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EKG Basic Notes

The document outlines the electrical activity of cardiac pacemaker cells, detailing the depolarization-repolarization cycle and the significance of various EKG waveforms such as P, QRS, and T waves. It explains the intervals measured on an EKG, including the PR, QRS, ST, and QT intervals, along with their normal durations and implications for heart function. Additionally, it describes the placement and function of different leads in EKG recordings to assess heart activity from various angles.

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4 views15 pages

EKG Basic Notes

The document outlines the electrical activity of cardiac pacemaker cells, detailing the depolarization-repolarization cycle and the significance of various EKG waveforms such as P, QRS, and T waves. It explains the intervals measured on an EKG, including the PR, QRS, ST, and QT intervals, along with their normal durations and implications for heart function. Additionally, it describes the placement and function of different leads in EKG recordings to assess heart activity from various angles.

Uploaded by

pradattarout5
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© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF or read online on Scribd
Eko 9 Tearing Of reult Slectrial actu ——"— Sor . Papo Godiac GU ast ft : in tela Glaly =) ar “ap Polanire 1 4 4 44 + feng Sled planet ) Depolannalir [Gt Loge har interea) Aegelt ] L Repdonselrs (Gill rsheg dar eshng talon} ty erethane pas Pace maker (lehrical Power Sounce) ZA dedsicel [hand sth) ai g IN hail fleabrachle hades) MADEBY Adstar Normal Gl ache tenis, omy peak depolarization 90mv ‘Avypical action potential. Akon potent ofa Glace Pacemaker c omv \ -60 mV ‘The electrical depolarization-repolarization cycle of a cardiac pacemaker cell. Point A is the minimal negative potential. The gentle rising slope between points A and B represents a slow, gradual depolarization. At point B, the threshold is crossed and the cell dramatically depolarizes (as seen between points 8 and C); that is, an action potential is produced. The downslope between points C and D represents. repolarization. This cycle will repeat over and over for, let us hope, many, many years. <— Resting potential D Pace malin Glls i» buen) — dominant => Sino-adriol Ga)noce /Sin0s node =) Fixes 2 60-100 per min ‘Sinus node Atrial conducting system Ventricular conducting system (Pankige yet) MADEBY Adstar Scitation Grhachen_Cuplin Depolaeatin uses calcu oe released win myocar cal, Tis nx ot ‘atom slows arn and myosin he contract proten, omract easing te cl {ocarract (4) Atesing myocar cl (A depolarized, carat nyoeatsal EKG Waves 1. Duration, measured in fractions of a second 3 Chanackeridies >) 2. Amplitude, measured in millivolts (mV) 3. Configuration, a more subjective criterion referring to the shape and appearance of a wave Ampttude! Ht + sezoee! tmitivokss|~ FET} t f Het honironlel axis -) dine I. -| 1 Shall Spo 3) Qiouseconds Duration (fractions of a second) ‘Atypical wave thet might he seen on any EKG. Mis wo large square (or 10 smell Alaa & aD 9045 = 02 Secon ‘oc asi ssn Stason tt 4 DB Seconds 1 fo Sore > 8 $l Syne Vertical axis -) Volt 4 Swall Syram ) O- Ln {beg Spa dor txs = of ol SN Bath waves are one lege saare in dan (02 seconds), tt he second wae is wie ie vtage of he frst (2 mV conpared Weh 5 mV), The fat segment nnecng te wo waves is ve age squares (© * 02 seconds = secon) a a pod see MADE BY Adstark t ' | | | we fe t | ! 1 1 + 1 | ! a en i Right atrial component! Left atial component A Pause Separates Conduction From the Aira fo she Ventvicies =) aafrioventylaln wedt Sloes “Ths ig ymca cca wallow he at sh dou dhe Gaduclion Sh bar puis ua cnt he vole ef ood compl no he "eniniles before the vente ont, Conduction pause at the AV node Sin ne i Sarto oun gb eal) Fac E Baw lt orhede If Seton t é 1, Bundle of His” 2. Bundle branches — 3. Terminal Purkinje fibers Ay soe Bundle of Hs Gage fe Septal Farciele Firkaien Fasciele ght bundle branch Posteri Fascele Parke fiber MADEBY Adstar QRS Gol 1, Ifthe frst deflection is downward, that part of the QRS complex is called a Qwave. 2. The first upward deflection s called an R wave. 3, Lthere is a second upward deflection, is called R’ (*R-prim 4. The first downward deflection following an upward deflection is called an S ‘wave. Therefore, ifthe first wave ofthe complex is an R wave, the ensuing downward deflection is called an $ wave, not a Q wave. A downward deflection can only be called a Q wave if iti the first wave of the complex. Any other downward deflection is called an $ wave. If the entire configuration consists solely of one downward deflection, the QRS complex ” wave is called a QS wave. Depolarization of the septum MADEBY Adstar 8 Twave even son ats) 2 ne XS. erent -) | Straight! Ii forming Q Wouer datewal 2) Sncotpasses at Uk 4 amve + omeclag Shatolel le “Ty PR Seqweet 2) fms fem fad af Pt Alteral depeboinetionte sha segmen: yt of veal dpainelen Chebee Gann reads 0 Hoa Noo) interval BT Sigal») fu fin ta Gel af Ventricular apolencaalion 4 th, Sook of venbricaen Tupeoriedon QT inhewal 3 toe from d asta Veabereuken dypeleorraken fe interval segment Sok of enfin sepelanalin @rinterval QRS iaberval >) dura of Umdrierhs cbpolanirckon QRS complex PR /T wae 4. The PR interval measures the time fom the start of atrial depolarization to Pwave. segment vA te star of ventricular depolarization. ' The PR segment measures the time from the end of arial depolarization to the start of ventricular depolarization, The ST segment record the time from the end of ventricular

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