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ECG
ECG
Waves
waves
p wave T wave
tachycardia P T
you can discriminate P T P complex
T complex
P T
wave wave
wave
Paper ECG
5 0.20
5 amplitude
wave wave
5
0.5
0.5 0.2
..... timeduration
0.2
ECG
5
speed 5
5 .....
0.2 ....
3
5 .....
3
15
3
3 15
3
6
6
6
waves ECG
p waves
QRS complex
ST segment
T wave
P wave atrial depolarization
complex ventricular depolarization
ST segment T wave ventricular repolarization
( ) depolarization
repolarization
action potential Influx
session ECG
ten minutes
ECG
P wave .... iso- electric line
positive wave
T wave negative wave
waves ECG P, complex and T
P wave wave
T wave wave
complex complex QRS
ECG 12
QRS complex
QRS
12
.....
.... ...
12
QRS complex S R Q
QRS complex
10
( 10
)
negative wave preceded by R wave Negative wave
R wave ( S negative wave
Q S S R wave
)
second positive wave Positive R second positive
wave ECG ' ( R ) ( R capital )
10
6, 7 complex wave wave
complex one negative wave
One wave Negative
Q S
wave one negative wave
complex QS
QS
QR 9,8
QR Q first negative wave R
first positive wave in complex
q small letter R capital
capital small
QR Q Q Q
capital Q capital
complex
Q r small
ECG
qRs
RS Positive Positive R
Negative wave
Negative wave R complex S
RS
RQ ECG
rS r small S Capital
Rs
capital letter small letter
Q capital
'rsR
A
...
complex
B
complex
complex
standard mark
...
wave
... wave
complex ECG
wave
fat ECG leads
wave
ECG
normal ECG
ECG 12 12
12 heart
12
12 Lead
... ...
ECG
... ...
6 leads
lead 3 lead 2 lead 1
Lead a V f Lead a V l Lead a V r
6 leads Limb leads
Leads limb leads
Limb leads
Heart Limbs
V1 V V6
V1 V6 chest leads
Normal
Normal
abnormal
complexr S ... V1
complexr S ... V2
complexR S .... V3
complexR S .... V4
complexR S .... V5
complexq R .... V6
rS
RS
Rs
qR
qR
qR
Notice
R wave progression chest leads
R wave progression
r V1 start small ... r V1 V6
r wave V1 small
amplitude of R wave gradually toward V6 R wave
progression
r V1 V6
... R wave
progression ....
A S wave
A ... r S V1
V2r S
V3R S
R s V4
V 5q R
V 6q R
V 6 q R q R
No S wave in V 6 No S wave in V6
V6 S wave V
chest leads
value of chest leads
....
target V6 V1
value of chest leads
in V1 and V6 diagnosis of ventricular enlargement
ventricles
chest leads
V6 V1
anterior wall infraction diagnosis of anterior wall ischaemia
left ventricle anterior wall
left ventricle
e.g. for example
V6 V1 finding anterior wall infraction
anterior aspect of the left V6 V1
ventricle
findings anterior wall ... infraction
V6 V1
chest leads
finding of lateral wall ischaemia V6 V5
lateral wall infraction
septal spetal infraction finding V1 and V2
ischaeamia
septum
anterior aspect of the left ventricle
anterior
Lateral septum
anterior aspect of the left ventricle V6 V1 ...
Lateral V6 V5
septum V2 V1
valuechest leads
bundle branch block
bundle branch block V1
value
right ventricular strain
diagnosed in V1 and V2
V anterior
....
sharp
value
Left ventricular strain
V5 and V6
strain
... left ventricle strain
strain
Pressure load
right ventricle strain pressure load
pulmonary hypertension
left ventricle
load
Infraction Ischaemia
bundle branch block
chest leads
limb leads
limb lead
complex a V r
complex Positive Negative complex Negative
notice
complex in a V rnegative
negative complex in a V r
heart sinus rhythm
value of limb leads
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value
diagnosis of sinus rhythm sinus rhythm
diagnosis of axis deviation
limb leads sinus rhythm axis
deviation
diagnosis of inferior wall infraction or ischaemia
Inferior wall left ventricle finding
finding leads Lead lead 3 Lead 2 :
a V f Inferior leads
Inferior aspect of left ventricle ischaemia
limb leads