Patient Name : Wollmann, Martin J Page 1 of 13. CardioTech Monitoring Systems 138 Cambridge Drive Lynden, WA PATIENT DEMOGRAPHICS

Size: px
Start display at page:

Download "Patient Name : Wollmann, Martin J Page 1 of 13. CardioTech Monitoring Systems 138 Cambridge Drive Lynden, WA PATIENT DEMOGRAPHICS"

Transcription

1 Patient Name : Wollmann, Martin J Page of Last Name Wollmann First Name Martin Middle Initial J ID Number Date Of Birth 7/5/978 Sex M Source Physician Office Name Billing Code Recorder Format Philips Recorder Reason for Test Palpitations Medications The Odd Vitamin CardioTech Monitoring Systems 8 Cambridge Drive Lynden, WA PATIENT DEMOGRAPHICS Physician Dr. Intelligent Scanned By Martin Wollmann Reading Physician Test Date 7/8/8 Analysis Date 7/9/8 Hookup Time 9: PM Recording Time hr min Analysis Time hr min Hook-up Tech Monitor No. C A R D I O Heart Rate Data : 4498 Min : 4 BPM at 7:5: AM Avg : BPM : BPM at 7:5: AM ASDNN 5 SDANN 5 SDNN Heart Rate Variability : 94. msec : 8. msec : 75. msec ST Episode Analysis Ch Ch Ch Min ST Level : ST Level : ST Episodes : Pacer Analysis Single Paced : - Dual Paced : - Fusion : - Atrial Fibrillation AFib : (.%) Duration :. min Events : Ventricular Ectopy VE : (.%) Vent Runs : : Longest : Fastest : BPM Triplets : Events Couplets : Events Single/Interp PVC : / R on T : Single/Late VE's : / Bi/Trigeminy : / Supraventricular Ectopy SVE : 7 (.%) Atrial Runs : : Longest : Fastest : BPM Atrial Pairs : Events Drop/Late : / Longest N-N : sec at :44:5 AM Single PAC's : Bi/Trigeminy : / INTERPRETATION The patient was in sinus arrhythmia throughout with normal variation of rates. Signed : Date :

2 Patient Name : Wollmann, Martin J Page of Narrative Summary Monitoring started at 9: PM and continued for hr min. The average heart rate was BPM. The minimum heart rate was 4 BPM, occurring at 7:5: AM. The maximum heart rate was BPM, occurring at 7:5: AM. Supraventricular ectopic activity consisted of 7 beats, of which, were late beats, was single PACs. The longest R-R interval was seconds occurring at :44:5 AM. The longest N-N interval was seconds occurring at :44:5 AM.

3 Patient Name : Wollmann, Martin J Page of SUPRAVENTRICULAR EVENTS Supraventricular Ectopic Profile Time Ending Setting : PM : PM : AM : AM : AM : AM 4: AM 5: AM : AM 7: AM 8: AM 9: AM : AM Min Avg SVE NN.. RR.. Pairs Bigem Cycles Trigem Cycles AFib 5% AFib Duration 5 : : : : : : : : : : : : : : PAC Single 5% Drop. sec Late 7% 4 5 Time Ending Setting : PM : PM : AM : AM : AM : AM 4: AM 5: AM : AM 7: AM 8: AM 9: AM : AM Min Avg SVE NN.. RR.. Pairs Bigem Cycles Trigem Cycles AFib 5% AFib Duration 5 : : : : : : : : : : : : : : PAC Single 5% Drop. sec Late 7% 4 5

4 Patient Name : Wollmann, Martin J Page 4 of SUPRAVENTRICULAR EVENTS Atrial Runs Brady Tachy Time Ending Setting : PM : PM : AM : AM : AM : AM 4: AM 5: AM : AM 7: AM 8: AM 9: AM : AM Min Avg ARun Events BPM ARun BPM Len Brady Events BPM Brady Duration : : : : : : : : : : : : : : Tachy Events BPM Tachy Duration : : : : : : : : : : : : : :

