SlideShare a Scribd company logo
Electrocardiogram (ECG)


Definition:
Electrocardiogram is graphic recording of the heart electrical potential spread over the
surface of the body
It is based on a concept named Dipole.




A Galvanometer can record the potential of the dipole.
Amount of the potential is related to:
   1. surface of the dipole
   2. kind of the charge face the recording electrode
   3. conductivity of the medium
   4. orientation of the electrode with respect to a line parallel to the dipole
   5. the angle of axis of recording electrode to the surface of the dipole




                                               1
Depolarization




    Depolarization and repolarization




2
Electrocardiogram is recorded by:
   1. Unipolar leads: VR, VL, VF and precordial V1 to V6
   2. Bipolar leads: I, II and III
   3. Augmented leads: aVR, aVL and aVF
                             LL ๏€ญ LA
          a. aVR = RA -
                                2
                        ๏ƒฉ LL ๏€ซ LA ๏ƒน
          b. aVR = RA + ๏ƒช๏€ญ        ๏ƒบ
                        ๏ƒซ    2    ๏ƒป
          c. RA + LA + LL = 0
          d. Thus RA = -(LA + LL)
                                     RA
          e. b&d aVR = RA +             = 3/2RA ( 3/2 VR)
                                      2


Diagnostic value:
   1. Hypertrophy of ventricle and atrium.
   2. Conduction velocity.
   3. Myocardial infarction and ischemia.
   4. Disturbances of electrolyte balance.
   5. Nodal conduction velocity.
   6. Effects of antiarrhythmic agents.


The items which could be explored by ECG:
   1. characteristics ( amplitude and duration) of each wave, complex, segment and interval
   2. heart rate
   3. heart rhythm
   4. vector of the heart




                                              3
Waves, segments or     Amplitude(mv)   Duration(sec)                       Significance
    intervals
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) 1      ----            0.42 in men        Power and performance of the heart
                                       0.43 in women



  Vector of the heart:
  Definition: sum of cardiac loop in the frontal plane
  Normal values: -30 to +110ยบ mostly 59ยบ


                                                         Diagram of frontal leads




                                                    aVR                                       aVL


                                                                                               I




                                                                III                 II
                                                                          aVF




  1           QT int
      QTc =
                RR


                                                4
Instruments:
Electrocardiograph and related accessories consist of wires and electrolyte gel.


Procedure:
   1. Explain completely about the experiment to the volunteer.
   2. The best time for taking ECG is 2 hours after meal. Too hunger or right after meal
       may simulate some pathological conditions.
   3. Optimal temperature of the room is about 25oC.
   4. Ask about probable medicines that the volunteer may has been used.
   5. The volunteer should remain lying down.
   6. Remove all metal instruments from the volunteer.
   7. Clean the surface of the electrodes and extremities using a piece of alcoholic cotton.
   8. Connect the electrodes to the extremities using a drop of electrolyte gel.
   9. Record leads respectively.




Questions:
   1. Explain about the experiment
   2. Explain about right axis deviation and left axis deviation.
   3. Draw a table and measure the waves, segments and intervals from the sample ECG,
       and compare them with normal values.
   4. Calculate and draw vector of the heart.
   5. How important is QT c?




Dr. H. Khorrami Ph.D.




                                                5

More Related Content

What's hot

Ecg ppt
Ecg pptEcg ppt
Ecg ppt
Priya_Srivastava
ย 
Easy ECG INTERPRETATION
Easy ECG INTERPRETATION Easy ECG INTERPRETATION
Easy ECG INTERPRETATION
Ravi Dabas
ย 
ECG - Electrocardiogram
ECG - Electrocardiogram ECG - Electrocardiogram
ECG - Electrocardiogram
Prajwal Rk
ย 
Commutation techniques in power electronics
Commutation techniques in power electronicsCommutation techniques in power electronics
Commutation techniques in power electronics
Aniruddha Gautam
ย 
Ape thyristor
Ape thyristorApe thyristor
Ape thyristor
Utsav Yagnik
ย 
hpmmmjtsnsm
hpmmmjtsnsmhpmmmjtsnsm
hpmmmjtsnsm
Honey jose
ย 
Pdc ppt
Pdc pptPdc ppt
Pdc ppt
Girish Pechetti
ย 
ECG Interpretation
ECG InterpretationECG Interpretation
ECG Interpretation
Myra Reambonanza
ย 
Mod 2 thyristors commutation techniques
Mod 2 thyristors commutation techniquesMod 2 thyristors commutation techniques
Mod 2 thyristors commutation techniques
Dr.Sudha L K
ย 
Pdc manual
Pdc manualPdc manual
Pdc manual
Uppara Suresh
ย 
30. cardiovascular 2-07-08
30. cardiovascular 2-07-0830. cardiovascular 2-07-08
30. cardiovascular 2-07-08
Nasir Koko
ย 
Implication of 3D Mapping in EP
Implication of 3D Mapping in EP Implication of 3D Mapping in EP
Implication of 3D Mapping in EP
Taiwan Heart Rhythm Society
ย 
Basic ecg interpretations
Basic ecg interpretationsBasic ecg interpretations
Basic ecg interpretations
Justin V Sebastian
ย 
Rectifier
RectifierRectifier
Rectifier
Tanvir Tushar
ย 
Sinusoidal oscillators
Sinusoidal oscillatorsSinusoidal oscillators
Sinusoidal oscillators
Touqeer Jumani
ย 

