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2 posters
Video Lecture: How to ECG Readings
The Saint- Admin
- Number of posts : 2444
Age : 51
Location : In the Fifth Dimension
Job : Consultant in Paediatric Emergency Medicine, NHS, Kent, England, UK
Registration date : 2007-02-22
- Post n°1
Video Lecture: How to ECG Readings
The Saint- Admin
- Number of posts : 2444
Age : 51
Location : In the Fifth Dimension
Job : Consultant in Paediatric Emergency Medicine, NHS, Kent, England, UK
Registration date : 2007-02-22
The Saint- Admin
- Number of posts : 2444
Age : 51
Location : In the Fifth Dimension
Job : Consultant in Paediatric Emergency Medicine, NHS, Kent, England, UK
Registration date : 2007-02-22
The Saint- Admin
- Number of posts : 2444
Age : 51
Location : In the Fifth Dimension
Job : Consultant in Paediatric Emergency Medicine, NHS, Kent, England, UK
Registration date : 2007-02-22
Dr Abu Zar Taizai- Number of posts : 1163
Age : 58
Location : Pabbi Nowshera
Job : Co-ordinator DHIS: District NowsheraAnd Coordinator Public Health
Registration date : 2008-03-09
Exemplary Knowledge Giving (EKG)
For us (the practioners) it is very informative,Thanks
For us (the practioners) it is very informative,Thanks
The Saint- Admin
- Number of posts : 2444
Age : 51
Location : In the Fifth Dimension
Job : Consultant in Paediatric Emergency Medicine, NHS, Kent, England, UK
Registration date : 2007-02-22
Another Important Step Wise Approach to read ECCG's once you have seen and understoof the above given Videos
This is a 2-step approach remembered by 2 mnemonics:
Step 1: Evaluate all elements of the EKG systematically: A RARE PQRST.
Step 2: Differential diagnosis. Look for diseases that may have caused the abnormalities noted in step 1: DR III EEE !
This systematic approach to reading electrocardiograms (ECGs or EKGs) works every time, just like a machine. By using it, you will not miss any major abnormalities in electrocardiograms (EKGs).
What is the meaning of the mnemonics?
A RARE PQRST:
Age, e.g. a 60-yo patient is likely have a different pathology from a 30-yo patient
Rate, e.g. fast or slow?
Axis, e.g. left or right?
Rhythm, e.g. regular or irregular?
Evaluate each EKG element as follows:
P wave, e.g. peaked or absent? PR interval - short or prolonged?
Q wave, e.g. deep Q wave? QT inerval - - short or prolonged?
R wave, e.g. tall? look at QRS complex width for RBBB or LBBB
ST segment, e.g. elevation or depression?
T wave, e.g. peaked or inverted? U wave?
DR III EEE:
Drugs , e.g. Digoxin, tricyclic antidepressants
Rhythm and rate abnormalities, e.g. AV block of 1,2,3 degree, AFib, SVT? Interval prolongation?
Ischemia?
Infarct? Deep Q wave?
Infection, e.g. pericarditis
Enlargement, e.g. LVH, RVH, left or right atrium enlargement?
Electrolyte disturbances, e.g. hyperkalemia, hypokalemia, hypercalcemia,
Endocrine causes, e.g. hypothyroidism
How to use this approach in practice?
Look at the EKG and write down on a piece of paper:
A R A R E P Q R S T
D R I I I E E E
Circle the abnormalities you discover in step 1 -- A RARE PQRST. Then, connect and try to explain these abnormalities by looking at the list of possible etiologies presented in step 2 -- DR III EEE. That's it!
An example:
A patient having Atrial Fibrillation
This is a 2-step approach remembered by 2 mnemonics:
Step 1: Evaluate all elements of the EKG systematically: A RARE PQRST.
Step 2: Differential diagnosis. Look for diseases that may have caused the abnormalities noted in step 1: DR III EEE !
This systematic approach to reading electrocardiograms (ECGs or EKGs) works every time, just like a machine. By using it, you will not miss any major abnormalities in electrocardiograms (EKGs).
What is the meaning of the mnemonics?
A RARE PQRST:
Age, e.g. a 60-yo patient is likely have a different pathology from a 30-yo patient
Rate, e.g. fast or slow?
Axis, e.g. left or right?
Rhythm, e.g. regular or irregular?
Evaluate each EKG element as follows:
P wave, e.g. peaked or absent? PR interval - short or prolonged?
Q wave, e.g. deep Q wave? QT inerval - - short or prolonged?
R wave, e.g. tall? look at QRS complex width for RBBB or LBBB
ST segment, e.g. elevation or depression?
T wave, e.g. peaked or inverted? U wave?
DR III EEE:
Drugs , e.g. Digoxin, tricyclic antidepressants
Rhythm and rate abnormalities, e.g. AV block of 1,2,3 degree, AFib, SVT? Interval prolongation?
Ischemia?
Infarct? Deep Q wave?
Infection, e.g. pericarditis
Enlargement, e.g. LVH, RVH, left or right atrium enlargement?
Electrolyte disturbances, e.g. hyperkalemia, hypokalemia, hypercalcemia,
Endocrine causes, e.g. hypothyroidism
How to use this approach in practice?
Look at the EKG and write down on a piece of paper:
A R A R E P Q R S T
D R I I I E E E
Circle the abnormalities you discover in step 1 -- A RARE PQRST. Then, connect and try to explain these abnormalities by looking at the list of possible etiologies presented in step 2 -- DR III EEE. That's it!
An example:
A patient having Atrial Fibrillation
Dr Abu Zar Taizai- Number of posts : 1163
Age : 58
Location : Pabbi Nowshera
Job : Co-ordinator DHIS: District NowsheraAnd Coordinator Public Health
Registration date : 2008-03-09
Very Much Fantastic,Please Do Post such Rare and very much helpfull things specially when it is backed-up by your expert Comments and Learning- Friendly Mnemonics,
a lot of appreciation for you,for this endeaurance.
a lot of appreciation for you,for this endeaurance.
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