Sie sind auf Seite 1von 74

EKG

Bases e Interpretacin
William Uribe Arango, M.D. Jefe Electrosiologa CES Cardiologa Presidente del Colegio Colombiano de Electrosiologa

Friday, August 19, 11

Friday, August 19, 11

Friday, August 19, 11

Friday, August 19, 11

Inicio despolarizacin
- - -++++++++++++++++++++++++++++ ++++++++++++++++++ -------------------------++++++++++++++

---------------------------

- - - +++++++++++++++++++++++++++

Friday, August 19, 11

Despolarizacin
- - - - - - - - - - - - - - ++++++++++++++++ ++++++++++++++++++ +++++++++++++ - - - - - - - - - - - - - ++++++++++++++

+++++++++++++- - - - - - - - - - - - - - -

- - - - - - - - - - - - - - ++++++++++++++++

Friday, August 19, 11

Final despolarizacin
------------------ ----------+++++++++++++++++++++++++++++ +++++++++++ ++++++++++++++

++++++++++++++++++++++++++++

------------------ -----------

Friday, August 19, 11

Inicio Repolarizacin
- - - - - - - - - - - - - - - - - - - - - - - - - - ++++ ++++++++++++++++++++++++ - - ++++++++++++++ ++++++++++++++++++

++++++++++++++++++++++++ - - -

- - - - - - - - - - - - - - - - - - - - - - - - - - ++++

Friday, August 19, 11

Repolarizacin
- - - - - - - - - - - - - - - + + + + + + + + ++++ +++++++++++++ - - - - - - - - - - - - ++++++++++++++ ++++++++++++++++++

+++++++++++++- - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - ++++++++++++++++

Friday, August 19, 11

Fin Repolarizacin (Reposo)


+++++++++++++++++++++++++++++++ ++++++++++++++++++ ++++++++++++++++++ --------------------------------------------------------+++++++++++++++++++++++++++++++ -

Friday, August 19, 11

3 2 1 0 1 2

+ 4

Friday, August 19, 11

3 2 1 0 1 2

+ 4

Friday, August 19, 11

Friday, August 19, 11

Friday, August 19, 11

Friday, August 19, 11

Friday, August 19, 11

Friday, August 19, 11

Friday, August 19, 11

Friday, August 19, 11

Friday, August 19, 11

Tringulo de Einthoven

Friday, August 19, 11

Tringulo de Einthoven

Friday, August 19, 11

Friday, August 19, 11

Friday, August 19, 11

Friday, August 19, 11

Frontal

Horizontal

Friday, August 19, 11

Friday, August 19, 11

Friday, August 19, 11

Friday, August 19, 11

Friday, August 19, 11

aVR +

aVL + DI +

+ DIII
Friday, August 19, 11

+ aVF

+ DII

V1

V2

V3

V4 V5 V6

Friday, August 19, 11

Friday, August 19, 11

Friday, August 19, 11

Vectores

SUMATORIA

RESULTANTE

Friday, August 19, 11

Friday, August 19, 11

EJE DEL QRS

-900

+1800

00

+600 +900
Friday, August 19, 11

EJE DE LA P

-900

+1800

00

+800 +900
Friday, August 19, 11

EJE DE LA T

-900

+1800 +150

00

+105
0

+600 +900

Friday, August 19, 11

Friday, August 19, 11

Friday, August 19, 11

V6 V1

Friday, August 19, 11

V6 V1

Friday, August 19, 11

V6

V1

Friday, August 19, 11

V6

V1
2
Friday, August 19, 11

5 1 4

V6

V1
2
Friday, August 19, 11

aVL

V6

Friday, August 19, 11

Bloqueos Distales BRIHH

Friday, August 19, 11

Friday, August 19, 11

Bloqueos Distales BRDHH

Friday, August 19, 11

Friday, August 19, 11

Criterios de Hemibloqueo Anterosuperior

Friday, August 19, 11

Hemibloqueo Anterosuperior HASI

Friday, August 19, 11

Friday, August 19, 11

Criterios Vectocardiografa

Friday, August 19, 11

Criterios de Hemibloqueo Posteroinferior

Friday, August 19, 11

Hemibloqueo Posteroinferior HPII

Friday, August 19, 11

Friday, August 19, 11

Teoras de corrientes de lesin


Pseudoelevacin del ST Diastlica
local o prdida potencial de reposo Lnea de base del ECG (TQ/TP) se deprime

Friday, August 19, 11

Teoras de corrientes de lesin


Pseudoelevacin del ST verdadera del ST Diastlica
local o prdida potencial de reposo Lnea de base del ECG (TQ/TP) se deprime

Sistlica
Completando la depolarizacin ventricular Area lesionada hace una repolarizacin precoz

Friday, August 19, 11

Presentacin simultnea de los patrones de Isquemia / Lesin / Infarto

Friday, August 19, 11

Presentacin simultnea de los patrones de Isquemia / Lesin / Infarto

Friday, August 19, 11

Presentacin simultnea de los patrones de Isquemia / Lesin / Infarto

Friday, August 19, 11

Vectores en Enfermedad Coronaria


EJE QRS CUADRANTE SUPERIOR DERECHO

LV RV

Depresin ST II > III

Friday, August 19, 11

Desviacin ST hacia la derecha y atrs pero en el cuadrante positivo de V1

Depresin del ST de V4 a V6

= Cuadrante positivo de V1. El vector del segmento ST est dentro del cuadrante positivo de V1
Friday, August 19, 11

IAM Anteroseptal

Friday, August 19, 11

IAM Anteroseptal

Friday, August 19, 11

IAM Anteroseptal

Friday, August 19, 11

Friday, August 19, 11

Friday, August 19, 11

Friday, August 19, 11

Patrn de Piedra Sepulcral


Onda R Convexidad superior ST que sobrepasa la onda R

Friday, August 19, 11

www.colelectrofisiologia.com www.ria-online.com www.scc.org.co www.solaece.org

Friday, August 19, 11

Friday, August 19, 11