ECG ANALYSIS STUDY GUIDE 

For the purposes of the CSCT Certification examination, can you identify the following? 


Rhythm

  • Rate 
  • Axis
  •  PRI
  • QRST
  • QTc (Bazetts formula)

P Wave Morphology 

ST segment 

      • Elevated
      •  Isoelectric 
      •  Downsloping 
      • Upsloping 
      • Horizontal depression 

T wave 

      • Upright 
      • Inverted (symmetrical / asymmetrical) 
      • Flat 
      • Pointed / Tenting 



ECG Analysis: 

Rhythms that are associated with the SA Node 

      • Sinus Rhythm 
      • Sinus Bradycardia 
      • Sinus Tachycardia 
      • Sinus Arrhythmia 
      • Sinus Arrest 
      • Sinus Block 
      • Sick Sinus Syndrome 

Rhythms that are associated with the Atria 

      • Multifocal Atrial Tachycardia 
      • Paroxysmal Atrial Tachycardia 
      • Atrial Premature Beats 
      • Atrial Fibrillation 
      • Atrial Flutter 
      •  Ashman Phenomenon 
      • Aberrancy 

Rhythms that are associated with the AV node 

      • Junctional Escape Rhythm 
      • Accelerated Junctional Rhythm 
      • Junctional Bradycardia 
      • Junctional Tachycardia 
      •  Premature Junctional Beats 

Rhythms that are associated with the Ventricles 

      • Idioventricular Rhythm 
      • Accelerated Ventricular Rhythm 
      • Premature Ventricular Beats 
      • Ventricular Tachycardia 
      • Ventricular Fibrillation 
      • Ventricular Flutter 
      • Agonal Rhythm 
      • Torsades de Pointes 
      • Parasystole 


Reentry Tachycardias

      • Paroxysmal Supraventricular Tachycardia 
      • Supraventricular Tachycardia 
      • AV Nodal Reentry Tachycardia 
      • SA node reentry 

Pre-excitation 

      • Pre excitation type 1 
      • Pre excitation type 2 
      • LGL 

Blocks 

      • 1st degree AV Block 
      • 2nd degree AVB type 1 
      • 2nd degree AVB type 2 
      • 3rd degree AVB 
      • High Grade AV Block (Ventricular Standstill) 
      • Right Bundle Branch Block 
      • Left Bundle Branch Block 
      • Bifascicular Block 
      • Trifascicular Block 
      • Left Anterior Fascicular Block 
      • Left Posterior Fascicular Block 


Structural abnormalities 

      • Bi-Atrial Enlargement 
      • Right Atrial Enlargement 
      • Left Atrial Enlargement 
      • Right Ventricular Hypertrophy 
      • Left Ventricular Hypertrophy 

Myocardial Ischemia 

T Wave Abnormalities 

      • Wellen’s Syndrome 
      • Myocardial Injury and Infarction 
          • STEMI 
          • NSTEMI 
      • Hyperacute T Waves 

Miscellaneous ST changes 

      • Early Repolarization 
      • Pericarditis 
      • Brugada Syndrome 
      • Ventricular Aneurysm 

Electrolyte imbalances 

      • Hypercalcemia
      • Hypocalcemia
      • Hyperkalemia
      • Hypokalemia 

Miscellaneous 

      • Dextrocardia 
      • Hypothermia 
      • Electrical Alternans 
      • Pulmonary Embolism 
      • Pulseless Electrical Activity (PEA) 

Pacemaker function 

      • Pacing modes 
      • Capture 
      • Sense 
      • Fusion 
      • Psuedo fusion 
      • Pacemaker Mediated Tachycardia (PMT) 

Contacts

President: president@csct.ca

Education Director: educationdirector@csct.ca 

Registrar: registrar@csct.ca 

Treasurer:  treasurer@csct.ca


CSCT Mailing Address: 

Box 3121 Winnipeg, Manitoba

R3C 4E6


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