ECG Interpretation

Results:
ECG STAT January 1, 2026
ECG STAT Curriculum Hub

Why ECG Interpretation Matters: The ECG is one of the fastest, highest-impact diagnostic tests in acute care. When interpretation is rapid and accurate, patients get timely reperfusion, pacing, defibrillation, antidotes,…

ECG STAT January 1, 2026
ECG Findings of LV Aneurysm

Key Points: Definition: A true LV aneurysm is a chronic, post transmural MI complication from scarred myocardium with akinetic or dyskinetic (paradoxical) wall motion. ECG hallmark: Persistent ST elevation in…

ECG STAT December 17, 2025
Post-Thrombolytic Reperfusion ECG Findings

Key Points Reperfusion after fibrinolysis is a bedside diagnosis using a bundle of findings: symptoms, ECG trend, and hemodynamic/electrical stability. Best ECG marker of successful fibrinolysis: at least 50% ST-segment…

ECG STAT December 17, 2025
ECG Evidence of Reperfusion After Occlusion

Key Points: Reperfusion and re-occlusion can occur spontaneously or after therapy. The ECG often reflects these changes earlier than symptoms. Most useful bedside ECG marker of reperfusion is ST-segment resolution…

ECG STAT November 24, 2025
Pulse-Tapping Artifact

Key Points: Mechanical artifact caused by an ECG electrode sitting on top of a strong arterial pulse. Seen frequently in dialysis patients with AV fistulas. Can mimic serious pathology including…

ECG STAT October 10, 2025
Premature Junctional Complexes (PJCs)

Key Points PJCs are premature impulses from ectopic foci in or near the AV junction. ECG hallmark is a narrow premature beat with an absent or retrograde P wave. Retrograde…

ECG STAT October 10, 2025
J Wave: Basics

Key Points Definitions: The J point is the QRS–ST junction (a location). A J wave is an added deflection at or just after that point (notch or slur).  Why it…

ECG STAT September 28, 2025
Proper ECG Electrode Placement

Key Points A diagnostic 12‑lead ECG is only as good as your electrode placement. Misplacement can mimic MI, BBB, or poor R‑wave progression and trigger unnecessary workups. A standard 12‑lead…

ECG STAT September 7, 2025
ECG Findings in Tension Pneumothorax

Key Points Tension pneumothorax is a clinical diagnosis—ECG changes are nonspecific but can provide supportive evidence in the right context. Electrical changes are primarily due to mechanical effects of air…

ECG STAT September 2, 2025
ECG Findings in Aortic Dissection

Key Points: Aortic dissection or aneurysm can produce ischemic‑appearing ECGs due to coronary malperfusion, most often right coronary involvement causing inferior changes. Pseudo‑infarction patterns, ST‑deviation, and conduction blocks can occur…

ECG STAT September 1, 2025
Epsilon Waves

Key Points Definition: Small, low-amplitude positive deflections at the terminal QRS or very early ST segment, caused by delayed right ventricular activation through diseased myocardium. Association: Highly specific for arrhythmogenic…

ECG STAT September 1, 2025
Right Ventricular Hypertrophy (RVH)

Key Points Definition: Chronic pressure/volume overload → thickened RV (pulm HTN, congenital lesions, pulmonary disease). ECG signature: Rightward axis, dominant R in V1, deep S in V5–V6, with possible right-sided…

ECG STAT September 1, 2025
Q Wave: Basics

Key Points Definition and Measurement: A Q wave is the first negative deflection of the QRS. Measure width in ms from the onset below baseline to its return to baseline;…

ECG STAT September 1, 2025
QRS Complex: Basics

Key Points: Definition and measurement: The QRS complex is ventricular depolarization, measured from the earliest ventricular deflection (Q or R) to the latest S return to baseline in any lead….

ECG STAT September 1, 2025
R Wave: Basics

Key Points Definition: The R wave is the first positive deflection of the QRS complex, reflecting early ventricular depolarization, predominantly of the left ventricle. Normal progression: Precordial R amplitude increases…

ECG STAT September 1, 2025
TP Segment: Basics

Key Points Definition: The TP segment is the isoelectric interval from the end of the T wave to the start of the P wave. It reflects electrical diastole when the…

ECG STAT September 1, 2025
U Wave: Basics

Key Points Definition and origin: The U wave is a small deflection following the T wave, best seen in V2–V3. It likely reflects late ventricular repolarization or Purkinje repolarization. Normal…

ECG STAT September 1, 2025
T Wave: Basics

Key Points Definition: The T wave reflects ventricular repolarization. Measure amplitude from baseline to peak and identify the end of T to help define the QT interval. Normal appearance: Upright…

ECG STAT September 1, 2025
S Wave: Basics

Key Points Definition and measurement: The S wave is the first negative deflection after the R wave within the QRS. Measure depth in mm from baseline to nadir; width contributes…

ECG STAT August 23, 2025
Isoelectric Segment of the ECG

Key Points: The reference for ST-segment shift is the J point relative to an isoelectric baseline. The two candidates for that baseline are the TP segment and the PR segment….

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