5 Patient Name : Wollmann, Martin J Page 5 of SUPRAVENTRICULAR EVENTS Special Event Graphics Heart Rate : PM : AM : AM 5: AM 7: AM 9: AM : AM : PM : PM 5: PM 7: PM 9: PM Premature Atrial Per Interval : PM : AM : AM 5: AM 7: AM 9: AM : AM : PM : PM 5: PM 7: PM 9: PM Minutes of Tachycardia Per Interval : PM : AM : AM 5: AM 7: AM 9: AM : AM : PM : PM 5: PM 7: PM 9: PM Minutes of Bradycardia Per Interval : PM : AM : AM 5: AM 7: AM 9: AM : AM : PM : PM 5: PM 7: PM 9: PM

6 Patient Name : Wollmann, Martin J Page of VENTRICULAR EVENTS Ventricular Ectopic Profile Time Ending Setting : PM : PM : AM : AM : AM : AM 4: AM 5: AM : AM 7: AM 8: AM 9: AM : AM Min Avg VE VE Single VE Late % VRun Events VRun BPM Len Cplt All Tplt On R on T Rate Bigem Cycles Trigem Cycles PVC Single 5% PVC Interp Time Ending Setting : PM : PM : AM : AM : AM : AM 4: AM 5: AM : AM 7: AM 8: AM 9: AM : AM Min Avg VE VE Single VE Late % VRun Events VRun BPM Len Cplt All Tplt On R on T Rate Bigem Cycles Trigem Cycles PVC Single 5% PVC Interp

7 Patient Name : Wollmann, Martin J Page 7 of VENTRICULAR EVENTS Special Event Graphics Heart Rate : PM : AM : AM 5: AM 7: AM 9: AM : AM : PM : PM 5: PM 7: PM 9: PM Ventricular Per Interval : PM : AM : AM 5: AM 7: AM 9: AM : AM : PM : PM 5: PM 7: PM 9: PM Ventricular Couplets Per Interval : PM : AM : AM 5: AM 7: AM 9: AM : AM : PM : PM 5: PM 7: PM 9: PM Ventricular Bigeminy/Trigeminy Per Interval : PM : AM : AM 5: AM 7: AM 9: AM : AM : PM : PM 5: PM 7: PM 9: PM

8 .4.5 9: PM Patient Name : Wollmann, Martin J Page 8 of SPECTRAL POWER 5 Minute V P S D (m s*m s / h z x ) : AM 7: AM : AM 5: AM 4: AM : AM : AM : AM : AM.. : PM. : PM Frequency (hz). Hour V PSD (ms*ms / hz x ) 5 Power (ms*ms) Ultra Low (.-. hz):,4 / 5.% 45 Very Low (.-.4 hz):, / 5.% 4 Low (.4-.5 hz):,77 / 8.9% 75 5 High (.5-.4 hz):,8 / 4.% 5 (.-.5 hz): 4, Frequency (hz)

9 Patient Name : Wollmann, Martin J Page 9 of DIARY, STRIP & MORPHOLOGY INDEX Diary Entry Index 9: PM Asleep 7: AM Patient Event 7:7 AM Patient Event 9::8 PM Primary Normal 9:: PM Normal :: PM 8 BPM Size x,x.5,x.5 ::9 PM 58 BPM Size x,x.5,x.5 ::8 AM BPM Size x,x.5,x.5 :44: AM 55 BPM Size x,x.5,x.5 7:5: AM 4 BPM Size x,x.5,x.5 7:5:7 AM BPM Size x,x.5,x.5 Morphology Index 8 8 BPM Strip of 7 8 BPM Strip of Strip Index PAC Strip of Brady Strip of PAC Strip of Brady Strip 4 of Min Strip 5 of Strip of

10 Patient Name : Wollmann, Martin J Page of SELECTED STRIPS :: PM 8 BPM Size x,x.5,x.5 PAC Strip of ::9 PM 58 BPM Size x,x.5,x.5 Brady Strip of ::8 AM BPM Size x,x.5,x.5 PAC Strip of

