Biological theory
In order to understand the electronic operation of
a n electrocardiograph, we need to understand
some basic biological principles. As shown in Fig.
1, the heart consists of four chambers which are
organized as two pumps-the so-called right and
left heart. The right heart collects the blood return-
ing from the body and pumps it to the lungs, while
the left heart collects blood from the lungs and
pumps it to the body.
Each pump has two parts: the upper chambei-
known a s the atrium a n d the lower chamber en an eye on your health and
known a s the ventricle. The atrium collects blood
between cycles and at the appropriate time con- 'learn about medical eleetrbnics
tracts. filling the lower ventricles. The ventricles
then contract and DumD blood to the luilgs or bodv. with the Radio-Electronics
The heart is cdntroiled by a pulse Kenerato;,
known a s the pacemaker, located in the right
atrium, which initiates cardiac action. It is analo- ' B
gous to the clock in a digital system. The pulse it " i I
t
aenerates is first sent to both atrium which causes
0
H. EDWARD ROBERTS, M.D.
them to contract, filling the ventricles. After a delay
of approximately 150 milliseconds, the ventricles
are then triggered by the same pulse. which causes
them to contract. As in a digital system, the timing
relationships are quite important and much of the i
disease associated with the heart is related to tim- -
6
t
L
ing defects.
Figure 2 shows a typical signal as seen on ail WARNING!/ Thls article deals wlth and involves subject k 'i.,'Fdze
matter and the use of materials and substances that
ECG. The first pulse, called the "P" wave, is gener-
y be hazardous to health and Ilfe. Do not attempt to
ated by the pacemaker. The next pulse, called the lement or use the lnformat~oncontalned hereln un-
"QRS complex." represents the electrical signal less you are experienced and sk~lledw~threspect to
generated by the ventricles contracting. The "T such subject matter, materials and substances.
wave" which follows the QRS complex is generated Furthermore, the lnformatlon contalned In thls artlcle
as the muscles of the ventricles relax, or repolarize. IS being prov~ded solely to readers for educational pur-
A standard ECG consist of 12 channels: each poses Nothlng conta~nedhereln suggests that the
channel "looks" at the heart from a different elec- monltorlng system described hereln can be orshould be
trical axis. The different "views" allow u s to inter- used by the assembler or anyone else In place of or as
pret the activity of different parts of the heart. The n adjunct to professional medical treatment or advlce. jz:;s.3L
timing relationships between different compo- Neither the publisher nor the author make any represen-
nents of the heart will identify defects in the con- tatlons as for the completeness or the accuracy of the
duction pathways. lnformatron conta~nedhereln and dlsclaim any liability
for damages or injuries, whether caused by or arlslng
from the lack of completeness, Inaccuracies of the Infor-
2
How ECG's are used 7
In patients with high blood pressure, the left matlon, mlslnterpretat~onsof the directions, mlsappllca-
w
ventricle will become quite large due to its ill- t ~ o nof the information or otherwise. Y
BODY
P-R INTERVAL& I
I
QRS 'COVPLEX I
A O-T INTERVAL '
+
BODY
FIG. 1-THE HEART CONSISTS OF FOUR CHAMBERS which are organized as two
pumps, known as the right and left heart. The right heart collects the blood returning from
the body and pumps it to the lungs, while the left heart collects blood from the lungs and
pumps it to the body.
normalities. For example, an ele- ring at a time such that they the QRS and the T wave. It is very
vated potassium level will pro- "scramble" the normal electrical predictive of obstructed arteries
duce a tall peaked T wave. timing in the heart-the situa- before any damage occurs to the
If a portion of the ventricle is tion is known as fibrillation. heart. Obstruction of an artery
damaged, a so-called "Q wave" is Special ECG systems, known will result in a depressed ST seg-
(I)
2 formed which is simply a nega- a s Holter monitors, can detect ment of the ECG-it will fall be-
* tive-going QRS complex. The lo- these irregular beats. They are low the base line in the affected
cation of the damage can be simply ECGs with one or more leads. The exercise cardiogram,
determined by noting which channels that store each of the or stress test, looks primarily at
1 leads contain the Q wave. That's 80,000 or so beats in one day. The the ST portion of the ECG to pre-
how a doctor can tell where you data from the Holter is then fed dict if any of the hearts arteries
E have had a heart attack. into a computer which analyzes are becoming clogged.
