1. Vaisakh. G
I Year MSc.
Nursing,
AIMS,kochi.

3. ELECTROCARDIOGRAPHY

4. 12 LEAD ELECTROCARDIOGRAM

5. PRECORDIAL LEADS

7. PRECORDIAL LEADS
V1-Right edge of the sternum,4th
Intercostal space
V2-left edge of the sternum,4th
Intercostal space
V3-placed between V2 & V4
V4-Midclavicular line,5th
intercostal space
V5-Anterior Axillary line,horizontal in line with V4
V6-Midaxillary line , horizontal with V4

8. LIMB LEADS

9. EINTHOVENS TRIANGLE

11. MONITORING

12. HOLTER MONITORING

13. STRESS TEST
TREDMILL

14. RADIOLOGICAL EXAMINATION

15. LABOROTORY INVESTIGATIONS

16. BLOOD STUDIES
• SERUM CARDIAC MARKERS
• SERUM LIPIDS

17. SERUM CARDIAC MARKERS
CK-MB
LDH
CARDIAC TROPONINS
TROPONIN I
TROPONIN T

18. CARDIAC MARKERS
MARKERS NORMAL ONSET PEAK DISAPPEARS
TROP T 0-0.2ngml 3-4hrs 10-24hrs 10-14days
TROP I 0-0.1ngml 4-6hrs 12-24hrs 4-7days
CKMB <1.5 4-6hrs 48hrs
LDH <1 24hrs 3-6days 14days

19. SERUM LIPIDS
CHOLESTEROL - 140-200mgdl
TRIGLYCERIDES - 40-190mgdl
LIPOPROTEINS
LDL - <130
HDL - >60

20. ECHOCARDIOGRAPHY

21. ECHOCARDIOGRAPHY

22. ECHOCARDIOGRAPHY
M-MODE ECHOCARDIOGRAPHY
TWO-DIMENSIONAL ECHOCARDIOGRAPHY
TRANSESOPHAGEAL ECHOCARDIOGRAPHY
CONTRAST ECHOCARDIOGRAPHY

23. M-MODE ECHOCARDIOGRAPHY

24. TWO-DIMENSIONAL
ECHOCARDIOGRAPHY

25. DOPPLER ECHOCARDIOGRAPHY

26. CONTRAST ECHOCARDIOGRAPHY

27. TRANSESOPHAGEAL
ECHOCARDIOGRAPHY

28. INVASIVE HEMODYNAMIC
MONITORING
• CENTRAL VENOUS PRESSURE
• INTRA ARTERIAL BLOOD PRESSURE
MONITORING
• PULMONARY ARTERY PRESSURE
MONITORING.

29. CENTRAL VENOUS PRESSURE

30. PHLEBOSTATIC AXIS

31. INTRA ARTERIAL BLOOD PRESSURE
MONITORING

32. WAVEFORM

33. PULMONARY ARTERY
CATHETERIZATION

36. CONCLUSION

37. THANKU