11 Patient Name : Wollmann, Martin J Page of SELECTED STRIPS :44: AM 55 BPM Size x,x.5,x.5 Brady Strip 4 of 7:5: AM 4 BPM Size x,x.5,x.5 Min Strip 5 of

12 Patient Name : Wollmann, Martin J Page of SELECTED STRIPS 7:5:7 AM BPM Size x,x.5,x.5 Strip of

13 Patient Name : Wollmann, Martin J Page of MORPHOLOGY REVIEW 9::8 PM Primary Normal 8 8 BPM Strip of : AM 7: AM : PM 5: PM 9:: PM Normal 7 8 BPM Strip of : AM 7: AM : PM 5: PM

CANINE HOLTER MONITORING REPORT

CANINE HOLTER MONITORING REPORT CANINE HOLTER MONITORING REPORT Copyright NorthEast Monitoring Inc. 1993-216. All data printed in the reports should be reviewed by a qualified physician. HOLTER MONITOR REPORT Patient Name: Vandervoort,

More information

Practice Name Practice Address Practice Address 2 Practice Phone Number

Practice Name Practice Address Practice Address 2 Practice Phone Number HOLTER REPORT Practice Name Practice Address Practice Address 2 Practice Phone Number Name: Sample 3CH, AfibFlutter Recording Start Date/Time: 8/12/212 9:5:57 PM D: 937452 Date Of Birth: 5/18/1949 Secondary

More information

CANINE HOLTER MONITORING REPORT

CANINE HOLTER MONITORING REPORT CANINE HOLTER MONITORING REPORT Copyright NorthEast Monitoring Inc. 1993-217. All data printed in the reports should be reviewed by a qualified physician. HOLTER MONITOR REPORT Patient Name: Fields, Diamond

More information

ID: BFH_ Start time: :00:00. Examination summary

ID: BFH_ Start time: :00:00. Examination summary ECG analysis report Personal data Examination details Start time: 2000-01-01 00:00:00 Interpreting physician: Auto End time: 2000-01-02 01:39:16 Duration: 1d 01h 39min 16s Nondiagnostic part: 5.85% Examination

More information

HSCRIBE 5 HOLTER ANALYSIS SYSTEM

HSCRIBE 5 HOLTER ANALYSIS SYSTEM HSCRIBE 5 HOLTER ANALYSIS SYSTEM freedom Your patients will be free to go about their miniature devices will let them forget they The H3+ digital recorder gives new meaning to the word compact, while providing

More information

24 Hour Holter Report

24 Hour Holter Report Mass Veterinary Cardiology Services Inc 35 Suffield St Agawam, MA 11 413-372-5127/413-734-1292 413-372-5127 Exam Date: OCT 2 13-8:19am Record No: 7581 Provider: NANCY MORRIS DVM, DACVIM-C Medical Record

More information

24 Hour Holter Report

24 Hour Holter Report Mass Veterinary Cardiology Services Inc 35 Suffield St Agawam, MA 11 413-372-5127/413-734-1292 413-372-5127 Exam Date: SEP 4 13-8:25am Record No: 7332 Provider: NANCY MORRIS DVM, DACVIM-C Medical Record

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

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

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

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

ALBA MEDICAL SYSTEMS, INC.

ALBA MEDICAL SYSTEMS, INC. Patient Name: ALBA MEDICAL SYSTEMS, INC. CANINE HOLTER MONITORING REPORT www.albamedical.com MANDAS HEVEA Holter Monitor Report Physician: Date of Birth: Scan Number: ID #: 2 Date Recorded: 6/14/13 Age:

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

Arrhythmia Management Joshua M. Cooper, MD, FHRS, FACC

Arrhythmia Management Joshua M. Cooper, MD, FHRS, FACC Arrhythmia Management Joshua M. Cooper, MD, FHRS, FACC Professor of Medicine Director of Cardiac Electrophysiology Temple University Health System Plumbing Electrical System Bradyarrhythmias Sinus Node

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

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

FLB s What Are Those Funny-Looking Beats?

