Post on 02-Jun-2018
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ECG SS M
I M C
R 2/2012
G L. K, MD
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E C G P 3
N , ECG
. M .
W ECG ,
ECG . A ,
.
T . W
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. ,
. I
.
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ECG . I, ,
"," ECG WM
.
' C
Y 3 ECG QRS . D'
, , . C ,
, 20 C (C #120). #20
( C ).
C 21 . T
.
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E C G P 4
N ECG
C
o A (1, 2, 3)
o B S
C
o L
o L
S ""
I / I
o A ST (, , , )
ST
o T ()
o P ST ( )
o P
A
o A ( , , )
o S
o V (, , )
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o C
o H
o P
o P / WPW (WPW)
/
1. ECG WM: ://...
2. ECG L C: ://...//
3. D D P
4. M S. T P5. ECG R S: ://../.(
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E C G P 5
A C
Subheading Step
Rate
I ?R
Rhythm R
+ PR (>0.20 = AVB)
Intervals QRS (>0.10 = IVCD BBB; 0.12 = BBB )
QT ( < RR; QT > 0.44 = )
Axis
QRS ( ; . 2)3 : 1) F 2) C 3) F
QRS / R ( V3V4)
(O) T
Hypertrophy LVH? (SV1 + RV5 > 35; RVL > 11 [ > 13 ])
RVH? ( V1, R > S)
LAA? ( V1, P . S )
RAA? ( II, P 2.5 . [ V1 ])
L ? (' ) ( : = QRS 5 , . L = QRS
> 10 )
Infarction Q ? ( Q > 0.04 OR 1/4 R ; )
(Alphabetical S I? ( S1Q3 +/ T3 )
order) ST / ?
T ? P?
1. ECG .F ECG L C.
://...////L1/
.
2. O .
F BMJ. 2002 F 16;324(7334):4158.
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E C G P 6
B , (
):
A F . ://..///0001/08.
1.
2.
3.
4.
5.
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E C G P 7
6.
7.
8.
9.
10.
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E C G P 8
A:
1. T . A
QT . T IV .
2. V .
3. M .
4. A . M .
5. S . M .
6. A . M .
7. PAC ( ), PAB ( ). M .
8. PJC ( ), PJB. M .
9. PVC ( ), PVC. M .
10. J . M .
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I
II
III
II
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
Case #233
ECG Wave-MavenCopyright 2003Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
25 mm/sec, ECG Wave-Maven / Beth Israel Deaconess Medical Center
Module Case i
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E C G P 10
C (WM # 233)
W ECG 23 ?
) T ECG
) T ECG
) T ECG
) T ECG
) T ECG
A:
) T ECG 60/ . T
( +50 ) (PR, QRS QT) . T P . T QRS
. T R (
V2 V3). T (STT ) ( QT )
.
S (QTU) ( T
ST ). S , QT
ST .
A :
A , ECG 60 . T PR 0.20 ,
. R PR P QRS
( R ). S P ,
QRS P , P QRS . A
V3 V4. W P V1,
. T V1 , .
A, VR, T VR
. N Q VR.
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I
II
III
II
aVR
aVL
aVF
V1
V2
V3
Case #371
ECG Wave-Maven
Copyright 2000-2007
Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
ECG Wave-Maven / Beth Israel Deaconess Medical Center
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E C G P 12
C #1 (WM # 371)
E , , . W
?
) A
) A
) B
) A ST MI
) A ST MI
A:
T ECG VPB (4 ). T ST
I VL, V5 V6, ST III VF.
T ECG, (SVG)
. O
SVG . T . S
. C 2,181 IU.
A :
A , ECG ST MI. T ,
, , , , 5, 6. T
. T , , ;
. T 1 2;
. T 3 4;
, .
N ST . T ,
' . L MI' ,
MI' . W
, , ( STEMI).
R ST .
A , ;
. L ,
.
A , C ( ; B, ) . B
QRS QRS,
. T P
PVC; P . A AC (
; AB, ) QRS
P , . A C (
; B, ) QRS
AV ; , P .
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I
II
III
II
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
Case #200
ECG Wave-MavenCopyright 2003Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
25 mm/sec, ECG Wave-Maven / Beth Israel Deaconess Medical Center
Module Case #2
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E C G P 14
C #2 (WM # 200)
T ECG ( ) ?
