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ECG Rhythm Interpretation

This document outlines an ECG rhythm interpretation course, including the learning modules: ECG basics, analyzing rhythms, normal sinus rhythm, heart arrhythmias, myocardial infarction diagnosis, and advanced 12-lead interpretation. It describes normal impulse conduction through the heart, the components of the ECG PQRST waveform, the PR interval representing conduction through the AV node, and the sinoatrial node as the dominant pacemaker of the heart. It also shows the time and voltage scales used on ECG paper.

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Jarvin Renomeron
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33 views12 pages

ECG Rhythm Interpretation

This document outlines an ECG rhythm interpretation course, including the learning modules: ECG basics, analyzing rhythms, normal sinus rhythm, heart arrhythmias, myocardial infarction diagnosis, and advanced 12-lead interpretation. It describes normal impulse conduction through the heart, the components of the ECG PQRST waveform, the PR interval representing conduction through the AV node, and the sinoatrial node as the dominant pacemaker of the heart. It also shows the time and voltage scales used on ECG paper.

Uploaded by

Jarvin Renomeron
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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ECG Rhythm Interpretation

Module I ECG Basics


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Course Objectives
To recognize the normal rhythm of the heart - Normal Sinus Rhythm. To recognize the 13 most common rhythm disturbances. To recognize an acute myocardial infarction on a 12-lead ECG.
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Learning Modules
ECG Basics How to Analyze a Rhythm Normal Sinus Rhythm Heart Arrhythmias Diagnosing a Myocardial Infarction Advanced 12-Lead Interpretation
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Normal Impulse Conduction


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


Sinoatrial node AV node Bundle of His Bundle Branches Purkinje fibers
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The PQRST
P wave - Atrial depolarization QRS - Ventricular depolarization T wave - Ventricular repolarization
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The PR Interval
Atrial depolarization + delay in AV junction
(AV node/Bundle of His)

(delay allows time for the atria to contract before the ventricles contract)

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Pacemakers of the Heart


SA Node - Dominant pacemaker with an intrinsic rate of 60 - 100 beats/minute. AV Node - Back-up pacemaker with an intrinsic rate of 40 - 60 beats/minute. Ventricular cells - Back-up pacemaker with an intrinsic rate of 20 - 45 bpm.
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The ECG Paper


Horizontally
One small box - 0.04 s One large box - 0.20 s

Vertically
One large box - 0.5 mV

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The ECG Paper (cont)


3 sec 3 sec

Every 3 seconds (15 large boxes) is marked by a vertical line. This helps when calculating the heart rate. NOTE: the following strips are not marked but all are 6 seconds long.
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End of Module I ECG Basics


Proceed to Module I Practice Quiz on WebCT

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