12-Lead ECG Interpretation

PurPose

To introduce a systematic approach to essential aspects of 12-Lead ECG interpretation applicable to paramedic practice. Particular emphasis is placed on the identification of ischaemic changes associated with acute myocardial infarction (AMI) and rapid ST-segment elevation myocardial infarction (STEMI) identification.

learning outComes • Apply a systematic approach to 12-Lead ECG analysis • State and identify the ECG changes associated with acute ischaemia, injury or infarction • Recognise the myocardial regions commonly affected by ischaemia and infarction, and identify the respective groups of ‘facing’ ECG leads • State the significance of reciprocal ECG changes and identify the groups of ECG leads likely to indicate respective reciprocal changes • Identify the differentiate Left and Right Bundle Branch Block on a 12-Lead ECG • Demonstrate the application of a systematic process in reporting the interpretation of a 12-Lead ECG • List common conditions that may mask or mimic an ST elevation myocardial infarction (STEMI) • Correctly identify inferior, anterior, lateral and septal STEMI on a diagnostic 12-Lead

ECG.