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Understanding the Electrocardiogram

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  2. Understanding the Electrocardiogram In Health & Disease
  3. 4.0.0 Ventricular Hypertrophy
  4. 4.2.0 Right Ventricular Hypertrophy (frame 21)

4.2.19 (frame 46

The ECG shown here and again on the next two pages is from a 27 year old asymptomatic female who was found to have a systolic heart murmur during a routine physical examination. The murmur was quite loud (grade 4) and was located in the 2nd left intercostal space. There was also a widely split second heart sound. Determine the rhythm, PR interval and QRS duration and plot the spatial vectors of the initial and terminal portions of the QRS complex in the frontal plane. What is the ECG diagnosis?

Book traversal links for 4.2.19 (frame 46

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  • 4.2.20 (frame 47

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Book navigation

  • Introduction to First Edition
  • 1.0.0 Generation of the ECG
  • 2.0.0 The Normal Electrocardiogram
  • 3.0.0 Inter and intra-ventricular Conduction Disturbances
  • 4.0.0 Ventricular Hypertrophy
    • 4.1.0 Left Ventricular Hypertrophy (frame 1)
    • 4.2.0 Right Ventricular Hypertrophy (frame 21)
      • 4.2.1 (frame 22)
      • 4.2.2 (frame 23)
      • 4.2.3 (frame 24
      • 4.2.4 (frame25)
      • 4.2.5 (frame 27 26 intentionally omitted)
      • 4.2.6(frame 29 frame 28 intentionally omitted)
      • 4.2.8 (frame 31)
      • 4.2.9 (frame 32)
      • 4.2.10(frame 33
      • 4.2.11 (frame 34)
      • 4.2.12
      • 4.2.13 (frame 36)
      • 4.2.14 (frame 39)
      • 4.2.15 (frame 40
      • 4.2.16 (frame 44
      • 4.2.17 (frame 44 again
      • 4.2.18 (frame 45
      • 4.2.19 (frame 46
      • 4.2.20 (frame 47
      • 4.2.21 (frame 48
      • 4.2.22 (frame 49
      • 4.2.23 (frame 50
      • 4.2.24 (ftrame 51
      • 4.2.25 (frame 52
      • 4.2.26 (frame 53)
      • 4.2.27 (frame 55)
      • 4.2.28 (frame 56)
      • 4.2.29
      • 4.2.30 (frame 57)
      • 4.2.31 (frame 58)
      • 4.2.32 (frame 59)
      • 4.2.33 (frame 60)
      • 4.2.34 (frame 61)
      • 4.2.35 (frame 62)
    • 4.3.0 Biventricular hypertrophy (frame63)
  • 5.0.0 ELECTROLYTE ABNORMALITIES, DRUG EFFECTS AND THE LONG QT SYNDROMES
  • 6.0.0 Ischemia and Infarction - Introduction (frame i and ii)
  • 7.0.0 Tachycardias- Introduction
  • 8.0.0 The Bradycardias frame i-introduction
  • 9.0.0 The ECG of Heart Murmurs-introduction
  • 10.0.0 The Electrocardiogram in the Emergency Department-Introduction
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