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«Step 7+1: Compare with previous ECG [[|»]]

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. The final conclusion is the starting point for further treatment of your patient.

Often it is not easy to conclude. Exemples are:

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

Final conclusions should be made of one sentense, which sums all important aspects of the ECG. It is not nescecary to mention all 7 aspects, however one have to look at all of them to find the right conclusion!