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ECG – A Visual Guide
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ECG Conduction Defects
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Clinical Diagnosis
Pulmonary Embolism
Sinus tachycardia (most common finding)
S1Q3T3 pattern – McGinn-White Sign
Arrhythmogenic right ventricular dysplasia
– Presence of Epsilon wave after the QRS in lead V1-V3
– T wave inversion in right precordial leads V1-3 in the absence of RBBB
– Widened QRS in leads V1-V3 (> 110ms)
– Prolonged S wave upstroke of 55ms in V1-3
– NSVT or VT of LBBB morphology (RVOT VT)
Hypertrophic Cardiomyopathy
General Features
Apical HCM Features
Wolff-Parkinson-White (WPW) syndrome
General Features
Hypothermia
– Marked sinus bradycardia
– Afib with slow ventricular response
– Varying degrees of AV block
– Osborne waves (J waves)
– Prolonged PR and QT intervals
– Widened QRS duration
Pericarditis
Diffuse concave ST elevation and PR depression throughout limb leads
Brugada Syndrome
Type 1 Brugada pattern
Type 2 Brugada pattern
Type 3 Brugada pattern