1. Postgraduate Education BS Physical Therapy, Silliman University, 1996 BS Zoology, MSU-Iligan Institute of Technology 1999 Doctor of Medicine, Mindanao State University-College of Medicine Post-graduate Internship University of the Philippines, Philippine General Hospital 2003-2004 Internal Medicine Residency University of the Philippines, Philippine General Hospital 2004-2007 Fellowship in Cardiology University of the Philippines, Philippine General Hospital 2008-2011 Affiliations Fellow, Philippine College of Physcians Fellow, Philippine Heart Association Diplomate, Philippine College of Cardiology JILL IRENE Z. CAPISTRANO MD, FPCP, DPCC
2. Dr. Jill Irene Z. Capistrano, FPCP,DPCC INTERNAL MEDICINE-CARDIOLOGY
3. P Q R T QT interval PR interval ST interval QRS interval S ST segment PR segment
35. A 55F hypertensive sought consult at the ER for a blood pressure of 150/100. You requested for ancillary procedures, including an ECG.
36. Sinus rhythm, normal axis, left ventricular hypertrophy 13 X 2 S in V1 + R in V5 or V6 > 35mm LEFT VENTRICULAR HYPERTROPHY 20 X 2
37. A 24 year-old male with Atrial Septal Defect was admitted for shortness of breath.
38. Interval between QRS complex < 3major divisions 1500/# small squares = 1500/12 = 125 beats/min SINUS TACHYCARDIA
39. P waves tall and pointed in II and aVF RIGHT ATRIAL ENLARGEMENT QRS downward in lead I and upright in lead aVF RIGHT AXIS DEVIATION
40. Sinus tachycardia, right axis deviation, right atrial abnormality, right ventricular hypertrophy QRS upright in V1 RIGHT VENTRICULAR HYPERTROPHY Prominent S waves across precordial leads
52. A 24 year old female admitted for heart murmur.
53. Normal sinus rhythm, right bundle branch block QRS complex >120 msec Delayed intrinsicoid deflection time in V1 RIGHT BUNDLE BRANCH BLOCK Intrinsicoid deflection time
54. Normal sinus rhythm, right bundle branch block RSR’ in V1 Wide S waves in I, V6 RIGHT BUNDLE BRANCH BLOCK
Sinus rhythm, normal axis, left ventricular hypertrophy
Sinus tachycardia, right axis deviation, right atrial abnormality, right ventricular hypertrophy
Normal sinus rhythm, normal axis. right bundle branch block
Sinus rhythm,left axis deviation, left bundle branch block
Atrial fibrillation with rapid ventricular response, normal axis
Anteroseptal wall MI
Acute pericarditis. Note that there is widespread ST elevation that is upwardly deeply concave in the anterior, inferior, and lateral walls. In addition, there is no reciprocal depression and there are no Q waves.