Professional Documents
Culture Documents
Module III
1 www.similima.com
Course Objectives
2 www.similima.com
Learning Modules
• ECG Basics
• How to Analyze a Rhythm
• Normal Sinus Rhythm
• Heart Arrhythmias
• Diagnosing a Myocardial Infarction
• Advanced 12-Lead Interpretation
3 www.similima.com
Normal Sinus Rhythm (NSR)
6 www.similima.com
SA Node Problems
7 www.similima.com
Atrial Cell Problems
8 www.similima.com
Teaching Moment
• A re-entrant
pathway occurs
when an impulse
loops and results
in self-
perpetuating
impulse
formation.
9 www.similima.com
Atrial Cell Problems
Atrial cells can also:
• fire continuously Atrial Fibrillation
from multiple foci
or
fire continuously Atrial Fibrillation
due to multiple
micro re-entrant
“wavelets”
10 www.similima.com
Teaching Moment
Atrial tissue
Multiple micro re-
entrant “wavelets”
refers to wandering
small areas of
activation which
generate fine chaotic
impulses. Colliding
wavelets can, in turn,
generate new foci of
activation. 11 www.similima.com
AV Junctional Problems
12 www.similima.com
Ventricular Cell Problems
14 www.similima.com