12-Lead ECG Interpretation Course

To pick up where you left off, please scroll down to the Module which does not contain a green check and click on it. Then scroll to the Topic under which you left off where you do not see a green dot and click on it. Alternately, you may use the navigation menu to the left of this page.

Course Description: The 12-lead ECG Course is a 30-hour comprehensive course. For rhythms coverage, we recommend the Animated Rhythms Course. It is recommended that, if time permits, the participant read the first 129 pages of the Textbook (12-lead ECG Interpretation for the Medical Personnel) before beginning the online portion of the 12-lead Course. This will aid in the approach which Dr. Stanley takes to the interpretation of the 12-lead ECG.

To start the course, click on the “Module 1…” heading to the left (side bar navigation) or below this text. When you have completed a given topic or section, you will see a green dot to the left of that topic to let you know you may progress to the next topic.

Important note: You will have to move through the course in a step-wise, “page-by-page” fashion. The course is intentionally designed to not allow you to skip over any online pages, questions or sections.

We encourage you to utilize our content and tech support when taking this course. Simply click the “Contact Us” link at the top of the homepage and enter your inquiry. Content questions are answered by Dr. Stanley directly.

Anatomy and physiology of the Normal Heart…………………………….Section 1
The special electrical conduction tissue
Intervals and their Normal Range
Attachment of the Leads
Vector Concepts………………………………………………………………………Section 2
Predicting the waveshape of the Normal 12-Lead ECG
Characteristic of the T-wave……………………………………………………..Section 3
Homework Exercises………………………………………………………………..Section 4

Student Assignments

Textbook Pages 1-36 1H-10H, 56H-60H (Handbook found in back of text)
Workbook Pages 1-6, 23-25 Interactive Coloring Page 2
Practice Worksheet #1, Page 5
You may opt to refer to additional reading assignments above pertaining to this module. NOTE: This reading assignment will refer to the written material (text and workbook) you received in the mail. The following will utilize the Tracings Manual: Homework Sets #1 and # 2; Exercise Set #1

Course Materials

12-lead Textbook
12-lead Workbook
Tracings Manual
HEART Ruler
Online Access

Course Content

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Modules Status

1

Module 1: The Normal 12-lead ECG

Module 1, Section 1: Predicted Waveshapes of Leads V1 and V6

Module 1, Section 1: The Classic Normal 12-Lead

Module 1, Section 1: Scalar Paper

Module 1, Section 1: Wavefront Depolarization of the Ventricles

Module 1, Section 1: Automaticity of the AV Node

Module 1, Section 1: Non-Automaticity of the Myocardial Cells

Module 1, Section 1: Wavefront Depolarization of the Left Ventricle

Module 1, Section 1: ECG Machine Deflection Design

Module 1, Section 1: Wavefront Voltage Monitoring

Module 1, Section 1: TRACING Manual #6, Page 4 (Normal Tracing with highlighted V1 and V6)

Module 1 Section 1 - REVIEW

Module 1, Section 2 - The Normal 12-lead

Module 1 Section 3: Concept of Vectors

Mod 1 Sect 3 Depolarization of the Septum (Lead V1)

Mod 1, Sect 3: Depolarization of the LV and RV

Module 1, Section 3: Vector Sizes of LV and RV

Module 1, Section 3: Predicted Waveshape of Lead V1

Mod 1, Sect 3: Depolarization of the Septum (Lead V6)

Module 1, Section 3: Depolarization of the RV & LV (Lead V6)

Module 1, Section 3: Depolarization of the LV and RV (Lead V6)

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2

Module 2: Classic Patterns of the LVH, LBBB, RBBB, LAFB, WPW

Module 2, Section 1: Hypertrophy

Module 2, Section 1: Classic Criteria of LVH

Module 2, Section 1 - Example LVH Page 27 of Tracings Manual

Module 2, Section 1 Magnified View Lead V1, V5

Module 2, Section 1 - LVH in Lead avL

Module 2, Section 1: PEARLS and PITFALLS

Module 2, Section 1 - The Youth and High Voltage

Module 2, Section 1: The 2nd Greatest Boobytrap of Electrocardiography - LVH & HW #3

Module 2: The Right Bundle Branch Block

Module 2, Section 1: RBBB - Depolarization of the Septum and Left Ventricle in Lead V1

Module 2, Section 1 RBBB - Depolarization Voltage of the RV (Lead V1)

Module 2, Section 1: RBBB - Predicted Waveshape of Lead I

Module 2: RBBB REVIEW

Module 2: Sample Tracing Classic RBBB

Module 2: LBBB

Module 2: LBBB Predicted Waveshape of Lead I

Module 2: LBBB - Depolarization Wavefronts

Module 2 LBBB - Predicted Waveshape of Lead V6

Module 2: Classic Criteria of LBBB Example Tracings

Module 2 COMPARISON: Lead I of the LBBB and RBBB

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3

Module 3: The Acute MI and Ischemia Pattern

Module 3: The Acute MI/Ischemia Pattern

Module 3: Evolutionary Change of the Acute MI

Module 3: The Concept of Reciprocity

Module 3: Associated and Reciprocal Leads

Module 3: ST-Segment Four Scenarios

Module 3: The Acute MI and BNV (Benign Normal Variant)

Module 3: The HyperAcute T-wave

Module 3: The Acute MI Ischemia Pattern: Early Repolarization

Module 3 The Acute MI

Module 3: HW #9-12, Exercise Set #5-7, Quiz #2

4

Module 4: Waveshape Distortion Due to LVH and LBBB

Module 4 Section 1 - LVH

Module 4 Section 2 - LVH w/ ST-T Changes

Module 4 Section 2 - LBBB

Module 4 Section 2 - Example of LVH w/ ST-T Changes

Module 4 Waveshape Distortion Due to the LVH and LBBB

Module 4: Waveshape Distortion LVH and LBBB

Module 4 Distortion Example Tracings

Module 4: Quiz #3, HW Set #13-15

5

Module 5: When One Lead is Not Enough

Module 5, Section 1 - Tracings Manual Review

Module 5 Section 1: Pearls and Pitfalls

Module 5, Section 2 - Tracings Manual Review

Module 5 Section 2: Reciprocity Development Examples

Module 5, Section 3: Tracings Manual Review

Module 5 Section 3: Q-wave Development Examples

Module 5, Section 4: Tracings Manual Review

6

Module 6: The Ubiquitous Q-wave

Module 6: Tracings Manual Review

Module 6: Pearls and Pitfalls

7

Module 7: The Ubiquitous ST Elevation

8

Module 8: Ubiquitous ST-depression and T-wave inversion

9

Module 9: H-E-A-R-T - A Systematic-Analytical Approach to 12-lead Interpretation

Module 9: The H-E-A-R-T Mnemonic

Module 9: Example Tracing Section Answer Key

Module 9: Ventricular Aneurysm

Module 9: Treatise on H-E-A-R-T

Module 9: Bonus Material Sgarbossa Criteria

Module 9: Bonus Material Lead avR

10

Module 10: The Comprehensive Final Exam

12-lead ECG Course Survey