IntelliSpace ECG

DXL

Philips DXL 16-Lead ECG Algorithm

0B Criteria
Quick Reference Guide
 ADULT AND PEDIATRIC RHYTHM STATEMENT CODES
ADULT AND PEDIATRIC RHYTHM STATEMENT CODES
Basic Cardiac Rhythms
SR Sinus rhythm
SB Sinus bradycardia
ST Sinus tachycardia
EAR Ectopic atrial rhythm
EAB Ectopic atrial bradycardia
EAT Ectopic atrial tachycardia
JER Junctional rhythm
JRA Accelerated junctional rhythm
JT Junctional tachycardia
SA Sinus arrhythmia
LLAR Low left atrial rhythm
HLAR High left atrial rhythm
LRAR Low right atrial rhythm
HRAR High right atrial rhythm
WPACE Wandering atrial pacemaker
AVDIS AV dissociation
ETACH Extreme tachycardia
SVT Supraventricular tachycardia
TACHW Wide-QRS tachycardia
VTACH Extreme tachycardia with wide complex
AFIB Atrial fibrillation , V-rate ***.***
AFLT Atrial flutter, A-rate ***
AFLT2 A-flutter w/ predom 2:1 AV block, A-rate ***
AFLT3 A-flutter w/ predom 3:1 AV block, A rate ***
AFLT4 A-flutter w/ predom 4:1 AV block, A-rate ***
AFLTV A-flutter w/ varied AV block, A-rate ***

Premature Complexes
APC Atrial premature complex
JPC Junctional premature complex (es)
VPC Ventricular premature complex
MAPC Atrial premature complexes
SVBIG Supraventricular bigeminy
Premature Complexes (continued)
SVTNS Supraventricular tachycardia, non-sustained
MVPC Multiple ventricular premature complexes
MVSPC Multiple premature complexes, vent & supraven, V and
SV Complexes w/ short R-R
SVTRI Supraventricular trigeminy
JBIG Junctional rhythm with VPCs in a bigeminy pattern
JTRI Junctional rhythm with VPCs in a trigeminal pattern
VBIG Ventricular bigeminy
VTRI Ventricular trigeminy
PVPC Paired ventricular premature complexes
RVPC Ventricular tachycardia, unsustained
MFVPC Multiform ventricular premature complexes
MFPVPC Paired multiform ventricular complexes
MFRVPC Run of multiform ventricular complexes

Impulse Formation and AV Conduction Disorders

SPR Short PR interval
BAVCD Borderline prolonged PR interval
1AVB Prolonged PR interval
2AVB Second degree AV block, Mobitz II
2AVB2 Predominant 2:1 AV block
2AVB3 Predominant 3:1 AV block
2AVB4 Predominant 4:1 AV block
2AVBV AV block, varying conduction
3AVB AV block, complete (third degree)
3AVBIR Complete AV block with wide QRS complex
SABLK1 Sinoatrial block, type 1
SABLK2 Sinoatrial block, type 2
SARSV Sinus pause
WENCK Second deg AVB, Mobitz I (Wenckebach)
SPR Short PR interval
1AVB Prolonged PR interval
Pacemaker
APACEC Atrial-paced complexes
APACE Atrial-paced rhythm
VPACEC Ventricular-paced complexes
VPACE Ventricular-paced rhythm
ASVPS Atrial-sensed ventricular-paced complexes
ASVP Atrial-sensed ventricular-paced rhythm
VPACEF Afib/flutter and ventricular-paced rhythm
AVDPC Atrial-ventricular dual-paced complexes
AVDP Atrial-ventricular dual-paced rhythm
BVPACE Biventricular paced rhythm
PCNSNC Pacemaker failure to capture and sense
PACEM Failure to sense and/or capture (?magnet)

ADULT MORPHOLOGY STATEMENT CODES

ADULT MORPHOLOGY STATEMENT CODES

QRS Axis/Low Voltage
RAD Right axis deviation
LAD Left axis deviation
AXSUP Right superior axis
AXIND Indeterminate axis
LVOLT Low voltage, extremity and precordial leads
CPDP Pattern suggests chronic pulmonary disease
CPDLV Low voltage consistent with COPD

