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  • Romeo Mathew: Clinical Instructor Mcon

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    This document provides an overview of the conduction system of the heart and electrocardiography. It discusses the sinoatrial node, atrioventricular node, His bundle, right and left bundle branches, and Purkinje fibers that make up the heart's conduction system. It also describes how an electrocardiogram works to record the electrical currents generated by the heart during contractions. Key aspects of the ECG like the P, QRS, and T waves are examined. Methods for analyzing ECGs such as calculating heart rate and identifying abnormalities are summarized. Common arrhythmias, conduction defects, and signs of chamber enlargement that may appear on ECG tracings are outlined.

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    A brief document on basics of ECG

    Original Title

    basics of E.C.G.

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    This document provides an overview of the conduction system of the heart and electrocardiography. It discusses the sinoatrial node, atrioventricular node, His bundle, right and left bundle branches, and Purkinje fibers that make up the heart's conduction system. It also describes how an electrocardiogram works to record the electrical currents generated by the heart during contractions. Key aspects of the ECG like the P, QRS, and T waves are examined. Methods for analyzing ECGs such as calculating heart rate and identifying abnormalities are summarized. Common arrhythmias, conduction defects, and signs of chamber enlargement that may appear on ECG tracings are outlined.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
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    Download as ppt, pdf, or txt
    34 views36 pages

    Romeo Mathew: Clinical Instructor Mcon

    Uploaded by

    Romeo Mathew
    This document provides an overview of the conduction system of the heart and electrocardiography. It discusses the sinoatrial node, atrioventricular node, His bundle, right and left bundle branches, and Purkinje fibers that make up the heart's conduction system. It also describes how an electrocardiogram works to record the electrical currents generated by the heart during contractions. Key aspects of the ECG like the P, QRS, and T waves are examined. Methods for analyzing ECGs such as calculating heart rate and identifying abnormalities are summarized. Common arrhythmias, conduction defects, and signs of chamber enlargement that may appear on ECG tracings are outlined.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as ppt, pdf, or txt
    of 36

    Romeo Mathew

    Clinical Instructor MCON

    CONDUCTION SYSTEM OF THE HEART


    S A Node

    A V Node His Bundle

    RBB Purkinje Fibres

    ELECTROCARDIOGRAM
    1. The graphic record of the HEART ACTION CURRENTS obtained with Electrocardiograph It is the graphical recording of the electrical current generated by the heart.

    2.

    ELECTROCARDIOGRAPH

    An instrument for recording the potential of the electrical currents that traverse the heart and initiate contractions

    Action Potential

    Action Potential

    Recording an ECG
    Standard leads I, II and III (Bi polar) Augmented leads aVR,aVL and aVF(unipolar) Precordial leads(V1-V6)-unipolar

    Standard Limb Leads

    Augmented Limb Leads

    Relationship between the 6 Chest leads and the Heart

    Pattern of ECG in the 6 Chest leads

    Regions of Left ventricle represented on E.C.G.


    V1,V2 V3,V4 V5,V6 V1-V4 V3-V6 L1,aVL L2,L3&aVF Septal Anterior Lateral Anteroseptal Anterolateral High lateral Inferior

    ECG Analysis
    Rate Rhythm QRS Axis Chamber enlargement S-T Segment T-Wave Intervals
    Voltage Standardization P Wave QRS Complexes Q-T Duration

    Calculation of rate of ECG


    Ecg paper speed 25mm/sec 1 min = 60 sec Rate per min = 25 x 60 = 1500 / R-R interval

    Rate Calculation

    P WAVE
    ATRIAL DEPOLARISATION ATRIAL REPOLARISATION(P`)

    Atrial arrythmias Congenital heart disease Corpulmonale

    QRS WAVE
    VENTRICULAR DEPOLARISATION
    Ventricular arrythmias Bundle branch blocks Electrolyte imbalance Ischemic heart disease Congenital heart disease

    T WAVE
    VENTRICULAR REPOLARISATION Ischemic heart disease Cardiomyopathies Electrolyte imbalance Arrythmias Congenital heart disease

    U WAVE

    After repolarisation wave

    PR - Interval Heart blocks, pre excitation, Atrial infarction QT - Interval Arrhythmias , electrolyte imbalance ST segment ischemia , infarct

    ABNORMAL ECGs

    TACHYCARDIA

    Increase in the no. of heart beats

    BRADYCARDIA

    Decrease in the no. of heart beats

    ARRYTHMIAS

    Irregularity in heart beats

    Chamber Enlargement
    LAE RAE BAE LVH RVH

    LVH

    Abnormalities of the QRS complex


    ST-T segment & T wave changes 3. Inversion of U wave in V5,V6 4. LA enlargement

    LVH

    LVH

    THANKYOU

    Prepared by Romeo Mathew

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