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WOLF-PARKINSON-WHITE TYPE I Short PR interval, positiv delta wave in V1 WOLF-PARKINSON-WHITE TYPE II Short PR interval, negativ delta wave in V1.
Incomplete right bundle branch block (RBBB) Complete right bundle branch block (RBBB) Example 1 Example 2 Example 3 Example 4 Example 5 (also AV block degre I) Example 6 ( also RAH) Complete left bundle branch block (LBBB) Example 1 Example 2 Example 3 Example 4 Example 5 Example 6 Example 7 Example 8 ( + LAH) PDF example PDF example PDF example Left anterior hemiblock (LAHB) Example 2 also possible anterior ischaemie(coronary by pass 18 years ago ) Left posterior hemiblock (LPHB) Right bundle branch block + Left anterior hemiblock Example 1 Example 2 ( + AV Block I) Example 3 Right bundle branch block + Left posterior hemiblock Right atrial hypertrophy (RAH) Example 1 Example 2 Example 3 (also RVH) Example 4 (also RVH) Example 5 (also RVH) Example 6 (also RVH) Left atrial hypertrophy(LAH) Example 1 (also LVH) Example 2 (also LVH ( R>13 mm in AVL ) en AV Block I) Example 3 (also pathological LVH) Biatriale hypertrophy (BAH) Example 1 (also LVH) Example 2 (also RVH) PDF example 1 PDF example 2 PDF example 3 Right ventricular hypertrophy (RVH) Example 1 (also RAH) Example 2 (also RAH) Example 3 (also RAH) Example 4 (also RAH) Example 5 (also BAH) Example 6 (cor pulmonale) PDF example 1 PDF example 2 PDF example 3 Left ventricular hypertrophy (LVH) Example 1 Example 2 Example 3 (also LAH) Example 6 (possible ischaemia) Example 7 ( R>13 mm in AVL,also LAH and AV Block I) Example 11 (Pathological LVH, also biatrial hypertrophy) PDF example 1 PDF example 2 PDF example 3 Biventricular hypertrophy (BVH) Example 1also LAH Example 2 LVH : R in AVL>13 mm RVH : postive QRS in V1 en R<S in V6. ANTERIOR INFARCTIONS example 1 Recent anterior infarction ( QS waves V1 at V4 ) and LAHB. example 2 Old anterior infarction and bifascicular block (RBBB and LAHB ) PDF example 3 Recent anterior and lateral infarction. PDF example 4 Acute anterior infarction. PDF example 5 Acute anterior infarction and left anterior hemiblock. PDF example 6 Hyperacute phase. Symmetrical, small and high T waves V1 V2 V3 PDF example 7 Anterior infarction and LAHB. PDF example 8 QS waves V1 V2 V3. Old anterior infarction + possible aneurysm PDF example 9 Acute anterior infarction. PDF example 10 Acute anterior infarction example 11 Anterior infarction ( 5 days old ) example 12 Old anterior infarction with possible aneurysm.
PDF example Old anterior infarction ( 5 year ) PDF example Acut anteroseptal infarction PDF example Old anterior infarction.
