Basics of EKG
+AVR +AVL
+ + normal
+ - LAD
- + RAD
QRS Duration
Right BBB
Tall R wave in V1 (M-shaped)
Wide, slurred S wave (W-shaped) in V6
QRS complex
Poor R Wave Progression in V1 to V6: suggests prior
anterior MI
RVH:
V1 R/S ratio >1
OR
V6 S/R ratio >1
Intervals
What is the normal PR interval?
0.12 to 0.20 s (3 - 5 small squares).
Short PR Look for Wolff-Parkinson-White.
Long PR 1st Degree AV block
Apps:
ECG Guide by QxMD (iPad and iPhone)
ECG Interpret (iPhone)
Books:
12-Lead ECG: The Art of Interpretation, Tomas Garcia
(perhaps the best book on ECGs with detailed
explanations and physiology.)
Arrhythmia Recognition, Tomas Garcia
Summary