EKG - Basic Interpretation and ACLS Preparation

Dr. Jorge L. Martinez Rodriguez Ced. Prof. 6785069 San Diego County EMS AEMT Certification #: B2041032

Chapter I: Anatomy and Physiology of the Heart

Why we studing EKG???

Heart disease is the leading cause of death in the U.S. High Blood Pressure is the major risk for heart disease, stroke ands end stage renal disease. About 950,000 americans die of cardiovascular disease each year. Americans die of heart disease in an emergency department or before reaching a hospital each year. Almost one fourth of the american population has some form of cardiovascular disease. Coronary heart disease is the leading cause of premature, permanent disability among working adults. Cardiac dysrhythmias cause cardiac arrest. A resuscitation effort requiere of four critical tasks: airway management, chest compression, EKG monitoring, interpretation and defibrillation and vascular access with drugs administration.

As you can see from these statistics, the likelihood of encountering a patient who needs medical care is high.

Division of the Mediastinum:

Chambers of the Heart:

Valves in the Heart:

Cardiac Auscultation Valve - Beats:

Coronary Circulation:

The Normal EKG

The EKG must have the 5 waves: P, QRS and T wave. P wave positive in all derivations, except in AVR, where the P wave is negative. QRS wave is following of P wave. QRS Positive in D1, D2, AVL, AVF and in precordial leads from V1-V6 goes in transitional zone. T wave is positive in all derivation, except in AVR, also T wave can be negative in V1 and V2 in women and child. ST segment must be isoelectric.

Normal EKG

Normal ECG

What type of MI is that?

What type of MI is that?

What type of MI is that?

What type of MI is that?

Acute MI

Extensive MI

Practices MI ECGs:

What type of MI is that?

Myocardial Ischemia:

ST segment depression or symetric T wave inversions

This is the End of the First Part

I will see you next week Thank you for your Attention