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Title: EKG
Description: this file contains a full explanation of the hurt function and several EKG (normal and abnormal ones ) + explaining the deference between them and the causes
Description: this file contains a full explanation of the hurt function and several EKG (normal and abnormal ones ) + explaining the deference between them and the causes
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ELECTROCARDIOGRAM
2
Normal Impulse Conduction
Sinoatrial node
AV node
Bundle of His
Bundle Branches
Purkinje fibers
3
Cardiac cycle
•
•
•
•
Atrial systole (contraction=depolarisation) LA/RA
Ventricular systole (contraction=depolarisation) LV/RV
Atrial diastole (relaxation=repolarisation) LA/RA
Ventricular diastole (relaxation=repolarisation) LV/RV
4
The “PQRST” complex
R
T
P
Q S
5
The “PQRST”
• P wave - Atrial
depolarization
• QRS - Ventricular
depolarization
• T wave - Ventricular
repolarization
Atrial repolarization is not seen on surface EKG, since it occurs
during ventricular systole (lost within QRS)
Raffy Karaminassian M
...
D
10
Standard (peripheral/ limb) leads: I-II-III-aVR-aVL-aVF
11
The precordial (frontal) leads: V1-V2-V3-V4-V5-V6
Raffy Karaminassian M
...
23
ATRIAL FIBRILLATION
24
ATRIAL FLUTTER
25
SUPRAVENTRICULAR TACHYCARDIA
26
VENTRICULAR TACHYCARDIA
27
LEFT BUNDLE BRANCH BLOCK
28
RIGHT BUNDLE BRANCH BLOCK
29
VENTRICULAR FIBRILLATION
30
ASYSTOLE
31
Title: EKG
Description: this file contains a full explanation of the hurt function and several EKG (normal and abnormal ones ) + explaining the deference between them and the causes
Description: this file contains a full explanation of the hurt function and several EKG (normal and abnormal ones ) + explaining the deference between them and the causes