ECG Interpretation for Consultants and Hospital Doctors
Morphology
Manchester Conference Centre
13th /14th May 2015
Day 1: Normal Morphology and
Systematic Interpretation
9.00
Registration and coffee
Morning Session
09:30
Introduction to the course
DJR
09:40
Initial Assessment: 10 ECGs for Interpretation
PRM
10:20
Basic electrophysiology and terminology
Myocardial cells, Pacemaker cells, Sinus node,
AV node, His bundle, Purkinje tissue. Polarisation, Depolarisation, Action Potential, Refractory Period.
P waves, QRS complexes, S-T segments, T waves,
Ta waves, U waves.
QRS waveform nomenclature.
DJR
10:40
The limb leads and the frontal plane axis
Vectors, Leads I, II and III, Leads aVR, aVL and aVF,
Orientation of the 6 frontal plane leads.
Frontal plane QRS axis: concept, normal range, technique of measurement.
DJR
11:20
Coffee
11:50
The precordial leads
Orientation of the precordial leads V1-V6.
Normal QRS morphology and dimensions in leads V1-V6.
Normal S-T segments and T waves in leads V1-V6.
DJR
1:00
Lunch
Afternoon Session
2.00
Normal appearances in the limb leads Assessment of axis, recognition of abnormal
q waves, assessment of S-T segments and T waves.
DJR
2:30
Systematic approach to ECG interpretation
DJR
3:15
ECG recording technique - Laminate 1
Labelling, Calibration, Frequency response and filters.
AC interference, Baseline drift, Muscle tremor,
Recognition of lead connection errors.
PRM
3:30
Tea
4:00
Practice in interpretation
Hands on’ practice in logical, systematic
analysis of the 12 lead ECG
PRM
5:00
Close
Day 2: Morphological
Abnormalities of the ECG
8.30
Registration and coffee
Morning Session
9:00
Bundle branch block and hemiblocks
DJR
9:30
Ventricular pre-excitation
DJR
9:50
Ventricular hypertrophy - Laminate 2
PRM
10:10
Ischemic heart disease
PRM
10:40
Coffee
11:10
The exercise ECG - Laminate 3
DJR
11:25
Systematic interpretation: “Hands on” practice
PRM
1.00
Lunch
Afternoon Session
2.00
The Brugada syndrome
PRM
2.20
The QT interval
DJR
2.45
Arrhythmogenic right ventricular cardiomyopathy (dysplasia)
DJR
3.00
Revision and further’ ‘hands on’ practice
DJR
3.30
Tea
DJR
4.00
Final Assessment:
The 10 ECGs From The Initial Assessment
PRM
4.30
Explanation of test ECGs and comparison of pre- and post- course assessments
Final discussion and revision
Derek Rowlands BSc, MB, ChB, MD, FRCP, FACC, FESC is Honorary Consultant Cardiologist at the Manchester Heart Centre and Consultant Cardiologist at The Alexandra Hospital in Cheadle. He was formerly Consultant Cardiologist at the Manchester Heart Centre and Lecturer in Cardiology at the University of Manchester. He worked for two and a half years at Hammersmith Hospital (respiratory medicine, then neurology) and for a year at the Mayo Clinic in Rochester, Minnesota (doing research in cardiovascular physiology). He is the author or editor of fifteen books and is the sole author of the chapter on electrocardiography in each of the first four editions of the Oxford Textbook Of Medicine. He has edited the last seven volumes of Recent Advances in Cardiology. He has published a three-volume book, and numerous articles, on the ECG.
Philip Moore is Consultant Cardiologist, with special interest in Pacing and Complex devices at West Hertfordshire Hospitals NHS Trust and St. Mary’s Hospital, Paddington. Prior to that he was Specialist Registrar in Cardiology on the Northwest Thames rotation and was formerly a GP Principal in St Albans for a period of four years. He trained at the University of Manchester and completed a Ph.D. in the Department of Medicine at the University of Manchester. He has a particular interest in teaching and teaches complex device implantation (ICDs and biventricular pacemakers) to senior cardiology trainees at St Mary’s Hospital Paddington and pacemaker implantation to more junior trainees at Watford Hospital. In addition to extensive teaching commitments he has spoken by invitation at the British Cardiac Society 2012 and has co-authored numerous papers and book chapters on the ECG.
How to Get There
Address
MANCHESTER CONFERENCE CENTRE
Weston Hall of Residence
Sackville St,
Manchester
M1 3BB
Manchester Conference Centre is in the heart of Manchester, just off the Mancunian way. Served by strong rail, road and air links, Manchester is an accessible city for national and international visitors alike.
By Road
If you are using sat nav our postcode is M1 3BB
From the M60 ring road exit at junction 12 and join the M602 towards the city centre. Follow the M602 onto the A57 (Regent Road) and continue on to the A57(M) (Mancunian Way). Exit the A57(M) at the Universities slip road onto Sackville Street. The Manchester Conference Centre Entrance will be on your left.
Car Parking
Located next to the Manchester Conference Centre, on Charles Street, is an affordable multi-storey car park.
If approaching MCC from the Mancunian way – drive passed the entrance to MCC and take the first left down Charles Street, the car park entrance will be on your right.
If approaching from Sackville Street – drive to the end of the road and follow Sackville Street on to Charles Street, the car park entrance will be on your right.
(Please note that the entrance to MCC is on a one-way street and by car can only be reached via the mancunian way)
By Rail
From Manchester Victoria Train Station – Purchase a City Zone ticket and take the metrolink connection from Manchester Victoria to Manchester Piccadilly Train Station.
From Manchester Piccadilly Train Station – leave the station via the taxi rank exit, cross London Road and proceed west along Fairfield Street. Continue on to Whitworth Street until you reach Sackville Street. Turn left and proceed South on Sackville Street, we are at the end of the road on the right.
From Oxford Road Train Station – leave the station via the station approach, cross Oxford Street and proceed east along Whitworth Street until you reach Sackville Street. Turn right and proceed South on Sackville Street, we are at the end of the road on the right.
By Air
Manchester is served by one of the UK’s major international airports. It is located 9 miles outside the city centre and has a regular direct rail connection to Manchester Piccadilly. For the best prices be sure to purchase tickets for Manchester Central Stations.
Contact
Revalidaid 16b Station Road
Cheadle Hulme
Cheshire
SK8 5AE
Tel: 0161 207 2702
This meeting has been approved by the Royal College of Physicians for 12 Category 1 (External) CPD Credits. (Code TBA)
Sample Errors in ECG Interpretation
Male age 61. History of mild sub-sternal burning
sensation - not exertion related.
45 year old male. ECG recorded during pre-employment medical
30 year old male. Applying for pilots licence. Strong FH of coronary disease.