logging in or signing up Mod-1-Esentials of 12 LEAD kwidmeier Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 41 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: August 31, 2011 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript : Essential 12-Lead Interpretation MODULE 1Essential 12-Lead ECG Interpretation: Essential 12-Lead ECG Interpretation Goals Recognize and localize AMI on the ECG Feel comfortable with 12-lead interpretation12-Lead ECG: 12-Lead ECG12-Lead ECG: 12-Lead ECG12-Lead ECG: 12-Lead ECG12-Lead ECG: 12-Lead ECG12-Lead ECG: 12-Lead ECG12-lead ECG: 12-lead ECG12-Lead ECG: 12-Lead ECG 80 milliseconds = 0.08 seconds 0.080 080.012-Lead ECG: 12-Lead ECGR Wave: R WaveQ Wave: Q WaveS Wave: S WaveQRS: QRS Q waves Physiologic Q waves < .04 sec (40ms) Pathologic Q > .04 sec (40 ms)QRS: QRS Q waveQS Complex: QS ComplexJ-Point: J-PointST Segment: ST SegmentPractice: Practice Find J-points and ST segmentsPractice: Practice Find J-points and ST segmentsST Segment : ST Segment Compare to TP segment ST TPST Segment Analysis: ST Segment Analysis12-Lead ECG: 12-Lead ECG AMI recognition Two things to know What to look for Where you are lookingAMI Recognition: AMI Recognition What to look for ST segment elevation One millimeter or more (one small box) Present in two anatomically contiguous leadsST Segment Elevation: ST Segment Elevation Presumptive evidence of AMI Indication for acute reperfusion therapyPractice: PracticeLead “Views”: Lead “Views”Lead Groups: Limb Leads Chest Leads I aVR V1 V4 II aVL V2 V5 III aVF V3 V6 Lead GroupsLead “Views”: Lead “Views”Inferior Wall: Inferior Wall II, III, aVF Left Leg I II III aVR aVL aVF V1 V2 V3 V4 V5 V6Inferior Wall: Inferior Wall Inferior Wall I II III aVR aVL aVF V1 V2 V3 V4 V5 V6Lateral Wall: Lateral Wall I and aVL Left Arm I II III aVR aVL aVF V1 V2 V3 V4 V5 V6Lateral Wall: Lateral Wall V5 and V6 Left lateral chest I II III aVR aVL aVF V1 V2 V3 V4 V5 V6Lateral: Lateral Lateral Wall I, aVL, V5, V6 I II III aVR aVL aVF V1 V2 V3 V4 V5 V6Anterior Wall: Anterior Wall V3, V4 Left anterior chest I II III aVR aVL aVF V1 V2 V3 V4 V5 V6Anterior Wall: Anterior Wall V3, V4 I II III aVR aVL aVF V1 V2 V3 V4 V5 V6Septal Wall: Septal Wall V1, V2 Along sternal borders I II III aVR aVL aVF V1 V2 V3 V4 V5 V6Septal: Septal V1,V2 I II III aVR aVL aVF V1 V2 V3 V4 V5 V6AMI Localization: AMI Localization Anterior: V3, V4 Septal: V1, V2 Inferior: II, III, AVF Lateral: I, AVL, V5, V6 I II III aVR aVL aVF V1 V2 V3 V4 V5 V6AMI Recognition: AMI Recognition I Lateral II Inferior III Inferior aVR aVL Lateral V1 Septal aVF Inferior V2 Septal V3 Anterior V4 Anterior V5 Lateral V6 LateralAMI Recognition: AMI Recognition Know what to look for ST elevation > 1mm Two contiguous leads Know where you are looking Use pocket card as a reference You will soon have this memorizedPractice: PracticePractice: PracticeEvolution of AMI: Evolution of AMI HyperacuteEvolution of AMI: Evolution of AMI AcuteEvolution of AMI: Evolution of AMI AcuteEvolution of AMI: Evolution of AMI Age undeterminedAMI Recognition: AMI Recognition A normal 12-lead ECG DOES NOT rule out AMIPractice: PracticePractice: PracticePractice: PracticeReciprocal Changes: Reciprocal ChangesReciprocal Changes: Reciprocal Changes II, III, aVF I, aVL, V leadsPractice: PracticePractice: PracticeAMI Recognition: AMI Recognition Reciprocal changes Not necessary to presume infarction Strong confirming evidence when presentAMI Recognition: AMI RecognitionAMI Recognition: AMI Recognition Imitators of infarct LVH BBB Ventricular beats Pericarditis Early Repolarization OthersSummary: Summary AMI recognition Know what you are looking for 1mm of ST elevation Two contiguous leads Know where you are looking Positive electrode as an “eye” Pocket cardSummary: Summary Reciprocal changes Not necessary to presume infarction Strong confirming evidence when presentSummary: Summary ST segment elevation is presumptive evidence for AMI Other conditions may also cause ST elevationSummary: Summary A normal 12-Lead ECG DOES NOT rule out AMIACS: ACS AMI is part of a spectrum of disease know as the Acute Coronary Syndromes You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