FLB s What Are Those Funny-Looking Beats? FLB s What Are Those Funny-Looking Beats? Reading Assignment (pages 27-45 in Outline ) The 5-Step Method ECG #: Mearurements: Rhythm (s): Conduction: Waveform: Interpretation: A= V= PR= QRS= QT= Axis=

More information

Testing the Accuracy of ECG Captured by Cronovo through Comparison of ECG Recording to a Standard 12-Lead ECG Recording Device

Testing the Accuracy of ECG Captured by Cronovo through Comparison of ECG Recording to a Standard 12-Lead ECG Recording Device Testing the Accuracy of ECG Captured by through Comparison of ECG Recording to a Standard 12-Lead ECG Recording Device Data Analysis a) R-wave Comparison: The mean and standard deviation of R-wave amplitudes

More information

Module 1: Introduction to ECG & Normal ECG

Module 1: Introduction to ECG & Normal ECG Module 1: Introduction to ECG & Normal ECG Importance of Correct anatomical positions Measurements & Morphologies ONLY accurate if Precise anatomical positions adhered to Standardised techniques are used

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

Electrocardiography Biomedical Engineering Kaj-Åge Henneberg

Electrocardiography Biomedical Engineering Kaj-Åge Henneberg Electrocardiography 31650 Biomedical Engineering Kaj-Åge Henneberg Electrocardiography Plan Function of cardiovascular system Electrical activation of the heart Recording the ECG Arrhythmia Heart Rate

More information

Return to Basics. ECG Rate and Rhythm. Management of the Hospitalized Patient September 25, 2009

Return to Basics. ECG Rate and Rhythm. Management of the Hospitalized Patient September 25, 2009 Management of the Hospitalized Patient September 25, 2009 ECG Refresher and Update 2009 Return to Basics Determine rate and rhythm Determine intervals and axes Define morphology of P-QRS-T-U Compare with

More information

Return to Basics. Normal Intervals & Axes. ECG Rate and Rhythm

Return to Basics. Normal Intervals & Axes. ECG Rate and Rhythm Return to Basics Management of the Hospitalized Patient October 15, 2010 ECG Refresher and Update 2010 Determine rate and rhythm Determine intervals and axes Define morphology of P-QRS-T-U Compare with

More information

Dr. Schroeder has no financial relationships to disclose

Dr. Schroeder has no financial relationships to disclose Valerie A Schroeder MD MS Assistant Professor University of Kansas Medical Center READING THE WAVES- THE HEART S ELECTRICAL MESSAGE FINANCIAL DISCLOSURE Dr. Schroeder has no financial relationships to

More information

Reading Assignment (p1-91 in Outline ) Objectives What s in an ECG?

Reading Assignment (p1-91 in Outline ) Objectives What s in an ECG? Reading Assignment (p1-91 in Outline ) Objectives What s in an ECG? The 5-Step Method ECG #: Mearurements: Rhythm (s): Conduction: Waveform: Interpretation: A= V= PR= QRS= QT= Axis= 1. Compute the 5 basic

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

-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

KNOW YOUR ECG. G. Somasekhar MD DM FEp Consultant Electro physiologist, Aayush Hospital, Vijayawada

KNOW YOUR ECG. G. Somasekhar MD DM FEp Consultant Electro physiologist, Aayush Hospital, Vijayawada KNOW YOUR ECG G. Somasekhar MD DM FEp Consultant Electro physiologist, Aayush Hospital, Vijayawada CASE DETAILS A 48-year-old female non hypertensive, non diabetic presented with history of shortness of

More information

Zio Patch Report Changes January, Clinician Reference Guide

Zio Patch Report Changes January, Clinician Reference Guide Zio Patch Report Changes January, 2013 Clinician Reference Guide Changes to the Zio Patch Report irhythm s Commitment to Improving Our Service Our stated Continuous Quality Improvement (CQI) goal is: To

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

Friedman, Rott, Wokhlu, Asirvatham, Hayes 201. Figure 65.7 Shortening of the AV interval during pacing.