What's hot (15)

Ecg ppt
Ecg pptEcg ppt
Ecg ppt
ย 
Easy ECG INTERPRETATION
Easy ECG INTERPRETATION Easy ECG INTERPRETATION
Easy ECG INTERPRETATION
ย 
ECG - Electrocardiogram
ECG - Electrocardiogram ECG - Electrocardiogram
ECG - Electrocardiogram
ย 
Commutation techniques in power electronics
Commutation techniques in power electronicsCommutation techniques in power electronics
Commutation techniques in power electronics
ย 
Ape thyristor
Ape thyristorApe thyristor
Ape thyristor
ย 
hpmmmjtsnsm
hpmmmjtsnsmhpmmmjtsnsm
hpmmmjtsnsm
ย 
Pdc ppt
Pdc pptPdc ppt
Pdc ppt
ย 
ECG Interpretation
ECG InterpretationECG Interpretation
ECG Interpretation
ย 
Mod 2 thyristors commutation techniques
Mod 2 thyristors commutation techniquesMod 2 thyristors commutation techniques
Mod 2 thyristors commutation techniques
ย 
Pdc manual
Pdc manualPdc manual
Pdc manual
ย 
30. cardiovascular 2-07-08
30. cardiovascular 2-07-0830. cardiovascular 2-07-08
30. cardiovascular 2-07-08
ย 
Implication of 3D Mapping in EP
Implication of 3D Mapping in EP Implication of 3D Mapping in EP
Implication of 3D Mapping in EP
ย 
Basic ecg interpretations
Basic ecg interpretationsBasic ecg interpretations
Basic ecg interpretations
ย 
Rectifier
RectifierRectifier
Rectifier
ย 
Sinusoidal oscillators
Sinusoidal oscillatorsSinusoidal oscillators
Sinusoidal oscillators
ย 

Viewers also liked

Ecg workshop timetable
Ecg workshop timetableEcg workshop timetable
Ecg workshop timetable
Naylee Movine
ย 
Ecg workshop
Ecg workshopEcg workshop
Ecg workshop
Amr Mansour Hassan
ย 
Ecg tutorial (2)
Ecg tutorial (2)Ecg tutorial (2)
Ecg tutorial (2)
raghoba gaonkar
ย 
Ecg basics.ppts
Ecg basics.pptsEcg basics.ppts
Ecg basics.ppts
majid shojaee
ย 
ECG Machine
ECG MachineECG Machine
ECG Machine
mans4ani
ย 
ecg machine
ecg machineecg machine
ecg machine
adzmierz azizan
ย 
NURSING PROCEDURE OBTAIN 12 LEAD ECG
NURSING PROCEDURE OBTAIN 12 LEAD ECGNURSING PROCEDURE OBTAIN 12 LEAD ECG
NURSING PROCEDURE OBTAIN 12 LEAD ECG
Jeya Rajathurai
ย 
Death
DeathDeath
Death
Farhan Ali
ย 
ECG
ECGECG
Ecg lecture
Ecg lectureEcg lecture
Ecg lecture
ynabubbles
ย 
ECG easy way
ECG easy way ECG easy way
ECG easy way
mohammed shakir
ย 
Endocrine System Anatomy
Endocrine System AnatomyEndocrine System Anatomy
Endocrine System Anatomy
Manohar Vishnoi
ย 
Endocrine System
Endocrine SystemEndocrine System
Endocrine System
levouge777
ย 
ECG
ECGECG
ECG
Irfan Ziad
ย 
Basics of ECG
Basics of ECGBasics of ECG
Basics of ECG
raghwender.singh
ย 
Endocrine system & disorders, gland by gland
Endocrine system & disorders, gland by glandEndocrine system & disorders, gland by gland
Endocrine system & disorders, gland by gland
jugafoce
ย 
ECG Basics
ECG BasicsECG Basics

Viewers also liked (17)

Ecg workshop timetable
Ecg workshop timetableEcg workshop timetable
Ecg workshop timetable
ย 
Ecg workshop
Ecg workshopEcg workshop
Ecg workshop
ย 
Ecg tutorial (2)
Ecg tutorial (2)Ecg tutorial (2)
Ecg tutorial (2)
ย 
Ecg basics.ppts
Ecg basics.pptsEcg basics.ppts
Ecg basics.ppts
ย 
ECG Machine
ECG MachineECG Machine
ECG Machine
ย 
ecg machine
ecg machineecg machine
ecg machine
ย 
NURSING PROCEDURE OBTAIN 12 LEAD ECG
NURSING PROCEDURE OBTAIN 12 LEAD ECGNURSING PROCEDURE OBTAIN 12 LEAD ECG
NURSING PROCEDURE OBTAIN 12 LEAD ECG
ย 
Death
DeathDeath
Death
ย 
ECG
ECGECG
ECG
ย 
Ecg lecture
Ecg lectureEcg lecture
Ecg lecture
ย 
ECG easy way
ECG easy way ECG easy way
ECG easy way
ย 
Endocrine System Anatomy
Endocrine System AnatomyEndocrine System Anatomy
Endocrine System Anatomy
ย 
Endocrine System
Endocrine SystemEndocrine System
Endocrine System
ย 
ECG
ECGECG
ECG
ย 
Basics of ECG
Basics of ECGBasics of ECG
Basics of ECG
ย 
Endocrine system & disorders, gland by gland
Endocrine system & disorders, gland by glandEndocrine system & disorders, gland by gland
Endocrine system & disorders, gland by gland
ย 
ECG Basics
ECG BasicsECG Basics
ECG Basics
ย 