Atrial Abnormalities and VCD

DEXC Consider dextrocardia
VPE Ventricular preexcitation(WPW)
VPEL Vent pre-excitat'n(WPW), left acces'y pathway
VPER Ventricular Vent pre-excit'n(WPW), right access'y path-
way
RAA Right atrial conduction abnormality
RAE Right atrial enlargement
LAA Left atrial conduction abnormality
LAE Left atrial enlargement
Atrial Abnormalities and VCD (Continued)
RAD Right axis deviation
LAD Left axis deviation
AXIND Indeterminate axis
IVCD Intraventricular conduction delay
NIVCD Nonspecific intraventricular conduction delay
IRBBB Incomplete right bundle branch block
RBBB Right bundle branch block
LAFB Left anterior fascicular block
LPFB Left posterior fascicular block
RLAFB RBBB and LAFB
RLPFB RBBB and LPFB
ILBBB Incomplete left bundle branch block
LBBB Left bundle branch block

Ventricular Hypertrophies
RVH Right ventricular hypertrophy
RVHR RVH with secondary repolarization abnrm
LVHV LVH by voltage
LVH Left ventricular hypertrophy
LVHREP LVH with secondary repolarization abnormality
BVH Biventricular hypertrophy

Infarcts
IMIO Inferior infarct, old
IMIR Inferior infarct, recent
IMIA Inferior infarct, acute
IMIAR Inferior infarct, acute (RCA)
IMIAX Inferior infarct, acute (LCx)
IMIQ Inferior infarct, age indeterminate
ASMIO Anteroseptal infarct, old
AMIO Anterior infarct, old
ASMIQ Anteroseptal infarct, age indeterminate
AMIQ Anterior infarct, age indeterminate
ASMIR Anteroseptal infarct, recent
Infarcts (Continued)
ASMIA Anteroseptal infarct, acute
ASMIAD Anteroseptal infarct, acute (LAD)
AMIA Anterior infarct, acute
AMIAD Anterior infarct, acute (LAD)
LMIO Lateral infarct, old
LMIR Lateral infarct, recent
LMIA Lateral infarct, acute
LMIAD Lateral infarct, acute (LAD)
LMIQ Lateral infarct, age indeterminate
ALIO Anterolateral infarct, old
ALIQ Anterolateral infarct, age indeterminate
ALIR Anterolateral infarct, recent
ALIA Anterolateral infarct, acute
ALIAD Anterolateral infarct, acute (LAD)
ILMIO Inferolateral infarct, old
ILMIQ Inferolateral infarct, age indeterminate
ILMIR Inferolateral infarct, recent
ILMIA Inferolateral infarct, acute
ILMIAR Inferolateral infarct, acute (RCA)
ILMIAX Inferolateral infarct, acute (LCx)
PMIO Posterior infarct, old
PMIA Posterior infarct, acute
PMIAX Posterior infarct, acute (LCx)
PMIQ Posterior infarct, age indeterminate
PMIR Posterior infarct, recent
RMIO Right ventricular infarct, old
RMIQ Right ventricular infarct, age indeterminate
RMIR Right ventricular infarct, recent
RMIA Right ventricular infarct, acute
RMIAR Right ventricular infarct, acute (RCA)
RVINV Right ventricle is also involved
IPMIO Inferoposterior infarct, old
IPMIQ Inferoposterior infarct, age indeterminate
IPMIR Inferoposterior infarct, recent
Infarcts (Continued)
IPMIA Inferoposterior infarct, acute
IPMIAR Inferoposterior infarct, acute (RCA)
IPMIAX Inferoposterior infarct, acute (LCx)

