The ABC of Pediatric ECG

100 Pages·2014·8.1 MB·English

by  Mohamed Hamdan

ECG Workshop:
The ABC of Pediatric ECG
M. Hamdan, MD
Normal Values
2
3
GOLDEN RULE..!
4
Forget Internal Medicine
5
14-Lead EKG
6
Nomenclature
Right leads

aVR, V , V R, V R
 1 3 4
Left Leads

I, aVL, V
 6
Inferior Leads

II, III, aVF

Transitional Leads

V -V IGNORE
 2 5
7
Practical Approach
A) Age/ Calibration/ Speed
B) LIMB LEADS C) CHEST LEADS
1. Rate 1. T waves (V & V )
1 6
2. Axis (P& QRS) 2. R & S (V & V )
1 6
3. NSR 3. RSR’ (V )
1
4. P waves & PR
4. ST Segments
interval (II)
5. Q waves (III) 5. QTc
8
A) Age/ Calibration/ Speed
A.1) Speed:

25 mm/sec

 1 small box = 0.04 sec (or 40 msec)
 1 large box = 0.2 sec (or 200 msec)
A.2) Calibration:

1 mV = 10 mm

 1 small box = 1 mm (0.1 mV)
½ standard: 1 mV = 5 mm

 1 small box = 0.2 mV (voltages x 2)
9
Full Standard Calibration
10