This document provides an overview of electrocardiography and the cardiac electrical system. It discusses the components of the cardiac conduction system including the sinoatrial node, atrioventricular node, bundle of His, bundle branches and purkinje fibers. It also describes the waves that make up the electrocardiogram including the P wave, QRS complex and T wave. Additionally, it discusses electrocardiograph use and placement of electrodes for recording the standard 12-lead electrocardiogram. Key intervals measured on the ECG like the PR interval, QT interval and segments are also outlined.
Cardiac tamponade
Synonyms Pericardial tamponade
Hemorragic effusion.jpg
A very large pericardial effusion resulting in tamponade as a result of bleeding from cancer as seen on ultrasound. Closed arrow - the heart; open arrow - the effusion
Specialty Cardiac surgery
Symptoms Shortness of breath, weakness, lightheadedness, cough[1]
Usual onset Rapid or more gradual[2]
Causes Cancer, kidney failure, chest trauma, pericarditis, tuberculosis[2][1]
Diagnostic method Symptoms and ultrasound of the heart[2]
Treatment Drainage (pericardiocentesis, pericardial window, pericardiectomy)[2]
Frequency 2 per 10,000 per year (US)[3]
Cardiac tamponade, also known as pericardial tamponade, is when fluid in the pericardium (the sac around the heart) builds up, resulting in compression of the heart.
Body Fluid and Compartments | DR RAI M. AMMAR | ALL MEDICAL DATA
by DR RAI M. AMMAR
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An arterial blood gas (ABG) test measures the acidity (PH) and levels of oxygen and carbon dioxide in the blood from an artery.
This test used to check how well your lungs are able to move oxygen into the blood and remove carbon dioxide from the blood
Nervous system ( anatomy and physiology)Ravish Yadav
the topic contain function of nervous system, classification of nervous system, neurons anatomy, structural classification of neurons, functional classification of neurons, nerve impulse
Cardiac tamponade
Synonyms Pericardial tamponade
Hemorragic effusion.jpg
A very large pericardial effusion resulting in tamponade as a result of bleeding from cancer as seen on ultrasound. Closed arrow - the heart; open arrow - the effusion
Specialty Cardiac surgery
Symptoms Shortness of breath, weakness, lightheadedness, cough[1]
Usual onset Rapid or more gradual[2]
Causes Cancer, kidney failure, chest trauma, pericarditis, tuberculosis[2][1]
Diagnostic method Symptoms and ultrasound of the heart[2]
Treatment Drainage (pericardiocentesis, pericardial window, pericardiectomy)[2]
Frequency 2 per 10,000 per year (US)[3]
Cardiac tamponade, also known as pericardial tamponade, is when fluid in the pericardium (the sac around the heart) builds up, resulting in compression of the heart.
Body Fluid and Compartments | DR RAI M. AMMAR | ALL MEDICAL DATA
by DR RAI M. AMMAR
www.facebook.com/drraiammar
www.twitter.com/drraiammar
www.instagram.com/drraiammar
www.linkedin.com/in/drraiammar
www.medicall.com.pk/blog/auther/drraiammar/
For Any Book or Notes Visit Our Website:
www.allmedicaldata.wordpress.com
www.drraiammar.blogspot.com
YOUTUBE CHANNEL :
https://www.youtube.com/channel/UCu-oR9V3OdFNTJW5yqXWXxA
ANY QUESTION ??
Get in touch with us at Any of the Above Social Media or Email at
drraiammar@gmail.com
allmedicaldata@gmail.com
An arterial blood gas (ABG) test measures the acidity (PH) and levels of oxygen and carbon dioxide in the blood from an artery.
This test used to check how well your lungs are able to move oxygen into the blood and remove carbon dioxide from the blood
Nervous system ( anatomy and physiology)Ravish Yadav
the topic contain function of nervous system, classification of nervous system, neurons anatomy, structural classification of neurons, functional classification of neurons, nerve impulse
ECG - Definition and Measurement techniques .pdfSathish M
Electrocardiogram
-Introduction
-Need for measurement
-How to be measured
-Principle of Measurement
-Lead Placements
-Reduce Art
ECG is used to record the electrical activity of the heart from different angles to both identify and locate pathology. Electrodes are placed on different parts of a patient’s limbs and chest to record the electrical activity.
#ECG
#Electrocardiogram
#Electrocardiograph
#Biomeical
#Cardiac
#Cardiac Monitoring
#12 lead system
#ECG Measurement
#Online
#Study material
#Concept
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- Prix Galien International Awards Ceremony
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
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Study Resources:
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2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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1. OGUNLADE O., MBChB., M.Sc., PhD., FWACP
Department of Physiological Sciences,
Faculty of Basic Medical Sciences,
College of Health Sciences
Obafemi Awolowo University, Ile-Ife
15 June 2021
1
Cardiovascular Physiology:
Electrocardiography 1
2. Introduction
Electrocardiography is the aspect of physiology that
deals with the recording and analysis of the electrical
activities of the heart
Electrocardiogram(ECG): graphic record of the electrical
activities of the heart obtained at the body surface.
Electrogram: graphic record of the electrical activities of
the heart obtained within the cardiac chambers or on the
pericardium.
Electrocardiograph(ECG machine): instrument used
for recording the cardiac electrical activities.
