ACC list: Difference between revisions

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NORMAL TRACING
{| class="wikitable" font-size="90%"
1. Normal ECG
|- style="text-align:center;background-color:#6EB4EB;"
TECHNICAL PROBLEMS
|+'''Knowledge targets'''
2. Leads misplaced
|-
3. Artifact
!category
SINUS NODE RHYTHMS AND ARRHYTHMIAS
!item
4. Sinus rhythm
!nurse
5. Sinus tachycardia (>100 beats per minute)
!physician
6. Sinus bradycardia (<50 beats per minute)
!cardiologist
7. Sinus arrhythmia
!moderator
8. Sinus arrest or pause
|-
9. Sino-atrial exit block
|Normal tracing
OTHER SUPRAVENTRICULAR RHYTHMS
|
10. Atrial premature complexes
|
11. Atrial premature complexes, nonconducted
|
12. Ectopic atrial rhythm
|
13. Ectopic atrial tachycardia, unifocal
|
14. Ectopic atrial tachycardia, multifocal
|-
15. Atrial fibrillation
|
16. Atrial flutter
|Normal ECG
17. Junctional premature complexes
|x
18. Junctional escape complexes or rhythm
|x
19. Accelerated junctional rhythm
|x
20. Junctional tachycardia, automatic
|-
21. Supraventricular tachycardia, paroxysmal
|-
VENTRICULAR ARRHYTHMIAS
|Technical Problems
22. Ventricular premature complexes
|
23. Ventricular escape complexes or rhythm
|
24. Accelerated idioventricular rhythm
|
25. Ventricular tachycardia
|
26. Ventricular tachycardia, polymorphous (including torsade de pointes)
|-
27. Ventricular fibrillation
|
|Leads misplaced
|x
|x
|x
|-
|
|Artifacts
|x
|x
|x
|-
|Sinus node rhythms and arrhythmias
|
|
|
|
|-
|
|[[Rhythm|Sinus rhythm]]
|x
|x
|x
|-
|
|[[Arrhythmias#Sinustachycardia|Sinus tachycardia (>100 beats per minute)]]
|x
|x
|x
|-
|
|[[Arrhythmias#Sinusbradycardia|Sinus bradycardia (<50 beats per minute)]]
|x
|x
|x
|-
|
|[[Arrhythmias#Sinusarrest|Sinus arrest or pause]]
|x
|x
|x
|-
|
|[[Arrhythmias#Sino-atrial_exit_block|Sino-atrial exit block]]
|x
|x
|x
|-
|Other Supraventricular Rhythms
|
|
|
|
|-
|
|[[Arrhythmias#Atrial premature complexes|Atrial premature complexes]]
|x
|x
|x
|-
|
|[[Arrhythmias#Atrial premature complexes, nonconducted|Atrial premature complexes, nonconducted]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ectopic atrial rhythm|Ectopic atrial rhythm]]
|x
|x
|x
|-
|
|[[Arrhythmias#Atrial fibrillation|Atrial fibrillation]]
|x
|x
|x
|-
|
|[[Arrhythmias#Atrial flutter|Atrial flutter]]
|x
|x
|x
|-
|
|[[Arrhythmias#Junctional premature complexes|Junctional premature complexes]]
|x
|x
|x
|-
|
|[[Arrhythmias#Supraventricular tachycardia, paroxysmal|Supraventricular tachycardia, paroxysmal]]
|x
|x
|x
|-
|Ventricular Arrhythmias
|
|
|
|
|-
|
|[[Arrhythmias#Ventricular premature complexes|Ventricular premature complexes]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ventricular escape complexes or rhythm|Ventricular escape complexes or rhythm]]
|x
|x
|x
|-
|
|[[Arrhythmias#Accelerated idioventricular rhythm|Accelerated idioventricular rhythm]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ventricular tachycardia|Ventricular tachycardia]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ventricular tachycardia, polymorphous (including torsade de pointes)|Ventricular tachycardia, polymorphous (including torsade de pointes)]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ventricular fibrillation|Ventricular fibrillation]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
|x
|x
|x
|-
|
|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
|x
|x
|x
|-
 
