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所在平台: Udemy |
课程主页: https://www.udemy.com/course/basic-principles-of-reading-ekgecg/
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**课程名称：** 心电图 (EKG/ECG) 基本读图原理 **课程概述：** 本课程旨在教授学员心电图（EKG/ECG）的读图基本原理，强调其在临床实践中的重要性。心电图是大量患者，尤其是在急诊科，以及所有四十岁以上进行医学评估的患者都必需进行的检查，特别是对于存在某些风险因素或临床症状提示心脏问题的患者。 课程内容将循序渐进，首先教授如何解读正常心电图，然后介绍各种异常情况。异常可能体现在心率、心律、电轴、心腔肥大以及电流传导等方面。缺血性心脏病、心力衰竭和心律失常（包括快速性和缓慢性）是常见的心脏急症，因此，掌握心电图读图对于所有医学生和住院医师都至关重要。 通过静息心电图可以可靠地诊断这些情况。在某些情况下，特别是缺血性心脏病，可能需要进行连续心电图监测。急性心绞痛和心肌梗死的诊断以及重要的治疗决策，都可以依据心电图（特别是连续变化）做出。同样，心动过速性心律失常可能是一个严重的问题，它们可能是心脏事件的结果，也可能是独立发生的，并可能加重心脏病情。 课程特别强调了宽QRS心动过速的鉴别诊断，因为其不同的病因需要不同的治疗方案，并且可能作为孤立事件出现。此外，房室传导阻滞，特别是三度房室传导阻滞（完全性心脏传导阻滞），是需要关注的重要情况，可能需要起搏治疗。 **目标学员：** * 医学生 * 住院医师 * 其他需要了解和运用心电图的医护人员 **课程价值：** 通过本课程的学习，学员将能够： * 识别和解读正常心电图。 * 识别和分析各种常见的心电图异常。 * 掌握鉴别缺血性心脏病、心力衰竭及心律失常（包括快速和缓慢性）的方法。 * 理解宽QRS心动过速和房室传导阻滞等危重情况的心电图特征和临床意义。 * 为临床治疗决策提供心电图依据。
EKG is the basic investigation required in a large number of patients not only in the emergency room, every patient over the age of forty years requires EKG during his/her medical evaluation, especially so if there are certain risk factors or clinical features suggesting cardiac involvement. The first step is to learn to read the normal EKG and then the various abnormalities. The abnormalities can be in rate, rhythm, axis, chamber enlargement and flow of current. Ischemic heart disease, heart failure and rhythm disturbances, both fast and slow, are the common cardiac emergencies. Hence reading an EKG becomes very important for all medical students and residents. These can be reliably diagnosed with resting EKG. Serial EKG may sometimes be required in some cases especially ischemic heart disease. The presence of acute angina pectoris and myocardial infarction can be picked up and important treatment decisions can be made on the basis of these. Especially important is the serial changes in EKG. Similarly tachy arrhythmias can be a serious problem. They may be a consequence of a cardiac event or they occur as independent phenomenon and can worsen the cardiac condition. In this context it is important to mention that broad complex tachycardia in particular can be real problem. To differentiate the cause of broad complex tachycardia certain features of EKG are very useful as treatment of this very serious cardiac emergency is different for different etiologies and they may occur as isolated events as well. Similarly heart blocks are important situations especially third degree or complete heart block which may require pacing.