INFERIOR INFARCTIONS example 1 Old inferior infarction + anterior ischaemia. example 2 Also old anterior infarction, ischaemia and conduction delay. example 3 7 days old. Also slow R progression precordial. example 5 Also AV block first degre and digitalis impregnation. PDF example 6 Old inferior infarction PDF example 7 Old inferior infarction and LAHB. PDF example 8 Old inferior infarction and LGL syndrom (PQ 86 ms ) PDF example 9 Inferior infarction, poor repolarisation anterolateral. example 10 Old inferior infarction. example 11 Recent. Also LVH PDF example 12 Old inferior infarction. example 13 Old inferior infarction. example 14 Old inferior infarction with possible anterior ischaemia. PDF example PDF example Old inferior infarction with LVH PDF example Inferior infarction after 3 weeks POSTERIOR INFARCTIONS example 1 R wave and positiv T wave in V1. PDF example 2 R wave and positiv T wave in V1. Also anterior ischaemia ( AVL ). PDF example 3 Also LAH and anterior infarction. PDF COMBINATIONS OF INFARCTIONS AND OTHER PATHOLOGY Anterior and inferior infarction Q waves in D2, D3 and AVF. Pardee waves V1 at V5. Old anterior and inferior infarction Q waves D3, AVF, V1 and V2. PDF Recent extensiv anterior and septal infarction PDF Old inferior infarction, LAH ( left atrial hypertrophy) and LAHB ( left anterior hemiblock ) Old inferior infarction and complete RBBB( right bundle branch block). PDF Acute lateral infarction Pardee waves in D1 and AVL. PDF Acute subendocardial infarction Negativ T waves V4 at V6. PDF Old anterior infarction and LAHB Possible anterior wall aneurysm. PDF Old anteroseptal infarction and LAHB Possible anterior wall aneurysm. PDF Old inferior infarction, atrial fibrillation and LVH PDF Old anterior infarction and complete RBBB small Q waves in V2 and V3. PDF Extensiv anteroseptal infarction Old inferior and recent anterior infarction Q wave in V4 and V5 PDF Old inferior and recent extensiv anterior infarction Q waves V1 at V5. Enlarged QRS complex. PDF Old anterior and old inferior infarction PDF Old anterior and old inferior infarction Possible anterior wall aneurysm PDF Old anterior and old inferior infarction Possible anterior wall aneurysm. PDF Old anterior, old inferior infarction, complete RBBB and LAH. Subarachnoidal aneurysm Inverted and deep T waves in the precordal leads. PDF Sinusale tachycardy Example 140/ minute, child 4 years with agitation. PDF Atrial flutter. Atrioventricular reentry tachycardy (AVRT). Example 1 200 milliseconds after the narrow QRS complexes, retrograde P wave is visible. This " Coumel P" waves are the result of retrograde conduction. PDF Example 2 140
milliseconds after the narrow QRS complexes, retrograde P wave is
visible. Circular AV tachycardy with fast extra conduction.
PDF
Atrioventricular nodal reentry tachycardy (AVNRT) Example 1 Retrograde P waves immediately after the QRS complex. PDF Supraventricular tachycardy with LBBB. Supraventricular tachycardy with RBBB Ventricular extrasystole Example also left axis QRS and flat repolarisation PDF Ventricular tachycardy Example 1 Fascicular tachycardy. Only slightly enlarged QRS complex ( 136 ms ) QRS axis is right and high. V1 and V2 : right bundle branch block . THIS IS A VENTRICULAR TACHYCARDY ! The origin is in the inferoposterior fascicle of the left bundle. PDF Example 2 Only
moderate QRS enlargment. VENTRICULAR (!) TACHYCARDY originating in the
left anterior fascicle of the left bundle.
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Example 3 Example 4 Example 5 Example 6
Hypokalaemia Example 2 also LVH PDF example Hyperkalaemia Example severe hyperkalaemia PDF example Hypocalcaemia Hypercalcaemia Acute pericarditis Example 1 Example 2 microvoltage Example 3 PDF example 1 PDF example 2 PDF example 3 Technical dextrocardia Example Electrodes for right and left arm are interchanged accidentely : D1 is oppposite to V6. Brugada syndrom Hypothyroidia Cardiomyopathia Example ischaemic cardiomyopathia Example hypertrofic apical cardiomyopathia Ischaemia- Angor Example 1 Patient with coronary bypass operation Example 2 Possible ischaemia Example 3 Very suspected for ischaemia, also sinusale tachycardia Example 4 Very suspected for ischaemia Example 5 ECG recorded during attack of angor pectoris Acute pulmonar embolism Example 1 RVH Example 2 RVH + S1 Q3 waves. Digitalis Example of digitalis impregnation PDF example Pacemaker Example of right ventricular pacemaker. Normal Ecg's or traces with a moderate abnormality may differ, therefore you see some normal or borderline normal PDF traces here Example 1 PDF Example 2 PDF Example 3 PDF Example 4 PDFExample 5 PDF Example 6 PDF Example 7 PDF Example 8 PDF Example 9 PDF Example 10 PDF Example 11 PDF Auteur: Dr. Ganseman Jose Without warranty for always correct interpretation. Download the Ecg software if you want to see a more complete protocol.
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