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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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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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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 29 years old clinically diagnosed with nasal septal malformation. Preoperative ECG is normal note the J waves in the inferior leads.They are physiological J waves.
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In clinic mitral stenosis is a common organic heart disease that leads to left atrium abnormality in ECG. The duration of sinus P wave widens by more than 120ms.
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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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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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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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Sometimes because the QRS axis is in the upper left quadrant the high-amplitude R wave of left ventricular hypertrophy occurs in the limb leads and left chest leads is normal.
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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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Female 50 years old clinically diagnosed as Ebstein s anomaly. Electrocardiogram showed sinus arrhythmia first degree atrioventricular block and complete right bundle branch block.
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When the QRS wave in the V2-V4 chest lead is biphasic and has an amplitude exceeding 60mm it is necessary to be vigilant about the electrocardiogram of biventricular hypertrophy.
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ECG with rhythm of artificial pacemaker ventricular pacing
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Venedocia Ohio. US street map with black and white lines.
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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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When the left atrium is abnormal the absolute value of the duration and amplitude product of the negative part of lead V1 P-wave will increase indicating dysfunction of the left atrium.
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Blockton Iowa. US street map with black and white lines.
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Normal ventricular depolarization produces smooth and sharp QRS waves when local ventricular muscle depolarization is impaired QRS notching and slurring are produced.
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Left Bundle Branch Block - The Differences in ECG Waveform for Each of the 12 Leads - Medical Vector and Illustration
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When the frequency of sinus rhythm is less than 60 beats per minute it is called sinus bradycardia. Severe sinus bradycardia should be suspicious of sick sinus syndrome.
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Arcadia Kansas. US street map with black and white lines.
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