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| {| class="wikitable" font-size="90%"
| | __notoc__ |
| |- style="text-align:center;background-color:#6EB4EB;"
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| |+'''Knowledge targets'''
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| !category
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| !item
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| |Normal tracing
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| |[[Normal tracing|Normal ECG]]
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| |-
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| |Technical Problems
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| |[[Technical Problems|Leads misplaced]]
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| |[[Technical Problems|Artifacts]]
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| |-
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| |Sinus node rhythms and arrhythmias
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| |[[Rhythm|Sinus rhythm]]
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| |[[Arrhythmias#Sinustachycardia|Sinus tachycardia (>100 beats per minute)]]
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| |[[Arrhythmias#Sinusbradycardia|Sinus bradycardia (<50 beats per minute)]]
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| |[[Arrhythmias#Sinusarrest|Sinus arrest or pause]]
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| |-
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| |[[Arrhythmias#Sino-atrial_exit_block|Sino-atrial exit block]]
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| |Other Supraventricular Rhythms
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| |-
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| |[[Arrhythmias#Atrial premature complexes|Atrial premature complexes]]
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| |-
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| |[[Arrhythmias#Atrial premature complexes, nonconducted|Atrial premature complexes, nonconducted]]
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| |[[Arrhythmias#Ectopic atrial rhythm|Ectopic atrial rhythm]]
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| |[[Arrhythmias#Atrial fibrillation|Atrial fibrillation]]
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| |[[Arrhythmias#Atrial flutter|Atrial flutter]]
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| |[[Arrhythmias#Junctional premature complexes|Junctional premature complexes]]
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| |[[Arrhythmias#Supraventricular tachycardia, paroxysmal|Supraventricular tachycardia, paroxysmal]]
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| |Ventricular Arrhythmias
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| |[[Arrhythmias#Ventricular premature complexes|Ventricular premature complexes]]
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| |[[Arrhythmias#Ventricular escape complexes or rhythm|Ventricular escape complexes or rhythm]]
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| |[[Arrhythmias#Accelerated idioventricular rhythm|Accelerated idioventricular rhythm]]
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| |[[Arrhythmias#Ventricular tachycardia|Ventricular tachycardia]]
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| |[[Arrhythmias#Ventricular tachycardia, polymorphous (including torsade de pointes)|Ventricular tachycardia, polymorphous (including torsade de pointes)]]
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| |[[Arrhythmias#Ventricular fibrillation|Ventricular fibrillation]]
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| |Genetic Arrhythmias
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| |[[Long QT syndrome]]
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| |[[Brugada syndrome]]
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| |[[Arrythmogenic Right Ventricular Cardiomyopathy]]
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| |[[Catecholamin Induced Ventricular Tachycardia]]
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| |Atrial Ventricular Conduction
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| |[[Atrial Ventricular Conduction|First-degree AV block]]
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| |-
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| |[[Atrial Ventricular Conduction|Mobitz Type 1 second-degree AV block (Wenckebach)]]
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| |[[Atrial Ventricular Conduction|Mobitz Type 2 second-degree AV block]]
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| |[[Atrial Ventricular Conduction|AV block or conduction ratio, 2:1]]
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| |[[Atrial Ventricular Conduction|AV block, varying conduction ratio]]