Similar to Applied ECG

Electrocardiogram
ElectrocardiogramElectrocardiogram
Electrocardiogram
Tarek Selim
ย 
Lec18(cvs)
Lec18(cvs)Lec18(cvs)
Lec18(cvs)
Lawrence James
ย 
Fundamentals of Electrocardiography
Fundamentals of Electrocardiography Fundamentals of Electrocardiography
Fundamentals of Electrocardiography
Saran A K
ย 
Electrocardiogram_20240614_173859_0000.pdf
Electrocardiogram_20240614_173859_0000.pdfElectrocardiogram_20240614_173859_0000.pdf
Electrocardiogram_20240614_173859_0000.pdf
Elackkiya Balamurugan
ย 
Introduction to Electrocardiography
Introduction to ElectrocardiographyIntroduction to Electrocardiography
Introduction to Electrocardiography
Ranjeet Dalvi
ย 
normal ecg dr rashmi.pptx
normal ecg dr rashmi.pptxnormal ecg dr rashmi.pptx
normal ecg dr rashmi.pptx
PiyushKumar846551
ย 
2020.06.05 ECG basics
2020.06.05 ECG basics2020.06.05 ECG basics
2020.06.05 ECG basics
drsrb
ย 
Ecg final pp ts; 19 06-2012
Ecg final pp ts; 19 06-2012Ecg final pp ts; 19 06-2012
Ecg final pp ts; 19 06-2012
drmvnsuresh
ย 
Electrocardiogram (ECG) / ECG interpretation
Electrocardiogram (ECG) / ECG interpretationElectrocardiogram (ECG) / ECG interpretation
Electrocardiogram (ECG) / ECG interpretation
Rahul Jaga
ย 
ECG
ECGECG
ECG
Sesha Sai
ย 
E.C.G. UNDERSTANDING AND INTERPRETATION
E.C.G. UNDERSTANDING AND INTERPRETATION E.C.G. UNDERSTANDING AND INTERPRETATION
E.C.G. UNDERSTANDING AND INTERPRETATION
DrMalathiVenketesham
ย 
Ekg lab exp 3
Ekg lab exp 3Ekg lab exp 3
Ekg lab exp 3
kierra_johnson13
ย 
Ecg interpritation
Ecg interpritationEcg interpritation
Ecg interpritation
vijay dihora
ย 
ECG(EKG) BASICS
ECG(EKG) BASICSECG(EKG) BASICS
ECG(EKG) BASICS
drmanojkurmana
ย 
Ekg experiment 3
Ekg experiment 3Ekg experiment 3
Ekg experiment 3
Monkey_Toes
ย 
Ekg
EkgEkg
Ekg
ag0899bn
ย 
Ekg
EkgEkg
Ekg
ag0899bn
ย 
ECG details- for Students
ECG details- for StudentsECG details- for Students
ECG details- for Students
Chitwan Medical College, School of Nursing
ย 
Cardiac physiology dr keith mugarura
Cardiac physiology dr keith mugaruraCardiac physiology dr keith mugarura
Cardiac physiology dr keith mugarura
Keith Mugarura
ย 
Ecg update(basic cardiology)
Ecg update(basic cardiology)Ecg update(basic cardiology)
Ecg update(basic cardiology)
Lee Oi Wah
ย 

Similar to Applied ECG (20)

Electrocardiogram
ElectrocardiogramElectrocardiogram
Electrocardiogram
ย 
Lec18(cvs)
Lec18(cvs)Lec18(cvs)
Lec18(cvs)
ย 
Fundamentals of Electrocardiography
Fundamentals of Electrocardiography Fundamentals of Electrocardiography
Fundamentals of Electrocardiography
ย 
Electrocardiogram_20240614_173859_0000.pdf
Electrocardiogram_20240614_173859_0000.pdfElectrocardiogram_20240614_173859_0000.pdf
Electrocardiogram_20240614_173859_0000.pdf
ย 
Introduction to Electrocardiography
Introduction to ElectrocardiographyIntroduction to Electrocardiography
Introduction to Electrocardiography
ย 
normal ecg dr rashmi.pptx
normal ecg dr rashmi.pptxnormal ecg dr rashmi.pptx
normal ecg dr rashmi.pptx
ย 
2020.06.05 ECG basics
2020.06.05 ECG basics2020.06.05 ECG basics
2020.06.05 ECG basics
ย 
Ecg final pp ts; 19 06-2012
Ecg final pp ts; 19 06-2012Ecg final pp ts; 19 06-2012
Ecg final pp ts; 19 06-2012
ย 
Electrocardiogram (ECG) / ECG interpretation
Electrocardiogram (ECG) / ECG interpretationElectrocardiogram (ECG) / ECG interpretation
Electrocardiogram (ECG) / ECG interpretation
ย 
ECG
ECGECG
ECG
ย 
E.C.G. UNDERSTANDING AND INTERPRETATION
E.C.G. UNDERSTANDING AND INTERPRETATION E.C.G. UNDERSTANDING AND INTERPRETATION
E.C.G. UNDERSTANDING AND INTERPRETATION
ย 
Ekg lab exp 3
Ekg lab exp 3Ekg lab exp 3
Ekg lab exp 3
ย 
Ecg interpritation
Ecg interpritationEcg interpritation
Ecg interpritation
ย 
ECG(EKG) BASICS
ECG(EKG) BASICSECG(EKG) BASICS
ECG(EKG) BASICS
ย 
Ekg experiment 3
Ekg experiment 3Ekg experiment 3
Ekg experiment 3
ย 
Ekg
EkgEkg
Ekg
ย 
Ekg
EkgEkg
Ekg
ย 
ECG details- for Students
ECG details- for StudentsECG details- for Students
ECG details- for Students
ย 
Cardiac physiology dr keith mugarura
Cardiac physiology dr keith mugaruraCardiac physiology dr keith mugarura
Cardiac physiology dr keith mugarura
ย 
Ecg update(basic cardiology)
Ecg update(basic cardiology)Ecg update(basic cardiology)
Ecg update(basic cardiology)
ย 

More from NAO, Medical University of Shahid Beheshti

Gait Cycle.pptx
Gait Cycle.pptxGait Cycle.pptx
Respiratory system
Respiratory systemRespiratory system
Pelvic, hip knee, Bones, Joints and Muscles
Pelvic, hip knee, Bones, Joints and MusclesPelvic, hip knee, Bones, Joints and Muscles
Pelvic, hip knee, Bones, Joints and Muscles
NAO, Medical University of Shahid Beheshti
ย 
Visceral osteopathy
Visceral osteopathyVisceral osteopathy
Anatomy, bones & joints
Anatomy, bones & jointsAnatomy, bones & joints
Anatomy, bones & joints
NAO, Medical University of Shahid Beheshti
ย 
Cell physiology1.
Cell physiology1.Cell physiology1.
Craniosacral osteopathy
Craniosacral osteopathyCraniosacral osteopathy
Craniosacral osteopathy
NAO, Medical University of Shahid Beheshti
ย 
Shoulder anatomy
Shoulder anatomyShoulder anatomy
Thoracolumbar muscles
Thoracolumbar musclesThoracolumbar muscles
Neck muscles
Neck musclesNeck muscles
Anatomy, bones & Joints
Anatomy, bones & JointsAnatomy, bones & Joints
Anatomy, bones & Joints
NAO, Medical University of Shahid Beheshti
ย 
Gait cycle
Gait cycleGait cycle
Endocrine.ht pit.thyr
Endocrine.ht pit.thyrEndocrine.ht pit.thyr
Neck muscles
Neck musclesNeck muscles
Neurological examination
Neurological examinationNeurological examination
Neurological examination
NAO, Medical University of Shahid Beheshti
ย 
Pelvic, hip knee & ankle joints
Pelvic, hip knee & ankle joints Pelvic, hip knee & ankle joints
Pelvic, hip knee & ankle joints
NAO, Medical University of Shahid Beheshti
ย 
Nervous system
Nervous systemNervous system
Shoulder anatomy
Shoulder anatomyShoulder anatomy
Visceral osteopathy
Visceral osteopathyVisceral osteopathy
Cell physiology2
Cell physiology2Cell physiology2

More from NAO, Medical University of Shahid Beheshti (20)

