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    Introduction To ECG For Nursing

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    Rashid AlHamdan
    The document provides an introduction to electrocardiograms (ECGs) and their use in measuring the electrical activity of the heart. It explains that ECGs involve placing leads on the body in standardized positions to measure electrical currents from different angles. The document then covers topics such as the cardiac conduction system, normal ECG waves and intervals, determining the electrical axis, common mistakes in lead placement, various cardiac arrhythmias, conduction blocks, and pacemakers.

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    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd

    Introduction To ECG For Nursing

    Uploaded by

    Rashid AlHamdan
    451 views75 pages
    The document provides an introduction to electrocardiograms (ECGs) and their use in measuring the electrical activity of the heart. It explains that ECGs involve placing leads on the body in standardized positions to measure electrical currents from different angles. The document then covers topics such as the cardiac conduction system, normal ECG waves and intervals, determining the electrical axis, common mistakes in lead placement, various cardiac arrhythmias, conduction blocks, and pacemakers.

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    Introduction to ECG for Nursing

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    The document provides an introduction to electrocardiograms (ECGs) and their use in measuring the electrical activity of the heart. It explains that ECGs involve placing leads on the body in standardized positions to measure electrical currents from different angles. The document then covers topics such as the cardiac conduction system, normal ECG waves and intervals, determining the electrical axis, common mistakes in lead placement, various cardiac arrhythmias, conduction blocks, and pacemakers.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    451 views75 pages

    Introduction To ECG For Nursing

    Uploaded by

    Rashid AlHamdan
    The document provides an introduction to electrocardiograms (ECGs) and their use in measuring the electrical activity of the heart. It explains that ECGs involve placing leads on the body in standardized positions to measure electrical currents from different angles. The document then covers topics such as the cardiac conduction system, normal ECG waves and intervals, determining the electrical axis, common mistakes in lead placement, various cardiac arrhythmias, conduction blocks, and pacemakers.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 75

    Introduction to ECG

    Dr. Rashed J. Al-Hamdan


    M.D. FRCP( C )

    Introduction to ECG
    ECG is short for ElectroCardioGram. The idea of ECG is to measure a surface electrical potential of the electrical activities occurring in the heart. This entails fitting leads to look at the currents from every possible angle. This emphasizes the need for standardizing the leads positions to be able to compare different ECGs.

    An old ECG Machine

    Conduction System

    Normal ECG

    Action Potential and ECG

    Basic ECG Leads

    Basic ECG Leads

    Chest Leads

    V1: 4th space, Rt parasternal line. V2: 4th space Lt parasternal line. V3: Between V2 and V3. V4: 5th Space Midclavicular line. V5: 5th space Anterior axillary line. V6: 5th space Midaxillary line.

    Electro-Mechanical Coupling

    Standard Limb Leads

    Standard Limb Leads

    Waves and Intervals

    Axis Determination
    The depolarization wave spreads in different directions through the ventricle. The term axis usually refers to the mean direction of the QRS wave in the frontal plane unless otherwise specified. This means that we are examining the QRS axis only in the standard limb leads.

    Axis Determination

    The way to determine the electrical axis is made easy by remembering few rules in ECG.

    Axis Determination

    Axis Determination

    Axis Determination

    Axis Determination

    Common Mistakes
    One of the commonest mistakes to be done by nurses and doctors is leads misplacement. The most common ones are 1- Right Arm Left Arm leads misplacement. 2- Arm Leg leads misplacement. 3- Reversal of 2 leads of the anterior chest leads V1 V3.

    Common Mistakes: Rt - Lt Arm Leads Misplacement

    Common Mistakes: Rt - Lt Arm Leads Misplacement

    Common Mistakes: Leg - Arm Leads Misplacement

    Common Mistakes: V1 V2 Leads Misplacement

    Spot The Differences

    What is that ???

    What is that ???

    Atrial and Ventricular Tachycardia

    Atrial Flutter

    Atrial Flutter

    Atrial Flutter

    Atrial Flutter

    Flutter With High AV Block

    Atrial Fibrillation

    Fine Atrial Fibrillation

    PSVT

    A V N R T - Sinus Rhythm

    A V N R T - Attack

    Ventricular Tachycardia

    Ventricular Tachycardia

    WPW

    Orthodromic WPW

    Antidromic WPW

    WPW with AFib

    WPW with AFib

    Atrio-Ventricular Block

    st 1

    Degree AV Block

    Mobitz Type I

    Mobitz Type II

    rd 3

    Degree AV Block

    Bundle Branch Blocks

    Right B B B

    Left B B B

    Torsade de Pointes

    Torsade de Pointes

    Hyperkalemia

    Hyperkalemia

    Hypokalemia

    Hypokalemia

    STEMI

    STEMI

    STEMI

    STEMI

    STEMI

    STEMI

    STEMI with LBBB

    Single Chamber Pacemaker

    Dual Chamber Pacemaker

    I C D

    Dangerous Patterns

    Dangerous Patterns

    Dangerous Patterns

    Dangerous Patterns

    Dangerous Patterns

    Dangerous Patterns

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