|}
 
 
ATRIAL VENTRICULAR CONDUCTION
ATRIAL VENTRICULAR CONDUCTION
28. First-degree AV block
28. First-degree AV block
29. Mobitz Type 1 second-degree AV block (Wenckebach)
29. Mobitz Type 1 second-degree AV block (Wenckebach)
30. Mobitz Type 2 second-degree AV block
30. Mobitz Type 2 second-degree AV block
31. AV block or conduction ratio, 2:1
31. AV block or conduction ratio, 2:1
32. AV block, varying conduction ratio
32. AV block, varying conduction ratio
33. AV block, advanced (high-grade)
33. AV block, advanced (high-grade)
34. AV block, complete (third-degree)
34. AV block, complete (third-degree)
35. AV dissociation
35. AV dissociation
INTRAVENTRICULAR CONDUCTION
INTRAVENTRICULAR CONDUCTION
36. Left bundle branch block (fixed or intermittent)
36. Left bundle branch block (fixed or intermittent)
37. Right bundle branch block (fixed or intermittent, complete or incomplete)
37. Right bundle branch block (fixed or intermittent, complete or incomplete)
38. Intraventricular conduction delay, nonspecific
38. Intraventricular conduction delay, nonspecific
39. Aberrant conduction of supraventricular beats
39. Aberrant conduction of supraventricular beats
40. Left anterior fascicular block
40. Left anterior fascicular block
41. Left posterior fascicular block
41. Left posterior fascicular block
42. Ventricular pre-excitation (Wolff-Parkinson-White pattern)
42. Ventricular pre-excitation (Wolff-Parkinson-White pattern)
QRS AXIS AND VOLTAGE
QRS AXIS AND VOLTAGE
43. Right axis deviation (+90 to +180 degrees)
43. Right axis deviation (+90 to +180 degrees)
44. Left axis deviation (-30 to -90 degrees)
44. Left axis deviation (-30 to -90 degrees)
45. Indeterminate axis
45. Indeterminate axis
46. Electrical alternans
46. Electrical alternans
47. Low voltage (less than 0.5 mV total QRS amplitude in each extremity lead and less than 1.0 mV in each Precordial lead)
 
47. Low voltage (less than 0.5 mV total QRS amplitude in each extremity lead and less than 1.0 mV in each  
Precordial lead)
 
