RASTE TE EKG-VE PER USHTRIME

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PERGJIGJET
RASTI 1:
- RITEM SINUSAL
- EKSTRASISTOLE VENTRIKULARE
- BOSHT NORMAL
- QRS KOMPLEKSI DHE VALA T NORMALE

RASTI 2:
- RITEM SINUSAL
- BOSHTI NORMAL
- Q VALA TE VOGEL NE LIDHJET II, III DHE AVF
- VALA T BIFAZIKE NE LIDHJET II, V6,
T INVERSE NE LIDHJET III DHE AVF
T E RRITUR NE LIDHJET V1-V2
Dhembi Q ne lidhjet inferior, bashk me T inversen na suxherojne ne nje infarct te vjeter te murit
te poshtem te miokardit

RASTI 3:
- Ritem sinusal
- Boshti normal
- Dhembi Q ne lidhjet V2-V4
- Segmenti ST I rritur ne V2-V4
- Vala T inverse ne lidhjet I, AVF, V2-V6
Infarkt akut I miokardit anterior

RASTI 4:
- Tahikardi me frekuence 200/min
- Nuk duket vala P
- Boshti normal
- QRS e rregullt
- Kompleksi QRS normal, gjithashtu edhe ST segmenti dhe vala T normale.
Eshte tahikardi supraventrikulare dhe pasi qe vala P nuk shifet eshte nje edhe nje tahikardi junksionale ose tahikardi
atrioventrikulare

RASTI 5:
- Ritem sinusal
- Boshti normal
- ST depression – horizontal ne lidhjet I, AVL, V5-V6
Shikohet nje ishemi laterale dhe anteriore ne predisponim per Infarkt- Pra eshte nje Angine pectoris
Jostabile

RASTI 6:
- Rtem sinusal
- Devijim te bushtit ne te Djathte
- Dhembi P I madh qe me se miri shihet ne lidhjen e II-te
- Dhembi I madh R ne V1
- Dhembi S ne V6 I thelle
- T inverse ne II, III, AVF, V1-V3
Ky kombinim me Devijim te bushtit ne te Djathte, Dhembi I madh R ne V1 dhe T inverse ne lidhjet e
dhjathta te zemres na qojne te mendojme per nje Hipertrofi te ventrikulit te Djathte.

RASTI 7:
- Fibrilacion atrial me frekuence ventrikulare prej 40/min
- Boshti ne te majte
- Bllok I deges se majte

RASTI 8:
- Ritem sinusal
- Ekstrasistole atriale me vale P jonormale qe me se miri shihet ne lidhjet V2 dhe V3
- Ekstasistolat ndiqen nga nje pause kompenzatore
- Boshti normal
- QRS I ngushte
- ST segmenti dhe dhembi T normal

RASTI 9:
- Bllok I shkalles se dyte (2:1)
- PR I zgjatur
- Frekuenca ventrikulare 40/min

RASTI 10:
- Fluter atrial me bllok 2:1 qe me mir shifet ne lidhjet II, aVR, aVF
- Boshti normal
- QRS kompleksi normal, dhembi T normal

RASTI 11:
- Ritem sinusal
- Boshti normal
- Q e vogel ne lidhjen III
- ST elevimi ne lidhjet II, III, aVF
- T inverse ne aVL
- ST depression ne lidhjet V2-V3
Infarkt I murit inferior te Miokardit

RASTI 12:
- Ritem sinusal
- Aksisi ne te Djathte
- Intervali PR I shkurter
- QRS I gjere
- R e rritur ne V1
- T inverse

RASTI 13:
- Ritem sinusal
- PR Intervali I zgjatur
- Bosht normal
- QRS kompleksi normal
- ST segmenti normal dhe T vala normal
Bllok I deges se Pare me ritem sinusal
RASTI 14:
- Ritem sinusal
- Ekstrasistole ventrikulare
- Boshti normal
- Dhembi Q ne V2-V3, Q e vogel ne lidhjet aVL, V4
- ST I rritur ne lidhjet I, aVL, V3-V5
Infarkt I murit anterolateral te Miokardit

RASTI 15:
- Ritem sinusal, frekuenca 48/min
- Boshti normal
- QRS normal, por vala R e larte ne lidhjet V5, dhe vala R e ulet ne V2
- T inverte ne lidhjet I, aVL, V5-V6
Hipertrofi e ventrikulit te majte.

