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Normal tracing | ===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 10: | ||
*[[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=== | ||
*[[Arrhythmias#Atrial premature complexes|Atrial premature complexes]] | *[[Arrhythmias#Atrial premature complexes|Atrial premature complexes]] | ||
*[[Arrhythmias#Atrial premature complexes, nonconducted|Atrial premature complexes, nonconducted]] | *[[Arrhythmias#Atrial premature complexes, nonconducted|Atrial premature complexes, nonconducted]] | ||
| Line 18: | Line 18: | ||
*[[Arrhythmias#Junctional premature complexes|Junctional premature complexes]] | *[[Arrhythmias#Junctional premature complexes|Junctional premature complexes]] | ||
*[[Arrhythmias#Supraventricular tachycardia, paroxysmal|Supraventricular tachycardia, paroxysmal]] | *[[Arrhythmias#Supraventricular tachycardia, paroxysmal|Supraventricular tachycardia, paroxysmal]] | ||
Ventricular Arrhythmias | ===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 25: | ||
*[[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 39: | ||
*[[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 47: | ||
*[[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 60: | ||
*[[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)]] | ||
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*[[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=== | ||
*[[Myocardial Infarction|Inferior MI (acute or recent)]] | *[[Myocardial Infarction|Inferior MI (acute or recent)]] | ||
*[[Myocardial Infarction|Inferior MI (old or age indeterminate)]] | *[[Myocardial Infarction|Inferior MI (old or age indeterminate)]] | ||
| Line 82: | Line 82: | ||
*[[Myocardial Infarction|Right ventricular infarction (acute)]] | *[[Myocardial Infarction|Right ventricular infarction (acute)]] | ||
*[[Myocardial Infarction|Lateral MI (acute or recent)]] | *[[Myocardial Infarction|Lateral MI (acute or recent)]] | ||
Clinical Disorders | ===Clinical Disorders=== | ||
*[[Clinical Disorders|Chronic pulmonary disease pattern]] | *[[Clinical Disorders|Chronic pulmonary disease pattern]] | ||
*[[Clinical Disorders|Acute pericarditis]] | *[[Clinical Disorders|Acute pericarditis]] | ||
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*[[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]] | ||
Revision as of 16:01, 18 June 2007
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
- 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)
- Lateral MI (acute or recent)
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
- not part of the ACC list