1. Electro Cardiography:
Systole – Contraction of Heart Muscle when Ventricle Muscle Pumps Blood into Pulmonary Artery & Aorta.
Diastole – Period of Dilation of Heart cavities while they fill with blood.
Arteries – Carries Oxygenated Blood from heart to all body parts.
Veins – Carries Deoxygenated Blood to Heart from all Body parts for purification.
Pulmonary Artery – Carries Deoxygenated Blood from right Chambers of Heart to Left Chambers of Heart
through Lungs for purification.
Pulmonary Veins – Carries Oxygenated Blood after purification through Lungs to Left Chambers of Heart.
2. PQRS Characteristics:
P – Depolarization
QRS – Combined result of Repolarization of Artery &
Depolarization of Ventricle.
T – Repolarization of Ventricle.
U – Result of after Potentials in Ventricle Muscle.
Values for Amplitude & Duration of ECG Parameters:
Amplitude: P Wave – 0.26mv
R Wave – 1.50mv
Q Wave – 25% of R Wave
T Wave – 0.1mv to 0.5mv
Duration: P-R interval – 0.10sec to 0.20sec
Q-T interval – 0.34sec 0.45sec
S-T interval – 0.05sec to 0.15sec
P Wave interval – 0.10sec
QRS interval – 0.08sec
3. ECG Amplifiers:
2 Amplifiers are used to form Differential Amplifiers.
One is inverting another is non-inverting amplifiers.
Separately 2 inputs with 1 common output i.e., sum
of 2 output voltages.
Inverting amplifier has 180⁰ out of phase w.r.t input.
Measurement of bioelectric signals occur as a
potential difference b/n 2 electrodes is an i/p to
Differential amplifier.
Bioelectric signals are b/n inverting and non-
inverting inputs of Amplifiers.
4. a)Electrodes
b)Leads:
Lead I: Left Arm(LA) & Right Arm(RA)
Lead II: Left Leg(LL) & Right Arm(RA)
Lead III: Left Leg(LL) & Left Arm(LA)
Right Leg(RL) is taken as Ground Reference
5.
6. Lead II Produces Greatest R Wave
Potential.
When Amplitudes of 3 Limb Leads
are measured.
R Wave Amplitude of Lead II is
equal to Sum of the R Wave
Amplitudes of Lead I & III.
14. ECG Systems for Stress Testing:
A Treadmill with automatic capability to change the speed and inclination in order to apply a specific physiological
stress.
An ECG radiometry system to allow recording of the ECBLG without artifacts while the patient is on treadmill.
An ECG monitor with a cathode ray display and heart rate meter.
An ECG Recorder.
An automatic or semiautomatic sphygmomanometer for the indirect measurement of blood pressure.
A defibrillator is usually kept available while test is being performed.
Stress Test system based on exercises consists of following points: