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Study of ECG

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16 views

Study of ECG

Uploaded by

gautamtalukdar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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 ELECTROCARDIOGRAPHY

prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 1
Introduction
• Heart is a muscle that works like a pump for blood.
• The heart contraction creates action potential
which initiates electrical current.
• The different electrical potentials between different
parts of the body can caused cardiogram .

prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 2
ECG waveform
P wave: is the result of action potential that cause
depolarization of the atrial myocardium.

QRS complex: is composed of three individual


waves, is result from ventricular depolarization and
signals the onset of ventricular contraction.

T wave: represent repolarization of the ventricles


and precedes ventricular relaxation.

prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 3
ECG System
• The recorded signal of the heart’s muscular potential,
over a period of the time is called electrocardiogram.

•ECG is the graphic record of the heart’s electrical activity


which used in the investigation of heart disease.

prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 4
ECG leads
Lead 1: is connected to the right arm and
the positive terminal to the left arm.
Lead 2: is connected negative terminal of
the electrocardiograph which connected
to the right arm and the positive terminal
to the left leg and lead.
Lead 3: is connected to the left arm and
the positive terminal to the left leg.

prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 5
 Continuous ECG monitoring is
standard for patients who are
at high risk for dysrhythmias.

prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 7
Patients who are receiving
continuous ECG monitoring need
to be informed of its purpose
and cautioned that this
monitoring method will not
detect symptoms such as
dyspnea or chest pain.
Therefore, patients need to be
advised to report symptoms to
the nurse whenever they occur.
prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 8
1.Assess age, gender, and current
medication history for any
medications with possible cardiac
or hemodynamic effects. Gather
other data that may be required
by unit/institution protocol
(height, weight, recent blood
pressure, operator identification).
prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 9
 The 12-lead ECG provides
“views” of cardiac electrical
activity from 12 different
vantage points on the body
surface.

prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 10
• Twelve-lead ECG machine with charged
battery,
cables and leads, graph paper
• Disposable electrodes (12)
• Electrode paste or gel
• Alcohol wipes
• Pillows
• Sheet or drape
• Towel and washcloth
• Disposable razor
prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 11
Each of the 12 leads represents a particular
orientation in space, as indicated below (RA
= right arm; LA = left arm, LF = left foot):
 Bipolar limb leads (frontal plane):

Lead I: RA (-) to LA (+) (Right Left, or


lateral)

Lead II: RA (-) to LF (+) (Superior Inferior)

Lead III: LA (-) to LF (+) (Superior Inferior)


prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 12
prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 13
prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 14
prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 15
prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 16
prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 17
prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 18
prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 19
prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 20
prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 21
prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 22
prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 23
Clean the skin surface with soap
and water and dry well (or as
recommended by the
manufacturer) before applying
the electrodes. If the patient has
much hair where the electrodes
need to be placed, shave or clip
the hair.
prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 24
prepared by A.Devasena,
Associate Professor,
Dhanalakshmi College of Engineering,
Chennai 25

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