ECG PB Book

KEY to Callout
Pages
COLORS

Rapid Find ECGs for ADHD?

We hope you enjoy this FREE Demo

ECG Instructions of our new "Expanded ECG pdf File".
/Shortcuts!
Crib Full
Be SURE to SAVE this Demo pdf to your Desktop! Page
- as it will work much better from there.
Systematic Approach
AV Block
Page 1 Detailed instructions for using
Rate/Rhythm LIST #1 #2 this Demo are contained in
the BLACK Callout
PR BBB-MI
QT LIST # 3 Axis Leads

BBB IVCD WPW Hemiblocks

LVH LAA/RAA RVH COPD Click on any of the ACTIVE LINKS to

begin - though it may be most interesting
Q-R-S-T LIST # 4 #5 #6 to start by clicking on "QT" or "List #3".
(or you may want to start by Review
MI Lytes Nl Q/T inv Pericard of "Practice ECGs" or of "Instructions/Shortcuts")

Practice ECGs IHSS

KG-EKG Press
Ken Grauer, MD 13B 15A 17B 26A 26C 29A 33A 40A 46A 52A 52C 56A
ECG PB Book Pages

Pages . . .
Rapid ECG Instructions
Find Crib /Shortcuts!

Page 1 Page 11 Page 21 Page 31 Page 41 Page 51

ADHD
Juvenile
Page 2 Page 12 T wave Page 22 Page 32 Page 42 Page 52
Sick Sinus
Page 3 Page 13 - Pauses Page 23 Page 33 Page 43 Page 53
-AV Block
Page 4 Page 14 Lead Page 24 Page 34 Page 44 Page 54
Reversal
Page 5 Page 15 Pulmonary Page 25 Page 35 Page 45 Page 55
Embolus
Vagal
Page 6 Page 16 Maneuver Page 26 Page 36 Page 46 Page 56
AIVR
Page 7 Page 17 Escape Page 27 Page 37 Page 47 Page 57
Rhythm
Page 8 Page 18 WPW IHSS Page 28 Page 38 Page 48 Page 58
Drugs-QT
Page 9 Page 19 Page 29 Page 39 Page 49 Page 59
Torsades
Lead
Page 10 Page 20 Position Page 30 Page 40 Page 50 ECGECG Crib
Practice
ECG PB Book
Cover Instructions
/Shortcuts!
ECG
Crib

Systematic Approach

Rate/Rhythm LIST #1 #2
QT LIST # 3 Axis Leads

BBB♥ IVCD WPW Hemiblocks

LVH LAA/RAA RVH COPD

Q-R-S-T LIST # 4 #5 #6
MI Lytes Nl Q/T inv Pericard

Practice ECGs
KG-EKG Press
Ken Grauer, MD
ECG PB Book
i

Page i
Instructions
/Shortcuts

Systematic Approach

Rate/Rhythm LIST #1 #2
QT LIST # 3 Axis Leads

BBB IVCD WPW Hemiblocks

Ken Grauer, MD
LVH LAA/RAA RVH COPD KG/EKG Press
P.O. Box 141258
Gainesville, FL 32614-1258
Q-R-S-T LIST # 4 #5 #6
MI Lytes Nl Q/T inv Pericard

Practice ECGs
KG-EKG Press
Ken Grauer, MD
ECG PB Book
ii

Page ii
●
●
●
●
Systematic Approach ●

Rate/Rhythm LIST #1 #2
QT LIST # 3 Axis Leads

BBB IVCD WPW Hemiblocks

LVH LAA/RAA RVH COPD

Q-R-S-T LIST # 4 #5 #6
MI Lytes Nl Q/T inv Pericard

Practice ECGs
of the ECG PB book

KG-EKG Press ISBN # 978-1-930553-06-4(Expanded ECG pdf File)

Ken Grauer, MD
ECG PB Book Instructions
iii
/Shortcuts!

