Advanced Methods and Tools for ECG Data Analysis

3.3: Standard Clinical ECG Features

3.3 Standard Clinical ECG Features

Clinical assessment of the ECG mostly relies on relatively simple measurements of the intrabeat timings and amplitudes. Averaging over several beats is common to either reduce noise or average out short-term beat-to-beat interval-related changes. The complex heart rate-related changes in the ECG morphology (such as QT hysteresis [4]) can themselves be indicative of problems. However, a clinician can extract enough diagnostic information to make a useful assessment of cardiac abnormality from just a few simple measurements.


Figure 3.6: Standard fiducial points in the EC G (P, Q, R, S, T, and U) together with clinical features (listed in Table 3.1).
Table 3.1: Typical Lead II ECG Features and Their Normal Values in Sinus Rhythm at a Heart Rate of 60 bpm for a Healthy Male Adult (see text and Figure 3.6 for definitions of intervals)

Feature

Normal Value

Normal Limit

P width

110 ms

20 ms

PQ/PR interval

160 ms

40 ms

QRS width

100 ms

20 ms

QTc interval

400 ms

40 ms

P amplitude

0.15 mV

0.05 mV

QRS height

1.5 mV

0.5 mV

ST level

0 mV

0.1 mV

T amplitude

0.3 mV

0.2 mV

Note: There is some variation between lead configurations. Heart rate, respiration patterns, drugs, gender, diseases, and ANS activity also change the values. QTc = ?QT where ? = . About 95% of (normal healthy adult) people have a QTc between 360 ms and 440 ms. Female durations tend to be approximately 1% to...

UNLIMITED FREE
ACCESS
TO THE WORLD'S BEST IDEAS

SUBMIT
Already a GlobalSpec user? Log in.

This is embarrasing...

An error occurred while processing the form. Please try again in a few minutes.

Customize Your GlobalSpec Experience

Category: Volatile Organic Compounds (VOC) Analyzers
Finish!
Privacy Policy

This is embarrasing...

An error occurred while processing the form. Please try again in a few minutes.