đọc điện tim - khoa hscc bệnh viện e

®äc ®iÖn tim Khoa HSCC BÖnhviÖn E Left Atrial Abnormality & 1st degree AV Block-KH Sóng P rộng (>0,12s) và có khía ở DII, DIII; hai pha ở chuyển đạo V1 Tất cả các tiêu chuẩn cho nhĩ trái không bình th=ờng hoặc dầy nhĩ (LAE). Khoảng PR > 0,2s: Block AV cấp I.    Left Atrial Abnormality & 1st Degree AV Block: Leads II and V1-KH - P > 0,12s vµ cã khÝa ë DII; hai pha ë chuyÓn ®¹o V1 - Kho¶ng PR > 0,2s    Left Atrial Enlargement: Leads II and V1-KH    Left Atrial Enlargement-KH     II V1    Left Atrial Enlargement & Nonspecific ST-T Wave Abnormalities-KH  ! "#  $%&%'% ($) '*     LVH - Best seen in the frontal plane leads!-KH +, #)-  .#)/& 0 *#")/&#'")/&#- 1    LVH & PVCs: Precordial Leads-KH    LVH and Many PVCs-KH  %"&./)2-*0#&%'%0'2 3$%!  $$    LVH: Limb Lead Criteria-KH +, #)-  .#)/& 0 *#")/&#'")/&#- 1 [...]... atrial enlargement) RAE is best seen in the frontal plane leads; the P waves in lead II are >2.5mm in amplitude RVH with Right Axis Deviation Note the qR pattern in right precordial leads This suggests right ventricular pressures greater than left ventricular pressures The persistent S waves in lateral precordial leads and the RAD are other finding in RVH  Severe RVH - Trục P rõ (+150 degrees) - Dạng... in leads II, III, aVF RVH is likely because of right axis deviation (+100 degrees) Right Axis Deviation & RAE (P Pulmonale): Leads I, II, III-KH Right Ventricular Hypertrophy (RVH) & Right Atrial Enlargement (RAE)-KH In this case of severe pulmonary hypertension, RVH is recognized by the prominent anterior forces (tall R waves in V 1-2 ), right axis deviation (+110 degrees), and "P pulmonale" (i .e. ,... Lead Criteria-KH In this example of LVH, the precordial leads don't meet the usual voltage criteria or exhibit significant ST segment abnormalities The frontal plane leads, however, show voltage criteria for LVH and significant ST segment depression in leads with tall R waves The voltage criteria include 1) R in aVL >11 mm; 2) R in I + S in III >25mm; and 3) (RI+SIII) - (RIII+SI) >17mm (Lewis Index)... pattern + Left Atrial Enlargement-KH - SV2 + RV5 >35mm - Sóng P rộng (>0.12s) và có khía ở DII, DIII; hai pha ở chuyển đạo V1 LVH with "Strain"-KH - SV2 + RV5 >35mm - Lewis Index: 1) R in aVL >11 mm 2) R in I + S in III >25mm 3) (RI+SIII) - (RIII+SI) >17mm RAE & RVH-KH Tiêu chuẩn ? Right Atrial Enlargement (RAE) & Right Ventricular Hypertrophy (RVH)-KH RAE is recognized by the tall (>2.5mm) P waves... pressures The persistent S waves in lateral precordial leads and the RAD are other finding in RVH  Severe RVH - Trục P rõ (+150 degrees) - Dạng qR ở V1, R/S ở V1 > 1; S/R ở V6 > 1 - ST chênh dốc xuống ở các chuyển đạo trước tim phải Xin trân trọng cám ơn ! . 77#    Right Axis Deviation & RAE (P Pulmonale): Leads I, II, III-KH    Right Ventricular Hypertrophy (RVH) & Right Atrial Enlargement (RAE)-KH  )34 "). DII; hai pha ë chuyÓn ®¹o V1 - Kho¶ng PR > 0,2s    Left Atrial Enlargement: Leads II and V1-KH    Left Atrial Enlargement-KH   . 0 *#")/&#'")/&# - 1    RAE & RVH-KH  Tiªu chuÈn ?    Right Atrial Enlargement (RAE) & Right Ventricular Hypertrophy (RVH)-KH  )!4"