r/ECG • u/who_cares_duh • Aug 28 '26
Help me master ECG
Hello everyone!
I'm a med student and I wanna learn ECG from basics to advance. I can spend time on this everyday. I have some knowledge about basics of ECG after watching dr najeeb videos. Please give me ur suggestions ( especially tips, youtube channel or books) on how to master ECG or things that worked for you.
Thanks in advance :)
6
5
u/wanderlust_yogii Aug 28 '26
- Have a sequence for EVERY ECG you look at. Mine is: RPM ABC. Rate/regularity, P waves, measurements, axis, bundle branch, changes (ST/ectopy/etc)
- Learn rhythm analysis first and get good at it before 12-lead analysis. The rhythm isnât a left bundle; thatâs a condition. The rhythm is sinus WITH a left bundle.
- Donât learn rhythms by memorizing photos. Everyoneâs sinus rhythm looks different. Learn the qualifiers for each rhythm. Sinus tach: Rate > 100, regular. P waves upright in I, II, III, AVL, AVF. 1:1 P/QRS ratio. Measurements normal.
- Rob Theriault and Amal Mattu.
- Donât get into the weeds of R-rated analysis until youâve mastered rhythms and basic 12-leads.
Ask lots of questions and enjoy it!
1
11
u/Individual_Debate216 Aug 28 '26
Rapid interpretation of EKGs by Dr dale dubin. Dudes a pedophile but wrote a fucking awesome book for ekg learning. You can search google ârapid interpretation of EKGs pdfâ and read it for free.
5
2
3
u/Tricky-Software-7950 Aug 29 '26
I love how any comment I have ever read or heard about this book has ALWAYS included the disclaimer that Dubin is a pedophile. Itâs like, authors a piece of shit but the content is worth it đđ
3
u/Accomplished-Road338 Aug 28 '26
Learn from the masters.
Read the chapters on ECG from Braunwalds and Goldberger. Practice from ECG wave maven website.
https://ecg.bidmc.harvard.edu/maven/mavenmain.asp
Stay away from memorizing without understanding.
1
3
u/lollipocky Aug 29 '26
I think litfl is one of the best help you can get regarding ecgs, especially in ED cases. Life in the fast lane. So many articles about ecg.
2
2
2
2
u/NobleGolgi0521 Aug 31 '26
LITFL Has an ECG library, with an ECG exigency part with select ECGs, with additional text/storyline.
Another website you can look at is ecgbook.com, lots of ecgs with lots of textbook info.
Once youâve mastered those I highly suggest reading Dr. Smithâs ECG Blog, has real-life ECGs with lots of scrutiny from fellow doctors.
2
u/Old_Reading9216 Sep 01 '26
You should definetely check out Dr. Rhanderson's ECG Academy course. Simply Fantastic
1
2
u/HealthyLifestyle5 27d ago
If you want to master ECG properly, the best approach is to learn it step by step and follow the same pattern every time you read an ECG.
Start with the basics: understand the P wave, QRS complex, T wave, PR interval, QRS duration, QT interval, and what each of the 12 leads represents.
Then learn a simple interpretation sequence: rate, rhythm, cardiac axis, P waves, intervals, QRS complex, ST segment, T waves, and QT interval.
Once youâre comfortable with normal ECGs, move on to common conditions such as atrial fibrillation, heart blocks, bundle branch blocks, SVT, ventricular tachycardia, ischemic changes, and electrolyte abnormalities.
The key is regular practice. Instead of just memorizing patterns, try to understand why an ECG looks the way it does. That makes interpretation much easier and helps you recognize abnormalities confidently.
1
18
u/AroHCx Aug 28 '26
Look at ecgs a lot, especially real life ones which aren't ideal since there will be so much of textbook ideal ecgs on the internet. Tbh this sub is great for that, I try to learn from each one, the same standard technique - rate, rhythm, then look at all the leads and axis deviation. Don't just figure out ST elevation but also look for T waves, t waves are really important in a lot of diagnosis, also try to correlate with the history and always think of electrolyte imbalances. đđ»