ECG Axis Interpretation

Cardiac axis represents the sum of depolarisation vectors generated by individual cardiac myocytes. Clinically is is reflected by the ventricular axis, and interpretation relies on determining the relationship between the QRS axis and limb leads of the ECG (below diagram) Since the left ventricle makes up most of the heart muscle under normal circumstances, normal cardiac axis is directed downward and slightly to the left: Normal Axis = QRS axis between -30° and +90°. Abnormal axis deviation, indicating underlying pathology, is demonstrated by: ...

November 17, 2024 · 8 min

Cardiac Axis Trainer

Learning cardiac axis interpretation can be tedious. I have created an open source webapp hosted on CardiacAxis.com. Here you will be able to analyse in English and German the ECG variations with axis deviation. The Axis trainer online is interactive and the arrow can be moved to demonstrate each of the specific QRS complex changes. Bookmark to your phone homepage and try it out for yourself. Below is a quick demonstration through 360 degrees… ...

May 10, 2022 · 2 min

ECG Exam Template

The following headings and prompts can be used as template for ECG-based exam questions. Amjid Rehman (@amjidrehman) has made an easy interactive online template ‘ECG made easier‘ based on the template structure outlined ECG type and recording 12 lead vs rhythm strip, rate (normal 25 mm/s) Calibration (5mm wide, 10mm high = 1mV) Unusual leads – right, posterior, lead grouping format Rate normal 60 – 100/min tachy/bradycardia (SA node) vs –arrhythmia (not SA node) method: 300/RR interval (large squares) or number of QRS complexes x 6 (if 25mm/s) ...

May 3, 2022 · 4 min

ECG Interpretation: The Basics

Part one of a 5 part lecture series on the basics of ECG/EKG Interpretation with Dr Theo Sklavos and cardiologist A/Prof William Wang. This lecture series is aimed primarily at medical/nursing/paramedicine students and junior trainees, but will hopefully be useful as a refresher course for those with previous experience. The Basics In this first video we walk you through every aspect of the basics of the ECG including: Describe the parts of the ECG Rate, rhythm, axis P wave, PR interval, QRS complex, ST-segment, T wave, QT interval Identify the features of a normal ECG ECG Interpretation lectures The Basics Myocardial ischemia and infarction Conduction disease Tachyarrhythmia Other cardiac conditions References and further reading ECG Rate – Rhythm – Axis Calculation Lead positioning – V1 / V2 misplacement P wave – PR interval – PR Segment Q wave – QRS complex – QT Interval R wave – ST Segment – T wave – U wave ECG Resources/References ECG LIBRARY ...

June 16, 2021 · 1 min