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Transcript 
DR ZAHOOR
1
COMMENT ON THE ECG-1
2
ANSWER -1
NORMAL ECG
3
COMMENT ON THE ECG-2
4
ANSWER ECG -2
ATRIAL FIBRILLATION
‐ Absence of P waves
‐ presence of “f “( fibrillatory waves )
‐ Rhythm irregularly irregular
5
COMMENT ON ECG-3
6
ANSWER ECG 3
ANTERO- LATERAL MYOCARDIAL INFARCTION
‐ ST Elevation lead I, aVL
‐ ST Elevation V2, V3 , V4 V5 V6.
7
COMMENT ON THE ECG 4
8
ANSWER ECG 4
INFERIOR MI
‐ ST Elevation lead II, III, aVF
9
COMMENT ON ECG- 5
10
ANSWER ECG 5
SINUS RHYTHM WITH ATRIAL PREMATURE BEATS
NOTE – In atrial premature beat P Wave is abnormal but
QRS is normal
11
COMMENT ON ECG-6
12
ANSWER ECG 6
VENTRICULAR PREMATURE BEAT
Note Abnormal shape of QRS In Ventricular premature
beat
13
COMMENT ON ECG 7
14
ANSWER ECG 7
PERICARDITIS
Note- Diffuse ST Elevation with concavity upwards
15
COMMENT ON ECG 8
16
ANSWER ECG 8
Ventricular tachycardia – Bizarre and wide QRS
Complexes
17
COMMENT ON THE ECG-9
18
ANSWER ECG-9
FIRST DEGREE HEART BLOCK
Note increased PR Interval( More than o.2 millisecond )
19
COMMENT ON ECG 10
20
ANSWER ECG 10
‐ SECOND DEGREE HEART BLOCK
MOBTIZ TYPE 1 – Wenchebach phenomenon
‐ There is progressive increase in PR interval and than drop
beat
21
COMMENT ON ECG 11
22
ANSWER 11
‐ MOBITZ TYPE II
‐ Note sudden drop beat ( there is no prolongation of
PR interval in Mobitz type II )
23
COMMENT ON ECG 12
24
ANSWER ECG 12
‐ SECOND DEGREE HEART BLOCK MOBITZ TYPE I
(Wenckebach phenomenon) and
‐ MOBITZ TYPE II
25
COMMENT ON ECG 13
26
ANSWER ECG 13
THIRD DEGREE HEART BLOCK
Note Ventricular rate 35beats/ min
‐ no relationship between P and QRS
27
COMMENT ON ECG 14
28
ANSWER 14
IHD – ISCHEMIC HEART DISEASE
Note T wave inversion in V1,V2,V3,V4
Note- In IHD , ST segment depression with or without
T- Wave inversion can occur.
29
COMMENT ON ECG 15
30
ANSWER- 15
 IHD – ISCHEMIC HEART DISEASE
Wide spread subendocardial ischaemia ( ST depression)
31
COMMENT ON ECG 16
32
ANSWER ECG 16
‐ SINUS TACHYCARDIA
‐ HEART RATE – 125/ min
33
COMMENT ON ECG 17
34
ANSWER ECG 17
‐ SINUS BRADYCARDIA
‐ HEART RATE IS 45/min
35
THANK YOU
36
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