Friedman, Rott, Wokhlu, Asirvatham, Hayes 201. Figure 65.7 Shortening of the AV interval during pacing. Friedman, Rott, Wokhlu, Asirvatham, Hayes 201 Figure.7 Shortening of the AV interval during pacing. 202 A Case-Based Approach to Pacemakers, ICDs, and Cardiac Resynchronization Figure.8 is obtained from

More information

EHRA Accreditation Exam - Sample MCQs Cardiac Pacing and ICDs

EHRA Accreditation Exam - Sample MCQs Cardiac Pacing and ICDs EHRA Accreditation Exam - Sample MCQs Cardiac Pacing and ICDs Dear EHRA Member, Dear Colleague, As you know, the EHRA Accreditation Process is becoming increasingly recognised as an important step for

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

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

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

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

Return to Basics. ECG Rate and Rhythm. Management of the Hospitalized Patient October 4, 2007

Return to Basics. ECG Rate and Rhythm. Management of the Hospitalized Patient October 4, 2007 Management of the Hospitalized Patient October 4, 2007 ECG Refresher for the Hospitalists Return to Basics Determine rate and rhythm Determine intervals and axes Define morphology of P-QRS-T-U Compare

More information

Recommended Evaluation Data Excerpt from NVIC 04-08

Recommended Evaluation Data Excerpt from NVIC 04-08 Recommended Evaluation Data Excerpt from NVIC 04-08 Purpose: This document is an excerpt from the Medical and Physical Evaluations Guidelines for Merchant Mariner Credentials, contained in enclosure 3

More information

ICD Discrimination Algorithms

ICD Discrimination Algorithms ICD Discrimination Algorithms How Do They Work? Ji-Hae Yun, RN Certified Cardiac Device Specialist by IBHRE Asan Medical Center, Seoul Korea EGM of A.Fib with fast ventricular response Case 1 A EGM V EGM

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

Arrhythmia Monitoring ST/AR Algorithm

Arrhythmia Monitoring ST/AR Algorithm Arrhythmia Monitoring ST/AR Algorithm Application Note Physician's Resource, Inc. Toll Free 1-800-866-6689 The ST/AR (ST and Arrhythmia) algorithm is a multi-lead ECG algorithm designed for arrhythmia,

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

Pacemaker Concepts and Terminology*

Pacemaker Concepts and Terminology* Pacemaker Concepts and Terminology* BAROUH V BERKOVITS, E.E., Ing. Associate in Surgery, Harvard Medical School, Boston, Mass., Associate in Electrophysiology, Miami University, Miami, Fla., Senior Research

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

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

Study methodology for screening candidates to athletes risk

Study methodology for screening candidates to athletes risk 1. Periodical Evaluations: each 2 years. Study methodology for screening candidates to athletes risk 2. Personal history: Personal history of murmur in childhood; dizziness, syncope, palpitations, intolerance

More information

Syllabus and Program of the Diploma in Cardiac Pacing

Syllabus and Program of the Diploma in Cardiac Pacing Syllabus and Program of the Diploma in Cardiac Pacing 1. The conductive system of the heart(1 hour): Study the anatomical and functional properties of the different componenets of the conductive system

More information

Ectopic Beats, Activity Effects and Heart Rate Turbulence

Ectopic Beats, Activity Effects and Heart Rate Turbulence HRV 2006 Ectopic Beats, Activity Effects and Heart Rate Turbulence Gari Clifford gari@mit.edu www.mit.edu/~gari/ Harvard-MIT Division of Health Sciences & Technology Outline Overview of Cardiovascular

More information

Clinical Guidance. Extrasystoles in the neonatal period. Author: Peter Lillitos

Clinical Guidance. Extrasystoles in the neonatal period. Author: Peter Lillitos 1 Clinical Guidance Extrasystoles in the neonatal period Author: Peter Lillitos Contents Page 2: Definition of extrasystoles/ectopic beats Page 3: Algorithm of management Page 4-5: Ordering investigations

