INTERACTIVE - Physio · INTERACTIVE ECG Session . ... Lewis C.—RL LL —O . avR . I Lateral Il Inferior Ill Inferior ... PowerPoint Presentation Author: Tim Phalen

INTERACTIVE ECG Session

Misplaced Chest Electrodes?

Barbara J. Drew et al. Circulation. 2004;110:2721-2746

Copyright © American Heart Association, Inc. All rights reserved.

Misplaced Electrodes?

Rhythm Origin?

Rhythm Origin?

A. Sinus Rhythm

B. A Fib

C. A Flutter

D. Junctional Rhythm

Rhythm Origin?

Monitoring Lead Selection

Atrial Rhythms Lead II

S5

Wide QRS Rhythms V1

V6

Fascicular Block Lead I and aVF

Lead II

Figure 4. Commonly used 5-electrode lead system that allows for recording any of the 6 limb

leads plus 1 precordial (V) lead.

Barbara J. Drew et al. Circulation. 2004;110:2721-2746

Copyright © American Heart Association, Inc. All rights reserved.

S5 Electrode Placement

+

- Negative electrode

Over Manubrium

Positive electrode

5th intercostal

Consider increasing

calibration

Which is Worse?

A)

B)

ST Elevation Present?

J Point versus TP Segment

ST J Measurements

Lead “Views”

STEMI?

STEMI?

STEMI Impostors

STEMI?

STEMI?

A. Yes

B. No

ECG Categories

STEMI?

Concordant ST Elevation

Discordant ST Elevation

Concordant ST Elevation

STEMI?

Thank You!

• Tim Phalen

• [email protected]