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For example, in sinus bradycardia and normal atrioventricular node function, both the atrial rate and the ventricular rate are less than 60 beats per minute. Most of the time they are the same, but they can be different. The ECG technician often types the patient’s name and gender at the top of the ECG.Īlways remember to check both the atrial heart rate (P wave rate) and the ventricular rate (QRS complex rate). Let’s look at each step in a little more detail.ĭiagram of a proper approach to reading an ECG This is no different than the way cardiologists read ECGs, but it is laid out simply. Finally, assign clinical diagnoses, if possible.
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All of the diagnoses go into the ECG diagnosis section. Next, you look at the wave morphology: P waves, Q waves, QRS complexes, ST segments and finally, T waves. Now, read the heart rate and rhythm, followed by calculating the axes and intervals.
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First, check the patient’s age and gender if available. The EEE-ECG Reading Approach which is based on the ACC/AHA ECG reading guidelines is as follows. Through repetition and muscle memory, a system eventually becomes automatic. A systematic approach, such as the one I teach in my video course, ( ) assures that you will not miss a step nor a diagnosis. Reading the ECG is easy, but it is imperative to follow a system.
IVCD ECG MEASUREMENT HOW TO
Let’s review how to properly read an ECG. Unlike magic, though, there is no misdirection and everything is straight forward. Just like a magician performing the perfect illusion, ECG interpretation, when done right, is an art that anyone can learn.