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| |[[Atrial Ventricular Conduction|AV block, advanced (high-grade)]]
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| |[[Atrial Ventricular Conduction|AV block, complete (third-degree)]]
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| |[[Atrial Ventricular Conduction|AV dissociation]]
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| |Intraventricular Conduction
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| |[[Intraventricular Conduction|Left bundle branch block (fixed or intermittent)]]
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| |-
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| |[[Intraventricular Conduction|Right bundle branch block (fixed or intermittent, complete or incomplete)]]
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| |[[Intraventricular Conduction|Intraventricular conduction delay, nonspecific]]
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| |[[Intraventricular Conduction|Aberrant conduction of supraventricular beats]]
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| |[[Intraventricular Conduction|Left anterior fascicular block]]
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| |-
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| |[[Intraventricular Conduction|Left posterior fascicular block]]
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| |[[Intraventricular Conduction|Ventricular pre-excitation (Wolff-Parkinson-White pattern)]]
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| |QRS axis and voltage
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| |[[QRS axis and voltage|Right axis deviation (+90 to +180 degrees)]]
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| |[[QRS axis and voltage|Left axis deviation (-30 to -90 degrees)]]
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| |[[QRS axis and voltage|Indeterminate axis]]
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| |-
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| |[[QRS axis and voltage|Electrical alternans]]
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| |[[Chamber Hypertrophy and Enlargment|Low voltage (less than 0.5 mV total QRS amplitude in each extremity lead and less than 1.0 mV in each
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| Precordial lead)]]
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| |Chamber Hypertrophy and Enlargment
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| |[[Chamber Hypertrophy and Enlargment|Left atrial enlargement, abnormality, or conduction defect]]
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| |[[Chamber Hypertrophy and Enlargment|Right atrial abnormality]]
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| |[[Chamber Hypertrophy and Enlargment|Left ventricular hypertrophy (QRS abnormality only)]]
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| |[[Chamber Hypertrophy and Enlargment|Left ventricular hypertrophy with secondary ST-T abnormality]]
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| |[[Chamber Hypertrophy and Enlargment|Right ventricular hypertrophy with or without secondary ST-T abnormality]]
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| |Repolarization (ST-T,U) Abnormalities
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| |[[Repolarization (ST-T,U) Abnormalities|Early repolarization (normal variant)]]
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| |[[Repolarization (ST-T,U) Abnormalities|Juvenile T waves (normal variant)]]
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| |[[Repolarization (ST-T,U) Abnormalities|Nonspecific abnormality, ST segment and/or T wave]]
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| |[[Repolarization (ST-T,U) Abnormalities|ST and/or T wave suggests ischemia]]
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| |[[Repolarization (ST-T,U) Abnormalities|ST suggests injury]]
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| |[[Repolarization (ST-T,U) Abnormalities|ST suggests ventricular aneurysm]]
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| |[[Repolarization (ST-T,U) Abnormalities|Q-T interval prolonged]]
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| |[[Repolarization (ST-T,U) Abnormalities|Prominent U waves]]
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| |Myocardial Infarction
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| |[[Myocardial Infarction|Inferior MI (acute or recent)]]
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| |[[Myocardial Infarction|Inferior MI (old or age indeterminate)]]
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| |[[Myocardial Infarction|Posterior MI (acute or recent)]]
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| |[[Myocardial Infarction|Posterior MI (old or age indeterminate)]]
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| |[[Myocardial Infarction|Septal MI (acute or recent)]]
