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Electrocardiogram

By
H.Khorrami Ph.D.

http://khorrami1962.spaces.live.com
http://www.scribd.com/khorrami4
khorrami4@yahoo.com
How is your Heart-beating
Dipole
Augmented leads
You need to calculate
Waves, segments or Amplitude(mv) Duration(sec) Significance
intervals up to
P wave 0.15 0.08 Depolarization of atria

QRS complex 1.5 0.11 Depolarization of ventricles

T wave 0.3 0.16 Repolarization of ventricles

PQ(PR) segment 0 0.08 Atria stay in depolarization

ST segment 0 0.16 Ventricles stay in depolarization

PQ interval ---- 0.12-0.20 Time passing current from SA node to the


ventricular septum
QT interval ---- 0.36 Total action potential time of ventricles

QTc (corrected) ---- 0.42 in men Power and performance of the heart
0.43 in women
Cardiac vector
Precordial leads
Left axis deviation
Left axis deviation
Horizontal cardiac loop
A-V block
CYCLE
CARDIAC
opens

Closes
Mitral
Aortic

Atrial
Systole
Isovolumic

S1
contract.
Rapid Ejection

Reduced Ejectio

S2 Isovolumic Relax
Rapid Ventricular
Filling

Reduced Ventricular
Filling

Atrial
Systole
opens
closes
Aortic

Mitral
LEFT VENTRICULAR
PRESSURE/VOLUME P/V LOOP
LEFT VENTRICULAR PRESSURE (mmHg)

120 F
E

80 D

40

A B
C
0
50 100 150
LEFT VENTRICULAR VOLUME ( ml )
PRESSURE/VOLUME RELATIONSHIPS
UNDER DIFFERENT CONDITIONS

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