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«Step 7+1: Compare with previous ECG Cases and Examples»

Author(s) J.S.S.G. de Jong, MD
Moderator J.S.S.G. de Jong, MD
some notes about authorship

Working through the seven steps, one still has to draw a final conclusion. If one get's the question 'what do you see on the ECG?', the questioneer probably is not waiting for a summation of the seven steps, but would like to hear your interpretation of the ECG. This interpretation or final conclusion is the starting point for further treatment of the patient.

Examples of interpretations are:

  • "Sinustachycardia with ST elevation, likely caused by acute myocardial infarction"
  • "Supraventricular tachycardia of 200 beats per minute caused by an AV nodal re-entry"
  • "Previous infarction combined with an acute lateral myocard infarction with widening of the QRS complexes"
  • "Normal ECG"

Final conclusions should consist of one sentence, which sums all important aspects of the ECG. It is not necessary to mention all 7 aspects, however one has to look at all of them to find the right conclusion!