ST, T, and Repolarization Abnormalities

NDSTD Nondiagnostic ST depression
SDANP Nonspecific ST depression, anterior leads
SDINP Nonspecific ST depression, inferior leads
SDALP Nonspecific ST depression, anterolateral lds
SDM Minimal ST depression
SD15NS Nonspecific ST depression
SD2IN ST depr, consider ischemia, inferior leads
SD2AN ST depr, consider ischemia, anterior leads
SD2LA ST depression, consider ischemia, lateral lds
SD2AL ST depr, consider ischemia, anterolateral lds
SD2IN ST depr, consider ischemia, anterolateral lds
SD2WI ST depression, consider ischemia, diffuse lds
PUW Prominent U waves
T1AN Nonspecific T abnormalities, anterior leads
T1LA Nonspecific T abnormalities, lateral leads
T1AL Nonspecific T abnrm, anterolateral leads
T1IN Nonspecific T abnormalities, inferior leads
T1DI Nonspecific T abnormalities, diffuse leads
T6AN Abnormal T, probable ischemia, anterior leads
T6LA Abnormal T, probable ischemia, lateral leads
T6AL Abnrm T, probable ischemia, anterolateral lds
T6IN Abnormal T, probable ischemia, inferior leads
T6IL Abnrm T, probable ischemia, inferolateral lds
T6WI Abnormal T, probable ischemia, widespread
REPNS Nonspecific repolarization abnormalities
REPIA Repol abnrm suggests ischemia, anterior leads
REPILA Repol abnrm suggests ischemia, lateral leads
REPIAL Repol abnrm suggests ischemia, anterolateral
REPII Repol abnrm suggests ischemia, inferior leads
ST, T, and Repolarization Abnormalities (Continued)
REPIIL Repol abnrm suggests ischemia, inferolateral
REPIDI Repol abnrm suggests ischemia, diffuse leads
REPPWI Repol abnrm, global ischemia, diffuse leads
LM3VD Repol abnrm, severe global ischemia (LM/3VD)
REPRR Repolarization abnormality, prob rate related

ST Elevation
EREPOL ST elev, probable normal early repol pattern
STEND Nondiagnostic ST elevation
PERI ST elevation suggests acute pericarditis
STE ST elevation, subepicardial injury
CINJI ST elevation, consider inferior injury
CINJA ST elevation, consider anterior injury
CINJL ST elevation, consider lateral injury
CINJAL ST elevation, consider anterolateral injury

QT, Electrolyte Abnormalities, & Drug Effects

TTW Tall T waves
TTW10 Tall T, consider metabolic/ischemic abnrm
TTW20 Tall T waves suggest hyperkalemia
SQT Short QT interval
HPRCA Short QT interval suggests hypercalcemia
LQT Prolonged QT interval
HPOCA Prolonged QT interval suggests hypocalcemia
HPOK Prolonged QT suggests hypokalemia/drug
DIG1 Repol abnormality suggests digitalis effect
DIG2 Repol abnormality suggests digitalis effect …
ST concave upward & digitalis
PEDIATRIC MORPHOLOGY STATEMENT CODES
PEDIATRIC MORPHOLOGY STATEMENT CODES
QRS Axis/Low Voltage
RAD Right axis deviation
LAD Left axis deviation
AXSUP Right superior axis
AXIND Indeterminate axis
LVOLT Low voltage, extremity and precordial leads
CPDP Pattern suggests chronic pulmonary disease
CPDLV Low voltage consistent with COPD

Atrial Abnormalities and VCD

RAE Right atrial enlargement
RAA Right atrial conduction abnormality
LAE Left atrial enlargement
LAA Left atrial conduction abnormality
IVCDP Nonspecific intraventricular conduction delay
IRBBBP Incomplete right bundle branch block
RBBBP Right bundle branch block
RBBBM Marked right bundle branch block
LAFBP Left anterior fascicular block
RLAFBP RBBB and LAFB
LBBBP Left bundle branch block
DEXC Consider dextrocardia
VPE Ventricular preexcitation(WPW)
VPER Vent pre-excit'n(WPW), right access'y pathway
VPEL Vent pre-excitat'n(WPW), left acces'y pathway
VPERA Ventricular preexcitation (WPW), a right anteroseptal
accessory pathway
VPELA Ventricular preexcitation (WPW), a left anteroseptal
accessory pathway
VPERP Ventricular preexcitation (WPW), a right posteroseptal
accessory pathway
VPELP Ventricular preexcitation (WPW), a left posteroseptal
accessory pathway
Atrial Abnormalities and VCD (Continued)
VPERL Ventricular preexcitation (WPW), a right lateral
accessory pathway
VPELL Ventricular preexcitation (WPW), a left lateral
accessory pathway

Ventricular Hypertrophies
RVHTA Consider right ventricular hypertrophy
RVHR1 Probable right ventricular hypertrophy
RVH2V Right ventricular hypertrophy
LVHR6 LVH by voltage
LVHTA Consider left ventricular hypertrophy
LVHEV Left ventricular hypertrophy
LVHRE LVH w/ secondary repolarization abnormalities
LSH Left septal hypertrophy
BVHC Consider biventricular hypertrophy
BVHPED Biventricular hypertrophy

