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ECG interpretation: Characteristics of the normal ECG (P-wave, QRS complex, ST segment, T-wave)

…ECG waves and how to determine whether the ECG is normal or abnormal. Although heart rhythm will be discussed in detail in the next chapters…

🟠 Reference values for adult ECG

…in lead II. Common findings Sinus rhythm (which is the normal rhythm) has the following characteristics: (1) heart rate 50–100 beats per minute; (2…

Acute Pulmonary Embolism: Risk Stratification and Reperfusion

…prognostic evaluation using two complementary domains: Indicators of acute PE severity , including clinical findings, RV dysfunction on imaging, and myocardial injury shown by laboratory testing…

Heart Failure With Mildly Reduced Ejection Fraction

…is not mandatory for HFmrEF when the diagnosis of heart failure is clinically secure and the LVEF measurement is reliable. Nevertheless, these findings increase diagnostic…

Interpretation of myocardial perfusion images (Myocardial SPECT / PET)

…is based on principles similar to those used in echocardiography. The 17 segment model of the left ventricle serves as a standardized framework for identifying…

ST segment depression in myocardial ischemia and differential diagnoses

…Characteristics of ischemic ST segment depressions on ECG. Current guideline criteria for ischemic ST segment depression: New horizontal or downsloping ST segment depressions ≥0,5…

Pre-excitation, Atrioventricular Reentrant (Reentry) Tachycardia (AVRT), Wolff-Parkinson-White (WPW) syndrome

…presents ECG findings during normal atrioventricular impulse transmission as well as ECG findings during pre excitation. Figure 1. Hallmarks of pre excitation on the ECG…

T-waves in ischemia: hyperacute, inverted (negative), Wellen's sign & de Winter's sign

…A net positive QRS complex should be followed by a net positive T wave (refer to the previous discussion on concordance/discordance and Figure 1 )…

Digoxin - ECG changes, arrhythmias, conduction defects & treatment

…Digoxin effects on cardiac function and ECG Digoxin has a positive inotropic effect and a negative chronotropic effect, enhancing ventricular contractility while lowering heart rate…

Mechanisms of cardiac arrhythmias: from automaticity to re-entry (reentry)

…or heart rate, which is not physiologically justified . The latter criterion is important because rhythms that are physiologically justified should not be considered abnormal. For…

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