INDEX : definition , cardiac conduction ,reasons , types , clinical considerations preparation

1. Topic – Preparation of the patient
for conduction ECG and
spyrographic research
Subject – Clinic

2. Index
• Definition of ECG
• Cardiac Conduction System
• Reasons for Performing ECG
• Types of Leads ( 12, 15, 18
Leads)
• Types of ECG (Stress ECG,
Continuous ECG
• Important Clinical
Consideration
• Preparation

3. Electrocardiography
• the process of recording the electrical activity of the heart over a
period of time using electrodes placed on the skin. These
electrodes detect the tiny electrical changes on the skin that arise
from the heart muscle's electrophysiological pattern
of depolarizing and repolarising during each heartbeat. It is a very
commonly performed cardiology test.
• In a conventional 12-lead ECG, 10 electrodes are placed on the
patient's limbs and on the surface of the chest. The overall
magnitude of the heart's electrical potential is then measured
from 12 different angles ("leads") and is recorded over a period
of time (usually 10 seconds).
• In this way, the overall magnitude and direction of the heart's
electrical depolarization is captured at each moment throughout
the cardiac cycle. The graph of voltage versus time produced by
this non-invasive medical procedure is referred to as
an electrocardiogram.

12. Theory
Interpretation of the ECG is ultimately that of pattern recognition. In order to
understand the patterns found, it is helpful to understand the theory of what ECGs
represent. The theory is rooted in electromagnetic and boils down to the four
following points:
depolarization of the heart toward the positive electrode produces a positive
deflection
depolarization of the heart away from the positive electrode produces a negative
deflection
repolarisation of the heart toward the positive electrode produces a negative
deflection
repolarisation of the heart away from the positive electrode produces a positive
deflection
Thus, the overall direction of depolarization and repolarisation produces a vector that
produces positive or negative deflection on the ECG depending on which lead it
points to.

13. • For example, depolarizing from right to left would produce a
positive deflection in lead I because the two vectors point in the
same direction. In contrast, that same depolarization would
produce minimal deflection in V1 and V2 because the vectors are
perpendicular and this phenomenon is called isoelectric.
• Normal rhythm produces four entities — a P wave, a QRS
complex, a T wave, and a U wave — that each have a fairly unique
pattern.
• The P wave represents atrial depolarization.
• The QRS complex represents ventricular depolarization.
• The T wave represents ventricular repolarization.
• The U wave represents papillary muscle repolarization.
• However, the U wave is not typically seen and its absence is
generally ignored. Changes in the structure of the heart and its
surroundings (including blood composition) change the patterns
of these four entities.
• Finally, a full interpretation of the ECG should be performed in a
methodical manner to avoid overlooking small details that may