ACC list: Difference between revisions
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2. Leads misplaced | 2. Leads misplaced | ||
3. Artifact | 3. Artifact | ||
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4. Sinus rhythm | 4. Sinus rhythm | ||
5. Sinus tachycardia (>100 beats per minute) | 5. Sinus tachycardia (>100 beats per minute) | ||
6. Sinus bradycardia (<50 beats per minute) | 6. Sinus bradycardia (<50 beats per minute) | ||
7. Sinus arrhythmia | 7. Sinus arrhythmia | ||
8. Sinus arrest or pause | 8. Sinus arrest or pause | ||
9. Sino-atrial exit block | 9. Sino-atrial exit block | ||
OTHER SUPRAVENTRICULAR RHYTHMS | OTHER SUPRAVENTRICULAR RHYTHMS | ||
10. Atrial premature complexes | 10. Atrial premature complexes | ||
11. Atrial premature complexes, nonconducted | 11. Atrial premature complexes, nonconducted | ||
12. Ectopic atrial rhythm | 12. Ectopic atrial rhythm | ||
13. Ectopic atrial tachycardia, unifocal | 13. Ectopic atrial tachycardia, unifocal | ||
14. Ectopic atrial tachycardia, multifocal | 14. Ectopic atrial tachycardia, multifocal | ||
15. Atrial fibrillation | 15. Atrial fibrillation | ||
16. Atrial flutter | 16. Atrial flutter | ||
17. Junctional premature complexes | 17. Junctional premature complexes | ||
18. Junctional escape complexes or rhythm | 18. Junctional escape complexes or rhythm | ||
19. Accelerated junctional rhythm | 19. Accelerated junctional rhythm | ||
20. Junctional tachycardia, automatic | 20. Junctional tachycardia, automatic | ||
21. Supraventricular tachycardia, paroxysmal | 21. Supraventricular tachycardia, paroxysmal | ||
VENTRICULAR ARRHYTHMIAS | VENTRICULAR ARRHYTHMIAS | ||
22. Ventricular premature complexes | 22. Ventricular premature complexes | ||
23. Ventricular escape complexes or rhythm | 23. Ventricular escape complexes or rhythm | ||
24. Accelerated idioventricular rhythm | 24. Accelerated idioventricular rhythm | ||
25. Ventricular tachycardia | 25. Ventricular tachycardia | ||
26. Ventricular tachycardia, polymorphous (including torsade de pointes) | 26. Ventricular tachycardia, polymorphous (including torsade de pointes) | ||
27. Ventricular fibrillation | 27. Ventricular fibrillation | ||
ATRIAL VENTRICULAR CONDUCTION | ATRIAL VENTRICULAR CONDUCTION | ||
28. First-degree AV block | 28. First-degree AV block | ||
29. Mobitz Type 1 second-degree AV block (Wenckebach) | 29. Mobitz Type 1 second-degree AV block (Wenckebach) | ||
30. Mobitz Type 2 second-degree AV block | 30. Mobitz Type 2 second-degree AV block | ||
31. AV block or conduction ratio, 2:1 | 31. AV block or conduction ratio, 2:1 | ||
32. AV block, varying conduction ratio | 32. AV block, varying conduction ratio | ||
33. AV block, advanced (high-grade) | 33. AV block, advanced (high-grade) | ||
34. AV block, complete (third-degree) | 34. AV block, complete (third-degree) | ||
35. AV dissociation | 35. AV dissociation | ||
INTRAVENTRICULAR CONDUCTION | INTRAVENTRICULAR CONDUCTION | ||
36. Left bundle branch block (fixed or intermittent) | 36. Left bundle branch block (fixed or intermittent) | ||
37. Right bundle branch block (fixed or intermittent, complete or incomplete) | 37. Right bundle branch block (fixed or intermittent, complete or incomplete) | ||
38. Intraventricular conduction delay, nonspecific | 38. Intraventricular conduction delay, nonspecific | ||
39. Aberrant conduction of supraventricular beats | 39. Aberrant conduction of supraventricular beats | ||
40. Left anterior fascicular block | 40. Left anterior fascicular block | ||
41. Left posterior fascicular block | 41. Left posterior fascicular block | ||
42. Ventricular pre-excitation (Wolff-Parkinson-White pattern) | 42. Ventricular pre-excitation (Wolff-Parkinson-White pattern) | ||
QRS AXIS AND VOLTAGE | QRS AXIS AND VOLTAGE | ||
43. Right axis deviation (+90 to +180 degrees) | 43. Right axis deviation (+90 to +180 degrees) | ||
44. Left axis deviation (-30 to -90 degrees) | 44. Left axis deviation (-30 to -90 degrees) | ||
