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{| class="wikitable" font-size="90%"
__notoc__
|- style="text-align:center;background-color:#6EB4EB;"
|+'''Knowledge targets'''
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!category
!item
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|Normal tracing
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|-
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|[[Normal tracing|Normal ECG]]
|-
|-
|Technical Problems
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|-
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|[[Technical Problems|Leads misplaced]]
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|[[Technical Problems|Artifacts]]
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|Sinus node rhythms and arrhythmias
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|-
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|[[Rhythm|Sinus rhythm]]
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|[[Arrhythmias#Sinustachycardia|Sinus tachycardia (>100 beats per minute)]]
|-
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|[[Arrhythmias#Sinusbradycardia|Sinus bradycardia (<50 beats per minute)]]
|-
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|[[Arrhythmias#Sinusarrest|Sinus arrest or pause]]
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|[[Arrhythmias#Sino-atrial_exit_block|Sino-atrial exit block]]
|x
|x
|x
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|Other Supraventricular Rhythms
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|-
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|[[Arrhythmias#Atrial premature complexes|Atrial premature complexes]]
|x
|x
|x
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|[[Arrhythmias#Atrial premature complexes, nonconducted|Atrial premature complexes, nonconducted]]
|x
|x
|x
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|[[Arrhythmias#Ectopic atrial rhythm|Ectopic atrial rhythm]]
|x
|x
|x
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|[[Arrhythmias#Atrial fibrillation|Atrial fibrillation]]
|x
|x
|x
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|[[Arrhythmias#Atrial flutter|Atrial flutter]]
|x
|x
|x
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|[[Arrhythmias#Junctional premature complexes|Junctional premature complexes]]
|x
|x
|x
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|[[Arrhythmias#Supraventricular tachycardia, paroxysmal|Supraventricular tachycardia, paroxysmal]]
|x
|x
|x
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|Ventricular Arrhythmias
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|-
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|[[Arrhythmias#Ventricular premature complexes|Ventricular premature complexes]]
|x
|x
|x
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|[[Arrhythmias#Ventricular escape complexes or rhythm|Ventricular escape complexes or rhythm]]
|x
|x
|x
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|[[Arrhythmias#Accelerated idioventricular rhythm|Accelerated idioventricular rhythm]]
|x
|x
|x
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|[[Arrhythmias#Ventricular tachycardia|Ventricular tachycardia]]
|x
|x
|x
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|[[Arrhythmias#Ventricular tachycardia, polymorphous (including torsade de pointes)|Ventricular tachycardia, polymorphous (including torsade de pointes)]]
|x
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|x
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|[[Arrhythmias#Ventricular fibrillation|Ventricular fibrillation]]
|x
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|x
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|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
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|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
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|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
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|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
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|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
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|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
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|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
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|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
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|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
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|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
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|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
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|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
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|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
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|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
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|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
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|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
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|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
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|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
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|[[Arrhythmias#Ectopic atrial tachycardia, unifocal|Ectopic atrial tachycardia, unifocal]]
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|}
Thist list includes all items published in the clinical competence statement on electrocardiology of the American College of Cardiology and American Heart Association.<cite>ACCECG</cite>. Also read the recent guidelines for standardized ECG interpretation.<cite>ACCtech1</cite><cite>ACCtech2</cite>
===Normal tracing===
*[[Normal tracing|Normal ECG]]
===Technical Problems===
*[[Technical Problems|Leads misplaced]]
*[[Technical Problems|Artifacts]]
===Sinus node rhythms and arrhythmias===
*[[Rhythm|Sinus rhythm]]
*[[Arrhythmias#Sinustachycardia|Sinus tachycardia (>100 beats per minute)]]
*[[Arrhythmias#Sinusbradycardia|Sinus bradycardia (<50 beats per minute)]]
*[[Arrhythmias#Sinusarrest|Sinus arrest or pause]]
*[[Arrhythmias#Sino-atrial_exit_block|Sino-atrial exit block]]
===Other Supraventricular Rhythms===
*[[Atrial Premature Complexes]]
*[[Atrial Premature Complexes|Atrial premature complexes, nonconducted]]
*[[Ectopic Atrial Rhythm]]
*[[Atrial Fibrillation]]
*[[Atrial Flutter]]
*[[Atrial Tachycardia]]
*[[Junctional Premature Complexes]]
*[[Supraventricular Rhythms|Supraventricular Tachycardia, paroxysmal]]


