Textbook

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Knowledge targets
category item
Normal tracing
Normal ECG
Technical Problems
Leads misplaced
Artifacts
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
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
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