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This movie shows a computer model of ventricular fibrillation in the human heart.[1] Read this if you want to use this image in a presentation. Link to the file (click with right mouse button and choose save as... to download the file to your computer).


references

  1. Ten Tusscher KH, Hren R, and Panfilov AV. Organization of ventricular fibrillation in the human heart. Circ Res. 2007 Jun 22;100(12):e87-101. DOI:10.1161/CIRCRESAHA.107.150730 | PubMed ID:17540975 | HubMed [tentusscher]
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Table of Contents
category item Normal tracing

Normal ECG


Technical Problems

Technical ProblemsLeads misplaced


Artifacts

Sinus node rhythms and arrhythmias

Sinus rhythm

Sinus tachycardia (>100 beats per minute)

Sinus bradycardia (<50 beats per minute)

Sinus arrest or pause

Sino-atrial exit block

Other Supraventricular Rhythms

Atrial premature complexes

Atrial premature complexes, nonconducted

Ectopic atrial rhythm

Atrial fibrillation

Atrial flutter

Junctional premature complexes

Supraventricular tachycardia, paroxysmal

Ventricular Arrhythmias

Ventricular premature complexes

Ventricular escape complexes or rhythm

Accelerated idioventricular rhythm

Ventricular tachycardia

Ventricular tachycardia, polymorphous (including torsade de pointes)

Ventricular fibrillation

Genetic Arrhythmias

Long QT syndrome*

Brugada syndrome*

Arrythmogenic Right Ventricular Cardiomyopathy*

Catecholamin Induced Ventricular Tachycardia*

Atrial Ventricular Conduction

First-degree AV block

Mobitz Type 1 second-degree AV block (Wenckebach)

Mobitz Type 2 second-degree AV block

AV block or conduction ratio, 2:1

AV block, varying conduction ratio

AV block, advanced (high-grade)

AV block, complete (third-degree)

AV dissociation

Intraventricular Conduction

Left bundle branch block (fixed or intermittent)

Right bundle branch block (fixed or intermittent, complete or incomplete)

Intraventricular conduction delay, nonspecific

Aberrant conduction of supraventricular beats

Left anterior fascicular block

Left posterior fascicular block

Ventricular pre-excitation (Wolff-Parkinson-White pattern)

QRS axis and voltage

Right axis deviation (+90 to +180 degrees)

Left axis deviation (-30 to -90 degrees)

Indeterminate axis

Electrical alternans

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 and Enlargment

Left atrial enlargement, abnormality, or conduction defect

Right atrial abnormality

Left ventricular hypertrophy (QRS abnormality only)

Left ventricular hypertrophy with secondary ST-T abnormality

Right ventricular hypertrophy with or without secondary ST-T abnormality

Repolarization (ST-T,U) Abnormalities

Early repolarization (normal variant)

Juvenile T waves (normal variant)

Nonspecific abnormality, ST segment and/or T wave

ST and/or T wave suggests ischemia

ST suggests injury

ST suggests ventricular aneurysm

Q-T interval prolonged

Prominent U waves

Cardiac Memory*

Myocardial Infarction

Inferior MI (acute or recent)

Inferior MI (old or age indeterminate)

Posterior MI (acute or recent)

Posterior MI (old or age indeterminate)

Septal MI (acute or recent)

Anterior MI (acute or recent)

Anterior MI (old or age indeterminate)

Lateral MI (acute or recent)

Lateral MI (old or age indeterminate)

Right ventricular infarction (acute)

Lateral MI (acute or recent)

Clinical Disorders

Chronic pulmonary disease pattern

Acute pericarditis

Suggests hypokalemia

Suggests hyperkalemia

Suggests hypocalcemia

Suggests hypercalcemia

Suggests CNS disease

Pacemaker

Atrial-paced rhythm

Ventricular-paced rhythm

Atrial-sensed ventricular-paced rhythm

AV dual-paced rhythm

Failure of appropriate capture, atrial

Failure of appropriate capture, ventricular

Failure of appropriate inhibition, atrial

Failure of appropriate inhibition, ventricular

Failure of appropriate pacemaker firing

Retrograde atrial activation

Pacemaker mediated tachycardia

  • not part of the ACC list