UNDERSTANDING the ELECTROCARDIOGRAM
DAY 1: The normal ECG
9.00-9.30 Registration |
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| 9.30-10.00 | Session 1 | Basic electrophysiology and terminology |
| Myocardial cells, pacemaker cells, sinus and AV nodes,
His bundle, Purkinje tissue. Polarisation, depolarisation, action potential, refractory period. P waves, QRS complexes, S-T segments, T waves Ta waves, U waves QRS waveform nomenclature. |
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10.00-11.30 |
Session 2 |
The limb leads and the frontal plane axis |
| Vectors, Leads I,II and III, Leads aVR, aVL and aVF, Orientation
of the 6 frontal plane leads. Concept of the frontal plane axis, its normal range, technique of measurement. |
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11.30-12.00
Coffee (Included) |
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| 12.00-1.00 | Session 3 | Revision of axis. The precordial leads |
| “Hands on” practice in measuring the axis. Orientation of the precordial leads V1-V6. Normal QRS morphology and dimensions in leads V1-V6. Normal S-T segments and T waves in leads V1-V6. |
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1.00-2.00
Lunch (Included) |
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| 2.00-2.30 | Session 4 | Normal appearances in the limb leads |
| Assessment of axis, recognition of abnormal q waves, assessment of S-T segments and T waves | ||
| 2.30-3.15 | Session 5 | Systematic approach to ECG interpretation |
| “Hands on” practice in logical, systematic analysis of the 12 lead ECG | ||
3.15-3.45 Tea (Included) |
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| 3.45-5.00 | Session 6 | Recording technique. Practice of systematic interpretation. |
| Labelling, calibration, AC interference, baseline drift,
muscle tremor. “Hands on” practice of systematic ECG interpretation. |
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