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Rate_____________________________________________________________________ Rhythm__________________________________________________________________ Interval & waveform abnormalities_______________________________________________ Axis_____________________________________________________________________ Hypertrophy________________________________________________________________ Infarction__________________________________________________________________ ECG Identification______________________________________________ click link to open ekg 24.jpg

Rate_____________________________________________________________________ Rhythm__________________________________________________________________ Interval & waveform abnormalities_______________________________________________ Axis_____________________________________________________________________ Hypertrophy________________________________________________________________ Infarction__________________________________________________________________ ECG Identification______________________________________________ click to open ekg 23.jpg  

Rate_____________________________________________________________________ Rhythm__________________________________________________________________ Interval & waveform abnormalities_______________________________________________ Axis_____________________________________________________________________ Hypertrophy________________________________________________________________ Infarction__________________________________________________________________ ECG Identification______________________________________________ Click on image to open: ekg 22.jpg

Rate_____________________________________________________________________ Rhythm__________________________________________________________________ Interval & waveform abnormalities_______________________________________________ Axis_____________________________________________________________________ Hypertrophy________________________________________________________________ Infarction__________________________________________________________________ ECG Identification______________________________________________  

Rate: ____________________ (atrial and ventricular if they are different) (1) Rhythm: _Regular? _____(.5) 1P:1R? ______(.5) Sinus? ______(1) (indicate Yes or No for each)       Intervals:   P-wave __________________(.5)   P-R interval_______________(.5)   QRS complex_____________(.5)   ST segment_______________(.5)   T wave___________________(.5)   QT interval________________(.5) Axis______________________________________________________________(1) Hypertrophy________________________________________________________(1) Infarction__________________________________________________________(1)                   ECG Identification:_________________________________________________(1)  

The UL logo indicates that _____.

Rate: ____________________ (atrial and ventricular if they are different) (1) Rhythm: _Regular? _____(.5) 1P:1R? ______(.5) Sinus? ______(1) (indicate Yes or No for each)       Intervals:   P-wave __________________(.5)   P-R interval_______________(.5)   QRS complex_____________(.5)   ST segment_______________(.5)   T wave___________________(.5)   QT interval________________(.5) Axis______________________________________________________________(1) Hypertrophy________________________________________________________(1) Infarction__________________________________________________________(1)                   ECG Identification:_________________________________________________(1)  Click link to open: ekg 29b.jpg    

Rate_____________________________________________________________________ Rhythm__________________________________________________________________ Interval & waveform abnormalities_______________________________________________ Axis_____________________________________________________________________ Hypertrophy________________________________________________________________ Infarction__________________________________________________________________ ECG Identification______________________________________________  

Rate_____________________________________________________________________ Rhythm__________________________________________________________________ Interval & waveform abnormalities_______________________________________________ Axis_____________________________________________________________________ Hypertrophy________________________________________________________________ Infarction__________________________________________________________________ ECG Identification______________________________________________ click to open ekg 23.jpg  

Atrial RAte ___________bpm                  Ventricular RAte ____________bpm                      (1 point) RHythm              1P:1QRS & P & QRS associated?               Yes        No                            (.5 point)                                                                             Do the P-P and R-R “march out”?             Yes        No                             (.5 point)                                             Sinus paced rhythm?                                  Yes        No                             (1 point) Intervals –Only record your measurement and assessment on the lines provided if abnormal (width in sec, height in mm, shape abnormality, if isoelectric, etc.). Circle if Normal or Not Normal, based upon criteria identified in the handout, “Steps for 12 Lead Interpretation”.                                                                                                           P            __________                     Normal               Not Normal                                     (.5 point)               PR          __________                     Normal               Not Normal                                     (.5 point)               QRS       __________                     Normal               Not Normal                                     (.5 point)                ST          __________                     Normal               Not Normal                                     (.5 point)               T            __________                     Normal               Not Normal                                     (.5 point)               QT         __________                     Normal               Not Normal                                     (.5 point) Axis      (Circle)  Normal     RAD     LAD     ,             _______ to ________ degrees                     (1 point) Hypertrophy     (circle any that apply and NA if there is no evidence of hypertrophy)           (1 point)               RAH       RVH       LAH       LVH       None  (not applicable) Infarction           No______ Yes _______If yes, what anatomical area(s)? ____________________(1 point) Identification______________________________________________________ (1 point)