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Electrocardiogram (ECG) Interpretation
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Left Atrial Enlargement (LAE)
Indicated by a broad, notched P wave in lead II and a biphasic P wave in V1; suggests increased left atrial pressure or volume.
Right Ventricular Hypertrophy (RVH)
Suggests thickening of the right ventricle; characterized by a tall R wave in V1 and a deep S wave in V6.
Right Atrial Enlargement (RAE)
Evidenced by tall, peaked P waves in lead II and a biphasic P wave with a prominent initial component in V1; may indicate pulmonary disease or tricuspid valve disease.
Electrical Alternans
Regular beat-to-beat variations in the amplitude of QRS complexes; often associated with pericardial effusion.
QT Interval
Reflects the total time for ventricular depolarization and repolarization; prolonged QT can lead to torsades de pointes.
U wave
Wave following the T wave; its presence can be associated with hypokalemia or bradycardia.
Premature Atrial Contraction (PAC)
A heartbeat that occurs earlier than expected and originates from the atria; can be benign or indicate underlying pathology.
PR Interval
Time from the onset of the P wave to the start of the QRS complex; prolonged PR interval may indicate first-degree heart block.
Sinus Rhythm
Normal rhythm of the heart; each P wave is followed by a QRS complex and is originated from the sinoatrial node.
Atrial Flutter
Rapid heart rate due to an atrial reentrant circuit; characterized by a 'sawtooth' pattern in the P waves, typically in the inferior leads.
Second-Degree AV Block Type II (Mobitz II)
Some P waves do not lead to a QRS complex despite a constant PR interval; may progress to a third-degree block.
Pericarditis
Inflammation of the pericardium; ECG shows diffuse ST segment elevation without reciprocal changes and PR segment depression.
QRS Complex
Represents ventricular depolarization; widened QRS may signify bundle branch block or ventricular hypertrophy.
Ventricular Tachycardia (VTach)
A rapid, regular heartbeat that arises from improper electrical activity in ventricular tissue; may lead to ventricular fibrillation.
Bundle Branch Block
Delay or block in the conduction pathway of the right or left bundle branches; results in wide QRS complexes (>120 milliseconds).
First-Degree AV Block
Slowed conduction without missed beats; the PR interval is prolonged (>200 milliseconds).
Second-Degree AV Block Type I (Wenckebach)
Progressively lengthening PR interval until a beat is dropped; not every P wave is followed by a QRS.
Hyperkalemia
High potassium levels that can cause peaked T waves, widened QRS complexes, and in severe cases, can lead to cardiac arrest.
T wave
Indicates ventricular repolarization; abnormal T waves can signify ischemia, hyperkalemia, or left ventricular hypertrophy.
Premature Ventricular Contraction (PVC)
A heartbeat that occurs earlier than expected and originates from the ventricles; frequent PVCs may require further evaluation.
Hypokalemia
Low potassium levels that may lead to flat T waves, prominent U waves, and potentially arrhythmias.
ST Segment
Segment between the QRS complex and T wave; elevation or depression may indicate myocardial infarction or ischemia.
Isoelectric line
The baseline of the ECG; deviations may indicate electrical injury or artifact.
Sinus Bradycardia
A slower-than-normal heart rate; can indicate high vagal tone, inherent sinus node dysfunction, or be normal in athletes.
Ventricular Fibrillation (VFib)
Disorganized electrical signals that cause inefficient heart contractions; can lead to sudden cardiac death.
Atrial Fibrillation (AFib)
Irregular, often rapid heart rate causing poor blood flow; characterized by absence of P waves and irregularly irregular rhythm.
Third-Degree AV Block (Complete Heart Block)
No atrial impulses pass to the ventricles, leading to independent atrial and ventricular rhythms; typically requires a pacemaker.
Left Ventricular Hypertrophy (LVH)
Suggests thickening of the left ventricle; often demonstrates a high R wave in lateral leads and a deep S wave in the right precordial leads.
P wave
Represents atrial depolarization; can indicate atrial enlargement if abnormal.
Sinus Tachycardia
A faster-than-normal heart rate; may result from fever, anxiety, hypovolemia, or heart failure.
Acute Myocardial Infarction (AMI)
Occurs when blood flow to part of the heart is blocked for a long enough time to cause heart muscle damage; ST elevation and pathological Q waves are key ECG findings.
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