===Ventricular Arrhythmias===
*[[Arrhythmias#Ventricular premature complexes|Ventricular premature complexes]]
*[[Arrhythmias#Ventricular escape complexes or rhythm|Ventricular escape complexes or rhythm]]
*[[Arrhythmias#Accelerated idioventricular rhythm|Accelerated idioventricular rhythm]]
*[[Arrhythmias#Ventricular tachycardia|Ventricular tachycardia]]
*[[Arrhythmias#Ventricular tachycardia, polymorphous (including torsade de pointes)|Ventricular tachycardia, polymorphous (including torsade de pointes)]]
*[[Arrhythmias#Ventricular fibrillation|Ventricular fibrillation]]
===Genetic Arrhythmias===
*[[Long QT syndrome]]*
*[[Brugada syndrome]]*
*[[Arrythmogenic Right Ventricular Cardiomyopathy]]*
*[[Catecholamin Induced Ventricular Tachycardia]]*
===Atrial Ventricular Conduction===
*[[Atrial Ventricular Conduction|First-degree AV block]]
*[[Atrial Ventricular Conduction|Mobitz Type 1 second-degree AV block (Wenckebach)]]
*[[Atrial Ventricular Conduction|Mobitz Type 2 second-degree AV block]]
*[[Atrial Ventricular Conduction|AV block or conduction ratio, 2:1]]
*[[Atrial Ventricular Conduction|AV block, varying conduction ratio]]
*[[Atrial Ventricular Conduction|AV block, advanced (high-grade)]]
*[[Atrial Ventricular Conduction|AV block, complete (third-degree)]]
*[[Atrial Ventricular Conduction|AV dissociation]]
===Intraventricular Conduction===
*[[Intraventricular Conduction|Left bundle branch block (fixed or intermittent)]]
*[[Intraventricular Conduction|Right bundle branch block (fixed or intermittent, complete or incomplete)]]
*[[Intraventricular Conduction|Intraventricular conduction delay, nonspecific]]
*[[Intraventricular Conduction|Aberrant conduction of supraventricular beats]]
*[[Intraventricular Conduction|Left anterior fascicular block]]
*[[Intraventricular Conduction|Left posterior fascicular block]]
*[[Ventricular pre-excitation (Wolff-Parkinson-White pattern)]]
===QRS axis and voltage===
*[[QRS axis and voltage|Right axis deviation (+90 to +180 degrees)]]
*[[QRS axis and voltage|Left axis deviation (-30 to -90 degrees)]]
*[[QRS axis and voltage|Indeterminate axis]]
*[[QRS axis and voltage|Electrical alternans]]
*[[QRS axis and voltage|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 and Enlargment===
*[[Chamber Hypertrophy and Enlargment|Left atrial enlargement, abnormality, or conduction defect]]
*[[Chamber Hypertrophy and Enlargment|Right atrial abnormality]]
*[[Chamber Hypertrophy and Enlargment|Left ventricular hypertrophy (QRS abnormality only)]]
*[[Chamber Hypertrophy and Enlargment|Left ventricular hypertrophy with secondary ST-T abnormality]]
*[[Chamber Hypertrophy and Enlargment|Right ventricular hypertrophy with or without secondary ST-T abnormality]]
===Repolarization (ST-T,U) Abnormalities===
*[[Repolarization (ST-T,U) Abnormalities|Early repolarization (normal variant)]]
*[[Repolarization (ST-T,U) Abnormalities|Juvenile T waves (normal variant)]]
*[[Repolarization (ST-T,U) Abnormalities|Nonspecific abnormality, ST segment and/or T wave]]
*[[Repolarization (ST-T,U) Abnormalities|ST and/or T wave suggests ischemia]]
*[[Repolarization (ST-T,U) Abnormalities|ST suggests injury]]
*[[Repolarization (ST-T,U) Abnormalities|ST suggests ventricular aneurysm]]
*[[Repolarization (ST-T,U) Abnormalities|Q-T interval prolonged]]
*[[Repolarization (ST-T,U) Abnormalities|Prominent U waves]]
*[[Cardiac Memory|Cardiac Memory]]*
===[[Myocardial Infarction]]===
*[[Inferior MI|Inferior MI (acute or recent)]]
*[[Inferior MI|Inferior MI (old or age indeterminate)]]
*[[Posterior MI|Posterior MI (acute or recent)]]
*[[Posterior MI|Posterior MI (old or age indeterminate)]]
*[[Septal MI|Septal MI (acute or recent)]]
*[[Anterior MI|Anterior MI (acute or recent)]]
*[[Anterior MI|Anterior MI (old or age indeterminate)]]
*[[Lateral MI|Lateral MI (acute or recent)]]
*[[Lateral MI|Lateral MI (old or age indeterminate)]]
*[[Right_Ventricle_MI|Right ventricular infarction (acute)]]