Q Wave Abnormalities
PIMI Abnormal Q suggests inferior infarct
PAMI Abnormal Q suggests anterior infarct
PLMI Abnormal Q suggests lateral infarct
PALMI Abnormal Q suggests anterolateral infarct

ST, T, and Repolarization Abnormalities

EREPOL ST elev, probable normal early repol pattern
STEND Nondiagnostic ST elevation
STE ST elevation, subepicardial injury
PERI ST elevation suggests acute pericarditis
SEINP ST elev, prob normal variant, inferior leads
SEANP ST elev, prob normal variant, anterior leads
SEALP ST elev, prob normal variant, anterolateral lds
SDINP Nonspecific ST depression, inferior leads
SDANP Nonspecific ST depression, anterior leads
SDALP Nonspecific ST depression, anterolateral lds
ST, T, and Repolarization Abnormalities (Continued)
TIN1 Abnormal T waves, inferior leads
TAN1 Abnormal T waves, anterior leads
TLA1 Abnormal T waves, lateral leads
TAL1 Abnormal T waves, anterolateral leads

QT & Electrolyte Abnormalities

SQT Short QT interval
HPRCA Short QT interval suggests hypercalcemia
LQTB Borderline prolonged QT interval
LQTS Prolonged QT, probably secondary to wide QRS
LQT Prolonged QT interval
HPOCA Prolonged QT interval suggests hypocalcemia
HPOK Prolonged QT suggests hypokalemia/drug

Anatomical Diagnoses
ARVO Acute right ventricular overload
ACP Acute cor pulmonale
ASD Atrial septal defect
AVSD Atrioventricular septal defect
CTA Consider tricuspid atresia
CECD Consider endocardial cushion defect
CASD Consider atrial septal defect, septum secundum
CAOCA Probable ant-lat infarct, consider anomalous origin of
the coronary artery
CEA Consider Ebstein anomaly
 SEVERITY CODES
SEVERITY CODES
Used to add common severity modifiers to any diagnostic report.
NS No severity assigned
NO Normal ECG
ON Otherwise normal ECG
BO Borderline ECG
AB Abnormal ECG
DE Defective ECG

MODIFIERS FOR 0A CRITERIA

MODIFIERS FOR 0A CRITERIA

Age Modifiers
EV Evolving
AC Acute
SU Subacute
XA Possibly acute
RE Recent
X0 Probably old
OL Old
AI Age indeterminate

Probability Modifiers
BO Borderline
CE Cannot exclude
CO Consider
CW Consistent with
PO Possible
PR Probable

Location Modifiers
AN Anterior
AL Anterolateral
AS Anteroseptal
IN Inferior
IL lnferolateral
Location Modifiers (Continued)
IP Inferoposterior
LA Lateral
PS Posterior
PL Posterolateral
SN Subendocardial
SP Subepicardial
DI Diffuse
EX Extensive
MF Multifocal
WI Widespread

Rhythm Modifiers
S Sinus
AR Atrial
J Junctional
V V entricular
M Multiple
AN Alternating
IM Intermittent
PX Paroxysmal

Miscellaneous Modifiers
NS Nonspecific
OC Occasional
SL May be secondary to LVH
 DX CODES
DX CODES
ACMI Acute myocardial infarct
AOVD Aortic valvular disease
ARRY Arrhythmia
CM Cardiomyopathy
CLRT Chest leads right-sided
CPCC Chest pain chief complaint
CPSC Chest pain secondary
PTCA Coronary angioplasty
CAD Coronary artery disease
CHD Congenital heart disease
TX Heart transplant
HYPT Hypertension
MVD Mitral valvular disease
NOCP No chest pain
OLMI Old myocardial infarct
PACE Pacemaker
PROP Preoperative ECG
POCV Post-op cardiac surgery
COPD Pulmonary disease
PMV V3 moved to V3R
VHD Valvular heart disease
UNKN No known DX
RX CODES
RX CODES
ACEI ACE inhibitor
ARHY Antiarrhythmia drug
AMIO Amiodarone
BETA Beta blocker drug
CABL Calcium blocker
DIG Digitalis
PTZ Phenothiazine
PROC Procainamide
PRES Pressor drug
PSYC Psychoactive drug
QUIN Quinidine
TRIC Tricyclic antidepressant
UNKN No known RX

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Edition 1