Continuing the ISCEseries101 with the tips, tricks and approch to doing ISCE stations systematically, we are going to go over ECG interpretation in this session!
ECG Interpretation (Updated)
Summary
Join Risma Remsudeen and Ronan Fitzgerald in a virtual on-demand teaching session as they discuss data interpretation, specifically ECG. Learn the different types of bradycardia, tachycardia, left and right axis deviation, p waves, pr intervals, qrs complexes, st segments and t waves, bundle branch blocks and u waves. Participate in hands-on activities and receive a range of resources to further your knowledge. Sign up and bring your medical skills to the next level!
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Description
Learning objectives
Learning Objectives:
- Understand the basic principles of interpreting an ECG such as rate, rhythm, and axis determination.
- Develop the ability to identify patient-specific findings in ECGs such as P wave characteristics, PR interval, QRS complex, ST segment, and T wave.
- Learn to differentiate between narrow complex and broad complex tachycardia.
- Gain a comprehensive understanding of phenomena such as left and right axis deviations, bundle branch blocks and their causes.
- Recognize the signs and causes of myocardial infarctions, QT intervals, and U wave abnormalities.
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Data Interpretation P art 2: ECG Risma Remsudeen and Ronan Fitzgerald ISCESeries101 ECG InterpretationTry it yourself! 9/3/20XX PresentationTitle 3 Introduction: Patient details Radiology details Most Obvious abnormality is…. • Introduction • Patient Name, DOB, • ECG Date and Time • Calibration – speed: 25mm/s , • Voltage: 10m/mV • Rate and Rhythm • Rate: Brady/Tachy • Rhythm 9/3/20XX Presentation Title 4 Spotter 9/3/20XX Presentation Title 5 Tachycardia Narrow Complex: Broad Complex: Supraventricular Ventricular (Atrium) Regular rhythm Irregular rhythm VT VF AVRT AVNRT Atrial Fibrillation Atrial Flutter9/3/20XX Presentation Title 7 • Axis: Left Axis Deviation, Right Axis Deviation • P Wave • PR Interval • QRS Complex • ST Segment • T wave • Others 9/3/20XX Presentation Title 8 Axis Deviation: • RAD: Right Ventricular Hypertrophy • LAD: Left Ventricular Hypertrophy 9/3/20XX Presentation Title 99/3/20XX Presentation Title 10P W aves • Use rhythm strip • Bifid P waves: P Mitrale (looks like an m): left atrial enlargement → Mitral stenosis • Peaked: P Pulmonale: Right atrial enlargement: lung disease 9/3/20XX Presentation Title 119/3/20XX Presentation Title 12PR Interval 9/3/20XX Presentation Title 13QRS Complex Bonus Question: small Q waves are normal in which leads?? • Small Q waves: I, aVL and V6 • Bundle Branch Blocks • MaRRoW • WiLLiaM 9/3/20XX Presentation Title 14Causes for Bundle Branch Block RBBB LBBB PE Aortic Stenosis Atrial Septal Defect Ischaemic disease (inc.Anterior MI) Ischaemic Disease Hypertension Cardiomyopathy High Potassium Cardiomyopathy 9/3/20XX Presentation Title 15ST Segments • Elevation: Infection/Pericarditis or tamponade • Depression: Ischaemia, Reciprocal change in posterior MI 9/3/20XX Presentation Title 169/3/20XX Presentation Title 179/3/20XX Presentation Title 18T-waves • Inversion: • Normal in III, aVR and V1 • Ischaemia, post MI, PE, RVH/LVH, BBB, Digoxin • Tented: • Hyperkalaemia 9/3/20XX Presentation Title 19Myocardial Infarction! 9/3/20XX Presentation Title 209/3/20XX Presentation Title 21QT interval and U waves • Prolonged if T wave is beyond midpoint of RR interval. • Causes: • Antipsychotics • Amiodarone • TCA • Macrolide • Hypokalaemia, hypomagnesemia, hypocalcaemia • U Waves: normal/ hypokalaemia, hypothermia 9/3/20XX Presentation Title 22Try it yourself! 9/3/20XX Presentation Title 23 • Oxford Handbook 9/3/20XX Presentation Title 24 The way to get started is to quit talking and begin doing. Walt Disney 9/3/20XX PresentationTitle 25Coming Up: • Data Interpretation (others) • Pharmacology Station! 9/3/20XX Presentation Title 26 Risma Remsudeen & Ronan Fitzgerald Thank you theisceseries101@gmail.com MedAll: ISCE101 9/3/20XX Presentation Title 27