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The Abnormal ECG: where to start? rd 23 September 2022 @Lwnurses #LWN #LearnWithNurses Joanne Haws RN MSc Clinical Director, Learn With Nurses Independent Nurse Consultant & Specialist in Cardiovascular Disease Non-Executive Director, National Association of Primary Care Clinical Supervisor, HEE National CLEAR Programme Nurses & Allied Health Professionals Working Party Member, British & Irish Hypertension Society @jojohawsUsing Medall To get slidesMedall.org getting certificates/slidesClosed FB group & PageCardiac Conduction SystemECG Waves and Intervals • P wave: the sequential activation (depolarization) of the right and left atria • QRS complex: right and left ventricular depolarization (normally the ventricles are activated simultaneously) • ST-T wave: ventricular repolarization Step by Step analysis • Rhythm • Rate • P Wave • P- R interval • QRS complex • ST segment • T waves • Q-T interval Arrhythmias Origin Rate Nature • Atrial • Bradycardia • Narrow Complex • Junctional • Tachycardia • Broad Complex • Ventricular • Bradyarrhythmia • Blocks • Tachyarrhythmia Heart Blocks • Block in normal conduction • Could be at any part of the conduction system • Ranging in severity • Transient or permanent • Can deteriorate • May require pacingFirst Degree Heart Block Second Degree Heart Block: Mobitz Type I or WenckebachSecond Degree Heart Block: Mobitz Type IIComplete Heart Block In summary • Think about what you are looking at • Don’t believe the auto-interpreter • Don’t forget to look at the patient! Become a PCCS Member ? What does PCCS Membership give you? Register here: Membership is free and gives you access to our members only CVD academy Receive monthly newsletters and updates from the Council Potential involvement in Cardiovascular Advisory Committees Updates on latest guidance OR SIGN UP AT Access to high quality education www.pccsuk.org PCCS educational events and CVD Academy sessions at nationals meetings
