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10 ATURAN BACA

EKG / ECG
The 10 rules for a normal ECG

I II III aVR aVL aVF V1 V2 V3 V4 V5 V6

.2
Rule 1

1.0 R

PR
interval
0.5
T
PR interval should be 120 to
Millivolts

P 200 milliseconds or 3 to 5 little


Q
0 squares

-0.5 S

0 200 400 600

Milliseconds
Rule 2

1.0 R

0.5
T
The width of the QRS complex
Millivolts

P should not exceed 110 ms, less


Q
0 than 3 little squares

-0.5 S
QRS

0 200 400 600

Milliseconds
Rule 3

I II III aVR aVL aVF

The QRS complex should be


dominantly upright in leads I and II
Rule 4

I II III aVR aVL aVF

QRS and T waves tend to have the


same general direction in the limb
leads
Rule 5

P All waves are negative in lead aVR

Q S
Rule 6
V6
V5
V4
V3
V2
V1

The R wave in the precordial leads must grow from V1 to at least V4


Rule 7

I II III aVR aVL aVF V1 V2 V3 V4 V5 V6

The ST segment should start isoelectric except in V1 and


V2 where it may be elevated
Rule 8

I II III aVR aVL aVF V1 V2 V3 V4 V5 V6

The P waves should be upright in I, II, and V2 to V6


Rule 9

I II III aVR aVL aVF V1 V2 V3 V4 V5 V6

There should be no Q wave or only a small q less than


0.04 seconds in width in I, II, V2 to V6
Rule 10

I II III aVR aVL aVF V1 V2 V3 V4 V5 V6

The T wave must be upright in I, II, V2 to V6


SUDAH MANTAP ????

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