EKG Morphology Lecture PDF
EKG Morphology Lecture
1. Rate
2. Wide or Narrow Rhythm?
Reg
Irreg-Irreg
P-QRS relationship?
PR interval constant? P waves upright II/III/F?
Patterned
P- waves seen?
Are P waves same or different?
What is the pattern?
Eval P waves & QRS
What is the origin or the pattern?
What is the underlying rhythm and what interupts?
3. Morphology
Axis Pwave / PR QRS (tall? / wide?)
ST- T ? Q waves (Inf, Ant, Lat)
AXIS - NL= -30 to 105
RULES - +I / +F normal
- +I / -F to the left
- Neg in II to be true LAD
AXIS
-NL= -30 to 105
-Assess if the QRS is positive in lead I
More volt above
Positive = more voltage above the
isoelectric baseline then below
LEAD I I-
F-
AXIS
I+
F+
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