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| |[[Myocardial Infarction|Anterior MI (acute or recent)]]
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| |[[Myocardial Infarction|Anterior MI (old or age indeterminate)]]
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| |[[Myocardial Infarction|Lateral MI (acute or recent)]]
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| |[[Myocardial Infarction|Lateral MI (old or age indeterminate)]]
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| |[[Myocardial Infarction|Right ventricular infarction (acute)]]
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| |[[Myocardial Infarction|Lateral MI (acute or recent)]]
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| |Clinical Disorders
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| |[[Clinical Disorders|Chronic pulmonary disease pattern]]
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| |[[Clinical Disorders|Acute pericarditis]]
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| |[[Clinical Disorders|Suggests hypokalemia]]
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| |[[Clinical Disorders|Suggests hyperkalemia]]
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| |[[Clinical Disorders|Suggests hypocalcemia]]
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| |[[Clinical Disorders|Suggests hypercalcemia]]
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| |[[Clinical Disorders|Suggests CNS disease]]
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| |Pacemaker
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| |[[Pacemaker|Atrial-paced rhythm]]
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| |[[Pacemaker|Ventricular-paced rhythm]]
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| |[[Pacemaker|Atrial-sensed ventricular-paced rhythm]]
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| |[[Pacemaker|AV dual-paced rhythm]]
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| |[[Pacemaker|Failure of appropriate capture, atrial]]
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| |[[Pacemaker|Failure of appropriate capture, ventricular]]
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| |[[Pacemaker|Failure of appropriate inhibition, atrial]]
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| |[[Pacemaker|Failure of appropriate inhibition, ventricular]]
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| |[[Pacemaker|Failure of appropriate pacemaker firing]]
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| |[[Pacemaker|Retrograde atrial activation]]
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| |[[Pacemaker|Pacemaker mediated tachycardia]]
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| |}
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|
| | Thist list includes all items published in the clinical competence statement on electrocardiology of the American College of Cardiology and American Heart Association.<cite>ACCECG</cite>. Also read the recent guidelines for standardized ECG interpretation.<cite>ACCtech1</cite><cite>ACCtech2</cite> |
| | ===Normal tracing=== |
| | *[[Normal tracing|Normal ECG]] |
| | ===Technical Problems=== |
| | *[[Technical Problems|Leads misplaced]] |
| | *[[Technical Problems|Artifacts]] |
| | ===Sinus node rhythms and arrhythmias=== |
| | *[[Rhythm|Sinus rhythm]] |
| | *[[Arrhythmias#Sinustachycardia|Sinus tachycardia (>100 beats per minute)]] |
| | *[[Arrhythmias#Sinusbradycardia|Sinus bradycardia (<50 beats per minute)]] |
| | *[[Arrhythmias#Sinusarrest|Sinus arrest or pause]] |
| | *[[Arrhythmias#Sino-atrial_exit_block|Sino-atrial exit block]] |
| | ===Other Supraventricular Rhythms=== |
| | *[[Atrial Premature Complexes]] |
| | *[[Atrial Premature Complexes|Atrial premature complexes, nonconducted]] |
| | *[[Ectopic Atrial Rhythm]] |
| | *[[Atrial Fibrillation]] |
| | *[[Atrial Flutter]] |
| | *[[Atrial Tachycardia]] |
| | *[[Junctional Premature Complexes]] |
| | *[[Supraventricular Rhythms|Supraventricular Tachycardia, paroxysmal]] |
|
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| | ===Ventricular Arrhythmias=== |
| | *[[Arrhythmias#Ventricular premature complexes|Ventricular premature complexes]] |
| | *[[Arrhythmias#Ventricular escape complexes or rhythm|Ventricular escape complexes or rhythm]] |
| | *[[Arrhythmias#Accelerated idioventricular rhythm|Accelerated idioventricular rhythm]] |
| | *[[Arrhythmias#Ventricular tachycardia|Ventricular tachycardia]] |
| | *[[Arrhythmias#Ventricular tachycardia, polymorphous (including torsade de pointes)|Ventricular tachycardia, polymorphous (including torsade de pointes)]] |
| | *[[Arrhythmias#Ventricular fibrillation|Ventricular fibrillation]] |
| | ===Genetic Arrhythmias=== |
| | *[[Long QT syndrome]]* |
| | *[[Brugada syndrome]]* |
| | *[[Arrythmogenic Right Ventricular Cardiomyopathy]]* |
