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EKG CEL MAI BUN

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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

    ECG . Y

    . ,

    . I

    .

    E . M ECG WM (://...)

    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 (, , )

    P (, , )

    M

    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

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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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    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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    46/70

    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), .

  • 8/10/2019 EKG CEL MAI BUN

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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

  • 8/10/2019 EKG CEL MAI BUN

    48/70

    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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    49/70

    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

  • 8/10/2019 EKG CEL MAI BUN

    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

  • 8/10/2019 EKG CEL MAI BUN

    52/70

    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

  • 8/10/2019 EKG CEL MAI BUN

    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 .

  • 8/10/2019 EKG CEL MAI BUN

    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.

  • 8/10/2019 EKG CEL MAI BUN

    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

  • 8/10/2019 EKG CEL MAI BUN

    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


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