Mod-1-Esentials of 12 LEAD kwidmeier Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 41 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: August 31, 2011 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript : Essential 12-Lead Interpretation MODULE 1Essential 12-Lead ECG Interpretation: Essential 12-Lead ECG Interpretation Goals Recognize and localize AMI on the ECG Feel comfortable with 12-lead interpretation12-Lead ECG: 12-Lead ECG12-Lead ECG: 12-Lead ECG12-Lead ECG: 12-Lead ECG12-Lead ECG: 12-Lead ECG12-Lead ECG: 12-Lead ECG12-lead ECG: 12-lead ECG12-Lead ECG: 12-Lead ECG 80 milliseconds = 0.08 seconds 0.080 080.012-Lead ECG: 12-Lead ECGR Wave: R WaveQ Wave: Q WaveS Wave: S WaveQRS: QRS Q waves Physiologic Q waves < .04 sec (40ms) Pathologic Q > .04 sec (40 ms)QRS: QRS Q waveQS Complex: QS ComplexJ-Point: J-PointST Segment: ST SegmentPractice: Practice Find J-points and ST segmentsPractice: Practice Find J-points and ST segmentsST Segment : ST Segment Compare to TP segment ST TPST Segment Analysis: ST Segment Analysis12-Lead ECG: 12-Lead ECG AMI recognition Two things to know What to look for Where you are lookingAMI Recognition: AMI Recognition What to look for ST segment elevation One millimeter or more (one small box) Present in two anatomically contiguous leadsST Segment Elevation: ST Segment Elevation Presumptive evidence of AMI Indication for acute reperfusion therapyPractice: PracticeLead “Views”: Lead “Views”Lead Groups: Limb Leads Chest Leads I aVR V1 V4 II aVL V2 V5 III aVF V3 V6 Lead GroupsLead “Views”: Lead “Views”Inferior Wall: Inferior Wall II, III, aVF Left Leg I II III aVR aVL aVF V1 V2 V3 V4 V5 V6Inferior Wall: Inferior Wall Inferior Wall I II III aVR aVL aVF V1 V2 V3 V4 V5 V6Lateral Wall: Lateral Wall I and aVL Left Arm I II III aVR aVL aVF V1 V2 V3 V4 V5 V6Lateral Wall: Lateral Wall V5 and V6 Left lateral chest I II III aVR aVL aVF V1 V2 V3 V4 V5 V6Lateral: Lateral Lateral Wall I, aVL, V5, V6 I II III aVR aVL aVF V1 V2 V3 V4 V5 V6Anterior Wall: Anterior Wall V3, V4 Left anterior chest I II III aVR aVL aVF V1 V2 V3 V4 V5 V6Anterior Wall: Anterior Wall V3, V4 I II III aVR aVL aVF V1 V2 V3 V4 V5 V6Septal Wall: Septal Wall V1, V2 Along sternal borders I II III aVR aVL aVF V1 V2 V3 V4 V5 V6Septal: Septal V1,V2 I II III aVR aVL aVF V1 V2 V3 V4 V5 V6AMI Localization: AMI Localization Anterior: V3, V4 Septal: V1, V2 Inferior: II, III, AVF Lateral: I, AVL, V5, V6 I II III aVR aVL aVF V1 V2 V3 V4 V5 V6AMI Recognition: AMI Recognition I Lateral II Inferior III Inferior aVR aVL Lateral V1 Septal aVF Inferior V2 Septal V3 Anterior V4 Anterior V5 Lateral V6 LateralAMI Recognition: AMI Recognition Know what to look for ST elevation > 1mm Two contiguous leads Know where you are looking Use pocket card as a reference You will soon have this memorizedPractice: PracticePractice: PracticeEvolution of AMI: Evolution of AMI HyperacuteEvolution of AMI: Evolution of AMI AcuteEvolution of AMI: Evolution of AMI AcuteEvolution of AMI: Evolution of AMI Age undeterminedAMI Recognition: AMI Recognition A normal 12-lead ECG DOES NOT rule out AMIPractice: PracticePractice: PracticePractice: PracticeReciprocal Changes: Reciprocal ChangesReciprocal Changes: Reciprocal Changes II, III, aVF I, aVL, V leadsPractice: PracticePractice: PracticeAMI Recognition: AMI Recognition Reciprocal changes Not necessary to presume infarction Strong confirming evidence when presentAMI Recognition: AMI RecognitionAMI Recognition: AMI Recognition Imitators of infarct LVH BBB Ventricular beats Pericarditis Early Repolarization OthersSummary: Summary AMI recognition Know what you are looking for 1mm of ST elevation Two contiguous leads Know where you are looking Positive electrode as an “eye” Pocket cardSummary: Summary Reciprocal changes Not necessary to presume infarction Strong confirming evidence when presentSummary: Summary ST segment elevation is presumptive evidence for AMI Other conditions may also cause ST elevationSummary: Summary A normal 12-Lead ECG DOES NOT rule out AMIACS: ACS AMI is part of a spectrum of disease know as the Acute Coronary Syndromes