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ECG Interpretation Guide | PDF | Electrocardiography | Physiology
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ECG Interpretation Guide

This document provides a summary of key ECG parameters including: 1. Details on ECG strip measurements and heart rate calculations for regular and irregular rhythms. 2. Characteristics of sinus rhythm and descriptions of common intervals like PR and QRS. 3. Guidelines for estimating axis using lead placements and formulas. 4. Notes on interpreting axis deviations and calculating corrected axis when Lead I is negative.

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Jayson B. Sanchez
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178 views2 pages

ECG Interpretation Guide

This document provides a summary of key ECG parameters including: 1. Details on ECG strip measurements and heart rate calculations for regular and irregular rhythms. 2. Characteristics of sinus rhythm and descriptions of common intervals like PR and QRS. 3. Guidelines for estimating axis using lead placements and formulas. 4. Notes on interpreting axis deviations and calculating corrected axis when Lead I is negative.

Uploaded by

Jayson B. Sanchez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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ECG Quick Notes

PARAMETER NOTES EXAMPLE


ECG Strip Boxes
1 Large Box = 5 Small Boxes
1 Large Box = 0.20 sec
1 Small Box = 0.04 sec

Standard
Speed = 25 mm/sec
Amplitude = 10 mm/mV
Rate REGULAR RHYTHM (see Lead II) NV: 60 – 100 bpm
1. 5 Small Box Approximation
300 – 150 – 100 – 75 – 60 – 50
2. HR Formula
Heart Rate = 1500 / # of Small Boxes in R – R

IRREGULAR RHYTHM (see Lead II)


1. 6 Second Strip
Count # of R in 30 Big Boxes
30 Big Boxes * 0.20 sec = 6 Seconds
Heart Rate = # of R in 30 Big Boxes x 10

Rhythm Sinus Rhythm:


Downward in aVR
Upward in Lead II, III, aVF
Presence of P Wave
PR Interval # of Small Box from P to Q x 0.04 sec NV: 0.12 – 0.20 sec
3-5 Small Squares
SHORT: Accessory Pathway
PROLONGED: AV Block
QRS Complex NV: 0.08 – 0.10 sec
or < 12 sec
2-3 Small Squares
Axis Thumb Rule Estimation

LEAD I LEAD aVF


INTERPRETATION
Left Thumb Right Thumb
Pos  Pos  Normal
Neg  Pos  Right Axis Deviation
Pos  Neg  Left Axis Deviation
Neg  Neg  Extreme Axis Deviation

Axis Formula
Axis = (90 x avF) / ( |Lead I| + |Lead aVF| )
Finding aVF or I Value:
1. Identify QRS Isoelectric Point
2. Count Small Boxes of R going up
3. Count Small Boxes of R going down
4. aVF “R” Up + aVF “R” Down = Lead aVF Value

IF Lead I is NEGATIVE:
180 – Axis = Final and Corrected Axis Value

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