Page 2 - EKG STUDY GUIDE
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EKG / TELEMETRY STUDY GUIDE
Dear Participant,
The following is a study guide meant to assist you achieve a focus in your review for the exam.
It is not intended to replace the text books or notes from your classes. In addition to the topics in
this guide, you are expected to have an understanding of basic EKG tracing, rate, rhythm and
common abnormalities.
Anatomy of the heart ...................................................................................................................... 5
Figure 1: Human Heart .................................................................................................................. 7
Basic Electrophysiology ................................................................................................................. 7
Conduction System of the Heart ..................................................................................................... 8
Figure 2: Conduction System of the Heart .................................................................................... 9
Fundamentals of electrocardiogram ................................................................................................ 9
Figure 3: Precordial Leads ........................................................................................................... 10
The electrocardiographic grid ....................................................................................................... 10
Figure 4: EKG Grid ..................................................................................................................... 11
Waves, segments and intervals ..................................................................................................... 11
The Normal Electrocardiogram Complexes ................................................................................. 11
Artifacts......................................................................................................................................... 12
Stress Testing ................................................................................................................................ 13
Exercise stress test ........................................................................................................................ 13
Pharmacologic stress test .............................................................................................................. 13
Arrhythmias .................................................................................................................................. 14
Myocardial Ischemia and Infarction ............................................................................................. 14
Ambulatory EKG Monitoring ....................................................................................................... 14
Artifacts of ambulatory EKG recording ....................................................................................... 15
Event Monitoring .......................................................................................................................... 15
Common Cardiovascular Agents .................................................................................................. 16
Infection Control/Chain Of Infection ............................................................................................ 18
Legal Considerations .................................................................................................................... 21
Resources: ..................................................................................................................................... 21
Reference books: ........................................................................................................................... 21
Sample EKG Exam ....................................................................................................................... 22
Answer Key: ................................................................................................................................. 24
National Healthcareer Association EKG Study Guide (Ea) 4
