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{| class="wikitable" font-size="80%"
__notoc__
|- style="text-align:center;background-color:#6EB4EB;"
|+'''Table of Contents'''
|-
!category
!item
|-
!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
|
|-
|
|[[Arrhythmias#Atrial premature complexes|Atrial premature complexes]]
|-
|
|[[Arrhythmias#Atrial premature complexes, nonconducted|Atrial premature complexes, nonconducted]]
|-
|
|[[Arrhythmias#Ectopic atrial rhythm|Ectopic atrial rhythm]]
|-
|
|[[Arrhythmias#Atrial fibrillation|Atrial fibrillation]]
|-
|
|[[Arrhythmias#Atrial flutter|Atrial flutter]]
|-
|
|[[Arrhythmias#Junctional premature complexes|Junctional premature complexes]]
|-
|
|[[Arrhythmias#Supraventricular tachycardia, paroxysmal|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]]
|-
|
|[[Chamber Hypertrophy and Enlargment|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
|
|-
|
|[[Myocardial Infarction|Inferior MI (acute or recent)]]
|-
|
|[[Myocardial Infarction|Inferior MI (old or age indeterminate)]]
|-
|
|[[Myocardial Infarction|Posterior MI (acute or recent)]]
|-
|
|[[Myocardial Infarction|Posterior MI (old or age indeterminate)]]
|-
|
|[[Myocardial Infarction|Septal MI (acute or recent)]]
|-
|
|[[Myocardial Infarction|Anterior MI (acute or recent)]]
|-
|
|[[Myocardial Infarction|Anterior MI (old or age indeterminate)]]
|-
|
|[[Myocardial Infarction|Lateral MI (acute or recent)]]
|-
|
|[[Myocardial Infarction|Lateral MI (old or age indeterminate)]]
|-
|
|[[Myocardial Infarction|Right ventricular infarction (acute)]]
|-
|
|[[Myocardial Infarction|Lateral MI (acute or recent)]]
|-
!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]]


|}
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]]


* not part of the ACC list
===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)]]


===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]]




[[nl:ACC_lijst_met_ECG_afwijkingen]]
Marked items (*) are not part of the ACC list
=== References ===
<biblio>
ACCtech1 pmid=17322457
ACCtech2 pmid=17322456
ACCECG pmid=11748119
</biblio>

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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