Gait Cycle.pptx
Gait Cycle.pptxGait Cycle.pptx
Gait Cycle.pptx
ย 
Respiratory system
Respiratory systemRespiratory system
Respiratory system
ย 
Pelvic, hip knee, Bones, Joints and Muscles
Pelvic, hip knee, Bones, Joints and MusclesPelvic, hip knee, Bones, Joints and Muscles
Pelvic, hip knee, Bones, Joints and Muscles
ย 
Visceral osteopathy
Visceral osteopathyVisceral osteopathy
Visceral osteopathy
ย 
Anatomy, bones & joints
Anatomy, bones & jointsAnatomy, bones & joints
Anatomy, bones & joints
ย 
Cell physiology1.
Cell physiology1.Cell physiology1.
Cell physiology1.
ย 
Craniosacral osteopathy
Craniosacral osteopathyCraniosacral osteopathy
Craniosacral osteopathy
ย 
Shoulder anatomy
Shoulder anatomyShoulder anatomy
Shoulder anatomy
ย 
Thoracolumbar muscles
Thoracolumbar musclesThoracolumbar muscles
Thoracolumbar muscles
ย 
Neck muscles
Neck musclesNeck muscles
Neck muscles
ย 
Anatomy, bones & Joints
Anatomy, bones & JointsAnatomy, bones & Joints
Anatomy, bones & Joints
ย 
Gait cycle
Gait cycleGait cycle
Gait cycle
ย 
Endocrine.ht pit.thyr
Endocrine.ht pit.thyrEndocrine.ht pit.thyr
Endocrine.ht pit.thyr
ย 
Neck muscles
Neck musclesNeck muscles
Neck muscles
ย 
Neurological examination
Neurological examinationNeurological examination
Neurological examination
ย 
Pelvic, hip knee & ankle joints
Pelvic, hip knee & ankle joints Pelvic, hip knee & ankle joints
Pelvic, hip knee & ankle joints
ย 
Nervous system
Nervous systemNervous system
Nervous system
ย 
Shoulder anatomy
Shoulder anatomyShoulder anatomy
Shoulder anatomy
ย 
Visceral osteopathy
Visceral osteopathyVisceral osteopathy
Visceral osteopathy
ย 
Cell physiology2
Cell physiology2Cell physiology2
Cell physiology2
ย 