CHAMBER HYPERTROPHY OR ENLARGEMENT
CHAMBER HYPERTROPHY OR ENLARGEMENT
48. Left atrial enlargement, abnormality, or conduction defect
48. Left atrial enlargement, abnormality, or conduction defect
49. Right atrial abnormality
49. Right atrial abnormality
50. Left ventricular hypertrophy (QRS abnormality only)
50. Left ventricular hypertrophy (QRS abnormality only)
51. Left ventricular hypertrophy with secondary ST-T abnormality
51. Left ventricular hypertrophy with secondary ST-T abnormality
52. Right ventricular hypertrophy with or without secondary ST-T abnormality
52. Right ventricular hypertrophy with or without secondary ST-T abnormality
REPOLARIZATION (ST-T,U) ABNORMALITIES
REPOLARIZATION (ST-T,U) ABNORMALITIES
53. Early repolarization (normal variant)
53. Early repolarization (normal variant)
54. Juvenile T waves (normal variant)
54. Juvenile T waves (normal variant)
55. Nonspecific abnormality, ST segment and/or T wave
55. Nonspecific abnormality, ST segment and/or T wave
56. ST and/or T wave suggests ischemia
56. ST and/or T wave suggests ischemia
57. ST suggests injury
57. ST suggests injury
58. ST suggests ventricular aneurysm
58. ST suggests ventricular aneurysm
59. Q-T interval prolonged
59. Q-T interval prolonged
60. Prominent U waves
60. Prominent U waves
MYOCARDIAL INFARCTION
MYOCARDIAL INFARCTION
61. Inferior MI (acute or recent)
61. Inferior MI (acute or recent)
62. Inferior MI (old or age indeterminate)
62. Inferior MI (old or age indeterminate)
63. Posterior MI (acute or recent)
63. Posterior MI (acute or recent)
64. Posterior MI (old or age indeterminate)
64. Posterior MI (old or age indeterminate)
65. Septal MI (acute or recent)
65. Septal MI (acute or recent)
66. Anterior MI (acute or recent)
66. Anterior MI (acute or recent)
67. Anterior MI (old or age indeterminate)
67. Anterior MI (old or age indeterminate)
68. Lateral MI (acute or recent)
68. Lateral MI (acute or recent)
69. Lateral MI (old or age indeterminate)
69. Lateral MI (old or age indeterminate)
70. Right ventricular infarction (acute)
70. Right ventricular infarction (acute)
CLINICAL DISORDERS
CLINICAL DISORDERS
71. Chronic pulmonary disease pattern
71. Chronic pulmonary disease pattern
72. Acute pericarditis
72. Acute pericarditis
73. Suggests hypokalemia
73. Suggests hypokalemia
74. Suggests hyperkalemia
74. Suggests hyperkalemia
75. Suggests hypocalcemia
75. Suggests hypocalcemia
76. Suggests hypercalcemia
76. Suggests hypercalcemia
77. Suggests CNS disease
77. Suggests CNS disease
PACEMAKER
PACEMAKER
78. Atrial-paced rhythm
78. Atrial-paced rhythm
79. Ventricular-paced rhythm
79. Ventricular-paced rhythm
80. Atrial-sensed ventricular-paced rhythm
80. Atrial-sensed ventricular-paced rhythm
81. AV dual-paced rhythm
81. AV dual-paced rhythm
82. Failure of appropriate capture, atrial
82. Failure of appropriate capture, atrial
83. Failure of appropriate capture, ventricular
83. Failure of appropriate capture, ventricular
84. Failure of appropriate inhibition, atrial
84. Failure of appropriate inhibition, atrial
85. Failure of appropriate inhibition, ventricular
85. Failure of appropriate inhibition, ventricular
86. Failure of appropriate pacemaker firing
86. Failure of appropriate pacemaker firing
87. Retrograde atrial activation
87. Retrograde atrial activation
88. Pacemaker mediated tachycardia
88. Pacemaker mediated tachycardia
[[nl:ACC_lijst_met_ECG_afwijkingen]]

Latest revision as of 11:07, 17 June 2007

Knowledge targets
category item nurse physician cardiologist moderator
Normal tracing
Normal ECG x x x
Technical Problems
Leads misplaced x x x
Artifacts x x x
Sinus node rhythms and arrhythmias
Sinus rhythm x x x
Sinus tachycardia (>100 beats per minute) x x x
Sinus bradycardia (<50 beats per minute) x x x
Sinus arrest or pause x x x
Sino-atrial exit block x x x
Other Supraventricular Rhythms
Atrial premature complexes x x x
Atrial premature complexes, nonconducted x x x
Ectopic atrial rhythm x x x
Atrial fibrillation x x x
Atrial flutter x x x
Junctional premature complexes x x x
Supraventricular tachycardia, paroxysmal x x x
Ventricular Arrhythmias
Ventricular premature complexes x x x
Ventricular escape complexes or rhythm x x x
Accelerated idioventricular rhythm x x x
Ventricular tachycardia x x x
Ventricular tachycardia, polymorphous (including torsade de pointes) x x x
Ventricular fibrillation x x x
Ectopic atrial tachycardia, unifocal x x x
Ectopic atrial tachycardia, unifocal x x x
Ectopic atrial tachycardia, unifocal x x x
Ectopic atrial tachycardia, unifocal x x x
Ectopic atrial tachycardia, unifocal x x x
Ectopic atrial tachycardia, unifocal x x x
Ectopic atrial tachycardia, unifocal x x x
Ectopic atrial tachycardia, unifocal x x x
Ectopic atrial tachycardia, unifocal x x x
Ectopic atrial tachycardia, unifocal x x x
Ectopic atrial tachycardia, unifocal x x x
Ectopic atrial tachycardia, unifocal x x x
Ectopic atrial tachycardia, unifocal x x x
Ectopic atrial tachycardia, unifocal x x x
Ectopic atrial tachycardia, unifocal x x x
Ectopic atrial tachycardia, unifocal x x x
Ectopic atrial tachycardia, unifocal x x x
Ectopic atrial tachycardia, unifocal x x x
Ectopic atrial tachycardia, unifocal x x x