) S M I AV
) S M II AV
) S ) S
) E AV W
A:
) S P . T P
" ," (PAC). F, PR , PR P
. H, M I (AV W) . R, M II AV
, AV ( ). T QRS
H (H). T AV
( ;
) AV . T M II AV
H . (R: S B, DL H. M C P 2002;76:4457.)
A :
T ECG M II AV , P , PR ,
( P QRS ). I
.
R 1 A PR .
2 A : A ( )
PR . A . U
(, 2:1, 3:2 AV ) 2 AV ,
M I II.
3 A AV . A ,
"" QRS . A
AV ;
. I . A
; . V
.
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I
II
III
II
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
Case #13
ECG Wave-MavenCopyright 2003Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
25 mm/sec, ECG Wave-Maven / Beth Israel Deaconess Medical Center
Module Case #3
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E C G P 16
C #3 (WM # 13)
A " " . T
ECG ONE ?
) M
) M
) A
) A
) P
A:
T ECG : (LAA) R
V1 T , (RAD). T
R ( QRS )
QRS . T . A ECG R V1. T
: , ECG, (
Q' ), RVH ( T V1V2),
(.. ), WPW ,
( Q ), RBBB. I ,
RAD T RVH R V1,
LAA . T ,
.
N: T S1Q3T3 ( S I, R T III)
RV ( C 146). H,
RV , , . T
. A T
RV ( RV "" ).
N LAA . T P (>120 )
P V1 (>40) . T P
VL.
A :
M . T AA ( ; A, ) V1 (
P , , ). A LAA
P II. QRS V1,
( ) QRS , . T
1 ; , , BBB, , ( R
180 Q / .). A ,
133 (S I, Q III ( ), T III)
. I .
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I
II
III
II
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
Case #16
ECG Wave-MavenCopyright 2003Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
25 mm/sec, ECG Wave-Maven / Beth Israel Deaconess Medical Center
Module Case #4
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E C G P 18
C #4 (WM # 16)
60 . W
?
A:
S AV W 4:3 . T ECG
Q ST 2, 3, VF. T ST
1, VL V23. T W PR ,
RR P . T ""
W
(MI). T AV .
A :
I ST MI, M I (W ) 2 AV .
I , P ,
"" ST . I " " P
3 , .
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I
II
III
II
aVR
aVL
aVF
V1
V2
V3
Case #363
ECG Wave-Maven
Copyright 2000-2007
Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
ECG Wave-Maven / Beth Israel Deaconess Medical Center
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E C G P 20
C #5 (WM # 363)
A . T ECG
ONE ?
) A
) A ST
) A
) E ()
) B
A:
B 95/. P . T ECG
( I, II, III, VL, VF, V2V6) ST PR ( VR ST ).
C, , . H
, ECG
. E . H
( )
.
T . T
. T ECG
. L . S :
NEJM 2004: 351:21 C 2005;112:1921
A :
A . A , STEMI,
.
A, , ST ( "") . C
STEMI, ST ("" "") (
#1 #4).
I , PR ST , PR VR, ST . D ,
. ECG
(QRS, P, ST, T); .
A, , ' II, III, VF, V4, V5, V6 .
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I
II
III
II
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
Case #26
ECG Wave-MavenCopyright 2003Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
25 mm/sec, ECG Wave-Maven / Beth Israel Deaconess Medical Center
Module Case #6
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E C G P 22
C #6 (WM # 26)
T ECG "" 77 . W
?
A:
ECG (LVH), T
( ST ). A
QT. P ,
T K+ (6.3 E/L) LVH , . T QT ST
. ST LVH , . S
"" T () QT (ST
) LVH () .
A :
H . LVH LAA HTN.
E , . A ,
. P QRS
"" .
O , I VL " ,"
( VL) . W
, LVH .
T QRS (>0.120 ), .
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I
II
III
II
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
Case #11
ECG Wave-MavenCopyright 2003Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
25 mm/sec, ECG Wave-Maven / Beth Israel Deaconess Medical Center
Module Case #7
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E C G P 24
C #7 (WM # 11)
51 ,
2 .
A:
T ECG 65 / , T
/Q (MI). S W
T ( Z C, B FW, J JH, . A
ECG LAD . A H J.
