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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)

4.2.20 (frame 47

The P waves are normal and precede each QRS complex, indicating sinus rhythm. The PR interval is normal (0.16 seconds) and the QRS duration is minimally prolonged ( 0.11 seconds). The ECG diagnosis is incomplete right bundle branch block. The initial 0.04 second QRS spatial vector in the frontal plane (1) has an axis of +20 degrees. The terminal 0.06 spatial vector (2) is directed to the right and slightly inferiorly with an axis of approximately +170 degrees. The R’ in leads V1 and V2 indicate that it is also directed anteriorly. The vector loop illustrates the features of right bundle branch block with a rapidly inscribed early portion and a more slowly inscribed terminal portion.


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  • 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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