ECG Quick Reference

ECG Quick Reference
Normal Electrocardiographic Parameters in Dogs and Cats
PARAMETER
DOG
CAT
Adult 70 to 160
160 to 240
Gordon SG, Estrada AH.
The ABCDs of Small Animal Cardiology:
A Practical Manual. 1st ed.
Guelph, Canada: LifeLearn Inc.; 2013.
Heart Rate (bpm)
Toy breeds ≤180
Puppies ≤220
Rhythm
0.1 sec
Normal sinus
Normal sinus
Respiratory sinus arrhythmia
Sinus tachycardia
0.02 sec
R
Wandering atrial pacemaker
0.5 mv
Intervals (sec)
@ 25 mm/sec, 1 small box = 0.04 sec
@ 50 mm/sec, 1 small box = 0.02 sec
P
P
≤0.04
Baseline
≤0.04
PR
0.06 to 0.13
0.05 to 0.09
Q S
QRS
<20 kg: ≤0.05
≤0.04
QRS
PR
interval
≥20 kg: ≤0.06
Giant breed: ≤0.065
QT
0.15 to 0.25
T
0.1 mv
QT
interval
Paper speed 50 mm/sec; sensitivity 10 mm/mv
0.12 to 0.18
Amplitudes Lead II (mv)
-90°
≤0.4
≤0.2
R
<20 kg: ≤2.5
≤0.9
T
≤1/4 amplitude of R
S wave: Lead V3
<0.7
+
aVR
-150°
≥20 kg: ≤3.0
MEA
-180°
+180°
+40˚ to +100˚
-5˚ to +160˚
DOG
CAT
P Duration: Left Atrial
>0.04 sec
>0.04 sec
P Amplitude: Right Atrial
>0.04 mv
>0.2 mv
<20 kg: >2.5 mv
>0.9 mv
+
aVL
DO
GL
FT
HI
RV
LV
-30°
+
I
0°
0°
+30°
+150°
Criteria for Chamber Enlargement
R Amplitude Lead II:
Left Ventricle
-60°
XIS SHIFT
TA
EF
P
-120°
G RIGHT AXI
SS
DO
@ 5 mm/mv, 1 small box = 0.2 mv
@ 10 mm/mv, 1 small box = 0.1 mv (standard)
@ 20 mm/mv, 1 small box = 0.05 mv
+60°
+120°
+90°
+
III
+
II
+
aVF
≥20 kg: >3.0 mv
R
Right Ventricle
Note: Only 1 of 4 listed
criteria required
1. S wave in Lead I & II & III
2. MEA to RV (+100˚ to -90˚)
3. S wave in Lead V3 > V2 > V1
4. S wave > R wave in Lead V3
or S wave >0.7 mv
R
R
R
MEA to RV (+100˚ to -90˚)
Q
S
Q
S
A standard pen (with lid on) is 150 mm and so can be easily used as a 6-second ruler for rapid determination of
heart rate in ECGs that are run as 25 mm/sec (e.g., pen x 10).
0 mm
1 sec
25 mm
2 sec
50 mm
3 sec
75 mm
4 sec
100 mm
5 sec
125 mm
6 sec
150 mm
Q
S