TAILIEUCHUNG - Ebook Master visual diagnosis of ECG - A short atlas: Part 2

(BQ) Part 2 book "Master visual diagnosis of ECG - A short atlas" presents the following contents: How to read ECG and make diagnosis, lead position reversal, sinus bradycardia, sinus bradycardia, sinus tachycardia, some details of fascicular blocks, introduction to electrocariographic features of myocardial infarction | Section 2 Quick Diagnosis Section QDS QUICK DIAGNOSIS SECTION QDS This section will present diagnosis in the forms of diagnostic points and supporting points so that reader can quickly make diagnosis rather than searching from rich text. These points are divided into two categories. Diagnostic points which are more specific to diagnosis and supporting points which support the diagnosis. HOW TO READ ECG AND MAKE DIAGNOSIS Five-Finger Method Five-finger method is easy method which enables to gauge ECG from every aspect. Initially it looks a little long but after sometime it will become your habit to look upon every point of ECG and will be much quick. And do not miss any diagnosis because usually single ECG has more than one diagnosis Fig. . The three segments of every finger represent features of ECG. So total 15 features to be noted. So let s begin. These features are 1. Check lead positions and exclude dextrocardia. 2. Rhythm 3. Rate 4. QRS interval 5. PR interval 6. Exclude other conditions including WPW syndrome specially if QRS duration is sec. 7. ST segment Figure Fifteen-finger segments to remember 15 features of ECG See text 68 Master Visual Diagnosis of ECG A Short Atlas 8. Qwave 9. R wave progression 10. Pwave 11. T wave 12. Axis and block bundle branch blocks and fascicular blocks 13. Hypertrophy 14. Miscellaneous conditions See later 15. Detailed arrhythmia analyses Step 1 Check lead positions and exclude dextrocardia. It is wise to look for and rule out possible technical errors in placing leads. See details later. Step 2 Rhythm Check for sinus rhythm if not check for arrhythmia jump step 15 Step 3 Rate Calculate heart rate. Step 4 QRS interval Assess QRS both in lead V1 and V6 for interval and shape in order to diagnose bundle branch blocks if sec BBB complete or incomplete may be present. For shape look for M or W shape pattern. For diagnosis criteria see later . Step 5 PR interval Assess PR interval if abnormal sec . Check for .

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