Thread by @doctor_roig

1/x
If you have difficulty interpreting an ECG, I will explain the basic method that I use, and I am sure it will help you. It's called the basic "method of Dr. Roig". Here we go..

2/x
R-ate
The first step is to calculate the HR.
Total QRS x 6 = HR.
If HR > 100 bpm = Tachycardia.
If HR < 60 bpm = Bradycardia.

3/x
O-bserve the rhythm
The second step is to observe the rhythm.
If R-R interval is equal = Regular rhythm.
If R-R interval varies = Irregular rhythm.
If P wave is upright in lead II = Sinus rhythm.

4/x
I-ntervals
The third step is to analyze the intervals.
Check the PR, QRS and QT intervals.
Are they long o short ?

5/x
G-o for the signs of Myocardial Infarction (MI). The fourth step is to look for MI.
Are there ST elevation ?
Are there ST depression in V1-V3 ?
Are there abnormal Q waves ?

6/x
Here an example:
Rate: 15 QRS x 6 = 90 bpm.
Regular rhythm (R-R interval is equal).
Sinus rhythm (upright P wave in lead II)
The intvervals PR, QRS and QT are normal.
No signs of Myocardial Infarction.
So, this is a normal EKG.

7/x
Each person has their way of reading an EKG, but if you don't have a specific order, the basic method of Dr. Roig, will help you organize yourself every time you go to interpret an EKG.

8/x
As soon your knowledge increases, you should add to the method (second step) the following:
Observe the Rhythm, P:QRS, Axis, R progression and the Chambers enlargment.

#EKG #ECG #method #doctor_roig #learn #easy #innovation #EKGDX #use_this