Wednesday, 18 March 2015

STEP 4 .INTERVALS IN ECG INTERPRETATION

•PR interval- 120-200 ms
•Shows how fast impulse travels from SA node to AV node.

•QT INTERVAL
•<440 ms

•Shows the duration for a complete ventricular systole and diastole.

STEP 3 . QRS AXIS IN ECG INTERPRETATION.

•Normal  axis -30 to +90 degrees for all standard limb leads.
Have a positive R wave recording
•Left axis deviation. Limb leads 1 +VE
•11- VE
•RIGHT axis deviation 1 –ve and 11 +ve

•Normal QRS DURATION -80-120 ms

STEP 1 +2 RHYTHM AND RATE IN ECG interpretation.

RATE
•1500 method
•1500/no of small squares  between 2 R waves.
• most accurate method.
RYHTHM 
•Sinus rhythm -SA node
•AV junctional rhythm -AV node.
•Idioventricular rhythm- purkinje in origin.

THE 7 STEP PLAN FOR ECG INTERPRETATION.

 INTERPRETATION OF ECG
Always follow a consistent 7 step plan  and  you wont get lost.

•1.Rhythm
•2.Rate
•3. QRS Axis and duration.
•4. Interval
•5.Wave morphology.
•6.ST segment

•7. Check for any abnormality.