Welch Allyn Means ECG Physicians Manual for CP Series Electrocardiographs - User Manual - Manual (Page 25)

MEANS Physicians Manual
Welch Allyn
25
2.16 Pulmonary disease
Skip tests
if:
QRS duration

126 ms
or positive QRS amplitude in V5

950 µV
or test septal infarct passed
or test anterior infarct passed
or test lateral infarct passed
Say:
“consider pulmonary disease”
if: undetermined P axis
and QRS area in V5 < 0
and top-top QRS amplitude  500 µV in all extremity leads
or 80

QRS axis < 120

or 50

P axis < 110

and QRS area in V4 < 0
and top-top QRS amplitude

500 µV in all extremity leads
or 80

QRS axis < 120

or RAO
or QRS area in V3 < 0 and positive P amplitude in II  250 µV
or top-top QRS amplitude

500 µV in all extremity leads
and QRS area in V4 < 0
and top-top QRS amplitude in V6 < 600 µV
and 80

QRS axis < 120

or RAO
or QRS area in V3 < 0 and positive P amplitude in II

250 µV
Say:
“ with cor pulmonale”
if: test pulmonary disease passed
and Q amplitude in V1

70 µV
and R amplitude in V1  60 µV
and R

amplitude in V1

60 µV
2.17 ST elevation
Say: “inferior ST elevation”
if: positive J amplitude in aVF

100 µV
and positive J amplitude

100 µV in II or III
Say:
“high-lateral ST elevation”
if: positive J amplitude

100 µV in I and aVL
Say:
“right-precordial ST elevation”
if: positive J amplitude

200 µV in V2 and V3
Say:
“mid-precordial ST elevation”
if: positive J amplitude in V3

200 µV
and positive J amplitude

100 µV in V4 and V5
Say:
“left-precordial ST elevation”
if: positive J amplitude

100 µV in V5 and V6