Scribd Logo
Upload

Welcome to Scribd!

  • 756 views

    EKG Workbook

    Uploaded by

    Ziac Lortab
    The document contains a workbook for interpreting EKGs with multiple sections describing EKG readings for patients of various ages and medical histories presenting with different symptoms. It includes sections outlining criteria for interpreting right bundle branch block, left bundle branch block, and left ventricular hypertrophy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    EKG Workbook

    Uploaded by

    Ziac Lortab
    756 views22 pages
    The document contains a workbook for interpreting EKGs with multiple sections describing EKG readings for patients of various ages and medical histories presenting with different symptoms. It includes sections outlining criteria for interpreting right bundle branch block, left bundle branch block, and left ventricular hypertrophy.

    Original Description:

    ekg workbook!

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document contains a workbook for interpreting EKGs with multiple sections describing EKG readings for patients of various ages and medical histories presenting with different symptoms. It includes sections outlining criteria for interpreting right bundle branch block, left bundle branch block, and left ventricular hypertrophy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    756 views22 pages

    EKG Workbook

    Uploaded by

    Ziac Lortab
    The document contains a workbook for interpreting EKGs with multiple sections describing EKG readings for patients of various ages and medical histories presenting with different symptoms. It includes sections outlining criteria for interpreting right bundle branch block, left bundle branch block, and left ventricular hypertrophy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 22

    EKG WORKBOOK

    PHYSICIAN CORE 2013

    42 y/o woman in for pre employment physical

    Rate
    :________________
    Rhythm :________________
    Axis
    :________________

    Other findings :_________________________________


    ______________________________________________
    ______________________________________________

    35 y/o weekend athlete with a broken leg

    Rate :________________
    Rhythm :_____________
    Axis :________________

    Other findings :______________________________


    ______________________________________________
    ______________________________________________

    63 y/o with no complaints and routine EKG in PMDs office

    Rate :________________
    Rhythm :_____________
    Axis :________________

    Other findings :______________________________


    ______________________________________________
    ______________________________________________

    67 y/o man with history of hyperlipidemia, DM, & HTN

    Rate :________________
    Rhythm :_____________
    Axis :________________

    Other findings :______________________________


    ______________________________________________
    ______________________________________________

    73 y/o man with dizzyness

    Rate :________________
    Rhythm :_____________
    Axis :________________

    Other findings :______________________________


    ______________________________________________
    ______________________________________________

    59 y/o man hx htn and etoh abuse presents to ER c/ SOB

    Rate :________________
    Rhythm :_____________
    Axis :________________

    Other findings :______________________________


    ______________________________________________
    ______________________________________________

    63 y/o man with lung ca c/o of palpitations

    Rate :________________
    Rhythm :_____________
    Axis :________________

    Other findings :______________________________


    ______________________________________________
    ______________________________________________

    57 y/o man with hx HTN, TOB & COPD

    Rate :________________
    Rhythm :_____________
    Axis :________________

    Other findings :______________________________


    ______________________________________________
    ______________________________________________

    Criteria for RBBB


    The heart rhythm must originate above the ventricles (i.e.
    sinoatrial node, atria or atrioventricular node) to activate
    the conduction system at the correct point.
    The QRS duration must be more than 100 ms (incomplete
    block) or more than 120 ms (complete block)
    There should be a terminal R wave in lead V1 (e.g. R, rR',
    rsR', rSR' or qR)
    There should be a slurred S wave in leads I and V6.
    The T wave should be deflected opposite the terminal
    deflection of the QRS complex. This is known as
    appropriate T wave discordance with bundle branch block.
    A concordant T wave may suggest ischemia or myocardial
    infarction.

    73 y/o woman hx HTN, CRI, DM presents c/o neck fullness

    Rate :________________
    Rhythm :_____________
    Axis :________________

    Other findings :______________________________


    ______________________________________________
    ______________________________________________

    Criteria for LBBB


    The heart rhythm must be supraventricular in
    origin
    The QRS duration must be 120 ms[2]
    There should be a QS or rS complex in lead V1
    There should be a RsR' wave in lead V6.
    The T wave should be deflected opposite the
    terminal deflection of the QRS complex. This is
    known as appropriate T wave discordance with
    bundle branch block. A concordant T wave may
    suggest ischemia or myocardial infarction

    63 y/o man with hx htn, hyperlipid, c/o 4 hrs sscp & sob

    Rate :________________
    Rhythm :_____________
    Axis :________________

    Other findings :______________________________


    ______________________________________________
    ______________________________________________

    69 y/o man c/ no known pmhx c/o 2 hrs crushing cp

    Rate :________________
    Rhythm :_____________
    Axis :________________

    Other findings :______________________________


    ______________________________________________
    ____________________________________________

    75 y/o woman c/dm, htn, c/o epigastric discomfort

    Rate :________________
    Rhythm :_____________
    Axis :________________

    Other findings :______________________________


    ______________________________________________
    ______________________________________________

    73 y/o woman with prior hx of syncope

    Rate :________________
    Rhythm :_____________
    Axis :________________

    Other findings :______________________________


    ______________________________________________
    ______________________________________________

    41 y/o man with hx borderline HTN and cocaine

    Rate :________________
    Rhythm :_____________
    Axis :________________

    Other findings :______________________________


    ______________________________________________
    ______________________________________________

    Criteria for LVH


    The Sokolow Lyon index:
    S in V1 + R in V5 or V6 (whichever is larger) 35 mm ( 7
    large squares)
    R in aVL 11 mm
    The Cornell voltage criteria for the ECG diagnosis of
    LVH involve measurement of the sum of the R wave in
    lead aVL and the S wave in lead V3. The Cornell criteria
    for LVH are:
    S in V3 + R in aVL > 28 mm (men)
    S in V3 + R in aVL > 20 mm (women)

    You might also like