心电图总结（ECG summary）.docVIP

心电图总结（ECG summary） P wave duration: 0.12 s, amplitude: 0.25mV (limb lead) less than 0.2mV (chest lead) direction: sinus rhythm I, II, avF, V4-V6 lead, vertical avR lead inversion, other leads vertical, inverted, or biphasic The normal value of P-R interval PR was 0.12~0.20 seconds Atrioventricular conduction time The older, the slower the heart rate, the longer the P-R interval The smaller the age, the faster the heart rate and the shorter the P-R interval QRS wave group 1 Time limit: 0.06 to 0.10 seconds, less than 0.12 seconds Waveform: according to the direction of the main wave and whether there is Q (q) wave I, II, V4 ~ V6 main wave: upward AvR and V1 main wave: downward There should be no Q (q) wave in V1 and V2 (QS) AvR, III, and avL leads may have Q or Q waves I, II, avF, V4~V6 leads There should be no Q waves (with Q waves) V1 to V6 R waves gradually become larger, S waves become smaller, and R/S grows from small to large The Q wave is less than 0.04 seconds and the amplitude is less than 1/4 with the same R wave The junction of the end of J point QRS wave group and the initiation of ST segment Most of them are on equipotential line The ST section of the ST section is usually located on the wire, with no obvious offset Offset normal range: All the leads of ST segment depression is less than or equal to 0.05mV All limb lead and V4-V6 lead ST segment elevation is less than or equal to 0.1mV V1-V2 ST elevation is less than or equal to 0.3mV V3 ST elevation is less than or equal to 0.5mV T wave form: two asymmetric, ascending branch flat, descending branch is steep Direction: I, II, V3-V6 lead vertical, avR inversion The rest can stand upright, flat, inverted, and double Amplitude: QRS wave group of vertical leads, T wave voltage should exceed 1/10 of the R wave in the same lead Normal range of QT interval: about 0.32-0.44 seconds Corrected Q-T interval (QTc) = QT / RR1/2 Clinical significance: Time summation of ventricular depolarization and repolarization U