Page iii

Systematic Approach

Rate/Rhythm LIST #1 #2
QT LIST # 3 Axis Leads

BBB IVCD WPW Hemiblocks

♥
LVH LAA/RAA RVH COPD

Q-R-S-T LIST # 4 #5 #6
MI Lytes Nl Q/T inv Pericard

Practice ECGs
KG-EKG Press
Ken Grauer, MD
About the Author iv

Page iv

Systematic Approach

Rate/Rhythm LIST #1 #2
QT LIST # 3 Axis Leads ♥
BBB IVCD WPW Hemiblocks

LVH LAA/RAA RVH COPD ♥

Q-R-S-T LIST # 4 #5 #6
MI Lytes Nl Q/T inv Pericard
♥
Practice ECGs
KG-EKG Press
Ken Grauer, MD
ECG PB below
The excerpt Book
Pageis 26C+
taken from pages 17B,C . . . Systematic
Approach
Interpret Tracings G and H below. Page 56

NOTE - The patient is hemodynamically stable in each case. 26C+

Both rhythm strips are from Lead II.
HINT - Use the P's / Q's and 3R systematic approach for Page 56
interpreting each rhythm.

The rhythm is regular at a rate of about 75/minute. The QRS complex is wide.
P waves are present and upright in front of each QRS complex with a fixed
PR interval. Thus, despite QRS widening - this is a sinus rhythm, with QRS
widening due to bundle branch block.

The QRS complex is again wide and regular at a rate of 75/minute. However -
NO P waves are seen in this Lead II. Thus, the rhythm is not sinus. QRS widening
suggests a ventricular origin. Because the rate is faster than what is usual for a
ventricular escape rhythm - this is AIVR.
ECG PB Book 28

Page 28

Systematic Approach

Rate/Rhythm LIST #1 #2
QT LIST # 3 Axis Leads

BBB IVCD WPW Hemiblocks

LVH LAA/RAA RVH COPD

Q-R-S-T LIST # 4 #5 #6
MI Lytes Nl Q/T inv Pericard

Practice ECGs
♥
KG-EKG Press
Ken Grauer, MD
ECG PB Book 29

i)
Page 29
ii)

iii)

Systematic Approach
iv)
Rate/Rhythm LIST #1 #2
QT LIST # 3 Axis Leads

BBB IVCD WPW Hemiblocks

♥
LVH LAA/RAA RVH COPD

Q-R-S-T LIST # 4 #5 #6 ♥
MI Lytes Nl Q/T inv Pericard ♥
Practice ECGs
KG-EKG Press
Ken Grauer, MD Torsades
ECG PB Book 29A

ANSWER

Page 29A
AXIS
Practice

Systematic Approach

Rate/Rhythm LIST #1 #2
QT LIST # 3 Axis Leads ♥
BBB IVCD WPW Hemiblocks

LVH LAA/RAA RVH COPD

►
Q-R-S-T LIST # 4 #5 #6
MI Lytes Nl Q/T inv Pericard

Practice ECGs
KG-EKG Press
Ken Grauerde
Torsades , MPointes
D
ECG PB Book
Mg++
56

Page 56 ♥

Tracing U
A-6
Systematic Approach
A-6
Rate/Rhythm LIST #1 #2
QT LIST # 3 Axis Leads

BBB IVCD WPW Hemiblocks

LVH LAA/RAA RVH COPD

Q-R-S-T LIST # 4 #5 #6
MI Lytes Nl Q/T inv Pericard

Practice ECGs
KG-EKG Press
Ken Grauer, MD Tracing H
ECG PB Book
Page 56A Systematic
Approach

56A

See GREEN Callout at

bottom of next page=56B
ECG PB Book
Page 56B Systematic
Approach

56B

Ischemia?
ECG PB Book 57
♥
Page 57

Systematic Approach

Rate/Rhythm LIST #1 #2
QT LIST # 3 Axis Leads

BBB IVCD WPW Hemiblocks

LVH LAA/RAA RVH COPD

Q-R-S-T LIST # 4 #5 #6
MI Lytes Nl Q/T inv Pericard QT Prolongation

Practice ECGs
KG-EKG Press Mg++
Ken Grauer, MD
8
ECG PB Book
Practice
Tracings Instructions - 2

