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Normal tracing | __notoc__ | ||
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]] | *[[Normal tracing|Normal ECG]] | ||
Technical Problems | ===Technical Problems=== | ||
*[[Technical Problems|Leads misplaced]] | *[[Technical Problems|Leads misplaced]] | ||
*[[Technical Problems|Artifacts]] | *[[Technical Problems|Artifacts]] | ||
Sinus node rhythms and arrhythmias | ===Sinus node rhythms and arrhythmias=== | ||
*[[Rhythm|Sinus rhythm]] | *[[Rhythm|Sinus rhythm]] | ||
*[[Arrhythmias#Sinustachycardia|Sinus tachycardia (>100 beats per minute)]] | *[[Arrhythmias#Sinustachycardia|Sinus tachycardia (>100 beats per minute)]] | ||
| Line 10: | Line 13: | ||
*[[Arrhythmias#Sinusarrest|Sinus arrest or pause]] | *[[Arrhythmias#Sinusarrest|Sinus arrest or pause]] | ||
*[[Arrhythmias#Sino-atrial_exit_block|Sino-atrial exit block]] | *[[Arrhythmias#Sino-atrial_exit_block|Sino-atrial exit block]] | ||
Other Supraventricular Rhythms | ===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]] | ||
Ventricular Arrhythmias | *[[Supraventricular Rhythms|Supraventricular Tachycardia, paroxysmal]] | ||
===Ventricular Arrhythmias=== | |||
*[[Arrhythmias#Ventricular premature complexes|Ventricular premature complexes]] | *[[Arrhythmias#Ventricular premature complexes|Ventricular premature complexes]] | ||
*[[Arrhythmias#Ventricular escape complexes or rhythm|Ventricular escape complexes or rhythm]] | *[[Arrhythmias#Ventricular escape complexes or rhythm|Ventricular escape complexes or rhythm]] | ||
| Line 25: | Line 30: | ||
*[[Arrhythmias#Ventricular tachycardia, polymorphous (including torsade de pointes)|Ventricular tachycardia, polymorphous (including torsade de pointes)]] | *[[Arrhythmias#Ventricular tachycardia, polymorphous (including torsade de pointes)|Ventricular tachycardia, polymorphous (including torsade de pointes)]] | ||
*[[Arrhythmias#Ventricular fibrillation|Ventricular fibrillation]] | *[[Arrhythmias#Ventricular fibrillation|Ventricular fibrillation]] | ||
Genetic Arrhythmias | ===Genetic Arrhythmias=== | ||
*[[Long QT syndrome]]* | *[[Long QT syndrome]]* | ||
*[[Brugada syndrome]]* | *[[Brugada syndrome]]* | ||
*[[Arrythmogenic Right Ventricular Cardiomyopathy]]* | *[[Arrythmogenic Right Ventricular Cardiomyopathy]]* | ||
*[[Catecholamin Induced Ventricular Tachycardia]]* | *[[Catecholamin Induced Ventricular Tachycardia]]* | ||
Atrial Ventricular Conduction | ===Atrial Ventricular Conduction=== | ||
*[[Atrial Ventricular Conduction|First-degree AV block]] | *[[Atrial Ventricular Conduction|First-degree AV block]] | ||
*[[Atrial Ventricular Conduction|Mobitz Type 1 second-degree AV block (Wenckebach)]] | *[[Atrial Ventricular Conduction|Mobitz Type 1 second-degree AV block (Wenckebach)]] | ||
| Line 39: | Line 44: | ||
*[[Atrial Ventricular Conduction|AV block, complete (third-degree)]] | *[[Atrial Ventricular Conduction|AV block, complete (third-degree)]] | ||
*[[Atrial Ventricular Conduction|AV dissociation]] | *[[Atrial Ventricular Conduction|AV dissociation]] | ||
Intraventricular Conduction | ===Intraventricular Conduction=== | ||
*[[Intraventricular Conduction|Left bundle branch block (fixed or intermittent)]] | *[[Intraventricular Conduction|Left bundle branch block (fixed or intermittent)]] | ||
*[[Intraventricular Conduction|Right bundle branch block (fixed or intermittent, complete or incomplete)]] | *[[Intraventricular Conduction|Right bundle branch block (fixed or intermittent, complete or incomplete)]] | ||
| Line 47: | Line 52: | ||
*[[Intraventricular Conduction|Left posterior fascicular block]] | *[[Intraventricular Conduction|Left posterior fascicular block]] | ||
*[[Ventricular pre-excitation (Wolff-Parkinson-White pattern)]] | *[[Ventricular pre-excitation (Wolff-Parkinson-White pattern)]] | ||
QRS axis and voltage | ===QRS axis and voltage=== | ||
*[[QRS axis and voltage|Right axis deviation (+90 to +180 degrees)]] | *[[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|Left axis deviation (-30 to -90 degrees)]] | ||
*[[QRS axis and voltage|Indeterminate axis]] | *[[QRS axis and voltage|Indeterminate axis]] | ||
*[[QRS axis and voltage|Electrical alternans]] | *[[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)]] | Precordial lead)]] | ||
Chamber Hypertrophy and Enlargment | ===Chamber Hypertrophy and Enlargment=== | ||
*[[Chamber Hypertrophy and Enlargment|Left atrial enlargement, abnormality, or conduction defect]] | *[[Chamber Hypertrophy and Enlargment|Left atrial enlargement, abnormality, or conduction defect]] | ||
*[[Chamber Hypertrophy and Enlargment|Right atrial abnormality]] | *[[Chamber Hypertrophy and Enlargment|Right atrial abnormality]] | ||
| Line 60: | Line 65: | ||
*[[Chamber Hypertrophy and Enlargment|Left ventricular hypertrophy with secondary ST-T abnormality]] | *[[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]] | *[[Chamber Hypertrophy and Enlargment|Right ventricular hypertrophy with or without secondary ST-T abnormality]] | ||
