12 lead ekg interpretation made easy - Doctor answers

Share
1

1
Is a 10 lead EKG machine as good as a 12 lead machine?

Is a 10 lead EKG machine as good as a 12 lead machine?

Depends: In some cases, a 3 or 5-lead ekg provides sufficient information. However, for a full picture of what the heart is doing, a 12-lead is the best. It takes 10 physical leads to produce a 12- lead ecg. Left and right arms, left and right legs, v1-v6. ...Read more

Dr. Michael Kleerekoper
3 Doctors shared insights

Electrocardiogram (Definition)

Electrocardiogram (ecg, ekg) is a print-out of the electrical forces detected by electrodes on the chest wall, as electricity travels through the heart with each heart beat. The electrodes are placed in different positions, and each position "sees" the electrical activity of the heart from its own vantage point. Abnormalities in signal detected at chest surface ...Read more


2

2
If I had hyperkalemia wouldn't it show peaked t waves throughout entire 12 lead EKG with widened qrs?

If I had hyperkalemia wouldn't it show peaked t waves throughout entire 12 lead EKG with widened qrs?

Depends: That is with life threatening hyperkalemia. If your case is mild, or chronic, it may not manifest yet with ekg abnormalities. ...Read more

4

4
What does an EKG 12-lead impression: non-specific st t wave abnormality mean? I I just need to know what this test result means.

What does an EKG 12-lead impression: non-specific st t wave abnormality mean? I I just need to know what this test result means.

A: A "nonspecific" abnormality means that the wave doesn't look like the typical, standard ekg. The st-t wave is the wave that occurs right after the qrs. Often times the wave doesn't look typical, but it is important to note if prior ekg's have appeared the same for the patient. Also, some medications can cause these changes. ...Read more

6

6
Meaning of the diagnosis from an EKG, 12 Lead, Initial: Sinus bradycardia, Low voltage QRS, Possible Septal and Inferior infarcts, age undetermined.

Meaning of the diagnosis from an EKG, 12 Lead, Initial: Sinus bradycardia, Low voltage QRS, Possible Septal and Inferior infarcts, age undetermined.

3 things: Sinus bradycardia means the heart rate is less than 60
Low voltage QRS could be associated with many things, including obesity, emphysema, lung disease, pericardial effusion, infiltrative cardiomyopathy, etc
Possible septal and inferior infarcts age undetermined: there is some evidence of possible heart attacks on the septal and inferior walls of the heart, and cannot determine the age of events ...Read more

10

10
What is the 12. Lead ecg?

ECG: It stands for electrocardiogram. It is used to measure the movement of electrical signals in the heart. When working appropriately, this enables your heart to beat and pump blood to the rest of the body. When the heart is damaged or the electrical system is malfunctioning, ECG can pick up changes. ...Read more

See 1 more doctor answer
11

11
Why is it called 12 lead ecg if it only uses 10? Pls explain

The EKG is routinely: Performed with 6 chest wires (V1-V6) (six signals or leads) and the four arm wires. 10 wires. The signals from the arm and leg wires are electronically combined to provide a triangular pattern of three leads (signals) I, II, III. And then also electronically combined to produce what is called augmented leads (signals). aVR, aVL, and aVF. 6 more signals (leads). Thus 10 wires and twelve leads. ...Read more

12

12
What is the indication for having a flat t wave in 12 lead ecg?

T Wave flattening: In the absence of clinical history or symptoms, t wave abnormalities such as flattened t waves are nonspecific. They may be seen in healthy individuals, leading to mistaken diagnosis of heart disease. Pathological causes are many & include myocardial ischemia, electrolyte abnormality, stroke, anticancer medications, and even with fever and after eating. Your dr, will tell you more. ...Read more

13

13
Hi. I'm a Paramedic and did a 12-lead ECG on myself at work and found an rsr' in V1which I didn't find in an ECG I did a few years ago. Any comments?

Hi. I'm a Paramedic and did a 12-lead ECG on myself at work and found an rsr' in V1which I didn't find in an ECG I did a few years ago. Any comments?

ECG: New onset rsr' in the absence of clinical symptoms doesn't carry a lot of meaning. There are a multitude of possibilities. If you are nervous see your doc and discuss to see if evaluation is indicated. ...Read more

14

14
Hi. I'm a Paramedic and when I did a 12-lead ECG on myself at work I found an rsr' complex in V1 (rsr' is 0.08s wide). It wasn't there when I did an ECG a couple of years ago. What should I do?

If you have no: Cardiac symtoms (dyspnea, chest pain, palpitations, exertional limitation) then do nothing. Perhaps another EKG in a few years for interest. I suspect your conduction system is aging or more likely your lead position or body position was different now than the last time. This could be an early sign of right heart disease so an echo could be useful, nothing would be done until you have symptoms. ...Read more

See 1 more doctor answer
15

15
I had 12 lead ECG, my results is LVH by voltage of 5mm /mV. Does this increase to 5mm/mV severe or not? Help. Iam 23, taking amlodopine and telmisarta

I had 12 lead ECG, my results is LVH by voltage of 5mm /mV. Does this increase to 5mm/mV severe or not? Help. Iam 23, taking amlodopine and telmisarta

Non specific: LVH is designated as "by voltage criteria" because that is a weak criterion for diagnosing LVH. (there are at least 25 criteria). Many people your age (23) have high voltage which is perfectly normal. An echo would be more specific. Meanwhile, keep that BP under good control, LVH or not! ...Read more

16

16
How can I differentiate SVT and psvt, when 12 lead ECG showing as like as svt?

No difference: The ekg would look the same. Most people tend to use the terms psvt and svt interchangeably. ...Read more

See 1 more doctor answer
17

17
I was offered to purchase a personal full 12 lead ECG device that works with my iphone and send ECG by email to a doc. Would your recommend it?

More information: Most citizens have no need for a home ECG machine that transmits to a doc. If your clinical condition is such that you ECG is likely or expected to change, and early recognition is important, then this may be a good investment for you. ...Read more

18

18
My 17year old son just had a 12 lead ECG done it showed t wave inversions in ii, iii, avf & v4. Could the barium from an ugi series cause this?

My 17year old son just had a 12 lead ECG done it showed t wave inversions in ii, iii, avf & v4. Could the barium from an ugi series cause this?

Nonspecific: T wave inversion may be part of a normal ekg and has to interpreted by a doctor. Inverted t wave is normal in iii and sometimes other leads without meaning anything alarming. Have the doctor let you know what they think. The ekg interpretation can change with age as well so you need expertise to read them at this age. ...Read more

19

19
I have a heart check pen that reads single lead ecg. Keeps saying wide QRS/IVCD. What's that mean? A 12 lead I had a month ago didn't say that.

I have a heart check pen that reads single lead ecg. Keeps saying wide QRS/IVCD. What's that mean? A 12 lead I had a month ago didn't say that.

False reading?: Since your EKG recently was normal it's quite possible your "heart check pen" is giving you a false reading. IVCD refers to intra-ventricular conduction delay. The AV node initiates a wave of depolarization that travels down the bundle of HIS which, in turn, divides into the left and right bundle. A partial or complete block of one of these branches causes a delay in contraction and a wide QRS. ...Read more

See 1 more doctor answer
20

20
Why would the 12-lead ECG measurement be better than the polar heart rate monitor?

It sees more: The 12 leads look at the heart from many different viewpoints, not just one. One of the 12 "standard" leads (called lead 1) is exactly what your polar is measuring. That said, there's a lot going on all over the heart that a single lead can miss. Try looking out a window through a toilet paper tube to illustrate. See how much could be going on up and down the street without you catching it? ...Read more