医学见习医师心电图教学 基础.pptVIP

ECG reading 1. Rate 2. Rhythm 3. Axis 4. P wave 5. PR segment and interval 6. QRS morphology, voltage, and duration 7. ST-T segment 8. QTc interval 9. U wave Normal ECG P wave ? 0.08 ~ 0.11 sec ? Lead I, II always upright ; aVR inverted ? Why ??? PR interval ? 0.12 ~ 0.20sec ? shorter in child, longer in the elder 3-5 小格 RAE 1. Tall , wide P wave in the limb leads(2.5mm in lead II) and right precordial leads( ≧ 1.5mm in V1) 2. Often associated with RVH LAE 1. P wave duration 0.12s in frontal plane (usually lead II) 2. Terminal P negativity in lead V1 (i.e.,