ATRIAL VENTRICULAR CONDUCTION

28. First-degree AV block

29. Mobitz Type 1 second-degree AV block (Wenckebach)

30. Mobitz Type 2 second-degree AV block

31. AV block or conduction ratio, 2:1

32. AV block, varying conduction ratio

33. AV block, advanced (high-grade)

34. AV block, complete (third-degree)

35. AV dissociation

INTRAVENTRICULAR CONDUCTION

36. Left bundle branch block (fixed or intermittent)

37. Right bundle branch block (fixed or intermittent, complete or incomplete)

38. Intraventricular conduction delay, nonspecific

39. Aberrant conduction of supraventricular beats

40. Left anterior fascicular block

41. Left posterior fascicular block

42. Ventricular pre-excitation (Wolff-Parkinson-White pattern)

QRS AXIS AND VOLTAGE

43. Right axis deviation (+90 to +180 degrees)

44. Left axis deviation (-30 to -90 degrees)

45. Indeterminate axis

46. Electrical alternans

47. Low voltage (less than 0.5 mV total QRS amplitude in each extremity lead and less than 1.0 mV in each Precordial lead)

CHAMBER HYPERTROPHY OR ENLARGEMENT

48. Left atrial enlargement, abnormality, or conduction defect

49. Right atrial abnormality

50. Left ventricular hypertrophy (QRS abnormality only)

51. Left ventricular hypertrophy with secondary ST-T abnormality

52. Right ventricular hypertrophy with or without secondary ST-T abnormality

REPOLARIZATION (ST-T,U) ABNORMALITIES

53. Early repolarization (normal variant)

54. Juvenile T waves (normal variant)

55. Nonspecific abnormality, ST segment and/or T wave

56. ST and/or T wave suggests ischemia

57. ST suggests injury

58. ST suggests ventricular aneurysm

59. Q-T interval prolonged

60. Prominent U waves

MYOCARDIAL INFARCTION

61. Inferior MI (acute or recent)

62. Inferior MI (old or age indeterminate)

63. Posterior MI (acute or recent)

64. Posterior MI (old or age indeterminate)

65. Septal MI (acute or recent)

66. Anterior MI (acute or recent)

67. Anterior MI (old or age indeterminate)

68. Lateral MI (acute or recent)

69. Lateral MI (old or age indeterminate)

70. Right ventricular infarction (acute)

CLINICAL DISORDERS

71. Chronic pulmonary disease pattern

72. Acute pericarditis

73. Suggests hypokalemia

74. Suggests hyperkalemia

75. Suggests hypocalcemia

76. Suggests hypercalcemia

77. Suggests CNS disease

PACEMAKER

78. Atrial-paced rhythm

79. Ventricular-paced rhythm

80. Atrial-sensed ventricular-paced rhythm

81. AV dual-paced rhythm

82. Failure of appropriate capture, atrial

83. Failure of appropriate capture, ventricular

84. Failure of appropriate inhibition, atrial

85. Failure of appropriate inhibition, ventricular

86. Failure of appropriate pacemaker firing

87. Retrograde atrial activation

88. Pacemaker mediated tachycardia

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