1989;117:657 665 "LADT " . T ECG
, PR (220 ), QT
(480 ), . I/
. A
12 ST I, VL, V3V6. C
. A
. M LAD,
"." E . O
T 1) CNS ( , , );
2) ( ; 3)
LBBB (" T "; T I
VL;[S A, H KKL, R MR, J ME. T T
. C 2005; 111:969974]); 4) () (
"" ), 5) T ( ).
A :
I , , T .
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I
II
III
II
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
Case #136
ECG Wave-MavenCopyright 2003Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
25 mm/sec, ECG Wave-Maven / Beth Israel Deaconess Medical Center
Module Case #8
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E C G P 26
C #8 (WM # 136)
W 61 .
) S (LBBB)
) S 2:1 AV LBBB
) S ( ) AV ) A
) I
A:
S 72/ 2:1 AV (LBBB).
P (LAA) .
T (MI), , (
LAA). H 2:1
AV , . T AV ,
(LBBB). T PR (220), , ,
AV ( . ); C #5.
A :
S 2:1 AV LBBB, LAA.
T (>0.120 ) QRS P . W
V1. A, V1 ,
. T, 12 , V1
. I V1, RV R ( ,
); RVH QRS V1.
I , ' HP . I RBBB, ,
RV
. T LV
. B , QRS .
B HP ( 0.080 , ),
QRS . B AV , ,
"" . B V1 , RBBB, QRS V1 . I LBBB,
QRS ( QRS, ) V1. I ,
QRS V1. T LBBB.
A , BBB , ST T
QRS ( ) . L QRS (.
QRS) ST T . T
; . L QRS
. W V4, ECG .
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I
II
III
II
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
Case #86
ECG Wave-MavenCopyright 2003Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
25 mm/sec, ECG Wave-Maven / Beth Israel Deaconess Medical Center
Module Case #9
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E C G P 28
C #9 (WM # 86)
34 . W' ?
A:
ECG / Q (MI),
ST . T (LAD)
/. P
:,
, .
A :
A ST MI T . T R V1V4
QRS MI.
C .
I, T ( ), ST .
P Q , ST , T T .
E, ST T . F, Q
(" MI").
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I
II
III
II
aVR
aVL
aVF
V1
V2
V3
Case #317
ECG Wave-Maven
Copyright 2000-2007
Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
ECG Wave-Maven / Beth Israel Deaconess Medical Center
Modu
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E C G P 30
C #10 (WM # 317)
T ECG 85 EXCEPT ?
) A 4:1
) R
) L ) L
) M II AV
A:
T ECG 4:1 ( 240 /
60/) ,
. T R 15 (1.5 V) VL
, R VL S V3 (> 20 C ). T
STT VL R V1V4. M II
AV .
T ( )
(
/ ).
A :
A 4:1 , RBBB, (QRS 45 ), LVH.
A , . A ,
1 .V1
300/ ( ). O 1
, 4:1 . U, 2:1 ,
150 , "" ( ). I , ' "" II.
W () LVH LBBB RVH RBBB
, LVH RBBB .
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I
II
III
II
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
Case #195
ECG Wave-MavenCopyright 2003Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
25 mm/sec, ECG Wave-Maven / Beth Israel Deaconess Medical Center
Module Case #11
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E C G P 32
C #11 (WM # 195)
T ECG
?
) R
) M
) M
) C
) I
A:
) T ECG (LVH) , , STT QRS (15 ). T
(CHF), (
280/180 H). R
(RVH). M ( )
RVH. S (COPD) QRS ,
R QRS , . T STT
LVH , , . H, ECG
(MI) .
A :
S LVH, LAA, STT .
N ST T I, VL, V6. BBB,
C. ,
, () ,
, BBB. I
.
/. D
C.
N, LVH . U SL I, SV1 RV6 (
RV5) 35 . T VL (> 11 VL LAD), C
(SV3 + RVL > 20 () > 28 ()). T QRS
(V4V6), LVH.
A , QS V1 MI,
V2.
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I
II
III
II
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
Case #263
ECG Wave-MavenCopyright 2003Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
25 mm/sec, ECG Wave-Maven / Beth Israel Deaconess Medical Center
Module Case #12
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E C G P 34
C #12 (WM # 263)
E . A
EXCEPT?
