ECG Mnemonics Made Easy to Remember



In this article we will discuss all the ECG Mnemonics. We have tried to cover all the topic relavent things in this article.

and if you are the kind who has a tough time remembering changes in "which lead" correlates with the "where" the heart is injured, this article is for you.

ECG 

ECG Mnemonics:

1) ST elevation ELEVATION.

Electrolytes, LBBB, Early Repolarization, Ventricular hypertrophy, Aneurysm, Treatment (eg
pericardiocentesis), Injury (AMI, contusion), Osborne waves (hypothermia), Non-occlusive
vasospasm (prinzmetal’s)

2) Exercise ramp ECG: contraindications RAMP:

Recent MI
Aortic stenosis
MI in the last 7 days
Pulmonary hypertension

3) ECG: T wave inversion causes INVERT:

Ischemia
Normality [esp. young, black]
Ventricular hypertrophy
Ectopic foci [eg calcified plaques]
RBBB, LBBB
Treatments [digoxin]


4) EKG: 12 lead EKG quick interpretation of V1-V6 SSAALL:

· Elevations matched with their classic location of MI:
V1 Septal
V2 Septal
V3 Anterior
V4 Anterior
V5 Lateral
V6 Lateral


5) Pericarditis: EKG "PericarditiS":

PR depression in precordial leads.
ST elevation.


6) Depressed ST-segment: causes DEPRESSED ST:

Drooping valve (MVP)
Enlargement of LV with strain
Potassium loss (hypokalemia)
Reciprocal ST- depression (in I/W AMI)
Embolism in lungs (pulmonary embolism)
Subendocardial ischemia
Subendocardial infarct
Encephalon haemorrhage (intracranial haemorrhage)
Dilated cardiomyopathy
Shock
Toxicity of digitalis, quinidine


7) ECG: left vs. right bundle block "WiLLiaM MaRRoW":

W pattern in V1-V2 and M pattern in V3-V6 is Left bundle block.
M pattern in V1-V2 and W in V3-V6 is Right bundle block.
· Note: consider bundle branch blocks when QRS complex is wide.


8) ST elevation causes in ECG ELEVATION:

Electrolytes
LBBB
Early repolarization
Ventricular hypertrophy
Aneurysm
Treatment (eg pericardiocentesis)
Injury (AMI, contusion)
Osborne waves (hypothermia)
Non-occlusive vasospasm


9) Einthoven's Triangle: organization Corners are at RA (right arm), LA (left arm), LL (left leg).

Number of L's at a corner tell how many + signs are at that corner [eg LL is ++].
Sum of number of L's of any 2 corners tells the name of the lead [eg LL-LA is lead III].
For reference axes, the negative angle hemisphere is on the half of the triangle drawing that has all the negative signs; positive angle hemisphere contains only positive signs.


10) Dominant R wave in V1 WORD

WPW, Old MI, RBBB, Dextrocardia 

Hope our article "ECG Mnemonics Made Easy To Remember" will help you to get command on this topic. 

Till then, Happy studying.