RASTI 16:
- Ritem sinusal
- QRS I gjere
- Modeli M ne lidhjen V6
- T inverte ne lidhjet I, aVL, V6
Karakteristike per bllokun e deges se Majte

RASTI 17:
- Sinus rhythm
- Second degree (2:1) heart block (most obvious in lead V3)
- Ventricular rate 30/min
- Normal PR interval in the conducted beats
- Normal axis
- QRS duration prolonged (160 ms)
- RSR pattern in leads V1-V3and a wide S wave in lead V6
- Prominent U wave in leads V3-V6
This patient has second degree block and right bundle branch block

RASTI 18:
- Sinus rhythm
- Normal axis
- Normal QRS complexes
- Biphasic T waves in leads V2, V3, V5
- Inverted T waves in lead V4
This is a classic acute anterior non-Q wave infarction

RASTI 19:
- Sinus rhythm
- Supraventricular (junctional) extrasystoles
- Normal axis
- Broad QRS complexes (140 ms)
- 'M' pattern of QRS complex in leads V4-V6
- Inverted T waves in leads I, VL, V4-V6
This ECG shows sinus rhythm with supraventricular extrasystoles and left bundle branch block (LBBB). No further
interpretation is possible.
RASTI 20:
- Sinus rhythm
- Normal axis
- Q waves in leads II, III, VF
- Normal QRS complexes in the anterior leads
- Marked ST segment elevation in leads V1-V6
The Q waves in leads III and VF suggest an old inferior infarction, while the elevated ST segments in leads V 1-V6 indicate
an acute anterior infarction.

RASTI 21:
- Sinus rhythm
- Normal axis
- Broad QRS complexes (140 ms)
- RSR pattern in lead I
- Wide and slurred S waves in lead V5
- Normal ST segments and T waves
Right bundle branch block.

RASTI 22:
- Sinus rhythm
- PR intervals markedly prolonged (480 ms)
- Normal axis
- Normal QRS complexes
- T wave inversion in leads V1-V3
First degree block associated with a non-Q wave anterior myocardial infarction. Since the T wave inversion is in leads V 1-
V3 but not V4 the possibility of a pulmonary embolus must be considered.

RASTI 23:
- Sinus rhythm
- Normal axis
- Q waves in leads II, III, VF
- Elevated ST segments in leads II, III, VF with biphasic T waves
- Downward-sloping ST segments in lead VL
- Normal QRS complexes, ST segments and T waves in the chest leads
This is an acute inferior myocardial infarction. The rapidity of Q wave development is extremely variable, but the trace is
certainly consistent with a 4 h history.

RASTI 24:
- Sinus rhythm
- Normal axis
- Normal QRS complexes
- Marked (about 8 mm) horizontal ST segment depression in leads V2-V4, and downwardsloping ST
segment depression in the lateral leads
The patient is elderly and has peripheral vascular disease, so coronary disease is likely to be present. The appearance of
the ECG is characteristic of severe cardiac ischaemia. The lack of a tachycardia is surprising.
RASTI 25:

- Sinus tachycardia
- RBBB, complete
- Left posterior fascicular block
- Anterior or anteroseptal Q wave MI (age recent or acute)
- Inferior Q wave MI (age recent or acute)
- ST and/or T wave abnormalities suggesting myocardial
injury
RASTI 26:
- Left atrial abnormality/enlargement
- Sinus tachycardia
- Left axis deviation (> –30􀁯􀀉
- LBBB, complete

RASTI 27:

RASTI 28:
- Sinus rhythm
- Right axis deviation (> +100􀁯􀀉
- Right ventricular hypertrophy
- RBBB, complete
- ST and/or T wave abnormalities secondary to hypertrophy

RASTI 29:
- Sinus rhythm
- AV junctional escape complexes
- AV block, 2°-Mobitz type I (Wenckebach)
- Inferior (age recent or acute)

RASTI 30:
- Sinus bradycardia (< 60)
- Sinus pause
- Inferior Q wave MI (age indeterminate or old)
- ST and/or T abnormalities suggesting myocardial ischemia
- Sick sinus syndrome
- Pacemaker malfunction, not constantly sensing (atrium or ventricle)

RASTI 31:
- Sinus rhythm
- Supraventricular tachycardia, paroxysmal