| | *[[Catecholamin Induced Ventricular Tachycardia]]* |
| | ===Atrial Ventricular Conduction=== |
| | *[[Atrial Ventricular Conduction|First-degree AV block]] |
| | *[[Atrial Ventricular Conduction|Mobitz Type 1 second-degree AV block (Wenckebach)]] |
| | *[[Atrial Ventricular Conduction|Mobitz Type 2 second-degree AV block]] |
| | *[[Atrial Ventricular Conduction|AV block or conduction ratio, 2:1]] |
| | *[[Atrial Ventricular Conduction|AV block, varying conduction ratio]] |
| | *[[Atrial Ventricular Conduction|AV block, advanced (high-grade)]] |
| | *[[Atrial Ventricular Conduction|AV block, complete (third-degree)]] |
| | *[[Atrial Ventricular Conduction|AV dissociation]] |
| | ===Intraventricular Conduction=== |
| | *[[Intraventricular Conduction|Left bundle branch block (fixed or intermittent)]] |
| | *[[Intraventricular Conduction|Right bundle branch block (fixed or intermittent, complete or incomplete)]] |
| | *[[Intraventricular Conduction|Intraventricular conduction delay, nonspecific]] |
| | *[[Intraventricular Conduction|Aberrant conduction of supraventricular beats]] |
| | *[[Intraventricular Conduction|Left anterior fascicular block]] |
| | *[[Intraventricular Conduction|Left posterior fascicular block]] |
| | *[[Ventricular pre-excitation (Wolff-Parkinson-White pattern)]] |
| | ===QRS axis and voltage=== |
| | *[[QRS axis and voltage|Right axis deviation (+90 to +180 degrees)]] |
| | *[[QRS axis and voltage|Left axis deviation (-30 to -90 degrees)]] |
| | *[[QRS axis and voltage|Indeterminate axis]] |
| | *[[QRS axis and voltage|Electrical alternans]] |
| | *[[QRS axis and voltage|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=== |
| | *[[Chamber Hypertrophy and Enlargment|Left atrial enlargement, abnormality, or conduction defect]] |
| | *[[Chamber Hypertrophy and Enlargment|Right atrial abnormality]] |
| | *[[Chamber Hypertrophy and Enlargment|Left ventricular hypertrophy (QRS abnormality only)]] |
| | *[[Chamber Hypertrophy and Enlargment|Left ventricular hypertrophy with secondary ST-T abnormality]] |
| | *[[Chamber Hypertrophy and Enlargment|Right ventricular hypertrophy with or without secondary ST-T abnormality]] |
| | ===Repolarization (ST-T,U) Abnormalities=== |
| | *[[Repolarization (ST-T,U) Abnormalities|Early repolarization (normal variant)]] |
| | *[[Repolarization (ST-T,U) Abnormalities|Juvenile T waves (normal variant)]] |
| | *[[Repolarization (ST-T,U) Abnormalities|Nonspecific abnormality, ST segment and/or T wave]] |
| | *[[Repolarization (ST-T,U) Abnormalities|ST and/or T wave suggests ischemia]] |
| | *[[Repolarization (ST-T,U) Abnormalities|ST suggests injury]] |
| | *[[Repolarization (ST-T,U) Abnormalities|ST suggests ventricular aneurysm]] |
| | *[[Repolarization (ST-T,U) Abnormalities|Q-T interval prolonged]] |
| | *[[Repolarization (ST-T,U) Abnormalities|Prominent U waves]] |
| | *[[Cardiac Memory|Cardiac Memory]]* |
| | ===[[Myocardial Infarction]]=== |
| | *[[Inferior MI|Inferior MI (acute or recent)]] |
| | *[[Inferior MI|Inferior MI (old or age indeterminate)]] |
| | *[[Posterior MI|Posterior MI (acute or recent)]] |
| | *[[Posterior MI|Posterior MI (old or age indeterminate)]] |
| | *[[Septal MI|Septal MI (acute or recent)]] |
| | *[[Anterior MI|Anterior MI (acute or recent)]] |
| | *[[Anterior MI|Anterior MI (old or age indeterminate)]] |
| | *[[Lateral MI|Lateral MI (acute or recent)]] |
| | *[[Lateral MI|Lateral MI (old or age indeterminate)]] |
| | *[[Right_Ventricle_MI|Right ventricular infarction (acute)]] |
|
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|
| | ===Clinical Disorders=== |
| | *[[Clinical Disorders|Chronic pulmonary disease pattern]] |
| | *[[Clinical Disorders|Acute pericarditis]] |
| | *[[Clinical Disorders|Suggests hypokalemia]] |
| | *[[Clinical Disorders|Suggests hyperkalemia]] |
| | *[[Clinical Disorders|Suggests hypocalcemia]] |
| | *[[Clinical Disorders|Suggests hypercalcemia]] |
| | *[[Clinical Disorders|Suggests CNS disease]] |
| | ===Pacemaker=== |
| | *[[Pacemaker|Atrial-paced rhythm]] |
| | *[[Pacemaker|Ventricular-paced rhythm]] |
| | *[[Pacemaker|Atrial-sensed ventricular-paced rhythm]] |
| | *[[Pacemaker|AV dual-paced rhythm]] |
| | *[[Pacemaker|Failure of appropriate capture, atrial]] |
| | *[[Pacemaker|Failure of appropriate capture, ventricular]] |
| | *[[Pacemaker|Failure of appropriate inhibition, atrial]] |
| | *[[Pacemaker|Failure of appropriate inhibition, ventricular]] |
| | *[[Pacemaker|Failure of appropriate pacemaker firing]] |
| | *[[Pacemaker|Retrograde atrial activation]] |
| | *[[Pacemaker|Pacemaker mediated tachycardia]] |
|
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|
| [[nl:ACC_lijst_met_ECG_afwijkingen]]
| | Marked items (*) are not part of the ACC list |
| | === References === |
| | <biblio> |
| | ACCtech1 pmid=17322457 |
| | ACCtech2 pmid=17322456 |
| | ACCECG pmid=11748119 |
| | </biblio> |