miguelcarvalho Posted October 21, 2012 Share Posted October 21, 2012 Hi, I'm a spanish med student and it's the first time that i am doing this, so anyone could give me a little help? I'm having some troubles while doing the interpretation of it... Thank you! Link to comment Share on other sites More sharing options...
Just Steve Posted October 21, 2012 Share Posted October 21, 2012 http://ecg.utah.edu/ Link to comment Share on other sites More sharing options...
marvi1kd Posted October 21, 2012 Share Posted October 21, 2012 I love electrocardiography! I'm by far no expert but I'll try and help. :) I think the question you want to ask yourself is "are the T-waves in the anterior leads sinister or normal?" It looks like there is some hyperacute t-waves indicating possible acute MI on the horizon!?!?!? Also why are the leads C1-C6 instead of V1-V6? :) Link to comment Share on other sites More sharing options...
jmj11 Posted October 22, 2012 Share Posted October 22, 2012 Nothing shows up in the post. Did the strip get deleted? Link to comment Share on other sites More sharing options...
marvi1kd Posted October 22, 2012 Share Posted October 22, 2012 There was a strip! Don't know where it went :) Link to comment Share on other sites More sharing options...
MediMike Posted October 22, 2012 Share Posted October 22, 2012 Best way to approach an ECG interpretation is to take a very methodical approach to it. Rate, Rhythm, Complex. Fast/Slow/"Normal"? Regular/Irregular? Wide/Narrow? So what I'm seeing here is a Slow (probably around 50ish, can't get a good look at it) regular rhythm of narrow complexes, sinus in nature (P wave for every QRS, QRS for every P). No STE or STD. Intervals all look good, although I'm not calculating the QTc haha :) PRI is good, although looks like borderline LAE due to the possible P Mitrale in II and the biphasic P in V1 (C1). What does have me stumped though is the positive deflections in avR...Is that why it is listed as -avR? Ah well, that's my look at it! Link to comment Share on other sites More sharing options...
MediMike Posted October 25, 2012 Share Posted October 25, 2012 ...Did I do real good or does no one else have a take on this? After all, "just" a paramedic here ;) Link to comment Share on other sites More sharing options...
marvi1kd Posted November 3, 2012 Share Posted November 3, 2012 actually I'd like to change my answer :p it's probably just early repolarization upon reexamining it! Link to comment Share on other sites More sharing options...
MattK Posted November 3, 2012 Share Posted November 3, 2012 you may want to give Rapid interpretation of EKGs by Dale Dubin a read. Link to comment Share on other sites More sharing options...
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