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A Guide to Reading and Understanding the EKG(阅读和理解指南心电图)
Version: 4/19/1999
A Guide to Reading and Understanding the EKG
Written by Henry Feldman, 01
Reviewed by Mariano Rey, MD, 76
The Online Version is available at
/student-org/erclub/ekghome.html
This guide will help you learn to interpret 12-lead EKG patterns. This is not a comprehensive guide to
EKG interpretation, and for further reading, the Dubin textbook is the introductory book of choice.
This text was developed for use by NYU School of Medicine students, but may be used by any medical
teaching institution, without charge, as long as the document is not modified, distributed in its entirety
and not used for profit, and may not be sold.
Errors may be present in this document, and clinical use is at the risk of the user. Users should use their own clinical judgement in treating
patients.
© 1999 – Henry Feldman, Mariano Rey
Table of Contents
EKG TRACING 1
Figure 1 - EKG Tracing Error! Bookmark not defined.
STEP 11
Rate 1
Figure 2 - Determining the Rate 1
Step 22
Rhythm 2
Figure 3 - Determining the Rhythm Source 2
Step 32
Axis 2
Figure 4 - The Limb and Augmented Leads in relation to the body 3
Figure 4 - Computing the Axis 4
Figure 5 - All limb and augmented leads 4
STEP 45
Precordial Leads 5
Figure 6 - The Precordial Leads 5
STEP 55
Hypertrophy 5
Figure 7 - Biphasic P-Waves 6
Figure 8 - RVH 6
Figure 9 - LVH 7
STEP 67
Blocks 7
Figure 10 - AV-Block 7
STEP 79
Ischemia, Infarct and Injury
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