imPULSE 4.0 - Level V - 12-Lead ECG Core Elements

Course overview

Level V of imPULSE 4.0 builds on basic information needed to view and understand diagnostic ECGs. We will correlate cardiac regions and coronary vessels to 12-lead layout so the origins of waveform abnormalities can be accurately identified. Precordial and contiguous leads, vectors, normal R-wave progression, and limb lead reversal issues are explored to provide meaningful insight into abnormal changes on the ECG. A systematic methodology is given to consistently analyze all components of the 12 lead, focusing on rate, rhythm, abnormal R-wave progression and waveform morphology. Zoom in to recognize relevant ECG changes associated with myocardial ischemia and injury (STEMI, NSTE-ACS), particularly ST-segment elevation, ST-segment depression, and T-wave inversion. Engaging check learning quizzes throughout this course will help to clarify and reinforce the complexities of 12-lead ECGs.