Recently uploaded

Gender and Mental Health - Counselling and Family Therapy Applications and In...
Gender and Mental Health - Counselling and Family Therapy Applications and In...Gender and Mental Health - Counselling and Family Therapy Applications and In...
Gender and Mental Health - Counselling and Family Therapy Applications and In...
PsychoTech Services
ย 
Chapter wise All Notes of First year Basic Civil Engineering.pptx
Chapter wise All Notes of First year Basic Civil Engineering.pptxChapter wise All Notes of First year Basic Civil Engineering.pptx
Chapter wise All Notes of First year Basic Civil Engineering.pptx
Denish Jangid
ย 
UGC NET Exam Paper 1- Unit 1:Teaching Aptitude
UGC NET Exam Paper 1- Unit 1:Teaching AptitudeUGC NET Exam Paper 1- Unit 1:Teaching Aptitude
UGC NET Exam Paper 1- Unit 1:Teaching Aptitude
S. Raj Kumar
ย 
Philippine Edukasyong Pantahanan at Pangkabuhayan (EPP) Curriculum
Philippine Edukasyong Pantahanan at Pangkabuhayan (EPP) CurriculumPhilippine Edukasyong Pantahanan at Pangkabuhayan (EPP) Curriculum
Philippine Edukasyong Pantahanan at Pangkabuhayan (EPP) Curriculum
MJDuyan
ย 
How to Setup Warehouse & Location in Odoo 17 Inventory
How to Setup Warehouse & Location in Odoo 17 InventoryHow to Setup Warehouse & Location in Odoo 17 Inventory
How to Setup Warehouse & Location in Odoo 17 Inventory
Celine George
ย 
ู…ุตุญู ุงู„ู‚ุฑุงุกุงุช ุงู„ุนุดุฑ ุฃุนุฏ ุฃุญุฑู ุงู„ุฎู„ุงู ุณู…ูŠุฑ ุจุณูŠูˆู†ูŠ.pdf
ู…ุตุญู ุงู„ู‚ุฑุงุกุงุช ุงู„ุนุดุฑ   ุฃุนุฏ ุฃุญุฑู ุงู„ุฎู„ุงู ุณู…ูŠุฑ ุจุณูŠูˆู†ูŠ.pdfู…ุตุญู ุงู„ู‚ุฑุงุกุงุช ุงู„ุนุดุฑ   ุฃุนุฏ ุฃุญุฑู ุงู„ุฎู„ุงู ุณู…ูŠุฑ ุจุณูŠูˆู†ูŠ.pdf
ู…ุตุญู ุงู„ู‚ุฑุงุกุงุช ุงู„ุนุดุฑ ุฃุนุฏ ุฃุญุฑู ุงู„ุฎู„ุงู ุณู…ูŠุฑ ุจุณูŠูˆู†ูŠ.pdf
ุณู…ูŠุฑ ุจุณูŠูˆู†ูŠ
ย 
Mule event processing models | MuleSoft Mysore Meetup #47
Mule event processing models | MuleSoft Mysore Meetup #47Mule event processing models | MuleSoft Mysore Meetup #47
Mule event processing models | MuleSoft Mysore Meetup #47
MysoreMuleSoftMeetup
ย 
RESULTS OF THE EVALUATION QUESTIONNAIRE.pptx
RESULTS OF THE EVALUATION QUESTIONNAIRE.pptxRESULTS OF THE EVALUATION QUESTIONNAIRE.pptx
RESULTS OF THE EVALUATION QUESTIONNAIRE.pptx
zuzanka
ย 
Bร€I TแบฌP Bแป” TRแปข TIแบพNG ANH 8 Cแบข Nฤ‚M - GLOBAL SUCCESS - Nฤ‚M HแปŒC 2023-2024 (Cร“ FI...
Bร€I TแบฌP Bแป” TRแปข TIแบพNG ANH 8 Cแบข Nฤ‚M - GLOBAL SUCCESS - Nฤ‚M HแปŒC 2023-2024 (Cร“ FI...Bร€I TแบฌP Bแป” TRแปข TIแบพNG ANH 8 Cแบข Nฤ‚M - GLOBAL SUCCESS - Nฤ‚M HแปŒC 2023-2024 (Cร“ FI...
Bร€I TแบฌP Bแป” TRแปข TIแบพNG ANH 8 Cแบข Nฤ‚M - GLOBAL SUCCESS - Nฤ‚M HแปŒC 2023-2024 (Cร“ FI...
Nguyen Thanh Tu Collection
ย 
Electric Fetus - Record Store Scavenger Hunt
Electric Fetus - Record Store Scavenger HuntElectric Fetus - Record Store Scavenger Hunt
Electric Fetus - Record Store Scavenger Hunt
RamseyBerglund
ย 
Standardized tool for Intelligence test.
Standardized tool for Intelligence test.Standardized tool for Intelligence test.
Standardized tool for Intelligence test.
deepaannamalai16
ย 
Bร€I TแบฌP Dแบ Y THรŠM TIแบพNG ANH LแปšP 7 Cแบข Nฤ‚M FRIENDS PLUS SรCH CHร‚N TRแปœI SรNG Tแบ O ...
Bร€I TแบฌP Dแบ Y THรŠM TIแบพNG ANH LแปšP 7 Cแบข Nฤ‚M FRIENDS PLUS SรCH CHร‚N TRแปœI SรNG Tแบ O ...Bร€I TแบฌP Dแบ Y THรŠM TIแบพNG ANH LแปšP 7 Cแบข Nฤ‚M FRIENDS PLUS SรCH CHร‚N TRแปœI SรNG Tแบ O ...
Bร€I TแบฌP Dแบ Y THรŠM TIแบพNG ANH LแปšP 7 Cแบข Nฤ‚M FRIENDS PLUS SรCH CHร‚N TRแปœI SรNG Tแบ O ...
Nguyen Thanh Tu Collection
ย 
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...
imrankhan141184
ย 
spot a liar (Haiqa 146).pptx Technical writhing and presentation skills
spot a liar (Haiqa 146).pptx Technical writhing and presentation skillsspot a liar (Haiqa 146).pptx Technical writhing and presentation skills
spot a liar (Haiqa 146).pptx Technical writhing and presentation skills
haiqairshad
ย 
Walmart Business+ and Spark Good for Nonprofits.pdf
Walmart Business+ and Spark Good for Nonprofits.pdfWalmart Business+ and Spark Good for Nonprofits.pdf
Walmart Business+ and Spark Good for Nonprofits.pdf
TechSoup
ย 
Bร€I TแบฌP Bแป” TRแปข TIแบพNG ANH LแปšP 9 Cแบข Nฤ‚M - GLOBAL SUCCESS - Nฤ‚M HแปŒC 2024-2025 - ...
Bร€I TแบฌP Bแป” TRแปข TIแบพNG ANH LแปšP 9 Cแบข Nฤ‚M - GLOBAL SUCCESS - Nฤ‚M HแปŒC 2024-2025 - ...Bร€I TแบฌP Bแป” TRแปข TIแบพNG ANH LแปšP 9 Cแบข Nฤ‚M - GLOBAL SUCCESS - Nฤ‚M HแปŒC 2024-2025 - ...
Bร€I TแบฌP Bแป” TRแปข TIแบพNG ANH LแปšP 9 Cแบข Nฤ‚M - GLOBAL SUCCESS - Nฤ‚M HแปŒC 2024-2025 - ...
Nguyen Thanh Tu Collection
ย 
Jemison, MacLaughlin, and Majumder "Broadening Pathways for Editors and Authors"
Jemison, MacLaughlin, and Majumder "Broadening Pathways for Editors and Authors"Jemison, MacLaughlin, and Majumder "Broadening Pathways for Editors and Authors"
Jemison, MacLaughlin, and Majumder "Broadening Pathways for Editors and Authors"
National Information Standards Organization (NISO)
ย 
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptxBIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
RidwanHassanYusuf
ย 
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
PECB
ย 
HYPERTENSION - SLIDE SHARE PRESENTATION.
HYPERTENSION - SLIDE SHARE PRESENTATION.HYPERTENSION - SLIDE SHARE PRESENTATION.
HYPERTENSION - SLIDE SHARE PRESENTATION.
deepaannamalai16
ย 

Recently uploaded (20)

