Difference between revisions of "ACC list"

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2. Leads misplaced
 
2. Leads misplaced
 +
 
3. Artifact
 
3. Artifact
  
Line 11: Line 12:
  
 
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