Systematic 12-Lead ECG Interpretation and Reporting

systematiC 12-lead eCg interPretation and rePorting

Analysis of a 12-Lead ECG can yield a large amount of valuable data which can be confusing if reported in a jumbled, illogical manner. As with hospital notification and hand over procedures, a system for reporting data derived from the 12-Lead ECG ensures ease, efficiency and accuracy in information exchange. The system recommended for reporting information from a 12-Lead ECG is consistent with that used for reporting rhythms.

The following information should be stated when reporting the results of a 12-Lead ECG:

1. The rhythm 2. The rate of the rhythm 3. Any abnormality. The following examples illustrate a systematic approach to ECG reporting. While the first three examples only describe the rhythm and rate, the other examples also include specific 12-Lead findings.

A sinus rhythm at a rate of 80.

A ventricular rhythm at a rate of 30 due to a complete heart block.

A paced ventricular rhythm of 60.

A sinus tachycardia at a rate of 110 with 4mm ST elevation in anterior leads V3 and V4 and reciprocal ST depression in the inferior leads.

A sinus bradycardia at a rate of 44 with a 1st degree AV block and ST elevation in inferior leads II, III and a VF without reciprocal changes

A junctional rhythm at a rate of 106 with a left bundle branch block.