Gender and Mental Health - Counselling and Family Therapy Applications and In...
Gender and Mental Health - Counselling and Family Therapy Applications and In...Gender and Mental Health - Counselling and Family Therapy Applications and In...
Gender and Mental Health - Counselling and Family Therapy Applications and In...
ย 
Chapter wise All Notes of First year Basic Civil Engineering.pptx
Chapter wise All Notes of First year Basic Civil Engineering.pptxChapter wise All Notes of First year Basic Civil Engineering.pptx
Chapter wise All Notes of First year Basic Civil Engineering.pptx
ย 
UGC NET Exam Paper 1- Unit 1:Teaching Aptitude
UGC NET Exam Paper 1- Unit 1:Teaching AptitudeUGC NET Exam Paper 1- Unit 1:Teaching Aptitude
UGC NET Exam Paper 1- Unit 1:Teaching Aptitude
ย 
Philippine Edukasyong Pantahanan at Pangkabuhayan (EPP) Curriculum
Philippine Edukasyong Pantahanan at Pangkabuhayan (EPP) CurriculumPhilippine Edukasyong Pantahanan at Pangkabuhayan (EPP) Curriculum
Philippine Edukasyong Pantahanan at Pangkabuhayan (EPP) Curriculum
ย 
How to Setup Warehouse & Location in Odoo 17 Inventory
How to Setup Warehouse & Location in Odoo 17 InventoryHow to Setup Warehouse & Location in Odoo 17 Inventory
How to Setup Warehouse & Location in Odoo 17 Inventory
ย 
ู…ุตุญู ุงู„ู‚ุฑุงุกุงุช ุงู„ุนุดุฑ ุฃุนุฏ ุฃุญุฑู ุงู„ุฎู„ุงู ุณู…ูŠุฑ ุจุณูŠูˆู†ูŠ.pdf
ู…ุตุญู ุงู„ู‚ุฑุงุกุงุช ุงู„ุนุดุฑ   ุฃุนุฏ ุฃุญุฑู ุงู„ุฎู„ุงู ุณู…ูŠุฑ ุจุณูŠูˆู†ูŠ.pdfู…ุตุญู ุงู„ู‚ุฑุงุกุงุช ุงู„ุนุดุฑ   ุฃุนุฏ ุฃุญุฑู ุงู„ุฎู„ุงู ุณู…ูŠุฑ ุจุณูŠูˆู†ูŠ.pdf
ู…ุตุญู ุงู„ู‚ุฑุงุกุงุช ุงู„ุนุดุฑ ุฃุนุฏ ุฃุญุฑู ุงู„ุฎู„ุงู ุณู…ูŠุฑ ุจุณูŠูˆู†ูŠ.pdf
ย 
Mule event processing models | MuleSoft Mysore Meetup #47
Mule event processing models | MuleSoft Mysore Meetup #47Mule event processing models | MuleSoft Mysore Meetup #47
Mule event processing models | MuleSoft Mysore Meetup #47
ย 
RESULTS OF THE EVALUATION QUESTIONNAIRE.pptx
RESULTS OF THE EVALUATION QUESTIONNAIRE.pptxRESULTS OF THE EVALUATION QUESTIONNAIRE.pptx
RESULTS OF THE EVALUATION QUESTIONNAIRE.pptx
ย 
Bร€I TแบฌP Bแป” TRแปข TIแบพNG ANH 8 Cแบข Nฤ‚M - GLOBAL SUCCESS - Nฤ‚M HแปŒC 2023-2024 (Cร“ FI...
Bร€I TแบฌP Bแป” TRแปข TIแบพNG ANH 8 Cแบข Nฤ‚M - GLOBAL SUCCESS - Nฤ‚M HแปŒC 2023-2024 (Cร“ FI...Bร€I TแบฌP Bแป” TRแปข TIแบพNG ANH 8 Cแบข Nฤ‚M - GLOBAL SUCCESS - Nฤ‚M HแปŒC 2023-2024 (Cร“ FI...
Bร€I TแบฌP Bแป” TRแปข TIแบพNG ANH 8 Cแบข Nฤ‚M - GLOBAL SUCCESS - Nฤ‚M HแปŒC 2023-2024 (Cร“ FI...
ย 
Electric Fetus - Record Store Scavenger Hunt
Electric Fetus - Record Store Scavenger HuntElectric Fetus - Record Store Scavenger Hunt
Electric Fetus - Record Store Scavenger Hunt
ย 
Standardized tool for Intelligence test.
Standardized tool for Intelligence test.Standardized tool for Intelligence test.
Standardized tool for Intelligence test.
ย 
Bร€I TแบฌP Dแบ Y THรŠM TIแบพNG ANH LแปšP 7 Cแบข Nฤ‚M FRIENDS PLUS SรCH CHร‚N TRแปœI SรNG Tแบ O ...
Bร€I TแบฌP Dแบ Y THรŠM TIแบพNG ANH LแปšP 7 Cแบข Nฤ‚M FRIENDS PLUS SรCH CHร‚N TRแปœI SรNG Tแบ O ...Bร€I TแบฌP Dแบ Y THรŠM TIแบพNG ANH LแปšP 7 Cแบข Nฤ‚M FRIENDS PLUS SรCH CHร‚N TRแปœI SรNG Tแบ O ...
Bร€I TแบฌP Dแบ Y THรŠM TIแบพNG ANH LแปšP 7 Cแบข Nฤ‚M FRIENDS PLUS SรCH CHร‚N TRแปœI SรNG Tแบ O ...
ย 
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...
ย 
spot a liar (Haiqa 146).pptx Technical writhing and presentation skills
spot a liar (Haiqa 146).pptx Technical writhing and presentation skillsspot a liar (Haiqa 146).pptx Technical writhing and presentation skills
spot a liar (Haiqa 146).pptx Technical writhing and presentation skills
ย 
Walmart Business+ and Spark Good for Nonprofits.pdf
Walmart Business+ and Spark Good for Nonprofits.pdfWalmart Business+ and Spark Good for Nonprofits.pdf
Walmart Business+ and Spark Good for Nonprofits.pdf
ย 
Bร€I TแบฌP Bแป” TRแปข TIแบพNG ANH LแปšP 9 Cแบข Nฤ‚M - GLOBAL SUCCESS - Nฤ‚M HแปŒC 2024-2025 - ...
Bร€I TแบฌP Bแป” TRแปข TIแบพNG ANH LแปšP 9 Cแบข Nฤ‚M - GLOBAL SUCCESS - Nฤ‚M HแปŒC 2024-2025 - ...Bร€I TแบฌP Bแป” TRแปข TIแบพNG ANH LแปšP 9 Cแบข Nฤ‚M - GLOBAL SUCCESS - Nฤ‚M HแปŒC 2024-2025 - ...
Bร€I TแบฌP Bแป” TRแปข TIแบพNG ANH LแปšP 9 Cแบข Nฤ‚M - GLOBAL SUCCESS - Nฤ‚M HแปŒC 2024-2025 - ...
ย 
Jemison, MacLaughlin, and Majumder "Broadening Pathways for Editors and Authors"
Jemison, MacLaughlin, and Majumder "Broadening Pathways for Editors and Authors"Jemison, MacLaughlin, and Majumder "Broadening Pathways for Editors and Authors"
Jemison, MacLaughlin, and Majumder "Broadening Pathways for Editors and Authors"
ย 
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptxBIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
ย 
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ย 
HYPERTENSION - SLIDE SHARE PRESENTATION.
HYPERTENSION - SLIDE SHARE PRESENTATION.HYPERTENSION - SLIDE SHARE PRESENTATION.
HYPERTENSION - SLIDE SHARE PRESENTATION.
ย 

