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Electrocardiogram ,[object Object],[object Object],[object Object],[object Object]
 
ECG ( EKG ) is Useful in the Diagnosis of ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dipole Theory
Electrode Records Upward or Downward Deflection
ECG Leads ,[object Object],[object Object],[object Object]
 
 
 
 
Precordial Leads
 
Sequence of Ventriclular Depolarization
Projection of a QRS Vector-loop onto Frontal and Horizontal Planes
Projection of a QRS Vector-loop onto Limb and Predordial Leads
Configuration of a QRS in Limb Leads
Configuration of a QRS in Precordial Leads
Measurements of an EKG
 
Mean QRS Vector
Mean QRS Axis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
QRS Axis Deviation
Normal QRS Axis
Left Axis Deviation
Right Axis Deviation
Determination of a QRS Axis by Calculation
Causes of LAD or RAD ,[object Object],[object Object],[object Object],[object Object],[object Object]
Sequence of Heart Activation
Measurements of an EKG
ECG Nomenclature ,[object Object],[object Object],[object Object],[object Object],[object Object]
ECG Nomenclature (Cont.) ,[object Object],[object Object]
Normal P wave ,[object Object],[object Object],[object Object]
 
Normal QRS Complex R aVL < 1.2; R aVF < 2.0 qR, Rs or rS aVL, aVF < 0.5 QS, rS, rSr’ or Qr aVR 1.2~1.8,  < 2.5 qR, qRs, Rs or R V5, V6 - RS (R/S1) V3, V4 < 1.0 rS V1, V2 Amplitude of R (mV) Deflection Leads
Progression of R in Precordial Leads
Low Voltage ,[object Object],[object Object],[object Object],[object Object]
Abnormal (Pathological) Q ,[object Object],[object Object],[object Object]
T Wave ,[object Object],[object Object]
S-T Segment ,[object Object],[object Object]
Interpretation of an Electrocardiography  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A Normal EKG
Enlargement of Left Atrial
 
Left Atrial Enlargement ,[object Object],[object Object],[object Object],[object Object]
Right Atrial Enlargement
 
Right Atrial Enlargement ,[object Object],[object Object],[object Object]
Left Ventricular Hypertrophy
 
Left Ventricular Hypertrophy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Right Ventricular Hypertrophy
Right Ventricular Hypertrophy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
AMI-99
 
 
 
Sinus Arrythmia ,[object Object],[object Object],[object Object]
Sinus Arrythmia
Sinus Tachycarcardia and Bradycardia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Atrial Premature Contraction (APC) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Ventricular Premature Contraction
Ventricular Premature Contraction (VPC) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
PVC
Junctional Premature Contraction
Junctional Premature Contraction (JPC) ,[object Object],[object Object],[object Object],[object Object]
Paroxymal Supraventricular Tachycardial ( PVST )
Supraventricular Paroxysmal Tachycardia ,[object Object],[object Object],[object Object],[object Object]
Ventricular Paroxysmal Tachycardia
Ventricular Paroxysmal Tachycardia
Ventricular Paroxysmal Tachycardia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Atrial Flutter
 
Atrial Flutter ,[object Object],[object Object],[object Object],[object Object]
Atrial Fibrillation ,[object Object],[object Object],[object Object],[object Object]
Ventricular Flutter
Ventricular Flutter ,[object Object],[object Object],[object Object],[object Object]
Ventricular Fibrillation ,[object Object],[object Object],[object Object],[object Object]
 
 
Ⅰ 0  Auriculo-Ventricular Block  (  Ⅰ 0  AVB ) ,[object Object],[object Object],[object Object]
2nd Degree AV Block, Type I
Ⅱ   0  Degree AV Block  ( 1.  Mobitz Type Ⅰ )  ( Wenckebach) ,[object Object],[object Object],[object Object],[object Object]
Mobitz II 2nd degree AV block
Ⅱ   Degree AV Block  ( 2.  Mobitz Type  Ⅱ ) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Ⅲ  Degree AV Block
Ⅲ  Degree AV Block  ( Complete AV Block ) ,[object Object],[object Object],[object Object]
 
Right Bundle Branch Block
Right Bundle Branch Block (RBBB ) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RBBB
Left Bundle Branch Block
Left Bundle Branch Block (LBBB ) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LBBB
Coronary Artery
Angina Pectoris
Classic Angina Pectoris  (  Transient subendocardial ischemia )  ,[object Object],[object Object]
Classic Myocardial Infarction
Evolutionary Changes of EKG in AMI
Stages of MI ,[object Object],[object Object],[object Object],[object Object]
Location of MI
Hyperacute Inferior MI
Acute Inferior MI
Acute Extensive Anterior/ Anterolateral MI
Subacute Inferior MI  ( Inferior and Anteroseptal )
Old Inferior MI, PVCs, and Af
Mechanism of WPW
 
Preexcitation Syndrome (WPW) ( Type A )
Preexcitation Syndrome (WPW) ( Type B )
Thank You  !
 
 
Angina Variant (  Prinzmetal angina ,  Transient subepicardial ischemia ) ,[object Object],[object Object],[object Object],[object Object]
Precordial Leads
Sequence of Heart Activation

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