Ecg

Front 1

Left anterior hemi block

Back 1

QRS duration is unchanged;
the axis of QRS is almost perpendicular - left axis deviation, left ventricular strain,
but: magnitude is not increased (rules out left ventricular hypertrophy)

fascicular = hemiblock

Front 2

left posterior hemi block

Back 2

not as common as left anterior hemiblock;
right axis deviation (not necessarily strain ) no notches, no

Front 3

right atrial enlargement

Back 3

P pulmonale; Dx: axis of P is close to vertical (normal is 60 degrees);

Front 4

COPD on what part of the lung

Back 4

functional residual volume is effected

Front 5

left atrial enlargement

Back 5

axis of P does not just shift to right, bc we still have the repolarization; here we also get a second hump on the p wave with a wide duration of P;
left atrium depolarizes late -

caused by Mitral valve problem

p- mitrale

Front 6

LAE

Back 6

left shift of P in theory, but the right atrium is also depolarizing --> the characteristic is the double P wave. P mitrale
overall duration of P is relatively longer;

Front 7

QRS -60
T 90

V5 posterior axis
s1 r5 are big

double P !!

Back 7

suspect right ventricular hypertrophy

left atrial enlargement (also negativity on P on V1!)

Front 8

P waves in opposite directions
premature beat every 6 beats

Back 8

Left atrial enlargement

Front 9

P has double notch but is very small;

Back 9

not LAE - myocardium of the left atrium not working right -
left atrial abnormality! LAA

Front 10

3 vertical lines to separate

Back 10

QRS - 100 bpm
more than 5 = bradycardia