Repolarization (ST-T,U) Abnormalities | ===Repolarization (ST-T,U) Abnormalities=== | ||
*[[Repolarization (ST-T,U) Abnormalities|Early repolarization (normal variant)]] | *[[Repolarization (ST-T,U) Abnormalities|Early repolarization (normal variant)]] | ||
*[[Repolarization (ST-T,U) Abnormalities|Juvenile T waves (normal variant)]] | *[[Repolarization (ST-T,U) Abnormalities|Juvenile T waves (normal variant)]] | ||
| Line 70: | Line 75: | ||
*[[Repolarization (ST-T,U) Abnormalities|Prominent U waves]] | *[[Repolarization (ST-T,U) Abnormalities|Prominent U waves]] | ||
*[[Cardiac Memory|Cardiac Memory]]* | *[[Cardiac Memory|Cardiac Memory]]* | ||
Myocardial Infarction | ===[[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=== | ||
*[[Clinical Disorders|Chronic pulmonary disease pattern]] | *[[Clinical Disorders|Chronic pulmonary disease pattern]] | ||
*[[Clinical Disorders|Acute pericarditis]] | *[[Clinical Disorders|Acute pericarditis]] | ||
| Line 90: | Line 95: | ||
*[[Clinical Disorders|Suggests hypercalcemia]] | *[[Clinical Disorders|Suggests hypercalcemia]] | ||
*[[Clinical Disorders|Suggests CNS disease]] | *[[Clinical Disorders|Suggests CNS disease]] | ||
Pacemaker | ===Pacemaker=== | ||
*[[Pacemaker|Atrial-paced rhythm]] | *[[Pacemaker|Atrial-paced rhythm]] | ||
*[[Pacemaker|Ventricular-paced rhythm]] | *[[Pacemaker|Ventricular-paced rhythm]] | ||
| Line 104: | Line 109: | ||
* not part of the ACC list | 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
- Sinus rhythm
- Sinus tachycardia (>100 beats per minute)
- Sinus bradycardia (<50 beats per minute)
- Sinus arrest or pause
- Sino-atrial exit block
Other Supraventricular Rhythms
- Atrial Premature Complexes
- Atrial premature complexes, nonconducted
- Ectopic Atrial Rhythm
- Atrial Fibrillation
- Atrial Flutter
- Atrial Tachycardia
- Junctional Premature Complexes
- Supraventricular Tachycardia, paroxysmal
Ventricular Arrhythmias
- Ventricular premature complexes
- Ventricular escape complexes or rhythm
- Accelerated idioventricular rhythm
- Ventricular tachycardia
- Ventricular tachycardia, polymorphous (including torsade de pointes)
- Ventricular fibrillation
Genetic Arrhythmias
- Long QT syndrome*
- Brugada syndrome*
- Arrythmogenic Right Ventricular Cardiomyopathy*
- Catecholamin Induced Ventricular Tachycardia*
Atrial Ventricular Conduction
- First-degree AV block
- Mobitz Type 1 second-degree AV block (Wenckebach)
- Mobitz Type 2 second-degree AV block
- AV block or conduction ratio, 2:1
- AV block, varying conduction ratio
- AV block, advanced (high-grade)
- AV block, complete (third-degree)
- AV dissociation
Intraventricular Conduction
- Left bundle branch block (fixed or intermittent)
- Right bundle branch block (fixed or intermittent, complete or incomplete)
- Intraventricular conduction delay, nonspecific
- Aberrant conduction of supraventricular beats
- Left anterior fascicular block
- Left posterior fascicular block
- Ventricular pre-excitation (Wolff-Parkinson-White pattern)
QRS axis and voltage
- Right axis deviation (+90 to +180 degrees)
- Left axis deviation (-30 to -90 degrees)
- Indeterminate axis
- Electrical alternans
- 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
- Left atrial enlargement, abnormality, or conduction defect
- Right atrial abnormality
- Left ventricular hypertrophy (QRS abnormality only)
- Left ventricular hypertrophy with secondary ST-T abnormality
- Right ventricular hypertrophy with or without secondary ST-T abnormality
Repolarization (ST-T,U) Abnormalities
- Early repolarization (normal variant)
- Juvenile T waves (normal variant)
- Nonspecific abnormality, ST segment and/or T wave
- ST and/or T wave suggests ischemia
- ST suggests injury
- ST suggests ventricular aneurysm
- Q-T interval prolonged
- Prominent U waves
- Cardiac Memory*
Myocardial Infarction
- Inferior MI (acute or recent)
- Inferior MI (old or age indeterminate)
- Posterior MI (acute or recent)
- Posterior MI (old or age indeterminate)
- Septal MI (acute or recent)
- Anterior MI (acute or recent)
- Anterior MI (old or age indeterminate)
- Lateral MI (acute or recent)
- Lateral MI (old or age indeterminate)
- Right ventricular infarction (acute)
Clinical Disorders
- Chronic pulmonary disease pattern
- Acute pericarditis
- Suggests hypokalemia
- Suggests hyperkalemia
- Suggests hypocalcemia
- Suggests hypercalcemia
- Suggests CNS disease
Pacemaker
- Atrial-paced rhythm
- Ventricular-paced rhythm
- Atrial-sensed ventricular-paced rhythm
- AV dual-paced rhythm
- Failure of appropriate capture, atrial
- Failure of appropriate capture, ventricular
- Failure of appropriate inhibition, atrial
- Failure of appropriate inhibition, ventricular
- Failure of appropriate pacemaker firing
- Retrograde atrial activation
- Pacemaker mediated tachycardia
Marked items (*) are not part of the ACC list
References
- 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 |