Six Second ECG Glossary

Helping you understand the technical terms of ECG interpretation

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R Wave

Following the depolarization of the interventricular septum, ventricular depolarization then progresses from the endocardium through to the epicardium across both ventricles producing an R wave

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R Wave Progression

The phenomenon of R wave progression utilizes the following six leads: V1, V2, V3, V4, V5, V6. The chest leads provide information on the sagittal

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Rate

Heart Rate; calculated by counting the number of QRS complexes in six seconds and multiplying by 10; rate is also determined by measuring the number

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Re-entry

One of several causes of dysrhythmias, the re-entry loop often results in tachycardias; the re-entry loop requires an area with slowed speed of conduction, an

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Real-Time

Occurring immediately, with minimal delay, often requiring quick decisions and responses. Think of real-time as a live conversation—decisions must be made in the moment to

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Reciprocal Changes

Occasionally, a lead view provides a mirror-like representation for the opposite surface of the heart. For example, ST elevation in anterior leads (V1-V4) may present

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Regular Sinus Rhythm

Also known as normal sinus rhythm or sinus rhythm, this cardiac rhythm is not a dysrhythmia; sinus rhythm originates in the sinoatrial (SA) node with

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Relevant

Applicable or useful to a given context, making information or actions meaningful to the situation at hand. Relevance is like a key that fits the

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Remote

Distant or far from central locations or resources, sometimes presenting unique challenges for accessibility. Like an outpost, remote areas require efficient systems and resourcefulness to

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Repolarization

Follows depolarization, involving the return to a pre-depolarization state; the myocardial cell’s electrical potential returns from +30 mV to its polarized state of –90 mV;

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Retrograde Conduction

Conduction along the electrical pathway opposite in direction from what occurs in sinus rhythm. 1. Six Second ECG Guidebook (2012), T Barill, p. 204

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Rhythm

Often refers to a discernible pattern in time or distance between QRS complexes and/or P waves.

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Rhythm Pattern

An ECG rhythm that is initiated by one of several intrinsic pacemaker sites of a heart will often generate a regular, even rhythm pattern. This

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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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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

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