ECG Interpretation

Welcome to ECG Interpretation. Four sessions run over Friday and Saturday, each taught from real tracings you read in your group with calipers in hand; Sunday is a practical day of reading stations, a live recording and a thirty-ECG marathon before the assessment. Session 1, Basics: the first pass in leads II and V1, the three-small-box rule for QRS width, the 300 and 10-second rules for rate, and the quadrant method for axis with lead II as tie-breaker. Session 2, Conduction abnormalities: bundle branch blocks, hemiblocks, the P wave, junctional rhythms and the PR-interval rule. Session 3, Tachycardia: the narrow/wide classification, SVT mechanisms, VT features and Brugada criteria. Session 4, Myocardial infarction: territories, mimics versus the real thing, and occlusion beyond classic STEMI.

What you will be able to do by the end

• Run the first pass, then measure QRS width, rate and axis — including the left, right and northwest differentials
• Recognise RBBB and LBBB, use RBBB plus axis to diagnose the hemiblocks, and classify every heart block by the PR-interval rule
• Place any tachycardia in the classification and apply the VT features and Brugada criteria to a broad-complex tachycardia
• Assign infarction to a territory, tell a mimic from true occlusion, and recognise occlusion patterns beyond classic STEMI
• Record a 12-lead correctly and spot lead reversal, misplacement and artefact

Assessment and certificate

Certification requires attendance on all three days and a 12-question post-test score of at least 80% on Sunday. The app marks the post-test instantly, so certificates are printed and presented at the close of the final day.