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12 Lead ECGCurrent Concepts
Dana Yost, Senior Paramedic
Paramedic TrainingKing County, WA
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American Heart Journal Dec 2010
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New Vocabulary..
Discordant (Discordance)
Conflicting
The act of going in different directions
Concordant (Concordance)
Agreeing The act of going in the same direction.
or
or
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LBBB = Discordance or
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Paced Rhythms = Discordance or
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LBBB w/ Concordance !!! or
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Paced Rhythm w/ Concordance !!! or
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Isolated Posterior MI
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LMCAO
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Wellens Syndrome
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Wellens Syndrome
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DeWinter T waves
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Brugada Syndrome
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Brugada Syndrome
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Brugada Syndrome
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Brugada Syndrome
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Tachycardia S1 Q3 T3 (IRBBB)
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Summary
Use a systematic approach to interpretation
Recognize Concordance in LBBB and Pacer
Recognize: Posterior LMCAO Wellens Syndrome DeWinters Brugada
Syndrome PE
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Questions
