What is a Dugout or One-Hitter and Why Do You Need One?

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What is a Dugout or One-Hitter and Why Do You Need One?

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Basics of Electrocardiogram CONTENTS ●Conduction System of the Heart ●What is ECG or EKG? ●ECG Leads ●Normal waves of ECG. ●Dimensions of ECG. ● Abnormalities of ECG CONDUCTION SYSTEM OF THE HEART ECG: ●ECG is a graphic record of the electrical activity of the heart. ●Electrical activity precedes the mechanical activity of the heart. ●Electrical activity has two phases: Depolarization- contraction of muscle Repolarization- relaxation of muscle ECG Leads: ●6 Chest leads ●6 Limb leads 1. Bipolar Limb Leads: Lead 1- Between right arm(-ve) and left arm(+ve) Lead 2- Between right arm(-ve) and left leg(+ve) Lead 3- Between left arm(-ve) and left leg(+ve) 2. Augmented unipolar Limb Leads: AvR- Right arm AvL- Left arm AvF- Left leg 3.Chest Leads: V1 : Over 4th intercostal space near right sternal margin V2: Over 4th intercostal space near left sternal margin V3:In between V2 and V4 V4:Over left 5th intercostal space on the mid clavicular line V5:Over left 5th intercostal space on the anterior axillary line V6:Over left 5th intercostal space on the mid axillary line. Normal ECG: Waves of ECG: P Wave •P Wave is a positive wave and the first wave in ECG. •It is also called as atrial complex. Cause: Atrial depolarisation Duration: 0.1 sec QRS Complex: •QRS’ complex is also called the initial ventricular complex. •‘Q’ wave is a small negative wave. It is continued as the tall ‘R’ wave, which is a positive wave. ‘R’ wave is followed by a small negative wave, the ‘S’ wave. Cause:Ventricular depolarization and atrial repolarization Duration: 0.08- 0.10 sec T Wave: •‘T’ wave is the final ventricular complex and is a positive wave. Cause:Ventricular repolarization Duration: 0.2 sec Intervals and Segments of ECG: P-R Interval: •‘P-R’ interval is the interval between the onset of ‘P’wave and onset of ‘Q’ wave. •‘P-R’ interval cause atrial depolarization and conduction of impulses through AV node. Duration:0.18 (0.12 to 0.2) sec Q-T Interval: •‘Q-T’ interval is the interval between the onset of ‘Q’ wave and the end of ‘T’ wave. •‘Q-T’ interval indicates the ventricular depolarization and ventricular repolarization, i.e. it signifies the electrical activity in ventricles. Duration:0.4-0.42sec S-T Segment: •‘S-T’ segment is the time interval between the end of ‘S’ wave and the onset of ‘T’ wave. Duration: 0.08 sec R-R Interval: •‘R-R’ interval is the time interval between two consecutive ‘R’ waves. •It signifies the duration of one cardiac cycle. Duration: 0.8 sec Dimension of ECG: How to find heart rhytm of the heart? Regular rhytm: Irregular rhytm: More than or less than 4 How to find heart rate using ECG? If heart Rhytm is Regular : Heart rate = 300/No.of large b/w 2 QRS complex = 300/4 =75 beats/mins How to find heart rate using ECG? If heart Rhytm is irregular: Heart rate = 10×No.of QRS complex in 6 sec 5large box = 1sec 5×6=30 10×7 = 70 Beats/min Abnormalities of ECG: Cardiac Arrythmias: 1.Tachycardia Heart Rate more than 100 beats/min

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