Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
JP
Exercise Configuration
The right & left arm electrodes are transferred to the upper torso while the leg electrodes are transferred to the lower torso
Precordial Leads
V1 red V2 yellow
V3 green V4 blue
V5 orange V6 violet
V3
V4 V5 V6
Limb Leads
LEAD I
LEAD II
Limb Leads
Precordial Leads
V9
depolarisation
QRS complex :
ventricular depolarisation
repolarisation
hidden by QRS
R
P
ST segment
U Q
The depolarization traveling acros the heart continue traveling through the body By examining the different leads, shape, time intervals, contour, frequency, and type of the ECG complexes, we can diagnose cardiac illnesses.
PR interval
QT
interval
ECG Paper
++++ ++ ++
---- --
++++ ++
---- --
++++
++++
++++
++++
++++
-------
-- ++ ++++ ++++ ---- ---- ++ ---- ---++++ -++++ ++++ -++++ ---- ++ ++ ----------++++ ++++
++++ -++ ---- ++ ---++++ ----++++ ++++ ++++ ++++ -++++ ---- ---- ++ ++ -------++++
----
---- ---- ------- ++++ ++++ ++++ ++++ ++++ ++++ ++++ ---------- ------++++
----
++++ ++++
depolarization the main atrial depolarization vector (large green arrow). It is moving towards the lead II resulting in an upward deflection of the ECG.
.
o 60
resulting depolarization wave moves away from Lead II. The rest ventricle depolarizes counter-clockwise from inside out main cardiac vector (large arrow) which is sum of all of the small depolarization vectors. This vector in normal heart, almost always moving directly toward Lead II a mostly positive QRS complex. The RV is much smaller and contributes little to the overall main vector of depolarization
60
depolarization left off . Proceeding clockwise from the lateral wall back to the septum. The vector is moving away from the Lead II T-wave is always positive. The process much slower than depolarization T-wave is wide & rounded.
6.
7.
Setiap sel jantung dapat berperan sebagai pacemaker. Pacemaker dengan frekuensi pulsus tertinggi yang menentukan frekuensi denyut jantung. Pulsus secara normal di konduksikan dari atrium ke ventrikel hanya melalui AV node. Pulsus dari atrium mengalami perlambatan di AV node sebelum dikonduksikan ke ventrikel. AV node memiliki masa refrakter tertentu(masa tidak dapat dirangsang). Pulsus yang berasal dari supra ventrikel akan mengeksitasi ventrikel dengan cepat gambaran QRS sempit. Pulsus yang berasal dari ventrikel akan mengeksitasi ventrikel dengan lambat gambaran QRS lebar.
Figure 18.17
Thank You