Physician Assistant Care Series - 12 Lead EKG Review

Objective
• Given a 12-lead EKG for a
specific patient, be able to arrive
at a diagnosis after following a
systematic review process.

Systematic Approach
• Rate
• Rhythm
• Axis
• Wave Morphology
• P, T, and U waves and QRS complex
• Intervals
• PR, QRS, QT
• ST-T wave/Search for Infarction

Determine the Rhythm
• Is the rhythm regular or irregular?
• What is the atrial rate?
• What is the ventricular rate?
• Is AV conduction normal?
• Are there any unusual complexes?
• Is the rhythm dangerous ...