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per9n53ve

ECG room instructer
heard requisitioning, want us to know how to look at pictures, and I ECG classes in school are sleeping, the examistate is said to Examination crazy memorize some point, ( I assert that: most of the students like me) so I do not know how to look at pictures, the worst thing is, I am trying to learn by reading the pictures, but still failed. To this end, I specifically ask the Shantou Medical College Professor Peng, candle 2 hours after his instructions, I was able to read normal ECG room map, combined with some of the teachers explained, next day I have the ability to do the ECG room Most of the electrocardiogram report. In this special thanks to the careful guidance of Professor Peng!
students who have not been to ECG room: you read the following, you can point in the ECG room pointing Jiang, passionate writing, otherwise extremely wretched, Day Break!

Second, how to write a report on the electrocardiogram of a normal ECG report
style are as follows:
(a) the names, medical record number, heart size, PR interval, QRS time limits according to fill.
(b)
1, P wave: I, II, aVF lead upright, aVR lead inversion, time, amplitude normal.
2, QRS wave group: time, amplitude within the normal range.
PR interval is normal.
3, ST segment: no offset.
4, T wave: time and amplitude in the normal, and no roadologic migration.
(c) Diagnosis: 1, 2, sinus rhythm, normal ECG
Third, how do ECG
As long as intelligence is normal, not color blindness, red, yellow, blue and brown Black and Purple look back and see someone do a basic learned. But there are some stress to perform well, such as to obviously rank the fourth intercostal space. I feel the patient is very arduous to do the folloearng: skin and bones of the elderly (such Tingduo heart sickness), can not suck tip stability; heart, lung disease are unable to lie horizontally in; apex beat like lifting, and a suction to be skipped out.
Fourth, how to read electrocardiographic
(a) See numerical
machine will automatically play some of the data,[link widoczny dla zalogowanych],
1,[link widoczny dla zalogowanych], heart rate: the normal is 60-100.
120ms and a bimodal, reported \: normal time 120-200ms.
> 200ms in the News \
4, QRS interval should be 2.5mv and (or) Rv5 + Sv1> 4.0mv (M) / /> 3.5mv (female), reported that \very common! Desectionment of left ventricular hypertrophy performance, questioning history, many have high blood pressure, visual ECG, QRS wave group was vitally higher.
6, P / QRS / T axis: XX / XX / XX, the middle of the number -30. -90. Reported \180. Reported \No, you know the person pointing, thanks!
map to display these values, so the above the normal range of data back to live to talk about first Figure.

(b) to see if this can not say no premature
theory, to read the map knows that. Look like this is premature, and which forms a wide QRS insaneities reported \RR wave interval divided by 2 is equal to the sum of a normal RR interval of (say difficult to understand, please overcome), about the amount of use compasses, sinus arrhythmia is no such regulation. Wrote the report also points to frequent or occasional premature beats, are more frequent as the \
addition, premature to do to add a minute, a minute to see how many, if it is occasional premature beat plus one minute do not see one, do consider the dynamic ECG.

(c) See Qi cardiac arrhythmia
can find the time difference between RR intervals more than 120ms (3 small cell) , and are not to be premature in the News \Common in young, juvenile, and more with breathing, and the other missing persons nexused more with the breath,[link widoczny dla zalogowanych], hold your breath after the disappearance of missing much. Patients often have to ask how this is going on arrhythmia, electrocardiogram except if the other were missing outside the normal, it is generally not clinically significant, and I sometimes have the ECG.

(d) to see whether the atrial fibrillation, atrial flutter
with a lot of many heart attack patients will appear. More than just words like the following birds is the \Theoretically, atrial fibrillation is a normal P wave disappeared,[link widoczny dla zalogowanych], replaced with deviateent sizes and shapes of the vibration wave, often V1 obvious. Differential between the two can be considered normal: ventricular fibrillation act is absolutely insane. More common than atrial flutter, atrial fibrillation.

(e) right bundle branch block
V1, V2 of the QRS was M-shaped or rSR 'shaped , that is,[link widoczny dla zalogowanych], a right bundle branch block, QRS which time> 120 reported \Common!

(f) left branch block
I, II, aVF of the QRS wave was rS-shaped, electrical axis the left side, sometimes see.

(VII) ST segment, T wave deviates
at least 1 / 4 of the patients were reported to check the \is mainly apparented as low and flat or inverted. Generally believe so: I, II, V5, V6, T wave should be upright, or as \Among these leads, T wave amplitude lead, if less than the R wave with 1 / 10, for the \Be sure to understand!
so rough! On the ST segment, should know, ST fraction is the end of QRS to T wave wave group segments between the starting point. ST is difficult, a trouble worries me a long time: ST elevation / depression what is the proclamation! ? Textbooks is not quite seem to understand.
later I finally know: is the equipotential lengths as a standard, J point (ST segment starting point) the small cell after 2 (?) position,[link widoczny dla zalogowanych], as long as in any lead down 0.5 mV is the \

(i) type I second degree atrioventricular block
P wave is alsteps there laws, but the more the longer PR interval until a P wave after the lacuna of a QRS, so the cycle. Said Venturi phenomenon. Quite common.

five normal ECG
normal values, a situation without any of the above, the graphics look decent, ultra- to be reported, \Little knowledge of the level like me, the general reactionion to see out the 20 seconds is normal ECG the ECG.
Also note reported \

six to do bed bedside ECG
Although a light coma patients over many importantely ill patients. But I deeply feel that clinicians know very little on the electrocardiogram. There was no culture of clinicians were called to the bedside ECG Jicha, I do spot the results I can say: it is normal ECG. I feel more and more as future clinicians should take up more ECG knowllimit to understand the great responsibility.
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