June 15, 2021
2
3. Cardiac Electrical System or Cardiac
Conduction System
Cardiac electrical system or cardiac conduction system is
structurally made up of the following components;
1. Sinoatrial node
2. Internodal and interatrial pathways
3. Atrioventricular node(A-V node)
4. His bundle(A-V bundle)
5. Bundle branches
6. Fascicles
7. Purkinje fibres
Tuesday, June 15, 2021
3
5. Organization of Cardiac Electrical System
Sinoatrial Node
Internodal fibres &
interatrial pathways
Atrioventricular Node
Bundle of His
Bundle Branches
Fascicles
Punkinje fibres
Tuesday, June 15, 2021
5
6. Sinoatrial Node-The Cardiac
Pacemaker
A collection of central stellate pacemaker ( P) cells which possess
intrinsic ability for spontaneous depolarisation and
repolarization(automaticity)
Discovered in 1906 but first described(published) in 1907 in the
countryside of Kent (UK) by Arthur Keith and his laboratory
assistance; Martin Flack (a young medical student).
The human sinoatrial node measures approximately 1.5cm long and
0.5cm wide.
Located in the upper wall of the right atrium, close to the interatrial
septum at the entrance of superior vena cava into the right atrium
Sinoatrial node is the cardiac pacemaker
Tuesday, June 15, 2021
6
8. ECG Denotations
Denotations Descriptions
P wave atrial depolarization
QRS complex ventricular depolarization
Q wave first negative deflection in ventricular
depolarization
R wave first positive deflection in ventricular
depolarization
S wave second negative deflection in ventricular
depolarization or the first negative deflection
after R wave
T wave ventricular repolarization June 15, 2021
8
9. ECG Paper
The graph paper consists of horizontal and vertical lines at
1mm apart that intersect to form small (1mm) and large
(5mm) squares
June 15, 2021
9
10. ECG Graph:Time and Voltage
Assessment
Time Measurement : time is assessment is done horizontally;
1mm represents 0.04s (40ms)
Voltage Measurement: voltage assessment is done vertically.
1mm represents 0.1mV
Standardization
Paper speed: 25mm/s
Calibration signal or amplitude indicator: 10mm/mV
June 15, 2021
10
13. Intervals and Segments in ECG
PR interval: period from the onset of atrial depolarization
to the beginning of ventricular depolarization
QT interval: period from the onset of the ventricular
depolarization to the end of ventricular repolarization
RR interval: period from the peak of R wave to the other
PR segment: isoelectric line from the end of atrial
depolarization to the beginning of ventricular depolarization
ST segment: isoelectric line from the end of ventricular
depolarization to the beginning of ventricular repolarization
J-Junction: the junction between the end of ventricular
depolarization and the beginning of S-T segment
June 15, 2021
13
14. ST Segment
ST segment : isoelectric line between the end of ventricular
depolarisation and the beginning of ventricular repolarization
It is the isoelectric line between QRS complex andT wave
ST segment can be elevated or depressed in some cardiac
disorders
Causes of ST segment elevation include; early repolarization,
acute myocardial infarction and acute pericarditis
Causes of ST segment depression include; myocardia
ischaemia(angina pectoris) and hypokalaemia
June 15, 2021
14
15. U wave
An inconstant wave
Exact mechanism of its genesis is still controversial however
suggested mechanisms;
➢ repolarization of papillary muscle and neighbouring
structures(old concept)
➢ repolarization of mid-myocardial cells (M-cells)
➢ an afterpotentials
June 15, 2021
15
16. QTc Interval
QT interval : period from the onset of ventricular
depolarisation to the end of ventricular repolarization
QT interval varies with the heart rate
When QT is measured , it should be adjusted for heart rate using
Bazzet’s Formula;
QTc = QTm /RRint ½ ,
QTc = QT corrected, QTm = measured QT & RRint.= RR interval
Normal QTc : 0.36 – 0.44s for male,
: 0.36 – 0.46s for female
June 15, 2021
16
17. Estimation of QT Interval
Bazzet Formula
Tuesday, June 15, 2021
17
18. Heart Rate(HR) Estimation
Tuesday, June 15, 2021
18
Regular RR Interval
a. HR = 300/x or 1500/y
where x is the number of big squares within RR interval
y is number of small squares within RR interval
b. HR = 60/RR interval
The normal heart rate: 60-100bpm
20. STANDARD 12-LEAD ECG
Standard 12-lead ECG is recorded by the aids of 10
electrodes arranged on specific locations on the body surface
One electrode is attached to each limb to produce 6 limb
leads
6 electrodes are attached to the chest to produce 6 chest or
precordial leads
June 15, 2021
20
25. Classifications of Standard 12
Leads
Types of Lead Leads
Bipolar limb leads I, II, III
Augmented limb
leads
aVF, aVL, aVR
Chest or Precordial
leads
V1,V2,V3,V4,V5,V
6
June 15, 2021
25
27. Lead Classification Based on Planes of Location
Frontal Plane Leads
➢ These leads are located in the frontal plane
➢ They include all the limb leads; I,II,III, aVL ,aVF & aVR
Horizontal/Transverse Plane Leads:
➢ These leads are located in the horizontal/transverse plane
➢ They include all the chest leads;V1-V6
June 15, 2021
27