) M ST
) L
) QT
) P Q
) B
A:
T ECG 65 ST ,
, Q
. T QT , , (0.41 65 ) PR
(0.20 ). B P ( V1 6080 ,
. ) . Q (4050)
(). B .
P ST ,
. T ST ,
, ST ST MI. I ,
ST V1V3. T (V7V9)
"" ST MI.
T . E
,
.
A :
S ST , MI. P Q'
MI. B Q' , MI. LAA , P II.
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I
II
III
II
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
Case #194
ECG Wave-MavenCopyright 2003Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
25 mm/sec, ECG Wave-Maven / Beth Israel Deaconess Medical Center
Module Case #13
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E C G P 36
C #13 (WM # 194)
A . T
?
) H
) H
) H
) A'
) C'
A:
) T . L (LVH)
. T . A 515% (
) . C, TSH 5%
( ) (K AD, . A I M 1996:156:22212224). H
A' QRS , STT ,
.
H ( QT ; C 67). C'
LVH () QT(U) ().
A :
R .
N QRS . T ""
. "C" ,
( ). I ,
240350 ; ,
150 . A ' "" II.
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I
II
III
II
aVR
aVL
aVF
V1
V2
V3
Case #326
ECG Wave-Maven
Copyright 2000-2007
Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
ECG Wave-Maven / Beth Israel Deaconess Medical Center
8/10/2019 EKG CEL MAI BUN
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E C G P 38
C #14 (WM # 326)
V
. S . W ?
) S M II AV
) S AV
) S () AV
)S (RBBB)
) A
A:
T ECG 75 (QRS 160 )
36 /
. T P QRS . P
P V1 . L (
R VL) R , T .
M QT (QT 600 ) .
T . P
(SA )
QT
.
A :
S 3 AV 36 , LAA, LVH,
.
S #2 (AV ).
R , 300150100 756050 ,
. R
12 ECG 10 . T , QRS
6 . Y
.
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I
II
III
II
aVR
aVL
aVF
V1
V2
V3
Case #304
ECG Wave-Maven
Copyright 2000-2007
Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
ECG Wave-Maven / Beth Israel Deaconess Medical Center
8/10/2019 EKG CEL MAI BUN
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E C G P 40
C #15 (WM # 304)
ECG 34 (HIV) . N .
W ?
) WPW
) L
) P
) L ( )
) P
A:
T ECG (RVH) . T
: R V1 ( R ), T
, P . T S1Q3T3
, , RV , .
T RVH: (
) . T
, HIV . (F
, , , A I M 2005; 143:282.)
L/ P I
. T PR WPW . T MI
Q V1 Q MI. (T Q
.) L
, , MI,
, , .
A :
A RVH HTN, (QRS + 120 ), RAA, S1Q3T3 ,
, Q' RVH.
N , , P 2.5 II. A
, P V1 RAA ,
V1. T P
LAA.
A ( "" ) , RVH. I , T ST
QRS , STT . C BBB,
QRS .
, ,
/; .
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41/70
I
II
III
II
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
Case #180
ECG Wave-MavenCopyright 2003Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
25 mm/sec, ECG Wave-Maven / Beth Israel Deaconess Medical Center
Module Case #16
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E C G P 42
C #16 (WM # 180)
W ECG?
) L
) E
) L ) L
) QT
A:
) T ECG R (V1V4)
STT . T ( ), QT
(QT 0.49) : R VL S
V3 28 (2.8V) 20 (2.0V) . T QT
T
. (O .) L
(LPFB) (.., 120 ),
, . T
QRS , ( ),
, , ,
( Q I VL ""). LPFB
.
A :
I T STT MI. LVH VL . L
( 35 ).
N T V2V6, . W
ST T
. T STT . C
( #15),
ST T .
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I
II
III
II
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
Case #35
ECG Wave-MavenCopyright 2003Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
25 mm/sec, ECG Wave-Maven / Beth Israel Deaconess Medical Center
Module Case #17
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E C G P 44
C #17 (WM # 35)
T ( ). W
(CHF)?
) S
) A
) A
) M
) A (AVNRT)
A:
T 300
(2:1 , 3:1 AV W). A
( ) . L, ,
V1 . II . I V1
, .
A :
A () 2:1 . T II. W 150 , .
T Q III (, VF). I MI.