$ Most normal individuals pro- it for a r r y t h y m i a s . S i m i l a r It is possible to become quite
I
OPTICALLY ISOLATED 8
NOT ISOLATED
FIG. 4-BLOCK DIAGRAM OF THE COMPLETE ECG SYSTEM. The system logically
divides into the front-end e i e c t r ~ n i c sand the controller. Data communication between
the analog and digital portion of the ECG is accomplished through optical isolators,
which helps keep the patient isaiated.
PARTS LIST-CONTROLLER
All resistors are %-watt, 5%, unless IC14-74HC138 1-of-8 decoder maiics, assembly instructions, and
otherwise noted. IC15-82C52 UART checkout- and plot-software design
R1-10 ohms IC16, IC17-74HC573 octal latch specifications (ECG-DP): $27.00.
R2, R7-E10-10,000 ohms IC18-74HC74 dual D fl~p-flop e front-end PC board, controller
R3-R6, R15, R16-1000 ohms IC19-MC145406 RS232 transce~ver PC board, and design package from
Rll-7500 ohms IC20-AD0829 AID converter above (ECG-PC): $74.00.
R12-24,000 ohms IC21, lC22-DAC0830 DIA converter s Complete kit of parts, including
R13-30,000 ohms IC23, IC24-NE5532A op-amp both PC boards. IC's, sockets, pas-
R14-10,000 ohms > 8, SIP IC25-74HC14 hex Schm~ttinverter sive components, design package,
Capacitors IC2674HC00 quad NAND gate ECG software, and checkout soft-
C1-C22, C25, C26, C28. C29, C33. C34, IC27-PS2501A-2 opto~soiator ware (ECG-KIT): $289.00.
C42-0 47 FF, ceramlc d~sk lC28, IC31-not used Lead kit consisting of 50 feet of
C23, C24-22 pF, ceramlc d~sk IC29-ICL7660 DC-DC converter 29-gauge shielded cable, 10 alligator
C27, C30--0 001 p.F, metal fllm IC30--78L06AC voltage regulator clips, heat-shrink tubing, and in-
C31-220 pF, ceramlc disk lC32-7805 voltage regulator structions (ECG-LD): $53.00.
C32-10 p.F, 10 volts, electrolytic Dl-D4-IN914 dlode EPROM containing ECG soft-
C35, C38, C39,-10 p.F, 10 volts, D5-5 1-volt Zener diode ware, ECG resident portion of check-
tantalum D 6 6 - v o l t Zener dlode out software (ECG-PROG): $45.00.
C36, C37, C40, C41-1 p.F, 10 volts, QI-IRFZ10 N-channel MOSFET e Set of four programmed PAL'S
tantalum Other components (ECG-PAL): $67.00.
Semiconductors XTALI-2 4576 MHz crystal e Case as shown with mounting
ICI-Z80 CPU XTAL2-8 00 MHz osc~llator hardware (ECG-CASE): $29.00
IC2-IC5, IC12-74HC245 bus S1-SPDT momentary contact sw~tch @ Package of 100 self-adhesive elec-
169-27C256 EPROM
IC10, lC11-55257 stat~cRAM
from DataBlocks, Inc., Glenwood,
GA 30428, (912) 568-7101.
electrodes, $10.00 shipping and han-
dling for all other products. Georgia
2
IC13-74HC688 equallty comparator B Design package including sche- residents must add sales tax. (D
2
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FROM L E F T A 3 H
112
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FF1OY L E F T LEC. /1
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2 FIG. 5-THE FRONT-END ELECTRONICS takes in the signals from the 9 input leads
0 located on the patient. The small signal frcm each of the leads is fed into the quad op
$ amps iC7, IC2, and IC3-a.
BAT +SV 1
CLK
------
GTLA I
FIG. 6-PAL IC8 SEQUENCES THE MULTIPLEXER ADDRESS LINES so that each input
signal is sequentially passed to the multiplexer output for processing. This timing
diagram shows the relationships between the PAL'S input, output, and control signals.
'
-I
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n
BUSINESS-SIDE of running a successful service op-
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latch, the CPU must write it to
the DIA converter. Notice that the
outputs of the octal latch, IC17,
2
ISI
Or write to: Viejo Publ~cationslnc.
5329 Fountain Ave continued on page 88
Los Angeles, C 4 90029 Dept. RE C I R C L E 108 O N F R E E INFORMATION C A R D
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9U
C I R C L E 187 O N F R E E INFORMATION C A R D I
c con tin ued from page 46
Professional driver
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