Applied ECG

  • 1. Electrocardiogram (ECG) Definition: Electrocardiogram is graphic recording of the heart electrical potential spread over the surface of the body It is based on a concept named Dipole. A Galvanometer can record the potential of the dipole. Amount of the potential is related to: 1. surface of the dipole 2. kind of the charge face the recording electrode 3. conductivity of the medium 4. orientation of the electrode with respect to a line parallel to the dipole 5. the angle of axis of recording electrode to the surface of the dipole 1
  • 2. Depolarization Depolarization and repolarization 2
  • 3. Electrocardiogram is recorded by: 1. Unipolar leads: VR, VL, VF and precordial V1 to V6 2. Bipolar leads: I, II and III 3. Augmented leads: aVR, aVL and aVF LL ๏€ญ LA a. aVR = RA - 2 ๏ƒฉ LL ๏€ซ LA ๏ƒน b. aVR = RA + ๏ƒช๏€ญ ๏ƒบ ๏ƒซ 2 ๏ƒป c. RA + LA + LL = 0 d. Thus RA = -(LA + LL) RA e. b&d aVR = RA + = 3/2RA ( 3/2 VR) 2 Diagnostic value: 1. Hypertrophy of ventricle and atrium. 2. Conduction velocity. 3. Myocardial infarction and ischemia. 4. Disturbances of electrolyte balance. 5. Nodal conduction velocity. 6. Effects of antiarrhythmic agents. The items which could be explored by ECG: 1. characteristics ( amplitude and duration) of each wave, complex, segment and interval 2. heart rate 3. heart rhythm 4. vector of the heart 3
  • 4. Waves, segments or Amplitude(mv) Duration(sec) Significance intervals 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) 1 ---- 0.42 in men Power and performance of the heart 0.43 in women Vector of the heart: Definition: sum of cardiac loop in the frontal plane Normal values: -30 to +110ยบ mostly 59ยบ Diagram of frontal leads aVR aVL I III II aVF 1 QT int QTc = RR 4
  • 5. Instruments: Electrocardiograph and related accessories consist of wires and electrolyte gel. Procedure: 1. Explain completely about the experiment to the volunteer. 2. The best time for taking ECG is 2 hours after meal. Too hunger or right after meal may simulate some pathological conditions. 3. Optimal temperature of the room is about 25oC. 4. Ask about probable medicines that the volunteer may has been used. 5. The volunteer should remain lying down. 6. Remove all metal instruments from the volunteer. 7. Clean the surface of the electrodes and extremities using a piece of alcoholic cotton. 8. Connect the electrodes to the extremities using a drop of electrolyte gel. 9. Record leads respectively. Questions: 1. Explain about the experiment 2. Explain about right axis deviation and left axis deviation. 3. Draw a table and measure the waves, segments and intervals from the sample ECG, and compare them with normal values. 4. Calculate and draw vector of the heart. 5. How important is QT c? Dr. H. Khorrami Ph.D. 5