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13.1 Appendix A: Diagnosis


Normal ECG

The analysed part of the ECG (..sec,..beats) shows no signs of abnormality (for one of the patient's age.).

Pathological abnormalities


-- short PQ

-- sinus ( bradycardia | tachycardia )


sinus ( bradyarrhythmia | arrhythmia | tachyarrhythmia )


Mod.: [ with short PQ ]

-- sinus origin P-wave ( VR: , AR: )
** -- atrial ( bradycardia | rhythm | tachycardia)
**
atrial ( bradyarrhythmia | arrhythmia | tachyarrhythmia )
*
low right atrial ( bradycardia | rhythm | tachycardia )
*
left atrial ( bradycardia | rhythm | tachycardia )


Mod.: [ with short PQ ]

-- atrial origin P-wave ( VR: , AR: )

-- unusual P axis, probable accelerated junctional rhythm


unusual P axis, probable junctional ( bradycardia | tachycardia )

-- accelerated junctional rhythm


junctional ( bradycardia | tachycardia )

-- atrial flutter ( with slow ventricular response | with normal


ventricular frequency | with rapid ventricular response )
* -- irregular atrial function ( with slow ventricular response | with normal ventricular frequency | with rapid ventricular response )
** -- atrial fibrillation ( with slow ventricular response | with normal


ventricular frequency | with rapid ventricular response )

-- accelerated ventricular rhythm


ventricular ( bradycardia | tachycardia )

-- undetermined rhythm

-- first degree AV-block ( Long PQ )


2nd degree AV-block, Wenckebach periodicity


2nd degree AV-block, Mobitz - II type


higher degree AV-block


complete heart block

-- ( unifocal | multifocal ) premature ventricular complexes


n [ pair of consecutive | sequence of consecutive ] premature


Ventricular complex(es)


n premature ventricular complex(es) or aberrantly conducted

-- n premature ( sinus | atrial ) complex(es)


Mod.: [ with QRS widening ]

-- n [ pair of consecutive | sequence of consecutive ] premature


junctional complex(es)


Mod.: [ with QRS widening ]

-- n aberrantly conducted complex(es)

-- n other form complex(es)

-- n ventricular escape complex(es)

-- n ( sinus | atrial | junctional ) escape complex(es)


Mod.: [ with QRS widening ]

-- bigemin pattern
* -- dextrocardia

-- Wolff-Parkinson-White pattern [ type A | type B ]

-- low voltage QRS

-- ( right | left ) atrial enlargement


biatrial enlargement

-- incomplete right boundle branch block [ with repol. abn. | with possible repol. abn. ]


incomplete right boundle branch block plus right ventricular


enlargement [ with repol. abn. | with possible repol. abn. ]

-- right boundle branch block [ with repol. abn. | with possible repol. abn. ]


right boundle branch block plus right ventricular enlargement


[ with repol. abn. | with possible repol. abn. ]

-- incomplete left bundle branch block

-- left bundle branch block

-- left anterior fascicular block

-- ( right | left ) ventricular hypertrophy [ with repol. abn. | with possible repol. abn. ]


biventricular hypertrophy [ with repol. abn. | with possible repol. abn. ]


Mod.: [ with QRS widening ]
** -- myocardial infarction in ( anterior, &|septal, &|lateral, &|inferior, &|posterior ) location
** -- myocardial injury in ( anterior, &|septal, &|lateral, &|inferior ) location

-- acute pericarditis
** -- miocardial ischemia in ( anterior, &|septal, &|lateral, &|inferior, ) location
** -- miocardial ischemia or digitalis effect in ( anterior, &|septal, &|lateral, &|inferior, ) location

-- prolonged QT

Possible pathological abnormalities


-- -2nd degree AV-block

-- Wolff-Parkinson-White pattern [ type A | type B ]
** -- left posterior fascicular block

-- ( right | left ) atrial enlargement


biatrial enlargement

-- ( right | left ) ventricular hypertrophy [ with repol. abn. | with possible repol. abn. ]


biventricular hypertrophy [ with repol. abn. | with possible repol. abn. ]
**
Mod.: [ with QRS widening ]

-- myocardial infarction in ( anterior, &|septal, &|lateral, &|inferior, &|posterior ) location

-- subendocardial injury in ( anterior, &|septal, &|lateral, &|inferior ) location

-- acute pericarditis

-- miocardial ischemia in ( anterior, &|septal, &|lateral, &|inferior ) location


miocardial ischemia or digitalis effect in ( anterior, &|septal, &|lateral, &|inferior ) location

-- ST abnormality probably digitalis effect

-- prolonged QT

Unspecified, undetermined variations


-- ( left | right | right superior ) axis deviation
**
rightward axis

-- abnormal QRS-T angle

-- nonspecific intraventricular block

-- ST elevation

-- ST elevation because of early repolarization

-- ST depression [ probably digitalis effect ]

-- junctional ST depression

-- T wave abnormality [ probably digitalis effect ]

-- ST and T abnormality [ probably digitalis effect]

* - only in pediatric diagnose

** - only in adult diagnose

| - or

& - and


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