ATRIAL VENTRICULAR CONDUCTION
===Clinical Disorders===
*[[Clinical Disorders|Chronic pulmonary disease pattern]]
*[[Clinical Disorders|Acute pericarditis]]
*[[Clinical Disorders|Suggests hypokalemia]]
*[[Clinical Disorders|Suggests hyperkalemia]]
*[[Clinical Disorders|Suggests hypocalcemia]]
*[[Clinical Disorders|Suggests hypercalcemia]]
*[[Clinical Disorders|Suggests CNS disease]]
===Pacemaker===
*[[Pacemaker|Atrial-paced rhythm]]
*[[Pacemaker|Ventricular-paced rhythm]]
*[[Pacemaker|Atrial-sensed ventricular-paced rhythm]]
*[[Pacemaker|AV dual-paced rhythm]]
*[[Pacemaker|Failure of appropriate capture, atrial]]
*[[Pacemaker|Failure of appropriate capture, ventricular]]
*[[Pacemaker|Failure of appropriate inhibition, atrial]]
*[[Pacemaker|Failure of appropriate inhibition, ventricular]]
*[[Pacemaker|Failure of appropriate pacemaker firing]]
*[[Pacemaker|Retrograde atrial activation]]
*[[Pacemaker|Pacemaker mediated tachycardia]]


28. First-degree AV block


29. Mobitz Type 1 second-degree AV block (Wenckebach)
Marked items (*) are not part of the ACC list
 
=== References ===
30. Mobitz Type 2 second-degree AV block
<biblio>
 
ACCtech1 pmid=17322457
31. AV block or conduction ratio, 2:1
ACCtech2 pmid=17322456
 
ACCECG pmid=11748119
32. AV block, varying conduction ratio
</biblio>
 
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
 
[[nl:ACC_lijst_met_ECG_afwijkingen]]

Latest revision as of 12:46, 13 March 2008


Thist list includes all items published in the clinical competence statement on electrocardiology of the American College of Cardiology and American Heart Association.[1]. Also read the recent guidelines for standardized ECG interpretation.[2][3]

Normal tracing

Technical Problems

Sinus node rhythms and arrhythmias

Other Supraventricular Rhythms

Ventricular Arrhythmias

Genetic Arrhythmias

Atrial Ventricular Conduction

Intraventricular Conduction

QRS axis and voltage

Chamber Hypertrophy and Enlargment

Repolarization (ST-T,U) Abnormalities

Myocardial Infarction

Clinical Disorders

Pacemaker


Marked items (*) are not part of the ACC list

References

  1. Kligfield P, Gettes LS, Bailey JJ, Childers R, Deal BJ, Hancock EW, van Herpen G, Kors JA, Macfarlane P, Mirvis DM, Pahlm O, Rautaharju P, Wagner GS, American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology, American College of Cardiology Foundation, Heart Rhythm Society, Josephson M, Mason JW, Okin P, Surawicz B, and Wellens H. Recommendations for the standardization and interpretation of the electrocardiogram: part I: The electrocardiogram and its technology: a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology; the American College of Cardiology Foundation; and the Heart Rhythm Society: endorsed by the International Society for Computerized Electrocardiology. Circulation. 2007 Mar 13;115(10):1306-24. DOI:10.1161/CIRCULATIONAHA.106.180200 | PubMed ID:17322457 | HubMed [ACCtech1]
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