Atrial RAte ___________bpm Ventricular RAte…
Atrial RAte ___________bpm Ventricular RAte ____________bpm (1 point) RHythm 1P:1QRS & P & QRS associated? Yes No (.5 point) Do the P-P and R-R “march out”? Yes No (.5 point) Sinus paced rhythm? Yes No (1 point) Intervals –Only record your measurement and assessment on the lines provided if abnormal (width in sec, height in mm, shape abnormality, if isoelectric, etc.). Circle if Normal or Not Normal, based upon criteria identified in the handout, “Steps for 12 Lead Interpretation”. P __________ Normal Not Normal (.5 point) PR __________ Normal Not Normal (.5 point) QRS __________ Normal Not Normal (.5 point) ST __________ Normal Not Normal (.5 point) T __________ Normal Not Normal (.5 point) QT __________ Normal Not Normal (.5 point) Axis (Circle) Normal RAD LAD , _______ to ________ degrees (1 point) Hypertrophy (circle any that apply and NA if there is no evidence of hypertrophy) (1 point) RAH RVH LAH LVH None (not applicable) Infarction No______ Yes _______If yes, what anatomical area(s)? ____________________(1 point) Identification______________________________________________________ (1 point)
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