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

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

Return to Titanic: Irregular Heart Beats. Ric Samson, MD Children s Heart Center - Nevada

Return to Titanic: Irregular Heart Beats. Ric Samson, MD Children s Heart Center - Nevada Return to Titanic: Irregular Heart Beats Ric Samson, MD Children s Heart Center - Nevada The Titanic RMS Titanic largest ship ever built up to that time maiden voyage April 1912 travelling from Southampton

More information

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

Course Objectives. Proper Lead Placements. Review the ECG print paper. Review the mechanics of the Myocardium. Review basics of ECG Rhythms ECG Interpretations Course Objectives Proper Lead Placements Review the ECG print paper Review the mechanics of the Myocardium Review basics of ECG Rhythms How Leads Work The ECG Leads we use are Bipolar

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

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

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

Lecture outline. Electrical properties of the heart. Automaticity. Excitability. Refractoriness. The ABCs of ECGs Back to Basics Part I

Lecture outline. Electrical properties of the heart. Automaticity. Excitability. Refractoriness. The ABCs of ECGs Back to Basics Part I Lecture outline The ABCs of ECGs Back to Basics Part I Meg Sleeper VMD, DACVIM (cardiology) University of Florida Veterinary School Electrical properties of the heart Action potentials Normal intracardiac

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

Tachyarrhythmia Suspicion and Detection

Tachyarrhythmia Suspicion and Detection Tech Corner Tachyarrhythmia Suspicion and Detection NOTE: PLEASE NOTE THAT THE FOLLOWING INFORMATION IS A GENERAL DESCRIPTION OF THE FUNCTION. DETAILS AND PARTICULAR CASES ARE NOT DESCRIBED IN THE ARTICLE.

More information

Case Report Suppression of Frequent Ventricular Ectopy in a Patient with Hypertrophic Heart Disease with Ranolazine: A Case Report

Case Report Suppression of Frequent Ventricular Ectopy in a Patient with Hypertrophic Heart Disease with Ranolazine: A Case Report www.ipej.org 84 Case Report Suppression of Frequent Ventricular Ectopy in a Patient with Hypertrophic Heart Disease with Ranolazine: A Case Report David K. Murdock, MD 1,2 and Jeffrey W. Kaliebe, MT(ASCP),

More information

Pathfinder Holter Analyzer CARDIAC DIAGNOSTIC SOLUTIONS

Pathfinder Holter Analyzer CARDIAC DIAGNOSTIC SOLUTIONS Pathfinder Holter Analyzer CARDIAC DIAGNOSTIC SOLUTIONS Pathfinder Digital - An Evolution... Del Mar Reynolds rich history of innovation began nearly a half century ago with the development of Holter monitoring

More information

SVT Discriminators. Definition of SVT Discrimination. Identify which patient populations might benefit from these features

SVT Discriminators. Definition of SVT Discrimination. Identify which patient populations might benefit from these features Definition of SVT Discrimination Identify which patient populations might benefit from these features Understand the 4 types of SVT discriminators used by St Jude Medical Be aware of programmable parameters

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

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

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

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

EKG Practice. Homan Wai

EKG Practice. Homan Wai EKG Practice Homan Wai Objectives Learn EKG by Examples Learn by repetition Learn by repetition Learn by repetition Learn by repetition Learn by repetition Learn by repetition Learn by repetition Details

More information

Troubleshooting ICD. NASPE Training Lancashire & South Cumbria Cardiac Network

Troubleshooting ICD. NASPE Training Lancashire & South Cumbria Cardiac Network Troubleshooting ICD NASPE Training Lancashire & South Cumbria Cardiac Network Bradycardia Pacing by ICD Isolated ICD discharge Multiple discharges Appropriate Inappropriate No ICD Therapy or delay in ICD

