ACC list

NORMAL TRACING 1. Normal ECG

TECHNICAL PROBLEMS 2. Leads misplaced 3. Artifact

SINUS NODE RHYTHMS AND ARRHYTHMIAS 4. Sinus rhythm 5. Sinus tachycardia (>100 beats per minute) 6. Sinus bradycardia (<50 beats per minute) 7. Sinus arrhythmia 8. Sinus arrest or pause 9. Sino-atrial exit block OTHER SUPRAVENTRICULAR RHYTHMS 10. Atrial premature complexes 11. Atrial premature complexes, nonconducted 12. Ectopic atrial rhythm 13. Ectopic atrial tachycardia, unifocal 14. Ectopic atrial tachycardia, multifocal 15. Atrial fibrillation 16. Atrial flutter 17. Junctional premature complexes 18. Junctional escape complexes or rhythm 19. Accelerated junctional rhythm 20. Junctional tachycardia, automatic 21. Supraventricular tachycardia, paroxysmal VENTRICULAR ARRHYTHMIAS 22. Ventricular premature complexes 23. Ventricular escape complexes or rhythm 24. Accelerated idioventricular rhythm 25. Ventricular tachycardia 26. Ventricular tachycardia, polymorphous (including torsade de pointes) 27. Ventricular fibrillation ATRIAL VENTRICULAR CONDUCTION 28. First-degree AV block 29. Mobitz Type 1 second-degree AV block (Wenckebach) 30. Mobitz Type 2 second-degree AV block 31. AV block or conduction ratio, 2:1 32. AV block, varying conduction ratio 33. AV block, advanced (high-grade) 34. AV block, complete (third-degree) 35. AV dissociation INTRAVENTRICULAR CONDUCTION 36. Left bundle branch block (fixed or intermittent) 37. Right bundle branch block (fixed or intermittent, complete or incomplete) 38. Intraventricular conduction delay, nonspecific 39. Aberrant conduction of supraventricular beats 40. Left anterior fascicular block 41. Left posterior fascicular block 42. Ventricular pre-excitation (Wolff-Parkinson-White pattern) QRS AXIS AND VOLTAGE 43. Right axis deviation (+90 to +180 degrees) 44. Left axis deviation (-30 to -90 degrees) 45. Indeterminate axis 46. Electrical alternans 47. 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 OR ENLARGEMENT 48. Left atrial enlargement, abnormality, or conduction defect 49. Right atrial abnormality 50. Left ventricular hypertrophy (QRS abnormality only) 51. Left ventricular hypertrophy with secondary ST-T abnormality 52. Right ventricular hypertrophy with or without secondary ST-T abnormality REPOLARIZATION (ST-T,U) ABNORMALITIES 53. Early repolarization (normal variant) 54. Juvenile T waves (normal variant) 55. Nonspecific abnormality, ST segment and/or T wave 56. ST and/or T wave suggests ischemia 57. ST suggests injury 58. ST suggests ventricular aneurysm 59. Q-T interval prolonged 60. Prominent U waves MYOCARDIAL INFARCTION 61. Inferior MI (acute or recent) 62. Inferior MI (old or age indeterminate) 63. Posterior MI (acute or recent) 64. Posterior MI (old or age indeterminate) 65. Septal MI (acute or recent) 66. Anterior MI (acute or recent) 67. Anterior MI (old or age indeterminate) 68. Lateral MI (acute or recent) 69. Lateral MI (old or age indeterminate) 70. Right ventricular infarction (acute) CLINICAL DISORDERS 71. Chronic pulmonary disease pattern 72. Acute pericarditis 73. Suggests hypokalemia 74. Suggests hyperkalemia 75. Suggests hypocalcemia 76. Suggests hypercalcemia 77. Suggests CNS disease PACEMAKER 78. Atrial-paced rhythm 79. Ventricular-paced rhythm 80. Atrial-sensed ventricular-paced rhythm 81. AV dual-paced rhythm 82. Failure of appropriate capture, atrial 83. Failure of appropriate capture, ventricular 84. Failure of appropriate inhibition, atrial 85. Failure of appropriate inhibition, ventricular 86. Failure of appropriate pacemaker firing 87. Retrograde atrial activation 88. Pacemaker mediated tachycardia