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B978-3-437-41414-5.00017-0

10.1016/B978-3-437-41414-5.00017-0

978-3-437-41414-5

EKGs zum Üben

EKG:ÜbungenNach der Theorie folgt nun die Praxis. Auf den folgenden Seiten finden Sie über 50 Übungs-EKGs. Damit können Sie sich selbst auf die Probe stellen. Alle EKGs sind wirklichkeitsgetreue Abbildungen. Aus drucktechnischen Gründen kann es zu minimalen Abweichungen kommen. Dies wird Ihnen bei Ihren Messungen jedoch nicht hinderlich sein.

Befunden Sie jedes EKG zunächst schriftlich. Nehmen Sie als Erstes die Beschreibung des EKGs in dieser Reihenfolge vor:

  • P-Welle: P-Dauer, P-Vektor, Besonderheiten

  • PQ: Dauer, Konstanz

  • QT: Dauer

  • QRS-Komplex: Dauer, Regelmäßigkeit, Frequenz, Lagetyp, Besonderheiten

  • ST-T-Segment: Auffälligkeiten

Haben Sie dabei immer ein waches Auge auf Eichung, Papiervorschub und Filter. Erst wenn Sie die Beschreibung gewissenhaft und genau durchgeführt haben, wenden Sie sich der Beurteilung zu (Befundungsschema s. u.).

Die Reihenfolge der Übungen entspricht der Kapitelfolge des theoretischen Teils. Suchen Sie Beispiel-EKGs zu bestimmten Themen, so finden Sie am Ende des Übungsteils alle Übungs-EKGs auf einen Blick. Die EKGs sind überwiegend nach Cabrera geschaltet. In einigen Übungen wurde aus didaktischen Gründen die konventionelle Schaltung gewählt.

Im Kommentar wird Wichtiges aus dem theoretischen Teil wiederholt. Manches mag Ihnen redundant erscheinen, doch wird die Wiederholung Ihr Verständnis vertiefen. Sie sollen verstehen, warum die Beurteilung genauso und nicht anders sein kann.

Befundungsschema EKG:Befundungsschema :

  • 1.

    Rhythmus: alle Kriterien des Sinusrhythmus erfüllt?, Besonderheiten bei P-Welle(n)?

  • 2.

    Frequenz

  • 3.

    Lagetyp (elektrische Herzachse)

  • 4.

    Herzzeitwerte: P-Welle, PQ-Zeit, QRS-Dauer, QT-Zeit

  • 5.

    Erregungsausbreitung: P-Wellen-Morphologie, Deltawelle?, pathologisches Q/R-Verlust?, Hypertrophiezeichen?, Blockbilder?

  • 6.

    Erregungsrückbildung: Ischämiezeichen?, Blockbilder?, Brugada-Syndrom?, ARVD?, Einflüsse von Medikamenten (z. B. Digitalis) oder Elektrolyten?

  • 7.

    Beurteilung: z. B. Normalbefund (ungestörter normofrequenter Sinusrhythmus mit unauffälliger Erregungsausbreitung und -rückbildung) oder pathologischer Befund (z. B. Hinterwandinfarkt Stadium II, Vorhofflimmern mit Rechtsschenkelblock, AV-Block I etc.)

  • 8.

    Unterschrift!

Übungs-EKG 1
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 2
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 3
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 4
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 5
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 6
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 7
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 8
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 9
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 10
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 11
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 12
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 13a
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 13b
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 13c
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 14a
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: __________________________________________________________________
ST-T: __________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 14b
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 15a
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 15b
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 16a
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 16b
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 17a
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 17b
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 18
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 19
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 20
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 21
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 22a
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 22b
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 22c
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 23
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 24
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 25
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 26a
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: __________________________________________________________________
ST-T: __________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 26b
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: __________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 27
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 28a
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 28b
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 29a
P, PQ, QT: ___________________________
QRS, Lagetyp, ST-T: ___________________
____________________________________
Beurteilung
_____________________________________
_____________________________________
_____________________________________
Übungs-EKG 29b
P, PQ, QT: ___________________________
QRS, Lagetyp, ST-T: ___________________
____________________________________
Beurteilung
_____________________________________
_____________________________________
_____________________________________
Übungs-EKG 30a
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 30b
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 31a
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 31b
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 32a
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 32b
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 33
P, PQ, QT: ________________________
__________________________________
__________________________________
QRS, Lagetyp: _____________________
__________________________________
__________________________________
ST-T: _____________________________
__________________________________
__________________________________
Beurteilung
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
Übungs-EKG 34a
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 34b
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 35
P, PQ, QT: ________________________
__________________________________
__________________________________
QRS, Lagetyp: _____________________
__________________________________
__________________________________
ST-T: _____________________________
__________________________________
__________________________________
Beurteilung
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
Übungs-EKG 36
P, PQ, QT: ________________________
__________________________________
__________________________________
QRS, Lagetyp: _____________________
__________________________________
__________________________________
ST-T: _____________________________
__________________________________
__________________________________
Beurteilung
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
Übungs-EKG 37
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 38
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 39
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Monitorstreifen
Übungs-EKG 40
P, PQ, QT: ________________________________________________
QRS, Lagetyp: _____________________________________________
ST-T: _____________________________________________________
Monitorstreifen: _____________________________________________
Beurteilung
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
Übungs-EKG 41
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 42
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 43
Welche Rhythmusstörungen erkennen Sie?
a) _____________________________________________________________________
b) _____________________________________________________________________
c) _____________________________________________________________________
d) _____________________________________________________________________
Übungs-EKG 44
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 45
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 46
P, PQ, QT: ________________________
__________________________________
__________________________________
QRS, Lagetyp: _____________________
__________________________________
__________________________________
ST-T: _____________________________
__________________________________
__________________________________
Beurteilung
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
__________________________________
Übungs-EKG 47
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 48
P, PQ, QT: ________________________
QRS, Lagetyp: _____________________
ST-T: _____________________________
Beurteilung
__________________________________
__________________________________
__________________________________
Übungs-EKG 49
P, PQ, QT: __________________________________________________________________
QRS, Lagetyp: _______________________________________________________________
ST-T: ______________________________________________________________________
Beurteilung
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Übungs-EKG 50a
P, PQ, QT: ________________________
QRS, Lagetyp: _____________________
ST-T: _____________________________
Beurteilung
__________________________________
__________________________________
__________________________________
Übungs-EKG 50b
P, PQ, QT: ________________________
QRS, Lagetyp: _____________________
ST-T: _____________________________
Beurteilung
__________________________________
__________________________________
__________________________________

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