Textbook: Difference between revisions

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{| class="wikitable" font-size="80%"
Normal tracing
|- style="text-align:center;background-color:#6EB4EB;"
*[[Normal tracing|Normal ECG]]
|+'''Table of Contents'''
Technical Problems
|-
*[[Technical Problems|Leads misplaced]]
!category
*[[Technical Problems|Artifacts]]
!item
Sinus node rhythms and arrhythmias
|-
*[[Rhythm|Sinus rhythm]]
!Normal tracing
*[[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]]
|[[Normal tracing|Normal ECG]]
Other Supraventricular Rhythms
|-
*[[Arrhythmias#Atrial premature complexes|Atrial premature complexes]]
|-
*[[Arrhythmias#Atrial premature complexes, nonconducted|Atrial premature complexes, nonconducted]]
!Technical Problems
*[[Arrhythmias#Ectopic atrial rhythm|Ectopic atrial rhythm]]
|
*[[Arrhythmias#Atrial fibrillation|Atrial fibrillation]]
|-
*[[Arrhythmias#Atrial flutter|Atrial flutter]]
|
*[[Arrhythmias#Junctional premature complexes|Junctional premature complexes]]
|[[Technical Problems|Leads misplaced]]
*[[Arrhythmias#Supraventricular tachycardia, paroxysmal|Supraventricular tachycardia, paroxysmal]]
|-
Ventricular Arrhythmias
|
*[[Arrhythmias#Ventricular premature complexes|Ventricular premature complexes]]
|[[Technical Problems|Artifacts]]
*[[Arrhythmias#Ventricular escape complexes or rhythm|Ventricular escape complexes or rhythm]]
|-
*[[Arrhythmias#Accelerated idioventricular rhythm|Accelerated idioventricular rhythm]]
!Sinus node rhythms and arrhythmias
*[[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
|[[Rhythm|Sinus rhythm]]
*[[Long QT syndrome]]*
|-
*[[Brugada syndrome]]*
|
*[[Arrythmogenic Right Ventricular Cardiomyopathy]]*
|[[Arrhythmias#Sinustachycardia|Sinus tachycardia (>100 beats per minute)]]
*[[Catecholamin Induced Ventricular Tachycardia]]*
|-
Atrial Ventricular Conduction
|
*[[Atrial Ventricular Conduction|First-degree AV block]]
|[[Arrhythmias#Sinusbradycardia|Sinus bradycardia (<50 beats per minute)]]
*[[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]]
|[[Arrhythmias#Sinusarrest|Sinus arrest or pause]]
*[[Atrial Ventricular Conduction|AV block, varying conduction ratio]]
|-
*[[Atrial Ventricular Conduction|AV block, advanced (high-grade)]]
|
*[[Atrial Ventricular Conduction|AV block, complete (third-degree)]]
|[[Arrhythmias#Sino-atrial_exit_block|Sino-atrial exit block]]
*[[Atrial Ventricular Conduction|AV dissociation]]
|-
Intraventricular Conduction
!Other Supraventricular Rhythms
*[[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]]
|[[Arrhythmias#Atrial premature complexes|Atrial premature complexes]]
*[[Intraventricular Conduction|Left anterior fascicular block]]
|-
*[[Intraventricular Conduction|Left posterior fascicular block]]
|
*[[Ventricular pre-excitation (Wolff-Parkinson-White pattern)]]
|[[Arrhythmias#Atrial premature complexes, nonconducted|Atrial premature complexes, nonconducted]]
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)]]
|[[Arrhythmias#Ectopic atrial rhythm|Ectopic atrial rhythm]]
*[[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  
|[[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)]]
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|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|Left atrial enlargement, abnormality, or conduction defect]]
*[[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)]]
|[[Chamber Hypertrophy and Enlargment|Right atrial abnormality]]
*[[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]]
|[[Chamber Hypertrophy and Enlargment|Left ventricular hypertrophy (QRS abnormality only)]]
*[[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]]
|[[Chamber Hypertrophy and Enlargment|Left ventricular hypertrophy with secondary ST-T abnormality]]
*[[Repolarization (ST-T,U) Abnormalities|Prominent U waves]]
|-
*[[Cardiac Memory|Cardiac Memory]]*
|
Myocardial Infarction
|[[Chamber Hypertrophy and Enlargment|Right ventricular hypertrophy with or without secondary ST-T abnormality]]
*[[Myocardial Infarction|Inferior MI (acute or recent)]]
|-
*[[Myocardial Infarction|Inferior MI (old or age indeterminate)]]
!Repolarization (ST-T,U) Abnormalities
*[[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)]]
|[[Repolarization (ST-T,U) Abnormalities|Early repolarization (normal variant)]]
*[[Myocardial Infarction|Anterior MI (old or age indeterminate)]]
|-
*[[Myocardial Infarction|Lateral MI (acute or recent)]]
|
*[[Myocardial Infarction|Lateral MI (old or age indeterminate)]]
|[[Repolarization (ST-T,U) Abnormalities|Juvenile T waves (normal variant)]]
*[[Myocardial Infarction|Right ventricular infarction (acute)]]
|-
*[[Myocardial Infarction|Lateral MI (acute or recent)]]
|
Clinical Disorders
|[[Repolarization (ST-T,U) Abnormalities|Nonspecific abnormality, ST segment and/or T wave]]
*[[Clinical Disorders|Chronic pulmonary disease pattern]]
|-
*[[Clinical Disorders|Acute pericarditis]]
|
*[[Clinical Disorders|Suggests hypokalemia]]
|[[Repolarization (ST-T,U) Abnormalities|ST and/or T wave suggests ischemia]]
*[[Clinical Disorders|Suggests hyperkalemia]]
|-
*[[Clinical Disorders|Suggests hypocalcemia]]
|
*[[Clinical Disorders|Suggests hypercalcemia]]
|[[Repolarization (ST-T,U) Abnormalities|ST suggests injury]]
*[[Clinical Disorders|Suggests CNS disease]]
|-
Pacemaker
|
*[[Pacemaker|Atrial-paced rhythm]]
|[[Repolarization (ST-T,U) Abnormalities|ST suggests ventricular aneurysm]]
*[[Pacemaker|Ventricular-paced rhythm]]
|-
*[[Pacemaker|Atrial-sensed ventricular-paced rhythm]]
|
*[[Pacemaker|AV dual-paced rhythm]]
|[[Repolarization (ST-T,U) Abnormalities|Q-T interval prolonged]]
*[[Pacemaker|Failure of appropriate capture, atrial]]
|-
*[[Pacemaker|Failure of appropriate capture, ventricular]]
|
*[[Pacemaker|Failure of appropriate inhibition, atrial]]
|[[Repolarization (ST-T,U) Abnormalities|Prominent U waves]]
*[[Pacemaker|Failure of appropriate inhibition, ventricular]]
|-
*[[Pacemaker|Failure of appropriate pacemaker firing]]
|
*[[Pacemaker|Retrograde atrial activation]]
|[[Cardiac Memory|Cardiac Memory]]*
*[[Pacemaker|Pacemaker mediated tachycardia]]
|-
!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]]


|}


* not part of the ACC list  
* not part of the ACC list  

Revision as of 16:00, 18 June 2007

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


  • not part of the ACC list
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