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. 2008 Jan 7;105(1-2):1–8. doi: 10.3238/arztebl.2008.0001

E-Table. Definitions of ECG diagnoses based on the 12SL-Code (version MAC5K 12SL229).

ECG diagnosis Digital ECG code*1
Normal ECG #1684 (= normal ECG)
#1687 (= otherwise normal ECG)*2
Borderline ECG #1687, #1693, #1694
Abnormal ECG #1699
Normal SR (50<HR<100 bpm) According to HR
Atrial fibrillation/flutter #161, #162
Frequent premature contractions #181, #231, #232, #241, #243 [only when in combination with #212 (= with frequent)]
Left axis deviation (LAxD) QRS axis more negative than -30°
AV block #101 (= 1st°), #103 (= 2nd° Mobitz I), #104 (= 2nd° Mobitz II), #105 (= 2nd°), #106 (= 3rd°), #107 (= variable AV block), #480 (=bifascicular block)
BBB (complete) #440, #460 (= complete right or left BBB)
BBB (incomplete)*3 #450 (= rSr' or qR pattern in V1)
#445, #465 (= incomplete right or left BBB),
#470, #471 (= left anterior and posterior fascicular block)
LVH #540 (= voltage criteria for LVH), #541 (LVH)
Borderline LVH #542 (= minimal criteria for LVH; can be normal)
#548 (= moderate voltage criteria for LVH; can be normal)
ST-segment depression #1002 (junctional ST depression, presumably abnormal)
#1022*4 (ST depression, due to ischemia or digitalis)
#1040-1081 (clear, ischemia-like ST abnormality in multiple leads)
T-wave changes #1140, #1141 (nonspecific T-wave or ST and T-wave abnormality)
#1142 (abnormal QRS-T angle, T-wave abnormality), #1182 (T-wave inversion),
#1145-1181 (clear ischemia-like T-wave abnormality in multiple leads)
Abnormal T axis T axis: -180° to -15° or 105° to 180°
Long QT QTc >440ms,*5 QTc (Bazett's formula)
Signs of ischemia*6 #900, #904, #1021, #1023 (nonspecific ST changes)*7, #1140*7, #1141*7, #1145, #1181
#1020*4, #1022*4 (ST changing/depression, possible digitalis effect)
#1040-#1081 (see further above)
#1142 (abnormal QRS-T angle, T-wave abnormality)
Signs of infarction #700-#829 (infarct in multiple leads)
#963-#968 (ST elevation, injury pattern or infarct)
Major ECG findings #161, #162, #1040-1081, #1145-#1182, #103-#106, #440, #460 (#181, #231, #232, #243 [only when in combination with #212 (= with frequent)]

The "#" symbol signifies that the following number is a code number.

*1 The most important codes are listed; further statements provide additional details, e.g., anterior leads (#1451).

*2 Classified as normal only when the only other finding is bradycardia.

*3 Not including #482 and #487 (nonspecific intraventricular conduction block or delay)

*4 Persons who are digitalized were excluded.

*5 Persons with QRS interval >120 ms or with atrial fibrillation/flutter were excluded.

*6 Persons with pacemakers or QRS interval >120 ms were excluded.

*7 If it cannot be attributed to LVH, IV block (#482), (in)complete BBB, or digitalis effect

SR, sinus rhythm; HR, heart rate; AV, atrioventricular; BBB, bundle branch block; LVH, left ventricular hypertrophy. Major ECG findings: ST depression, T-wave inversion, complete or incomplete AV block, frequent premature ventricular contractions or atrial fibrillation/flutter.