E C G

I know that ECG is very difficult to be interpritted, because we read it once in the fourth year & again in the sixth year, & ECG reading need practice & experiance ..

But this picture of ECG is very common, & U may face it daily in your practical life, I've deleted some informations that was labeled on the ECG

So, what is the abnormality of this ECG paper ?

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Ahmed A. Al-Jubouri

peaked T wave due to hyperkalemia?!

yeah hyperkalemia, another cause is early myocardial infarction (earliest sign is peaked t wave)

hi

peaked p wave due to hyperkalemia

i want to thank you for your wonderfull job bcmf/thmbup.gif

god bless you all

sorry i meant t wave

U R all right ..

What about this one ?

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Ahmed A. Al-Jubouri

Well ....
I'm not quite sure about it but I can see a premature P wave which cauld be ectopic P wave ( in the middle complex ) due to Digitalis Toxicity

as I said I'm not Quite sure....

Thanx and Brgds.

complete heart block (3rd degree AV block)

compelete hert block
thx ahmed alot
we made benefit from ur posts

noor th. noori

great work

i really have aproblem will ECG i cant read it at all

i only can open the paper infront of the patient and say good ECG

and ask him to see the senior

can u ahmed describe it like u did in CXR?

dear hussam try to read this book ( ECG made easy) it's quite simple it will cost you three days max.. believe me ... as i did

Great Job A7mad.. u r really hero.. keep on please

Well dear Hussam, I will start with U a series of topics on how to read & interprit an ECG paper ..

We will start on how to read a normal ECG paper :

1st, U should read the name of the patient & the date of ECG ..
2nd, Normal ECG should have a Sinus Rhythem, & this means : Every QRS complex should be preceded by a P wave ..
3rd, U should calculate the Heart Rate, & we can do so by dividing 300 on the no. of large squares between any R-R interval ( in Sinus Rythem only ) ..
4th, U should see if there is any Axis Deviation ( left or right ) ..

For the Axis Deviation, I will learn U a Trick to know whether it is Right or Left Axis Deviation ( from my father ):
Normally, if check Lead I & Lead III, the R-waves in both leads should in +ve ( i.e : upward direction ), so if U see the R-waves in these leads :
Leaving each other : means Left Axis Deviation .. or
Reaching each other : means Right Axis Deviation ..
( & there is no condition that R-waves in lead I & lead III will in the -ve, i.e : downward direction ) ..

& U should practice your self ..

This is a start ..
& in the next time we will continue ..

I hope U will get benefit from it ..

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Ahmed A. Al-Jubouri

I see that there is no relationship between the P wave and the QRS i.e the ventricles contracts independently to the atria...
QRS complexes are narrow at rate of about 60/min. although the usual QRS complex in such situation is expected to be wide and at a rate of less than 50/min.

But still I go for 3rd Degree (Complete) Heart Block

And Hussam... as Loay told you stick to ECG Made Easy and max. reading of 3 days for 2-3 times would shift your knowledge to a much better level and your going to be able to Dx most of the ECGs proudly and confidently.

Regards