2023-05-01 01:04:24
How to read a 12-lead electrocardiogram:
lead II
determine heart rate and rhythm
Cardiac axis
Normal if QRS complexes +ve in leads I and II
............
P-wave shape
①Tall P waves
denote right atrial enlargement (P pulmonale)
②notched P waves
denote left atrial enlargement (P mitrale)
................
PR interval
①Prolongation
denotes impaired atrioventricular nodal conduction
②A short PR interval
occurs in Wolff–Parkinson–White syndrome
............
QRS duration
If > 0.12 sec
①ventricular conduction is abnormal
(left or right bundle branch block)
.......................
QRS amplitude
occur in
①slim young patients
②patients with left ventricular hypertrophy
...........
Q waves
①signify previous myocardial infarction
.............
ST segment
①ST elevation
signify
myocardial infarction,
pericarditis
left ventricular aneurysm
②ST depression
signify ischaemia or
infarction
........................
T waves
T-wave inversion
①myocardial ischaemia or infarction
②electrolyte disturbances
Hypokalemia
Hypocalcaemia
Hypomagnesaemia
..............................
QT interval
①electrolyte disturbances
hypoK+
hypoMg2+
hypoCa2+,
②Antiarrhythmic class (Ia, Ic,III)
Disopyramide
Flecainide
Amiodarone sotalol
③Tricyclic antidepressants
Amitriptyline
④Antibiotic. macrolides.
Erythromycin
⑤ Antimalarial
Quinidine
⑥Ototoxic drug
Aminoglycoside
...............
#Cardiovascular
https://t.me/mymednot
444 views22:04