ELECTROCARDIOGRAM

1. Electrocardiographic Cases Crisbert I. Cualteros, M.D.

2. Sinus Rhythm

3. SR frequent PVDs PRWP lat wall ischemia

6. Correspondence Anteroseptal wall V1-V3 Lateral wall V5, V6 Anterior wall V3, V4 Septal wall V1, V2 High lateral wall I, aVL Inferior wall II, III, aVF Area Leads

7. Area Leads RV wall V3R and V4R Posterior LV wall Mirror image of V 1/2 Diffuse/global/massive Almost all leads Inferolateral wall V5, V6, II, III, aVF Anterolateral wall V3-V6, I, aVL

17. What is the rate? 1500/28 or 300/5.6 53 bpm

18. What is the rate? 1500/12 or 300/2.4 125 bpm

24. Axis -- -- indeterminate + -- RAD -- + LAD + + Normal Axis AVF Lead 1

26. Normal (-30 to +90) RAD Indeterminate LAD

28. What is the axis?

29. Axis Differentials WPW syndrome WPW syndrome LPFB LAFB Pulmonary embolism LBBB Lateral wall MI Inferior wall MI RVH (COPD, cor pul) LVH (HTN) N variant: thin, tall N variant: short, fat RAD LAD

32. SR, LVH with Strain Pattern, Old Anteroseptal Wall MI

35. ST, RAD, LAE, RVH

39. SR, Anterolateral Wall Ischemia

41. Timing of MI/ECG 0-6 hours 6-24 h 24 -72 h 72 h – 6 weeks > 6 wk

45. Recent Anteroseptal Wall MI

46. SR, Acute Inferior Wall MI

51. SR, ERP

52. SR, ERP

53. SR, PRWP

54. Hyperkalemia tall, peaked T waves usually >10 mm in the chest leads

55. Hypokalemia abnormally tall U waves most prominent in V2 and V3

60. AF with RVR PRWP NSSTTWC

62. AF with MVR, RBBB

63. AF with RVR, lateral wall ischemia

65. Sinus Bradycardia with first degree AV block

68. SR with 2 nd degree AV block (Wenckebach)

69. 3 rd degree AV block

72. .

73. SR with cRBBB

74. ST with cRBBB

81. Sinus Rhythm

82. Second-degree AV block, type II

83. Third Degree AV Block

84. Acute Inferior Wall MI

85. AF with RVR

86. AF with SVR

87. Anteroseptal Wall MI

88. Atrial Flutter with 2:1 conduction

89. Digoxin Effect

90. ERP

91. First-Degree AV block, SB

92. Frequent PVCs in Bigeminy

93. Hyperkalemia

94. Left Bundle Branch Block

95. Right Bundle Branch Block

96. SVT

97. Ventricular Fibrillation

98. Ventricular Tachycardia

99. Ventricular Tachycardia

100. WPW Syndrome

102. SR LAE LVH with strain Pattern ERP vs Acute injury pattern in the anteroseptal wall

103. SR, LAH, LAE, IVCD, LVH, lateral wall ischemia and/or strain. NSSTTWC, inferior wall. ERP vs. acute injury, anteroseptal wall. 66 male (+) HTN (+) DM 5 pack years cc: fever, cough body malaise 150/80, 88, 20 trop I negative SR, LAE, with an acute injury pattern in the anteroseptal wall

104. D.R., 41 male (-) medical problem (-) smoker (-) alcoholic cc: 2 months productive cough low-grade fever 120/80, 104, 36 imp: PTB III meds: combivent ranitidine levofloxacin

105. Atrial flutter/atrial fibrillation with NSSTTWC

106. Thank You! http://crisbertcualteros.page.tl