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Unravel the intricacies of ECG interpretation with our focused notes. Dive into waveform analysis, identifying arrhythmias, ischemic changes, and conduction abnormalities. Clear illustrations and clinical correlations demystify complex rhythms, empowering you to confidently interpret ECGs. Elevate your diagnostic skills with our comprehensive ECG interpretation guide.

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Fundamentals of ECG

What is the sensitivity value?
AHA spec- 10mm/mv

What is the T wave?
The t wave represents ventricular repolarisation.

What does the Q wave show?
1st negative deflection

What should the T wave look like?
 Less than 10mm
 No bigger than 1/3 of R wave

How long should the p wave last
0.08-0.10s

Intervals in ECG









What is the bundle branches escape rate?
 40-60bpm

What is speed?
25-50mm/s

What should the ST look like?
Bigger than or the same as 1mm above or below the isoelectric line

What is the bipolar lead?
 Record voltage and left ankle

How long should the PRQ interval last?
0.12-0.2

What is the normal axis range?
Anything from -30-+90 degrees

, What does the R wave show?
1st positive deflection


What is the AV node for?
 Responsible for slowing down conduction from atrium to ventricle, allows ventricles to fill
and then contract
 Connects bundle of his to purkinjie

Where is lead II and what does it record?
right arm =(-) terminal, left leg=(+)-> records right upper portion of heart -> tip of ventricles

What does the P wave represent?
 Atrial depolarisation

How long should the QT interval last
 0.42-0.43

What is a baseline drift artefact?

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