More information

Clinical and Electrocardiographic Characteristics of Patients with Brugada Syndrome: Report of Five Cases of Documented Ventricular Fibrillation

Clinical and Electrocardiographic Characteristics of Patients with Brugada Syndrome: Report of Five Cases of Documented Ventricular Fibrillation J Arrhythmia Vol 25 No 1 2009 Original Article Clinical and Electrocardiographic Characteristics of Patients with Brugada Syndrome: Report of Five Cases of Documented Ventricular Fibrillation Seiji Takashio

More information

Case-Based Practical ECG Interpretation for the Generalist

Case-Based Practical ECG Interpretation for the Generalist Case-Based Practical ECG Interpretation for the Generalist Paul D. Varosy, MD, FACC, FAHA, FHRS Director of Cardiac Electrophysiology VA Eastern Colorado Health Care System Associate Professor of Medicine

More information

Update on Palpitations and AF February 28 th 2018

Update on Palpitations and AF February 28 th 2018 Update on Palpitations and AF February 28 th 2018 Dr Mrinal Andrew Saha MA(Cantab) MBBS FRCP PhD Consultant Interventional Cardiologist GHNHSFT Dr Mrinal Saha Appointed 2010 Special interests: Angioplasty,

More information

HR: 50 bpm (Sinus) PR: 280 ms QRS: 120 ms QT: 490 ms Axis: -70. Sinus bradycardia with one ventricular escape (*)

HR: 50 bpm (Sinus) PR: 280 ms QRS: 120 ms QT: 490 ms Axis: -70. Sinus bradycardia with one ventricular escape (*) 1? HR: 50 bpm (Sinus) PR: 280 ms QRS: 120 ms QT: 490 ms Axis: -70 1 Sinus P waves? 2 sinus cycles The pause (2 sinus cycles) suggests that the sinus fired (?) but did not conduct to the atria (i.e., missing

More information

ECGs: Everything a finalist needs to know. Dr Amy Coulden As part of the Simply Finals series

ECGs: Everything a finalist needs to know. Dr Amy Coulden As part of the Simply Finals series ECGs: Everything a finalist needs to know Dr Amy Coulden As part of the Simply Finals series Aims and objectives To be able to interpret basic ECG abnormalities To be able to recognise commonly tested

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

Management of Arrhythmias The General Practitioners role

Management of Arrhythmias The General Practitioners role Management of Arrhythmias The General Practitioners role Rohan Gunawardena MD, FRCP, FCCP, FACC Consultant Cardiac Electrophysiologist National Hospital of Sri Lanka Arrhythmias not common Palpitations

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

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

Ventricular ectopic activity after premature atrial beats

Ventricular ectopic activity after premature atrial beats British Heart Journal, 1977, 39, 1033-1037 Ventricular ectopic activity after premature atrial beats in acute myocardial infarction1 R. J. MYERBURG, R. J. SUNG, G. GERSTENBLITH, STEPHEN M. MALLON, AND

More information

Cardiac Implanted Electronic Devices Pacemakers, Defibrillators, Cardiac Resynchronization Devices, Loop Recorders, etc.

Cardiac Implanted Electronic Devices Pacemakers, Defibrillators, Cardiac Resynchronization Devices, Loop Recorders, etc. Cardiac Implanted Electronic Devices Pacemakers, Defibrillators, Cardiac Resynchronization Devices, Loop Recorders, etc. The Miracle of Living February 21, 2018 Matthew Ostrom MD,FACC,FHRS Division of

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

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

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

The Nuts and Bolts of ICD Therapy

The Nuts and Bolts of ICD Therapy Electrical Management of Cardiac Rhythm Disorders For Cardiology Fellows December 5-8 Austin, Texas The Nuts and Bolts of ICD Therapy 1 2 Action Potential Localized Differences in Conduction Conduction

More information

Holter Monitoring (Ambulatory Electrocardiography) Defined Cardiac Arrhythmia Among Patients Presented with Palpitation in the Primary Care Setting