45. Indeterminate axis | 45. Indeterminate axis | ||
46. Electrical alternans | 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) | |||
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 | CHAMBER HYPERTROPHY OR ENLARGEMENT | ||
48. Left atrial enlargement, abnormality, or conduction defect | 48. Left atrial enlargement, abnormality, or conduction defect | ||
49. Right atrial abnormality | 49. Right atrial abnormality | ||
50. Left ventricular hypertrophy (QRS abnormality only) | 50. Left ventricular hypertrophy (QRS abnormality only) | ||
51. Left ventricular hypertrophy with secondary ST-T abnormality | 51. Left ventricular hypertrophy with secondary ST-T abnormality | ||
52. Right ventricular hypertrophy with or without secondary ST-T abnormality | 52. Right ventricular hypertrophy with or without secondary ST-T abnormality | ||
REPOLARIZATION (ST-T,U) ABNORMALITIES | REPOLARIZATION (ST-T,U) ABNORMALITIES | ||
53. Early repolarization (normal variant) | 53. Early repolarization (normal variant) | ||
54. Juvenile T waves (normal variant) | 54. Juvenile T waves (normal variant) | ||
55. Nonspecific abnormality, ST segment and/or T wave | 55. Nonspecific abnormality, ST segment and/or T wave | ||
56. ST and/or T wave suggests ischemia | 56. ST and/or T wave suggests ischemia | ||
57. ST suggests injury | 57. ST suggests injury | ||
58. ST suggests ventricular aneurysm | 58. ST suggests ventricular aneurysm | ||
59. Q-T interval prolonged | 59. Q-T interval prolonged | ||
60. Prominent U waves | 60. Prominent U waves | ||
MYOCARDIAL INFARCTION | MYOCARDIAL INFARCTION | ||
61. Inferior MI (acute or recent) | 61. Inferior MI (acute or recent) | ||
62. Inferior MI (old or age indeterminate) | 62. Inferior MI (old or age indeterminate) | ||
63. Posterior MI (acute or recent) | 63. Posterior MI (acute or recent) | ||
64. Posterior MI (old or age indeterminate) | 64. Posterior MI (old or age indeterminate) | ||
65. Septal MI (acute or recent) | 65. Septal MI (acute or recent) | ||
66. Anterior MI (acute or recent) | 66. Anterior MI (acute or recent) | ||
67. Anterior MI (old or age indeterminate) | 67. Anterior MI (old or age indeterminate) | ||
68. Lateral MI (acute or recent) | 68. Lateral MI (acute or recent) | ||
69. Lateral MI (old or age indeterminate) | 69. Lateral MI (old or age indeterminate) | ||
70. Right ventricular infarction (acute) | 70. Right ventricular infarction (acute) | ||
CLINICAL DISORDERS | CLINICAL DISORDERS | ||
71. Chronic pulmonary disease pattern | 71. Chronic pulmonary disease pattern | ||
72. Acute pericarditis | 72. Acute pericarditis | ||
73. Suggests hypokalemia | 73. Suggests hypokalemia | ||
74. Suggests hyperkalemia | 74. Suggests hyperkalemia | ||
75. Suggests hypocalcemia | 75. Suggests hypocalcemia | ||
76. Suggests hypercalcemia | 76. Suggests hypercalcemia | ||
77. Suggests CNS disease | 77. Suggests CNS disease | ||
PACEMAKER | PACEMAKER | ||
78. Atrial-paced rhythm | 78. Atrial-paced rhythm | ||
79. Ventricular-paced rhythm | 79. Ventricular-paced rhythm | ||
80. Atrial-sensed ventricular-paced rhythm | 80. Atrial-sensed ventricular-paced rhythm | ||
81. AV dual-paced rhythm | 81. AV dual-paced rhythm | ||
82. Failure of appropriate capture, atrial | 82. Failure of appropriate capture, atrial | ||
83. Failure of appropriate capture, ventricular | 83. Failure of appropriate capture, ventricular | ||
84. Failure of appropriate inhibition, atrial | 84. Failure of appropriate inhibition, atrial | ||
85. Failure of appropriate inhibition, ventricular | 85. Failure of appropriate inhibition, ventricular | ||
86. Failure of appropriate pacemaker firing | 86. Failure of appropriate pacemaker firing | ||
87. Retrograde atrial activation | 87. Retrograde atrial activation | ||
88. Pacemaker mediated tachycardia | 88. Pacemaker mediated tachycardia | ||
Revision as of 15:20, 11 September 2006
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