3rd Year Medicine Clerkship » College of Medicine ...
National IM Clerkship Objectives for ECG Interpretation
Approach ECG interpretation in a systematic and logical fashion analyzing
the following: rate, rhythm, P wave morphology, PR interval, QRS width,
axis, voltage, QT interval, ST segment morphology, and T wave morphology.
Recognizing the following on ECG:
• Sinus tachycardia, sinus bradycardia, sinus arrhythmia.
• Premature atrial beats, ectopic atrial rhythm/tachycardia, narrow
complex supraventricular tachycardia.
• Multifocal atrial tachycardia, atrial flutter, atrial fibrillation
• First degree, second degree (Mobitz type I and II), and third degree
(complete) heart block.
• Junctional rhythm.
• Premature ventricular beats.
• Typical ventricular tachycardia, ventricular fibrillation.
• Left and right atrial enlargement.
• Left ventricular hypertrophy.
• Left and right bundle branch block, left anterior and posterior
fascicular block.
• The characteristic features of a properly functioning ventricular or dual
chamber pacemaker.
• The delta wave in Wolf-Parkinson-White Syndrome.
• The classic features of myocardial ischemia and infarction and be able
to localize the findings (i.e. inferior, anterior, lateral, posterior, right
ventricular) and identify the probable culprit vessel.
• The classic features of pulmonary embolism.
• The characteristic effects of hypo- and hyperkalemia.
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