12 Lead ECG

Current Concepts

Dana Yost, Senior Paramedic

Paramedic Training
King County, WA

American Heart Journal Dec 2010

New Vocabulary..
Discordant (Discordance)

or

Conflicting
The act of going in different directions

Concordant (Concordance)
Agreeing
The act of going in the same direction.

or

LBBB = Discordance

or

Paced Rhythms = Discordance

or

LBBB w/ Concordance !!!

or

Paced Rhythm w/ Concordance !!!

or

Isolated Posterior MI

LMCAO

Wellens Syndrome

Saturday, October 13, 2012

9:31 PM

Wellens Syndrome

Saturday, October 13, 2012

8:59 PM

DeWinter T waves

Brugada Syndrome

Brugada Syndrome

Saturday, October 13, 2012

9:42 PM

Brugada Syndrome

Brugada Syndrome

Saturday, October 13, 2012

9:42 PM

Brugada Syndrome

Tachycardia S1 Q3 T3 (IRBBB)

Tachycardia S1 Q3 T3 (IRBBB)

Summary
Use a systematic approach to interpretation
Recognize Concordance in LBBB and Pacer

Recognize:

Posterior
LMCAO
Wellens Syndrome
DeWinters
Brugada Syndrome
PE

Questions