FAHA Director The Center of Excellence in Education Director of HERO

Presented By: Barbara Furry, RN-BC, MS, CCRN, FAHA Director The Center of Excellence in Education Director of HERO Presented By: Barbara Furry, RN-BC, MS, CCRN, FAHA Director The Center of Excellence in Education Director of HERO Follow me on Twitter! CEE Med Updates@BarbaraFurryRN Like me on Facebook! What is a

More information

Pennsylvania Academy of Family Physicians Foundation & UPMC 43rd Refresher Course in Family Medicine CME Conference March 10-13, 2016

Pennsylvania Academy of Family Physicians Foundation & UPMC 43rd Refresher Course in Family Medicine CME Conference March 10-13, 2016 Pennsylvania Academy of Family Physicians Foundation & UPMC 43rd Refresher Course in Family Medicine CME Conference March 10-13, 2016 Disclosures: EKG Workshop Louis Mancano, MD Speaker has no disclosures

More information

SIMPLY ECGs. Dr William Dooley

SIMPLY ECGs. Dr William Dooley SIMPLY ECGs Dr William Dooley 1 No anatomy just interpretation 2 Setting up an ECG 3 Setting up an ECG 1 V1-4 th Right intercostal space at sternal border 2 V2-4 th Left intercostal space at sternal border

More information

ECGs and Arrhythmias: Family Medicine Board Review 2012

ECGs and Arrhythmias: Family Medicine Board Review 2012 Overview ECGs and Arrhythmias: Family Medicine Board Review 2012 Jess Waldura, MD University of California, San Francisco walduraj@nccc.ucsf.edu Bundle branch blocks Quick review of ischemia Arrhythmias

More information

Bradydysrhythmias and Atrioventricular Conduction Blocks

Bradydysrhythmias and Atrioventricular Conduction Blocks Emerg Med Clin N Am 24 (2006) 1 9 Bradydysrhythmias and Atrioventricular Conduction Blocks Jacob W. Ufberg, MD*, Jennifer S. Clark, MD Department of Emergency Medicine, Temple University School of Medicine,

More information

Ventricular Parasystole

Ventricular Parasystole Ventricular Parasystole 1 WHAT IS IT? In addition to the sinus node, there are many accessory pacemakers throughout the conducting system of the atria, junction and ventricles that are ready to assume

More information

Introduction to ECG Gary Martin, M.D.

Introduction to ECG Gary Martin, M.D. Brief review of basic concepts Introduction to ECG Gary Martin, M.D. The electrical activity of the heart is caused by a sequence of rapid ionic movements across cell membranes resulting first in depolarization

More information

BASIC ECG REVIEW. Overview of Conduction, Review of Strip Reading, Commonly seen arrhythmias

BASIC ECG REVIEW. Overview of Conduction, Review of Strip Reading, Commonly seen arrhythmias BASIC ECG REVIEW Overview of Conduction, Review of Strip Reading, Commonly seen arrhythmias OBJECTIVES Review: Anatomy of heart Conduction systems Identification of rhythms Arrhythmias ANATOMY OVERIEW

More information