PDF 12 Lead ECG Workshop
12 Lead ECG Workshop
Virginia Hass, DNP, FNP-C, PA-C Kim Newlin, CNS, ANP-C, FPCNA
California Association of Nurse Practitioners March 18, 2016
Learning Objectives
? Identify key changes on the ECG which represent hypertrophy and bundle branch block as well as pericarditis and electrolyte disturbances.
? Identify medications used to treat the risk factors that lead to hypertrophy and/or bundle branch block, such as antihypertensives and antiarrhythmics.
? Analyze changes in the ECG which represent myocardial ischemia, infarct or injury.
? Identify evidence based therapies for treatment of the acute coronary syndrome, such as beta blockers, ACE inhibitors, statins, and antiplatelets.
In This Handout.....
? Color Coded Map of Leads, ST Elevation and Reciprocal changes
? Summary of 12 Lead ECG Features ? 12 Lead ECGs
Why Take a 12-LEAD ECG?
? Gold standard for the diagnosis of arrhythmias ? Guides therapy and risk stratification for patients with
suspected myocardial infarction ? Helps detect electrolyte disturbances (e.g. hyperkalemia
and hypokalemia) ? Allows for the detection of conduction abnormalities
(e.g. right and left bundle branch block) ? Used as a screening tool for ischemic heart disease
during a cardiac stress test ? Occasionally helpful with non-cardiac diseases (e.g.
pulmonary embolism or hypothermia)
What Does Each Lead "See"?
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