Overview
Foundational Principles
- Cardiac Anatomy and Electrophysiology: Exploring the structure of the heart, chambers, blood pathway, and cellular ion channels.
- The Conduction System: Studying how electrical impulses travel natively from the sinoatrial (SA) node to the atrioventricular (AV) node and ventricles.
- ECG Graph & Technical Administration: Reading the physical properties of ECG paper (voltage, boxes, timing), placing leads properly in a standard 12-lead setup, and identifying or correcting recording artifacts.
Systematic ECG Interpretation
- Waveforms, Segments, and Intervals: Measuring and evaluating the individual components of the ECG trace—including the P-wave, PR interval, QRS complex, ST-segment, T-wave, and QT interval.
- Heart Rate & Cardiac Axis: Calculating the beats per minute for regular and irregular rhythms (e.g., using the 6-second method) and detecting axis deviations.
- Normal Sinyr Rhythm: Identifying the criteria that establish a fully normal, healthy baseline trace.
Clinical Pathology & Abnormalities
- Arrhythmias & Dysrhythmias: Diagnosing sinus rhythms, atrial fibrillation, atrial flutter, junctional rhythms, and ventricular conditions.
- Conduction System Diseases: Identifying various heart blocks (First, Second, and Third-degree AV blocks) and bundle branch blocks.
- Ischemia, Injury, and Infarction: Recognizing acute coronary syndromes, notably ST-elevation myocardial infarctions (STEMI) and non-ST-elevation MIs (NSTEMI).
- Chamber Hypertrophy & Systemic Effects: Detecting signs of left or right atrial/ventricular enlargement, alongside tracing the effects of systemic electrolyte imbalances (like hyperkalemia).