SISTEMA CARDIOVASCULAR

E
GERAO DO E.C.G.
PROF. SERGIO F. PICHORIM
Cap 4 do Webster,
Cap 16 do Guyton,
Malmivuo
extras.
From J. G. Webster (ed.), Medical instrumentation:
application andedesign.
3 ed. New York: John Wiley & Sons, 1998.
rd

CABEA
CARTIDA
PULMES

CAVA

LADO
DIREITO

Pequena
circulao

LADO
ESQUERDO
AORTA

CORONARIANA
Grande Circulao
FIGADO

INTESTINO

RINS

From J. G. Webster (ed.), Medical instrumentation: application and design. 3rd ed. New York: John Wiley & Sons, 1998.

CORPO

SISTEMA CARDIOVASCULAR
Funo
Complexidade do Controle

Vascularizao diferente
Regulao trmica varivel
Taxa metablica varivel
Regies prioritrias

Dbito Cardaco Varivel

From J. G. Webster (ed.), Medical instrumentation: application and design. 3rd ed. New York: John Wiley & Sons, 1998.

SISTEMA CARDIOVASCULAR
Fluxo = Presso
Resistncia
Circuito Equivalente Simplificado

From J. G. Webster (ed.), Medical instrumentation: application and design. 3rd ed. New York: John Wiley & Sons, 1998.

 From J. G. Webster (ed.), Medical instrumentation: application and design. 3rd ed. New York: John Wiley & Sons, 1998.

 From J. G. Webster (ed.), Medical instrumentation: application and design. 3rd ed. New York: John Wiley & Sons, 1998.

SISTEMA CARDIOVASCULAR
Nveis das presses

Aorta = 100 mmHg

Arterolas = 85 mmHg
Capilares = 30 mmHg
Veias = 10 mmHg
Cava = 0 mmHg

Circuito Equivalente Completo

From J. G. Webster (ed.), Medical instrumentation: application and design. 3rd ed. New York: John Wiley & Sons, 1998.

 From J. G. Webster (ed.), Medical instrumentation: application and design. 3rd ed. New York: John Wiley & Sons, 1998.

 From J. G. Webster (ed.), Medical instrumentation: application and design. 3rd ed. New York: John Wiley & Sons, 1998.

Feixes de His

From J. G. Webster (ed.), Medical instrumentation: application and design. 3rd ed. New York: John Wiley & Sons, 1998.

Propagao do PA

From J. G. Webster (ed.), Medical instrumentation: application and design. 3rd ed. New York: John Wiley & Sons, 1998.

 From J. G. Webster (ed.), Medical instrumentation: application and design. 3rd ed. New York: John Wiley & Sons, 1998.

 From J. G. Webster (ed.), Medical instrumentation: application and design. 3rd ed. New York: John Wiley & Sons, 1998.

EXEMPLOS DE ECG

From J. G. Webster (ed.), Medical instrumentation: application and design. 3rd ed. New York: John Wiley & Sons, 1998.

Figure 4.14 The cellular architecture of myocardial fibers

Note the centroid nuclei and transverse intercalated disks between cells.

From J. G. Webster (ed.), Medical instrumentation: application and design. 3rd ed. New York: John Wiley & Sons, 1998.

Figure 4.15 Isochronous lines of ventricular activation of the human heart

Note the nearly closed activation surface at 30 ms into the QRS complex.
From J. G. Webster (ed.), Medical instrumentation: application and design. 3rd ed. New York: John Wiley & Sons, 1998.

EXEMPLOS DE ANOMALIAS E SEUS ECGs

Figure 4.17 Atrioventricular
block (a) Complete heart
block. Cells in the AV node
are dead and activity cannot
pass from atria to ventricles.
(B) AV block wherein the
node is diseased (examples
include rheumatic heart
disease and viral infections of
the heart). Although each
wave from the atria reaches
the ventricles, the AV nodal
delay is greatly increased.
This
is first-degree heart
From J. G. Webster (ed.), Medical instrumentation: application and design. 3
block.

rd

ed. New York: John Wiley & Sons, 1998.

REA INFARTADA ISQUEMIA

From J. G. Webster (ed.), Medical instrumentation: application and design. 3rd ed. New York: John Wiley & Sons, 1998.

 From J. G. Webster (ed.), Medical instrumentation: application and design. 3rd ed. New York: John Wiley & Sons, 1998.

Figure 4.21 (a) Action potentials recorded from normal (solid lines)
and ischemic (dashed lines) myocardium in a dog. Control is before
coronary occlusion. (b) During the control period prior to coronary
occlusion, there is no ECG S-T segment shift; after ischemia, there is
From a
J. G.
Webster (ed.), Medical instrumentation: application and design. 3 ed. New York: John Wiley & Sons, 1998.
such
shift.
rd

Figure 4.20 (a) Atrial fibrillation. The atria stop their regular beat and begin a
feeble, uncoordinated twitching. Concomitantly, low-amplitude, irregular waves
appear in the ECG, as shown. This type of recording can be clearly distinguished
from the very regular ECG waveform containing atrial flutter.
(b) Ventricular fibrillation. Mechanically the ventricles twitch in a feeble,
uncoordinated
no blood
being
theJohn
heart.
The
From J. G. Webster fashion
(ed.), Medicalwith
instrumentation:
application
andpumped
design. 3 ed.from
New York:
Wiley &
Sons, ECG
1998. is
likewise very uncoordinated, as shown
rd

EXEMPLO DE DIFRILAO
Gerado
pelo(ed.),
simulador
de ECG-PLUS
da
empresa
BIO-TEK
From J. G. Webster
Medical instrumentation:
application and design.
3 ed.
New York: John
Wiley & Sons, 1998.
rd

FIM
From J. G. Webster (ed.), Medical instrumentation: application and design. 3rd ed. New York: John Wiley & Sons, 1998.