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Mastering ECG Recording: Techniques and Pitfalls

Learn to record ECG accurately and avoid pitfalls. Understand the significance of ECG in diagnosing heart conditions. Patient care guidelines included.

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Mastering ECG Recording: Techniques and Pitfalls

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  1. The Perils and Pitfalls of ECG Recording Jane Mackenzie Chris Monaco

  2. What is an ECG and Why do we record it? • An ECG records the electrical activity of the heart muscle ECG recordings are used to- • Identify normal and abnormal heart rhythms • To diagnose life threatening conditions • To detect heart attacks • To determine the next course of action or treatment for the patient.

  3. How Do we Record it? To record an ECG you need • An ECG machine and cables • A comfortable couch • A warm environment • Electrodes • Privacy • A TRAINED competent operator • Oh............ and a patient !!!

  4. Perils and Pitfalls • You could put electrodes in the wrong place YOU CAN MISS A HEART ATTACK • You use the wrong machine settings You can hide or create abnormal waveforms and therefore the patient could get the Wrong Diagnosis • The recording is of poor quality It cannot be interpreted

  5. ECG waveforms should look like this..

  6. And NOT like this ! Muscle Electrical Wanderingbaseline

  7. How to record an ECG • https://www.youtube.com/watch?v=lrjAYCi1duI

  8. Patient Care • Patient is informed • Environment is safe • Relaxed and comfortable • Identified ( 3 points) and consented • Lie patient on couch/ bed • Semi supine position as per guidance

  9. Follow the Guidelines • Place electrodes on limbs • In correct position • Trained operator is available • Feel and count the rib spaces • Always be accurate • Leeway – there isn’t any ! • Learn how to record an artefact free ECG • Select the correct machine settings

  10. This ECG is perfect ! Are yours ??

  11. ECG Training at Bradford PCTC • Block One – Practical ECG recording • Block Two– Interpret a Normal ECG • Block Three - Recognise Abnormal Rhythms • Block Four - Acute Coronary Syndrome ( identify heart attacks on the ECG)

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