Free ECG reference for clinicians: normal values, criteria and patterns with what to do next, the studies behind them, and calculators for the QTc, the axis, Sgarbossa and AV block.
ECG calculators
- Free calculatorQTc calculatorBazett, Fridericia, Framingham and Hodges side by side, with the heart-rate caveat.
- Free calculatorSgarbossa checkerOriginal and Smith-modified criteria for MI in left bundle branch block or a paced rhythm.
- Free calculatorAxis calculatorThe frontal axis in degrees from two or more limb leads, with the band it falls in.
- Free calculatorAV block helperAnswer three questions about the P waves and the PR to name the block and where it likely sits.
Intervals and axis
- Left Axis Deviation on ECGNormal adult axis: -30 to +90 degrees. Left axis deviation: -30 to -90. Right axis deviation: +90 to +180.Axis calculator
- PR IntervalNormal adult PR: 120 to 200 ms, or 3 to 5 small squares at 25 mm/s.AV block helper
- QT Interval and QTc CalculatorMeasure from the start of the QRS to the end of the T wave, usually in lead II or V5, and leave out a separate U wave.QTc calculator
Conduction blocks
- Bundle Branch Block on ECGRBBB: QRS of 120 ms or more, rsR' in V1 or V2, and a wide, slurred S wave in I and V6. Often benign, but a new RBBB can come from…
- Complete Heart BlockP waves regular, QRS complexes regular, no fixed relation between them, and the atrial rate faster than the ventricular rate.AV block helper
- Mobitz Type 1 vs Mobitz Type 2Mobitz I: the PR lengthens, then a P wave is not conducted, and the PR after the pause is the shortest. Usually in the AV node and often…AV block helper
Ischemia and its mimics
- Pericarditis vs STEMI on ECGPericarditis: ST elevation across many territories, concave upward, usually modest, with PR depression; aVR shows the reverse, ST…
- Sgarbossa Criteria and Modified Sgarbossa Calculator for LBBB and Paced RhythmsIn left bundle branch block the ST segment normally points away from the main QRS deflection. Sgarbossa's rules look for ST changes that…Sgarbossa checker
- STEMI Equivalents on ECGSTEMI criteria miss many acute coronary occlusions, especially of the circumflex artery and the posterior wall.
Electrolytes and channelopathies
Pre-excitation and arrhythmias
EvidencePulse™by 2 Minute Medicine®
Go deeper into the evidence.
Ask how a finding applies to your patient, or what the studies behind a criterion found. No ads, no sponsored answers.
Get new ECG studies by email
The free 2MM Daily Brief: new research in cardiology and every other specialty, summarized by physicians.
Opens Mailchimp to confirm. Unsubscribe anytime.
For health care professionals. Values are for adults unless a page says otherwise.