‫بسم ال الرحمن الرحيم‬

ECG Record
 RATE-1

RHYTM-2

AXIS-3

HYPERTROPHY-4

ISCHEMIA,INJURY& INFARCTION-5

MISCELENOUS-6
)Long Strip )Lead II
 10

X 0.04)= 150 / minute 10) ÷ 60

15

X 0.04)=100/minute 15) ÷ 60
QRS QRS QRS QRS
0 I

N
90

F
I

NORMAL
A-ATRIAL VENTRICULAR

P QRS

L II V1 & V6
 )P wave in lead II(
NORMAL

P
2.5mm<
)H)

)s )W 0.12<
B-VENTRICULAR

QRS

)V1 )RVH
&
)V6)LVH
 NORMAL SEQUENCE OF
CARDIAC DEPOLARIZATION
SMALL r SMALL q
LARGE S LARGE R

7mm< 25mm<

V6

I
V1

V1 R Progression V6
S Regression
Cardiac Insuilt-5
Injury
S-T Segments of All*
Leads

Isoelectric*
Coincide with=
baseline

No Injury
 Ischemia
S-T Segments & T-Waves*
in All leads

II Isoelectric S-T Segment

with normal T wave
direction

No Ischemia

Normal inverted T
aVR-V1
 Infarction
Q wave in All leads*

V6 Normal Q waves

No Infarction

Normal Q wave
Only in LI-aVL-V6
3mm<
Axis-1
Atrial Hypertrophy-2
Ventricular Hypertrophy-3
Myocardial insult-4
Conductive disturbances-5
Arrythmias-6
Miscellanous-7
 L
R
D
LA
0 I
I D
A

N
R I
90

F
F
F I

RAD F
LAD

NORMAL
 )P wave in lead II(
)P<2.5mm)H
)P =3.5 mm)H )P=0.16 s)W
)s)W 0.12<

RAH NORMAL LAH

 7< 25<
mm V mm
10

Ventricular
V1 Hypertrophy V6
N
Larger R1 < 7mm )SMALL )r )SMALL )q
)LARGE )S )LARGE )R

RVH
LVH

Larger R6 < 25mm

Voltage pattern-1
Axis deviation-2 30
V6
Strain pattern-3
Injury Ischemia

Normal inverted T
aVR-V1
 Lateral myocardial infarction is present as evidenced
by abnormally large and wide Q waves in leads I,and V5
& V6 & inversion of TV6 & elevation of ST segment in

.V5 & V6
ECG AS A DIAGNOSTIC TOOL

NORMAL ECG-1 •
RAD-2 •
LAD-3 •
RVH-4 •
LVH-5 •
ECG TRACING
OF 9 MONTHS
OLD INFANT

COMMENT
ECG TRACING
OF 9 MONTHS
OLD INFANT
RAD
COMMENT
ECG TRACING
OF 9 MONTHS
OLD INFANT
LAD
COMMENT
ECG TRACING
OF 9 MONTHS
RVH
OLD INFANT

COMMENT
ECG TRACING V1
OF 9 MONTHS

LVH
OLD INFANT

COMMENT
ECG TRACING
OF 9 MONTHS
OLD INFANT

COMMENT
SYSTEMATIC INTERPERTATION OF ECG
RATE-1
)STRIP,LII(

.15X0.04)=100/min)÷60
 -2RHYTHM
)Strip)II
)Regular, Sinus Rhythm)
P wave is upright-
P weave before every QRS-
normal QRS morphology-
 :AXIS-3 •
I )L I & avF)
)QRS positive in lead I & avF)

Normal axis F
:HYPERTROPHY-4
)V1 &V6(

NO
Ventricular hypertrophy

)V1)rS) & V6)qR

r1< 7mm no RVH

R6 <25mmno LVH
CARDIAC INSULT-5 •
)All leads)
A-No ischemia )ST-segment is isoelectric
)& no pathological inversion of T-wave

)B-No injury )ST-segment is isoelectric

)C-No infarction )no pathological Q-wave

 CONCOLUSION

Normal Sinus Rhythm

NORMAL ECG TRACING