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ECG Interpretation and Heart Rate Calculation

The document outlines a course on Advanced Concepts in Clinical Care, specifically focusing on ECG interpretation. It covers the phases of cardiac action potential, the components of ECG such as waves, segments, and intervals, as well as methods for calculating heart rate. Various techniques for heart rate determination are discussed, including the 6-Second Interval x 10 Method, Box Counting Method, and 1500 Method.

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7 views18 pages

ECG Interpretation and Heart Rate Calculation

The document outlines a course on Advanced Concepts in Clinical Care, specifically focusing on ECG interpretation. It covers the phases of cardiac action potential, the components of ECG such as waves, segments, and intervals, as well as methods for calculating heart rate. Various techniques for heart rate determination are discussed, including the 6-Second Interval x 10 Method, Box Counting Method, and 1500 Method.

Uploaded by

70131974
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

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Course Name Advanced Concepts In Clinical Care


Course Code: NUR50108
Faculty: Sumaira Asim
Designation: Lecturer
Qualification: MScN, BScN
Department: LSN, UOL
ECG INTERPRETATION MODULE

At the end of this unit, the learners will be able to;


 Describe the four phase of cardiac action potential and relate it to the ECG tracing.

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BASICS OF ELECTROCARDIOGRAPHY

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LETS SUM IT UP…

AV nodal delay…

Atrial depolarization

Ventricular basal
depolarization

Ventricular septal
depolarization

Ventricular
Major ventricular
repolarization
depolarization

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WAVES, SEGMENTS, INTERVALS IN ECG

Waves

P QRS T

Segments
P-R Segment S-T Segment

Intervals
P-R Interval
QRS Interval

Q-T Interval
TIME DURATION OF ECG WAVES, SEGMENTS, INTERVALS

1 big square = 5 small squares


 300 big squares pass under the machine in 1 min  Then if 1 big square = 0.20sec then 1 small square
…so lets calculate . = how much time???
 300 big squares = 1 min  1 big square = 5 small squares and if 1 big square =
0.20 sec so it should be divided by 5..lets do it
 300 big squares = 60 sec
 0.20/5 = 0.04 sec.. So 1 small square = 0.04 sec
 Then 1 big square takes how much time ???
 1 big square = 60/300 = 0.20 sec … right !!

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DETERMINING THE HEART RATE

 Is one of first steps in analyzing an ECG tracing

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DETERMINING THE HEART RATE
CONT..

 Begin by quickly checking ECG monitor or tracing to see if rate is slow, normal or fast

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CALCULATING HEART RATE

 Several methods can be used including:

 6-Second Interval x 10 Method


 300, 150, 100, 75, 60, 50 Method
 1500 Method

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6-SECOND INTERVAL X 10 METHOD

 Quick, easy and does not require tools or devices


 Multiply by 10 the number of QRS complexes found in a 6 second portion of the ECG
tracing

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BOX COUNTING METHOD

 Quick, fairly accurate, requires no special tools, or calculations


 Cannot be used with irregular rhythms
 Find an R wave located on a bold line. Then find the next consecutive R wave. Bold line it
falls on (or is closest to) represents the heart rate

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BOX COUNTING METHOD

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BOX COUNTING METHOD

 If the second R wave falls in between two bold lines the heart rate can be more precisely
determined using the identified values for each thin line

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1500 METHOD

 Most accurate and requires no special tools but math calculation must be done to determine
heart rate
 Cannot be used with irregular rhythms
 Count the number of small squares between two consecutive R waves and divide 1500 by
that number

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REFERENCES

Dale Dubin, 7th Rapid interpretation of EKG’s, Edition 2013.


Jeffrey R. bender, Kerry S. Russell Oxford American Handbook of CARDIOLOGY, 1 st Ed.
Retrieved from: [Link]
Retrieved from: [Link]/sites/dl/Chapter04
Retrieved from: [Link]
Google images
Youtube lectures

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