Video · Cardiovascular · 14-min outline

The 10-step ECG read

Rate, rhythm, axis, intervals and the patterns you must not miss.

Key points

  1. Rate: 300 divided by the number of large squares between R waves (or count complexes in 10 seconds × 6).
  2. Rhythm: a P wave before every QRS and a QRS after every P means sinus rhythm.
  3. Axis: QRS positive in leads I and aVF is a normal axis.
  4. Intervals: PR 120–200 ms, QRS under 120 ms, QTc under about 450 ms in men and 470 ms in women.
  5. ST elevation in two contiguous leads with reciprocal depression suggests acute coronary occlusion.

The recorded lesson is in production. The preview plays the key points; the outline is below.

Lesson outline

  1. 00:00 Calibration and paper speed
  2. 01:30 Rate
  3. 03:00 Rhythm
  4. 04:30 Axis
  5. 06:00 P waves and the PR interval
  6. 07:30 QRS width and morphology
  7. 09:00 ST segments and T waves
  8. 11:00 QT interval
  9. 12:30 Putting it together
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