electrophysiology & ecg basics - 3m...
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3M™ Learning Connection 6/7/2013
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3M Infection Prevention SolutionsLearning Connection
June 11, 2013Gayle Anderson , RN, BSN
Electrophysiology & ECG Basics
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Disclosure
Gayle Anderson is a consultant for 3M
• September 18 - Anatomy and Physiology of the Heart
• November 11 - Congestive Heart Failure and Pulmonary Edema
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Gayle Anderson RN, BSN
Electrophysiology & ECG Basics
www.clinicaladvisor.com© 3M 2013. All Rights Reserved
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Learning Objectives
• Discuss the Cardiac Conduction System Anatomy.
• Describe proper placement of 5-and 12- lead ECG electrodes.
• Define Electrocardiography and Cardiac Conduction.
• Discuss the ‘Sequence’ of a rhythm strip and correlation of heart conduction system to ECG rhythm strip.
• Recognize various cardiac rhythms.
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Cardiac Conduction System Anatomy
www.pharmacology2000.com
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5 Lead ECG Placement
www.the-ekg-site.com
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12 Lead ECG Placement
wg11.sc29.org
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Normal Intervals
www.medicalopedia.com
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Algorithm for Rhythm Analysis
• Is the overall rhythm regular or irregular?
• What are the atrial and ventricular heart rates?
• What is the appearance of the P wave
• Are the PR’s of normal duration and fixed?
• What is the relationship of the P’s to QRS’s?
• What is the appearance of the QRS’s
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Normal Sinus Rhythm
http://www.proprofs.com/flashcards/story.php?title=emtcardiology
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Sinus Bradycardia
http://www.cardiachealth.org/bradycardia
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Sinus Tachycardia
http://www.usi.edu/science/biology/mkhopper/ap_labs/2402/EKG/EKGMain.htm
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Supraventricular Tachycardia
• Regular rhythm with rate at 150-250 bpm
• P wave usually not discernible especially at high rate; if
seen Atrial P waves differ from Sinus P waves.
• PR Usually not discernible; if seen 0.12-.20
• QRS complexes are Narrow <0.10 sec
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Atrial Fibrillation
http://wardwiki.com/w/Supraventricular_Arrhythmias
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Atrial Flutter
http://www.hxbenefit.com/atrial-flutter.html
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Ventricular Tachycardia
http://www.doctortipster.com/3748-ventricular-tachycardia-causes-diagnosis-and-treatment.html
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Torsades de Pointe
http://www.ceufast.com/courses/viewcourse.asp?id=239
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Wolff-Parkinson-White Syndrome - (WPW)
www.frca.co.uk
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Ventricular Fibrillation
http://www.medvarsity.com/content/DEM/Module1/1_3_6.aspx
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Pulseless Electrical Activity (PEA)
http://www.ceufast.com/courses/viewcourse.asp?id=239
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Asystole
http://www.ceufast.com/courses/viewcourse.asp?id=239
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1st Degree AV Heart Block
www.meducation.net/resources/21755-First-degree-AV-block---marquette
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2nd Degree AV Heart Block Type I
http://farhahsyakirah2011.blogspot.com/2012/04/heart-block-is-like-marriage-life.html
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2nd Degree AV Heart Block Type II
http://farhahsyakirah2011.blogspot.com/2012/04/heart-block-is-like-marriage-life.html
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3rd Degree AV Heart Block
http://www.studyblue.com/notes/note/n/ekgs/deck/6647012
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Wandering Atrial Pacemaker (WAP)
http://quizlet.com/19622022/ecg-rhythm-strip-flash-cards/
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Junctional Rhythm
http://www.frca.co.uk/article.aspx?articleid=100687
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Accelerated Junctional Rhythm
http://www.frca.co.uk/article.aspx?articleid=100687
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Junctional Tachycardia
• Rate > 100 bpm
• Rhythm Regular
• P wave Inverted, may be on ST or hidden in QRS
• PR interval Regular
• QRS, R to R regular
http://nurse-station.ir/images/newspost_images/Electrocardiogram%20Education/5-6.jpg
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Idioventricular Rhythm
www.meducation.net/resources/21594-Idioventricular-escape-rhythm
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Accelerated Idioventricular Rhythm
https://www.meducation.net/encyclopedia/Dissociative_Disorders
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Catchy Phrase
“When in doubt, print it out!!”
http://www.checkoutthefuture.com/faq.html
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Questions before we get started on some practice strips??
funny-tshirts.feedio.net
GOT RHYTHM????
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Practice Strip 1
www.flashcardmachine.com
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Practice Strip 2
www.flashcardmachine.com
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Practice Strip 3
www.flashcardmachine.com
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Practice Strip 4
www.flashcardmachine.com
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Practice Strip 5
www.flashcardmachine.com
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Practice Strip 6
www.flashcardmachine.com
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Practice Strip 7
www.flashcardmachine.com
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Practice Strip 8
www.flashcardmachine.com
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Practice Strip 9
www.flashcardmachine.com
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Practice Strip 10
www.flashcardmachine.com
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Practice Strip 11
www.flashcardmachine.com
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Practice Strip 12
www.flashcardmachine.com
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Practice Strip 13
www.flashcardmachine.com
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Practice Strip 14
www.flashcardmachine.com
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Practice Strip 15
www.flashcardmachine.com
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Questions????
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Referenceswww.answers.com
www.cardiachealth.org/bradycardia
www.cartoonstock.com
www.ceufast.com/courses/viewcourse.asp?id=239
www.checkoutthefuture.com/faq.html
www.clinicaladvisor.com
www.dobrador.com
www.doctortipster.com/3748-ventricular-tachycardia-causes-diagnosis-and-treatment.html
www.frca.co.uk/article.aspx?articleid=100687
www.flashcardmachine.com
www.funny-tshirts.feedio.net
www.hxbenefit.com/atrial-flutter.html
www.meducation.net/resources/21594-Idioventricular-escape-rhythm
www.meducation.net/encyclopedia/Dissociative_Disorders
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References (cont.)
www.medicalopedia.com
www.medvarsity.com/content/DEM/Module1/1_3_6.aspx
www.nurse-station.ir/images/newspost_images/Electrocardiogram%20Education/5-6.jpg
www.pharmacology2000.com
www.proprofs.com/flashcards/story.php?title=emtcardiology
www.quizlet.com/19622022/ecg-rhythm-strip-flash-cards
www.studyblue.com/notes/note/n/ekgs/deck/6647012
www.the-ekg-site.com
www.usi.edu/science/biology/mkhopper/ap_labs/2402/EKG/EKGMain.htm
http://wardwiki.com/w/Supraventricular_Arrhythmias
wg11.sc29.org
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Thanks!!
Thank you for attending this 3M webinar on
Electrophysiology & ECG Basics
Have a wonderful day!! ☺
&
Remember…….
“When in doubt, Print it out!!”
• September 18 - Anatomy and Physiology of the Heart• November 11 - Congestive Heart Failure and
Pulmonary Edema
© 3M 2013. All Rights Reserved www.dobrador.com
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Thank You
www.3M.com/IPEducation
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