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45/70
I
II
III
II
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
Case #146
ECG Wave-MavenCopyright 2003Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
25 mm/sec, ECG Wave-Maven / Beth Israel Deaconess Medical Center
Module Case #18
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E C G P 46
C #18 (WM # 146)
42 " " , , . W ?
A:
A (PE). T
, S1 Q3 T3 (S I QR III VF, T
), , T . T
(DVT).
A :
S , LAD (30) . S1Q3T3
A , S1Q3T3 RV . I
. N ' T (III
> VF; V1 > V2 > V3), .
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I
II
III
II
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
Case #149
ECG Wave-MavenCopyright 2003Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
25 mm/sec, ECG Wave-Maven / Beth Israel Deaconess Medical Center
Module Case #19
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E C G P 48
C #19 (WM # 149)
W ?
) A
) A
) W (WAP)) A (AVRT)
) M (MAT)
A:
) T () P . T
(COPD),
(MAT). I , (WAP) , P .
(N P .)
A :
M (MAT)
. I 3 , P' , P'R . I
.T 100250 , ,
. MAT .
T ( QRS ) , MAT,
AV (, 2 AVB). AV .
R , , ECG
. I ,
.
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I
II
III
II
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
Case #207
ECG Wave-MavenCopyright 2003Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
25 mm/sec, ECG Wave-Maven / Beth Israel Deaconess Medical Center
Module Case #20
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50/70
E C G P 50
C #20 (WM # 207)
T ECG, 62 , ?
) P
) C
) M ) A
) M
A:
A) T ECG . T
: 1) ; 2) QRS ; 3) ( V3 V4
). T , .
E QRS ( ) . T 2:1
. W ,
, QRS .
C
, .
M ,
. (T R V1V2 .)
M . H,
.
T . T
, , . T
1L .
A ECG ( ) QRS
. H,
.
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51/70
I
II
III
II
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
Case #12
ECG Wave-MavenCopyright 2003Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
25 mm/sec, ECG Wave-Maven / Beth Israel Deaconess Medical Center
Module Case #21
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E C G P 52
C #21 (WM # 12)
T
. W ?
A:
S , (LBBB ) STT . T ECG
(LBBB) T 2, 3 F. U
"" T . T STT
QRS. F , ECG LBBB , STT . T T ""
. S CK 700 21% MB
. T ECG
.
A :
T LBBB. W
ST T , III VF
T T . T
T , . T
.
S #8 BBB.
8/10/2019 EKG CEL MAI BUN
53/70
I
II
III
II
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
Case #25
ECG Wave-MavenCopyright 2003Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
25 mm/sec, ECG Wave-Maven / Beth Israel Deaconess Medical Center
Module Case #22
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54/70
E C G P 54
C #22 (WM # 25)
A 38 . P ECG . W
?
) H
) H
) H
) H
) H
A:
T ECG T , U .
T V2 V3, VL. T
1) H (K+ 2.4 E/L) 2) D, 1A (
, , ) ( ), . P
() QT "" ( C 1).
T
.
A :
A , T , U ,
T . A QT(U) . U ,
V1V3. I , ECG
.
8/10/2019 EKG CEL MAI BUN
55/70
I
II
III
II
aVR
aVL
aVF
V1
V2
V3
Case #288
ECG Wave-Maven
Copyright 2000-2007
Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
ECG Wave-Maven / Beth Israel Deaconess Medical Center
8/10/2019 EKG CEL MAI BUN
56/70
E C G P 56
C #23 (WM # 288)
51 .
W ?
) A (AF)
) A
) A
) S
) AV (AVNRT)
A:
T ECG . T ()
(2:1 4:1 ). F C #188.
T ECG (
): R V1V3,
T .
A :
T 2:1 , .
T II.
8/10/2019 EKG CEL MAI BUN
57/70
I
II
III
II
aVR
aVL
aVF
V1
V2
V3
Case #299
ECG Wave-Maven
Copyright 2000-2007
Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
ECG Wave-Maven / Beth Israel Deaconess Medical Center
8/10/2019 EKG CEL MAI BUN
58/70
E C G P 58
C #24 (WM # 299)
24 , . T ECG
?
) L
) A
) WPW (WPW)
) R
) L
A:
T ECG WPW PR (60 ), ,
QRS (130 ). T ( ) QRS I, II, III, VL,
VF, V36. T VR V1V2. T
( ) . T QRS +30 (+35 )
.
