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: