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Ventricular beats originating in the left ventricle often appear as qR waves notch R waves or single R waves in V1 and rS waves in V5 or V6.
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When the isolated first diagonal artery is occluded ECG can show ST segment elevation in leads I aVL and V2 and ST segment depression in lead III and the layout resembles the South African flag.
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Sometimes we can use lead V1 to measure the interval and amplitude of P wave and simultaneously diagnose left atrial abnormality and right atrial abnormality that is biatrial abnormality.
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Female 54 years old had recurrent syncope for 2 years. The clinical diagnosis was type 2 congenital long QT syndrome. Her blood potassium is normal do not misdiagnose bimodal T wave as U wave.
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Simple left ventricular high voltage is only an ECG phenomenon. The subject has no pathological left ventricular hypertrophy and no other abnormal ECG changes.
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During the onset of variant angina pectoris ECG is divided into non fusion wave partial fusion wave and complete fusion wave according to the fusion degree of QRS wave ST segment and T wave.
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In the same patient T wave notch can be manifested as T wave descending branch notch double-peak and flat-peak T wave.
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The typical ECG for left ventricular hypertrophy is left ventricular high voltage sometimes with significant ST-T changes U-wave changes and QT interval prolongation.
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Male 45 years old suffering from hypertension. The frontal QRS axis was -38 which was not enough to diagnose left anterior fascicular block.Lead II QRS main wave is negative.
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The Differences in Normal ECG Waveform for Each of the 12 Leads Standard ECG - Medical Vectors and Illustrations for Medical Purposes
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When the baseline of ECG is interfered by its own or external electrical signal it will affect the shape and measured value of ECG wave especially ST segment offset amplitude.
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Sometimes in middle-aged people small q waves appear in inferior leads of the electrocardiogram and it is necessary to distinguish between physiological and old inferior myocardial infarction.
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Sometimes left ventricular hypertrophy with tall T waves is easily misdiagnosed as hyperkalemia and hyperacute T waves and ECG needs to be carefully identified in combination with clinic.
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The QRS wave amplitude of each limb lead is less than 5mm which is called limb lead low voltage. It can be seen in some physiological phenomena as well as organic heart disease.
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Bidirectional ventricular tachycardia is a kind of malignant arrhythmia. The polarity of QRS main wave alternates from beat to beat and it is easy to degenerate into ventricular fibrillation.
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On the electrocardiogram the retrograde P wave can be located before within or after the QRS wave depending on the speed difference between forward and backward transmission.
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When the amplitude of the QRS wave is low the calibration voltage can be doubled When the QRS wave amplitudes overlap with each other the calibration voltage can be halved.
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Male 66 years old received chemotherapy for esophageal cancer. Type II Brugada phenotype appearsed on ECG which needs to be differentiated from primary Brugada syndrome.
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ECG of evolution step by step of STEMI ST elevation myocardial infarction Acute coronary syndrome angina pectoris
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Firstly select point J as the reference point and then select 60ms after point J as the measurement point to evaluate the ST segment offset morphology and amplitude.
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Male 75 years old clinically diagnosed as acute anterior septal and high lateral myocardial infarction.The culprit vessel was located in the LAD proximal segment.Prolonged QT interval with TDP.
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The patient female 49 years old was clinically diagnosed with pulmonary valve stenosis. The electrocardiogram indicates right ventricular hypertrophy.
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Male 40 years old clinically diagnosed with atrial septal defect. QRS waves showed qRs morphology in lead V1 and the appearance of q wave indicated right ventricular hypertrophy.
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A middle-aged man sought medical attention due to palpitations. The electrocardiogram indicates arrhythmia. Can you correctly diagnose this electrocardiogram
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Male 29 years old preoperative ECG. Synchronous analysis found that the so-called J wave of lead II was located within the QRS interval of lead V3 and was more likely to be a QRS terminal notch.
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Cardiogram
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