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Steps of Interpretation of ECG

1. Brief Highlights of an 11-Step Method

Step1: Assess Rhythm and Rate

Step2: Assess Intervals and Blocks

Step3: Assess for Nonspecific Intraventricular Conduction Delay and

Wolff-Parkinson-White Syndrome

Step4: Assess for ST Segment Elevation or Depression

Step5: Assess for Pathologic Q Waves (That is, Loss of R Waves)

Step6: Assess P Waves

Step7: Assess for Left and Right Ventricular Hypertrophy

Step8: Assess T Waves

Step9: Assess Electrical Axis

Step10: Assess for Miscellaneous Conditions

Step11: Assess Arrhythmias

 

2. Conventional Sequence Regarding Interpretation

• Rate

• Rhythm

  P wave morphology

• PR interval

  QRS interval, QRS complex morphology

• ST segment

• T wave

• Electrical axis

  U wave, and QT duration

 

3/ Some authors, advise the following sequence:

Assess: rate, rhythm, axis, hypertrophy, infarction

 

Conclusion: The ECG interpretation should end with one of the following statements:

• Normal ECG

  ECG within normal limits

• Borderline ECG

• Abnormal ECG: abnormal rhythms, abnormal wave morphology

 

Discussion:

Bs Tuyết Ngân
Đăng bởi: ycantho - Ngày đăng: 07/08/2013