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ECG Interpretation Cheat Sheet

This document provides a cheat sheet for interpreting electrocardiograms (ECGs). It lists various ECG patterns and their corresponding diagnoses and treatments. Key patterns discussed include atrial fibrillation, various types of heart block, ventricular tachycardia, SVT, QT prolongation, bradycardia, and more. Causes, medications, procedures like cardioversion, and lifestyle recommendations are outlined for each condition. The author notes they are a surgeon seeking feedback on their ECG interpretation notes.

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nreena aslam
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269 views2 pages

ECG Interpretation Cheat Sheet

This document provides a cheat sheet for interpreting electrocardiograms (ECGs). It lists various ECG patterns and their corresponding diagnoses and treatments. Key patterns discussed include atrial fibrillation, various types of heart block, ventricular tachycardia, SVT, QT prolongation, bradycardia, and more. Causes, medications, procedures like cardioversion, and lifestyle recommendations are outlined for each condition. The author notes they are a surgeon seeking feedback on their ECG interpretation notes.

Uploaded by

nreena aslam
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

ECG

cheat sheet

o P loss, random R-R =>
§ Atrial fibrillation. Treatment?
§ Control the rate => Diltiazem (CCB), B blocker, Digoxin
§ Unable to keep the rate, or symptomatic => add rhythm control => Amiodarone,
Flecainaide
§ Don’t forget to add anticoagulant if > 65, HTN, any risk factor
• Warfarin, Abixaban
§ If young, first time + no risks => nothing.
o P-R > 1 big box + normal QRS => 1st degree AV block => observe
o P-R progressive increase + drop QRS => 2nd degree, Morbitz type 1, benign AV node
problem. (Could be Digoxin problem, just stop it)
o P-R consistent + sudden QRS dropping => 2nd degree, Morbitz type 2, His-Purkinjie problem
=> Pace maker “unpredictable loss of QRS”
o P and R discordance (P-P constant, R-R constant, but they are not beating together) => 3RD
degree complete, Lyme disease, pacemaker.
o P-R > 5 small boxes + prolonged QRS => the delay is after AV => electrophysiology
o QRS itself:
§ Wide QRS tachycardia => Ventricular tachycardia => Lidocaine or Amiodarone,
Procainamide if stable.
§ QRS different sizes + next to each other + sinus tachycardia =>
• Pericardial effusion. This is electrical alternans
• Pericardiocentesis
o R itself:
§ Tall R in aVL + deep S (look like deep R) in V3 =>
• Hypertrophic cardiomyopathy.
o R-R boxes > 8 =>
§ Bradycardia. Sick Sinus rhythm. Rx?
• Symptomatic (low BP, syncope, dizzy, lightheaded, lethargic, hypotensive) =>
o IV atropine
o IV epinephrine (remember it works for septic shock too)
o IV Dopamine
• Pacemaker if sick sinus is diagnosed.
• If Overdose:
o Bradycardia + wheezing =>
§ B blocker
§ Give Glucagon
o Bradycardia + GI symptoms + visual symptoms =>
§ Digoxin
§ Give Digoxin specific antibody
o Bradycardia + DUMBBLESS:
§ Cholinergic
§ Give Atropine
o Bradycardia + CCB:
§ Give Glucagon
o R-R (QRS – QRS):
§ Ideally ~ 5 small boxes – 1 big box
§ Sinus tachycardia => 2-5 boxes (HR < 150) + QRS is normal => Anxiety? => alprazolam
§ SVT => 1-2 boxes (HR > 150) + Narrow QRS looks like one line => Adenosine
• If SVT + low BP => shock with Synchronize cardioversion
o Sedate + analgesia before “if you may, please”
§ Some people put their head in water => increase vagal tone.
o Q-T:
§ > 2 boxes => QT prolongation. Causes?
• Low Ca, K, Mg and seven thousand drugs
• Long term management => B blocker + pacemaker





I am a surgeon, so you need to double check my ECG notes. You know what happens when a
surgeon tries to read ECG.


Syrian Nation

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