C (EP)
(AVRT) . T
. A
, 5% WPW.
A :
S PR (, WPW
).
L .
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59/70
I
II
III
II
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
Case #226
ECG Wave-MavenCopyright 2003Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
25 mm/sec, ECG Wave-Maven / Beth Israel Deaconess Medical Center
Module Case #25
8/10/2019 EKG CEL MAI BUN
60/70
E C G P 60
C #25 (WM # 226)
60 . T ECG
? (N
VR, VL VF.)
) S
) P , AV
) A 2:1
) M
) A
A:
T ECG 200/. T
( ) P . T
P (MAT.) R
(AF) (.., 110120/). N
2:1 120160/. A 400/
( 200/) 200/ 1:1 .
T (PSVT.) T
AV , AV
(AVNRT). W AVNRT, P .
A, ( II, VR) P QRS , ,
QRS ( J , QRS). I ECG, P , P
QRS .
F PSVT AVNRT ,
://../.
A AVNRT (V , ),
, , ( ),
, . F (),
, DC .T
AVNRT (RF) . T ECG
STT .
A :
SVT, AVNRT. S (SVT) , ,
P . AVNRT, SVT,
, ()
AV .
T P II AV .
B AV
, P ( P) QRS .
O, P QRS
, S II, R R, R V1.
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61/70
I
II
III
II
aVR
aVL
aVF
V1
V2
V3
Case #289
ECG Wave-Maven
Copyright 2000-2007
Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
ECG Wave-Maven / Beth Israel Deaconess Medical Center
8/10/2019 EKG CEL MAI BUN
62/70
E C G P 62
C #26 (WM # 289)
88 ,
. W ?
) S
) S
) S
) S B
)S ST
.
A:
T ECG (P 100 ) (
50 ) ST (MI).
T , , ( , C #37,273). Q (/ ) MI.
T LAD
. S
.
A :
A STEMI, Q , 3 AVB . L ,
.
8/10/2019 EKG CEL MAI BUN
63/70
I
II
III
II
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
Case #61
ECG Wave-MavenCopyright 2003Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
25 mm/sec, ECG Wave-Maven / Beth Israel Deaconess Medical Center
Module Case #27
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64/70
E C G P 64
C #27 (WM # 61)
84 , . W' ?
A:
T : ' NOT P 150
75. T, 2:1 . T "" P QRS
V1. I QT. A !
A :
A ( ) 2:1 . A, '
, V1 .
A . I
P .
8/10/2019 EKG CEL MAI BUN
65/70
I
II
III
II
aVR
aVL
aVF
V1
V2
V3
Case #353
ECG Wave-Maven
Copyright 2000-2007
Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
ECG Wave-Maven / Beth Israel Deaconess Medical Center
8/10/2019 EKG CEL MAI BUN
66/70
E C G P 66
C #28 (WM # 353)
40 () . T ECG ONE
?
) S (AS)
) S (MR)
) A
) C ( )
) T F
A:
T ECG 55 . S R V1V4, T ,
.
T ,
. I , F ( )
R .
A :
L .
T "" , . R
, .
C ( #13).
8/10/2019 EKG CEL MAI BUN
67/70
I
II
III
II
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
Case #92
ECG Wave-MavenCopyright 2003Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
25 mm/sec, ECG Wave-Maven / Beth Israel Deaconess Medical Center
Module Case #29
8/10/2019 EKG CEL MAI BUN
68/70
E C G P 68
C #29 (WM # 92)
62 . C ? N: !
A:
T , AV W (.., 6:5 ). T 1
AV
/ ,
(RCA). T ST III>II, , (
Z . A J C 1998;81:918).
A :
R (V1RV6R) MI.
T , V1V6.
W
, V7V9 . S
.
3. O (V1RV6R) (V7V9). F BMJ. 2002 A
6;324(7341):8314.
8/10/2019 EKG CEL MAI BUN
69/70
I
II
III
II
aVR
aVL
aVF
V1
V2
V3
Case #295
ECG Wave-Maven
Copyright 2000-2007
Beth Israel Deaconess Medical Center
http://ecg.bidmc.harvard.edu
ECG Wave-Maven / Beth Israel Deaconess Medical Center
8/10/2019 EKG CEL MAI BUN
70/70