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Basic Concepts of Clinical ECG
Basic Concepts of Clinical ECG
临床学院
Clinical college
Wang min
Have you ever made a ECG, can you
tell us something about it?
section 1 Basic concepts of
clinical electrocardiography
6 precordial leads--V1-V6
ECG leads
standard limb leads
LeadⅠ--left arm ( + ) right arm ( - )
LeadⅡ--left leg ( + ) right arm
(-)
Lead Ⅲ--left leg ( + ) left arm
(-)
Ⅱ
ECG leads
Augmented limb lead
aVR--right arm ( + ) left arm +left leg ( - )
aVL--left arm ( + ) right arm +left leg ( - )
aVF--left leg ( + ) left arm +right arm ( - )
(L)
ECG leads
precordial leads※
V1--right sternal margin,fourth intercostal space
V2--left sternal margin,fourth intercostal space
V3--midway between V2 and V4
V4--left midclavicular line ,fifth intercostal space
V5--left anterior axillary line,fifth intercostal space
V6--left midaxillary line,fifth intercostal space
ECG leads※
red yellow
↑
V6
V1 V5
V2
→
black
→ green
V3
V4
ECG leads
Heart rate
HR=60/(0.04*29)=52 beats/min
Normal electrocardiogram
• P wave
• P-R interval
• QRS complex
• ST segment
• T wave
• Q-T interval
• U wave
Normal electrocardiogram
Normal P wave
Atrial Activation
Right Atrium
Interatrial Septum
Left Atrium
P Wave Duration
P
0-40 m s
Normal electrocardiogram
Normal P wave
first upward deflection
The PR interval
Normal electrocardiogram
The PR interval
Ventricular Activation
IV Septum
Right, Left Free Walls
A-V Groove
QRS Duration
QRS
190-250 ms
Normal electrocardiogram
Normal ST segment
Normal electrocardiogram
Normal ST segment
Repolarization
Refractory Period
Rest Phase
Non-excitability
QT Duration
250-450 ms
Normal electrocardiogram
Normal T wave
QT interval
QT interval
Normal electrocardiogram
QT interval
U Wave
A. ventricular repolarization
B. ventricular depolarization
C. ventricular contraction
D. ventricular filling
B
2. The T wave represents ( )
A. atrial depolarization
B. atrial repolarization
C. ventricular depolarization
D. ventricular repolarization
D
3. The duration of a normal QRS is( )
A. 0.06~0.08s
B. 0.08~0.10s
C. 0.06~0.10s
D. 0.08~0.11s
D
4. ( ) lead placed in the left midclavicula
r line , fifth intercostal space.
A. V2
B. V3
C. V4
D. V5
C
5.When QRS complex is composed of on
ly one negative wave ,we called( ) .
A. qRs wave
B. QS wave
C. QR wave
D .Qr wave