Holter Monitoring (Ambulatory Electrocardiography) Defined Cardiac Arrhythmia Among Patients Presented with Palpitation in the Primary Care Setting Journal of Family Medicine and Health Care 2017; 3(1): 12-16 http://www.sciencepublishinggroup.com/j/jfmhc doi: 10.11648/j.jfmhc.20170301.13 ISSN: 2469-8326 (Print); ISSN: 2469-8342 (Online) Holter Monitoring

More information

12-Lead ECG Interpretation. Kathy Kuznar, RN, ANP

12-Lead ECG Interpretation. Kathy Kuznar, RN, ANP 12-Lead ECG Interpretation Kathy Kuznar, RN, ANP The 12-Lead ECG Objectives Identify the normal morphology and features of the 12- lead ECG. Perform systematic analysis of the 12-lead ECG. Recognize abnormalities

More information

Ronald J. Kanter, MD Director, Electrophysiology Miami Children s Hospital Professor Emeritus, Duke University Miami, Florida

Ronald J. Kanter, MD Director, Electrophysiology Miami Children s Hospital Professor Emeritus, Duke University Miami, Florida S306- Pediatric Electrocardiography: A Potpourri Ronald J. Kanter, MD Director, Electrophysiology Miami Children s Hospital Professor Emeritus, Duke University Miami, Florida Disclosure of Relevant Relationship

More information

REtrive. REpeat. RElearn Design by. Test-Enhanced Learning based ECG practice E-book

REtrive. REpeat. RElearn Design by. Test-Enhanced Learning based ECG practice E-book Test-Enhanced Learning Test-Enhanced Learning Test-Enhanced Learning Test-Enhanced Learning based ECG practice E-book REtrive REpeat RElearn Design by S I T T I N U N T H A N G J U I P E E R I Y A W A

More information

Antony French Consultant Cardiologist & Electrophysiologist

Antony French Consultant Cardiologist & Electrophysiologist Antony French Consultant Cardiologist & Electrophysiologist Palpitations Unpleasant awareness of rapid or forceful heart beat Not all tachycardias cause palpitations, and not all palpitations are due to

More information

La strategia diagnostica: il monitoraggio ecg prolungato. Michele Brignole

La strategia diagnostica: il monitoraggio ecg prolungato. Michele Brignole La strategia diagnostica: il monitoraggio ecg prolungato Michele Brignole ECG monitoring and syncope In-hospital monitoring Holter Monitoring External loop recorder Remote (at home) telemetry Implantable

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

National Coverage Determination (NCD) for Cardiac Pacemakers (20.8)

National Coverage Determination (NCD) for Cardiac Pacemakers (20.8) Page 1 of 12 Centers for Medicare & Medicaid Services National Coverage Determination (NCD) for Cardiac Pacemakers (20.8) Tracking Information Publication Number 100-3 Manual Section Number 20.8 Manual

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

Ambulatory ECG Monitoring. Gill Bouncir Blackpool Victoria Hospital

Ambulatory ECG Monitoring. Gill Bouncir Blackpool Victoria Hospital Ambulatory ECG Monitoring Gill Bouncir Blackpool Victoria Hospital History Developed in late 1950 s as a result of research of Dr Norman Holter TYPES Holter - continuous recording. Event recorder- patient

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

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

Heart Rhythm Disorders. How do you quantify risk?

Heart Rhythm Disorders. How do you quantify risk? Heart Rhythm Disorders How do you quantify risk? Heart Rhythm Disorders Scale of the Problem 1/2 population will have an episode of transient loss of consciousness (T-LOC) at some stage in their life.

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

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

Is the diagnostic function of pacemakers a reliable source of information about ventricular arrhythmias?

Is the diagnostic function of pacemakers a reliable source of information about ventricular arrhythmias? ORIGINAL ARTICLE Cardiology Journal 2010, Vol. 17, No. 5, pp. 495 502 Copyright 2010 Via Medica ISSN 1897 5593 Is the diagnostic function of pacemakers a reliable source of information about ventricular

More information