Six Second ECG Glossary

Helping you understand the technical terms of ECG interpretation

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Defibrillation

For those in pulseless ventricular tachycardia (VT), ventricular fibrillation or polymorphic VT; an asynchronous application of an electrical current to the heart to depolarize all

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Delta wave

A slurring of the upstroke of the QRS produced by early depolarization (pre-excitation) of a ventricle via an accessory pathway (see Woolf-Parkinson-White Syndrome). Woolf-Parkinson-White Syndrome

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Demand Mode (Pacemaker)

The synchronous pacing of the heart by an artificial pacemaker; the pacemaker fires only if the heart does not initiate an intrinsic impulse within a

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Depolarization

The rapid influx of positive ions (sodium and/or calcium) into a cell – depolarization is necessary for contraction to occur. A depolarizing wave moves through

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Design

The intentional planning and creation of a structure or system, often balancing aesthetics, functionality, and purpose. Design is like drawing a blueprint—it gives shape to

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Design Thinking

A problem-solving approach that emphasizes empathy, creativity, and iteration, focusing on user needs. Design thinking is like putting yourself in someone else’s shoes to understand

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Dextrocardia

A relatively rare phenomena, with the heart located on the right side of the thorax (rather than the typical left thorax position). 1. Six Second

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Diastole

The phase of relaxation during the cardiac cycle; occurs for the atria and the ventricles; blood enters the heart’s chambers and the coronary arteries during

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Digoxin Dip

ST segment deviation (possible ventricular strain or digoxin dip) Between the QRS complex and the T wave, lies the ST segment. The ST segment usually

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Diphasic (Biphasic)

A wave that includes both an upright (positive) and downward (negative) deflection. Diphasic is also called Biphasic 1. Six Second ECG Guidebook (2012), T Barill,

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Dromotropic

Refers to a physiological response that involves the conduction speed through the AV junction; note that a positive dromotropic effect increases the speed of conduction.

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Dual Chamber Paced Rhythm

Transcutaneous pacing and temporary transvenous pacing or an implanted cardiac pacemaker with a lead in a ventricle (typically right ventricle) that initiates a depolarizing wave

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Dual Chamber Pacemaker

An artificial pacemaker fires first in the atria, then in the ventricle similar to normal cardiac functioning, thus allowing for atrial kick. 1. Six Second

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Dyskinetic

A sub-optimal contracting myocardium due to ischemia, infarction and other cardiac diseases such as cardiomyopathies. 1. Six Second ECG Guidebook (2012), T Barill, p. 195

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Dysrhythmia

Used interchangeably with arrhythmia, refers to any abnormal rhythm – not normal sinus rhythm or sinus tachycardia. 1. Six Second ECG Guidebook (2012), T Barill,

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  Six Second ECG Intensive Six Second ECG Mastery 12 Lead ECG & ACS 12 Lead Advanced
Prerequisite

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Any Six Second ECG Course

12 Lead ECG & ACS

Time Frame

8 hours (1-day Course or 2 evenings)

20 hours 3-day Course

8 hours 1-day Course

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Tuition

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Completion Card
Exam and Certification
SkillStat 2U-able
Reference materials included
Dynamic ECG rhythm interpretation
Static ECG rhythm interpretation
Clinical Impact Mapping
Acute Coronary Syndromes Overview
Acute Coronary Syndromes In-Depth
ST Segment & T Wave Differential
Identify Bundle Branch Blocks
15 | 18 Lead View Mapping
Electrical Axis
R Wave Progression
Left Bundle Branch Blocks with ACS
Atypical Findings
Acute Non-Ischemic Disease Conditions
Special Cases

•-included;     ○-reviewed
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