You will gain the essential skills and in-depth knowledge for determining:
- Axis Deviation
- A Systematic Approach to the 12-lead ECG
- Bundle Branch Block Identification
- Myocardial Injury & Ischemia
- Arrhythmia Interpretation
Attend this comprehensive ECG seminar and take your ECG knowledge to the next level. Your speakers Cynthia Webner, DNP, RN, CCNS, CCRN-CMC, CHFN, and Karen Marzlin, DNP, RN, CCNS, CCRN-CMC, CHFN will focus on the direct application of ECG interpretation in clinical practice and case study analyses, with many opportunities to practice your 12-lead ECG assessment skills.
Cindy and Karen have developed innovative teaching methods that will improve your long-term retention of key concepts through engaged hands-on learning activities, such as the creation of a reference worksheet that includes visual reminders for rapid and accurate assessment. You will use these skills every day in your clinical practice.
OUTLINE
12-Lead ECG – A systematic approach
- Limb leads and chest leads
- Single electrode and dual electrode leads
- Lead placement
- Low leads record
- Views of each lead
- Cardiac conduction system and waveforms
- Systematic ECG review
Cardiac Axis
- Clinical application
- Axis wheel
- Quadrants of axis
- Quick approach for axis assessment
- Degree of axis
Bundle Branch Blocks (BBB) and Hypertrophy Identification
- Right BBB Morphology
- Left BBB Morphology
- Left anterior hemi-block diagnostic criteria
- Atrial Hypertrophy
- Left Ventricular Hypertrophy
- Right Ventricular Hypertrophy
Patterns of Myocardial Injury and Ischemia
- Myocardial injury patterns
- Patterns of ischemia
- Reciprocal changes
- Evolutionary ST / T wave changes
- Pathological Q waves
- Interpretation in presence of BBB
- Specific types of myocardial infarction
- Anterior wall
- Lateral wall
- Inferior wall
- Posterior wall
- Right ventricular
Complex Arrhythmia Interpretation
- Mechanisms of tachyarrhythmias
- Evaluating wide complex tachycardias
- VT versus SVT with BBB aberrancy
OBJECTIVES
- Identify correct electrode placement required for accurate 12-lead ECG acquisition.
- Differentiate normal from abnormal patterns on each lead of the 12-lead ECG.
- Determine cardiac axis using lead I and aVF.
- Describe the 12-lead ECG features seen in atrial and ventricular hypertrophy.
- Contrast the features of right bundle branch block from the features of left bundle branch block.
- Recognize patterns of infarct, injury, and ischemia on the 12-lead.
- Utilize morphology in Lead V1 and V6 to differentiate ventricular tachycardia from SVT with aberrant conduction.
- Recognize long QT as a risk factor for Torsades de Pointes.
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