An electrocardiogram (ECG or EKG) is a method to graphically display the electric current generated by the heart muscle during a heartbeat. This SIMTICS module teaches you how to prepare for, record, and interpret a 12-lead ECG. Including both Learn and Test modes, the online simulator offers a scenario that tests your ability to interpret a 12-lead ECG. Practice the steps of the procedure as often as you want until you are confident.
You’ll learn
to practice, perfect, and test your skills in setting up, recording, and interpreting a 12-lead ECG
to better visualize and understand the anatomy and physiology of the heart, with our 3D model and illustrations
how to determine the heart rate and identify different heart rhythms on the ECG strip: atrial, junctional, ventricular, and pacemaker rhythms, and AV blocks
about stress testing and Holter monitoring
much more (see Content Details for specific information)
Introduction
Step 1 - Record the ECG
Step 1.1 - Annotate the presence of symptoms on the ECG tracing
Step 2 - Analyze the rhythm strip (2 lead)
Step 2.1 - Assess the rate
Step 2.1.1 - The 6-second ECG count
Step 2.1.2 - Count large squares
Step 2.1.3 - Count small squares
Step 2.1.4 - Sequence method
Step 2.2 - Assess the rhythm
Step 2.2.1 - Ventricular rhythm
Step 2.2.2 - Atrial rhythm
Step 2.2.3 - Regularity
Step 2.3 - Identify and assess the P wave
Step 2.4 - Assess the intervals (conduction)
Step 2.4.1 - PR interval
Step 2.4.2 - QRS duration
Step 2.4.3 - QT interval
Step 2.5 - Evaluate overall appearance
Step 3 - Sinus rhythms
Step 3.1 - Features of sinus rhythms
Step 3.2 - Sinus bradycardia
Step 3.3 - Sinus tachycardia
Step 3.4 - Sinus arrhythmia
Step 3.5 - Sinoatrial block
Step 3.6 - Sinus arrest
Step 4 - Atrial arrhythmia
Step 4.1 - Premature atrial complexes (PACs)
Step 4.2 - Wandering atrial pacemaker
Step 4.3 - Multifocal atrial tachycardia
Step 4.4 - Supraventricular tachycardia
Step 4.4.1 - Atrial tachycardia
Step 4.4.2 - AVNRT
Step 4.4.3 - AVRT
Step 4.5 - Atrial flutter
Step 4.6 - Atrial fibrillation
Step 5 - Junctional arrhythmia
Step 5.1 - Premature junctional complexes (PJCs)
Step 5.2 - Junctional escape beats/rhythm
Step 5.3 - Accelerated junctional rhythm
Step 5.4 - Junctional tachycardia
Step 6 - Ventricular arrhythmia
Step 6.1 - Premature ventricular complexes
Step 6.1.1 - Types of PVC
Step 6.2 - Ventricular escape beats
Step 6.3 - Idioventricular rhythm
Step 6.4 - Accelerated idioventricular rhythm (AIVR)
Step 6.5 - Ventricular tachycardia (VT)
Step 6.5.1 - Types of VT
Step 6.6 - Ventricular fibrillation (VF)
Step 6.7 - Asystole
Step 6.8 - Pulseless electrical activity
Step 7 - AV blocks
Step 7.1 - First-degree AV block
Step 7.2 - Second-degree AV block
Step 7.2.1 - Second-degree AV block type I (Wenckebach, or Mobitz type I)
Step 7.2.2 - Second-degree AV block type II (Mobitz type II)
Step 7.2.3 - Second-degree AV block, 2:1 conduction (2:1 AV block)
Step 7.3 - Third-degree/complete AV block
Step 8 - Pacemaker rhythms
Step 8.1 - Pacemaker terminology
Step 8.2 - Pacemaker systems
Step 8.2.1 - Single-chamber pacemakers
Step 8.2.2 - Dual-chamber pacemakers
Step 8.2.3 - Transcutaneous pacing
Step 8.3 - Pacemaker malfunction and complications
Step 8.4 - Analyzing pacemaker function with an ECG
Step 9 - Interpret the 12-lead ECG
Step 9.1 - Normal 12-lead ECG
Step 9.1.1 - Leads
Step 9.1.2 - Layout of the 12-lead ECG
Step 9.2 - Axis
Step 9.2.1 - Vectors
Step 9.2.2 - Einthoven's triangle/Hexaxial reference system
Step 9.2.3 - Two-lead method of axis determination
Step 9.3 - Myocardial ischemia
Step 9.3.1 - ST segment changes
Step 9.3.2 - T wave changes
Step 9.4 - Myocardial infarction
Step 9.4.1 - ST changes
Step 9.4.2 - T wave changes
Step 9.4.3 - Q waves
Step 9.5 - Pericarditis
Step 9.6 - Pericardial effusion
Step 9.7 - Electrolyte imbalance
Step 9.7.1 - Imbalance of sodium ions
Step 9.7.2 - Imbalance of calcium ions
Step 9.7.3 - Imbalance of magnesium ions
Step 9.7.4 - Imbalance of potassium ions
Step 9.8 - Conduction abnormalities
Step 9.8.1 - Right bundle branch block
Step 9.8.2 - Left bundle branch block
Step 9.9 - Analyzing an ECG
Step 9.9.1 - Systematic method
Step 10 - Stress testing and Holter monitoring
All required reference materials are provided with this program. Technical requirements:
Internet Connection
• Broadband or High-Speed (DSL, Cable, Wireless)
Hardware Requirements
• Processor - 2GHz Processor or Higher
• Memory - 1 GB RAM Minimum Recommended
Software Requirements
• Operating Systems - Windows 7, 8 or 10; Mac OS x 10 or higher
• Microsoft Office 2007, 2010 or 2013 or a Word Processing application to save and open Microsoft Office formats (.doc, .docx, .xls, .xlsx, .ppt, .pptx)
• Internet Browsers - Google Chrome is highly recommended
• Cookies MUST be enabled
• Pop-ups MUST be allowed (Pop-up Blocker disabled)
• Adobe PDF Reader
This class is an independent-study course. Students will have all the resources needed to successfully complete the course within the online material. A student helpdesk is available for technical support during the course enrollment.
ECG Interpretation for Medical Professionals Simulation FAQs
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