14.5
Interpretación del ECG I: Ritmos
Un electrocardiograma (ECG) representa gráficamente la actividad eléctrica del corazón en papel o en un monitor.
Componentes del electrocardiograma
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Un electrocardiograma o ECG captura y analiza la actividad eléctrica del corazón para evaluar su función, ritmo y sistema de conducción eléctrica.
Cada fase del ciclo cardíaco está representada por formas de onda específicas en la pantalla de un monitor cardíaco o en una tira de papel cuadriculado de ECG.
Los componentes clave de una forma de onda de ECG incluyen la onda P, el intervalo PR, el complejo QRS, el segmento ST, la onda T y, a veces, una onda U.
La onda P suele tener una altura de 2,5 mm o menos y una duración de 0,11 segundos o menos.
El intervalo PR fluctúa de 0,12 a 0,20 segundos.
El complejo QRS suele durar menos de 0,12 segundos.
El segmento ST suele ser isoeléctrico.
La onda T aparece como una deflexión suave y positiva. El intervalo QT varía con la frecuencia cardíaca.
Una tira rítmica de un minuto contiene 300 cajas grandes y 1500 pequeñas.
Cuente las cajas pequeñas dentro de un intervalo RR y divida 1500 por ese número para determinar la frecuencia cardíaca con un ritmo regular.
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Q1: What are the main components of a normal ECG waveform?
A normal ECG waveform includes the P wave, PR interval, QRS complex, ST segment, T wave, and sometimes a U wave. The P wave represents atrial depolarization, the PR interval shows conduction delay, the QRS complex reflects ventricular depolarization, the ST segment indicates early ventricular repolarization, and the T wave represents ventricular repolarization. These components together create the electrical signature of a normal heartbeat.
Q2: How do you measure the PR interval on an ECG?
The PR interval is measured from the beginning of the P wave to the start of the QRS complex and normally ranges from 0.12 to 0.20 seconds. This interval encompasses the P wave and the PR segment, representing the time for electrical impulses to travel from the atria through the atrioventricular node to the ventricles. Variations outside this range may indicate conduction abnormalities.
Q3: What does the QRS complex represent on an ECG?
The QRS complex represents ventricular depolarization and consists of three waves: the Q wave (negative deflection), R wave (positive deflection), and S wave (negative deflection). The entire complex normally lasts less than 0.12 seconds. This rapid electrical activity triggers ventricular muscle contraction, making it one of the most prominent features on an ECG strip.
Q4: How is heart rate calculated from an ECG strip?
To calculate heart rate from an ECG strip with regular rhythm, count the small boxes between two consecutive R waves and divide 1500 by that number to get beats per minute. For example, if there are 25 small boxes between R waves, the calculation is 1500 divided by 25, which equals 60 beats per minute. A one-minute rhythm strip contains 300 large boxes and 1500 small boxes.
Q5: What is the significance of the ST segment on an ECG?
The ST segment links the QRS complex to the T wave and is usually isoelectric, meaning it appears as a flat line on the ECG. It indicates the early phase of ventricular repolarization. Elevation or depression of the ST segment from its normal baseline can signal cardiac injury, ischemia, or other serious conditions requiring clinical attention.
Q6: What do the RR and PP intervals tell you about cardiac rhythm?
The RR interval, measured from one QRS complex to the next, determines ventricular rate and rhythm. The PP interval, measured from one P wave start to the next, measures atrial rate and rhythm. Regular intervals indicate normal sinus rhythm, while irregular intervals suggest arrhythmias. These measurements help identify abnormal heart rhythms that may require further evaluation with ecg interpretation of arrhythmias ii atrial junctional and ventricular arrhythmias.
Q7: What are the normal measurements for the P wave and T wave?
The P wave typically measures 2.5 millimeters or less in height and 0.11 seconds or less in duration, representing atrial depolarization. The T wave appears as a smooth, positive deflection following the QRS complex and represents ventricular repolarization. Both waves should display consistent morphology and timing across the ECG strip to indicate normal electrical conduction.