There are a number of options available for

Instructions — 2 viewing our pdf files. Select PREFERENCES
under EDIT in the Bar Menu at the top of
the page. We suggest you choose the
SINGLE for PAGE Page
SINGLE DISPLAY
for Pso
AGEasDtoISPLAY
view
so as to view ONE page at a time.

Viewing in
Full Screen mode
ECG PB Book Practice
Tracings
Instructions - 3

Instructions — 3

NOTE - IF the size of your picture is too

small in FULL SCREEN mode — try
pressing Control-0 (zero) to optimize
size (and make the picture fit the page!)

We prefer to view our pdf files using the FULL SCREEN

MODE (‘Control L’
L under VIEW) – being sure to indicate
your Default Transition as FADE (under PREFERENCES
which can be found under EDIT in the upper Bar menu).
We find that the FADE transition is easiest for the eye,
and provides smoothest viewing.
Practice Tracings: ECGs & Rhythms
Clinical Interpretation of 12-Lead ECGs and Cardiac Arrhythmias

Title Page: ECG Set A

A
A-1 A-11 A-21 A-31
Instructions: Full Screen mode
A-2 A-12 A-22 A-32
A-3 A-13 A-23 A-33
A-4 A-14 A-24 A-34
A B C D
A-5 A-15 A-25 A-35
A-6 A-16 A-26
♥ ECG Set A – Basic 12-lead ECGs A-7 A-17 A-27
♥ ECG Set B – More Advanced ECGs A-8 A-18 A-28
♥ Rhythm Set C – Basic Arrhythmias A-9 A-19 A-29
♥ Rhythm Set D – Advanced Rhythms A-10 A-20 A-30
 Tracing A-1:
ECG obtained from a 20 y.o. woman with A B C D
palpitations. She is otherwise healthy.
- How would you interpret her 12-lead ECG? Is the rhythm regular?

Standardization
 ANSWER to A-1:
ECG obtained from a 20 y.o. woman with A B C D
palpitations. She is otherwise healthy.
- How would you interpret her ECG?
Answer:

1 2 3 4 5 6 7 8 9 10 11 12 13 14
 Tracing A-6:
ECG obtained from 91 y.o. woman who A B C D
presented with GI bleeding and chest
pain. Her hematocrit was 15. The patient
had a history of known renal impairment.
- How would you interpret her ECG?
 ANSWER to A-6:
ECG obtained from 91 y.o. woman who A B C D
presented with GI bleeding and chest
pain. Her hematocrit was 15. The patient
had a history of known renal impairment.
Answer:
- How would you interpret her ECG?

The rhythm is sinus ...

V1
ECG PB Book Back to pg 1

ECG Crib-2
Instructions
/Shortcuts

Systematic Approach

Rate/Rhythm LIST #1 #2
Pulm Emboli LAST Slide ( Click
twice
)
QT LIST # 3 Axis Leads

BBB IVCD WPW Hemiblocks

LVH LAA/RAA RVH COPD

Q-R-S-T LIST # 4 #5 #6
MI Lytes Nl Q/T inv Pericard
Lead
Practice ECGs Groups

KG-EKG Press
Ken Grauer, MD
ECG PB Book
ECG Crib-1
Instructions
/Shortcuts

Back to LAST Slide Viewed (Click twice )

Systematic Approach

Rate/Rhythm LIST #1 #2
QT LIST # 3 Axis Leads

BBB IVCD WPW Hemiblocks

LVH LAA/RAA RVH COPD

Q-R-S-T LIST # 4 #5 #6
MI Lytes Nl Q/T inv Pericard

Practice ECGs
KG-EKG Press
Ken Grauer, MD