ECG Workshop:

Arrhythmia Diagnosis
Prepared by Dr. Jason Waechter
Created 2004. Revised 2007

Introduction
This ECG workshop will take place in week 3. It is required that you attempt the first 12 ECG strips before the workshop and
highly recommended that you complete all ECG strips before the end of the block. You should work through the first 12 strips in the
workshop. If you have time, then go through other strips if you had trouble with them.
When you analyze an ECG, the most important step is to collect all information first and then from this information, determine:
- the location of the pacemaker
- how the electrical signal travels through the heart away from the pacemaker
Although the diagnosis is the final step, it is only a label. It is more important that you understand how the location of the pacemaker
and the pattern of electrical activity give rise to the ECG. This document is 15 pages long.
ECG #1

Rate:
30x/ menit (itung sndiri lah krng lbh)
Rhythm: sinus
P waves: normal

PR Interval: memanjang
QRS:
____________________________
Pacemaker location(s): ____________________________
Diagnosis: AV Block 1st degree dengan vetr. Rate renda

ECG #2

Rate:
90 x/menit
Rhythm: irregular - sinus
P waves: ________________________

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

________________
____________________________
____________________________
Atrial fibrilasi & flutter

ECG #3

Rate:
________________________
Rhythm: Aritmia
P waves: ________________________

PR Interval:
QRS:
Pacemaker location:
Diagnosis:

______________________
______________________
______________________
Complete Heart Block derajat 3

ECG #4

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
Atrial Flutter

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
Ventrikular fibrilasi

ECG #5

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

ECG #6

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
(irama) Supraventrikular aritmia

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

Memanjang progresif
____________________________
____________________________
AV Block derajat 2 Mobitz 1

ECG #7

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

ECG #8

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
Supraventricular Takikardi

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
Ventrikular Takikardi

ECG #9

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

ECG #10

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
____________________________

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
Lebar, bizzare (T berlawanan arah dengan QRS)
____________________________
Premature Ventricular Contraction

ECG #11

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

ECG #12

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
Infark akut (ST elevasi)

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

Memendek
____________________________
____________________________
Wolf Parkinson White

ECG #13

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

ECG #14

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
Torsade de pointes (Ventricular tachycardia tipe polimorfik)

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
Tachycardia

ECG #15

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

ECG #16

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
____________________________

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
Premature Ventricular Contraction

ECG #17

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

ECG #18

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
____________________________

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
____________________________

ECG #19

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

10

ECG #20

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
____________________________

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
____________________________

ECG #21

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

11

ECG #22

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
____________________________

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
____________________________

ECG 23

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

12

ECG #24

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
____________________________

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
____________________________

ECG #25

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

13

ECG #26

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
____________________________

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
____________________________

ECG #27

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

14

ECG 28

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
____________________________

PR Interval:
QRS:
Pacemaker location(s):
Diagnosis:

____________________________
____________________________
____________________________
____________________________

ECG #29

Rate:
________________________
Rhythm: ________________________
P waves: ________________________

15