Introduction to ECG

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Questions and Answers

Which wave represents the final rapid phase of ventricular repolarization?

  • P wave
  • ST segment
  • QRS complex
  • T wave (correct)

What does the QT interval represent?

  • Duration of atrial systole
  • Duration of ventricular systole
  • Duration of ventricular repolarization
  • Duration of ventricular contraction (correct)

Which part of the ECG represents atrial depolarization?

  • QRS complex
  • ST segment
  • P wave (correct)
  • T wave

What does the PR interval measure?

<p>Duration of atrial depolarization (A)</p> Signup and view all the answers

How many separate sensors (leads) does a standard ECG have?

<p>12 (C)</p> Signup and view all the answers

Which leads are recorded using arm and leg sensors?

<p>Limb leads (C)</p> Signup and view all the answers

What type of leads are bipolar and consist of a pair of electrodes?

<p>Limb leads (B)</p> Signup and view all the answers

Which device provides a continuous readout of cardiac activity often with assessment of a patient's condition?

<p>Cardiac Monitor (A)</p> Signup and view all the answers

What is the purpose of an ECG machine?

<p>To detect and record the heart's electrical activity (B)</p> Signup and view all the answers

What is the SA node responsible for?

<p>Controlling the cardiac pumping cycle (C)</p> Signup and view all the answers

What is the term for the process in which heart cells change from a polarized state to a depolarized state?

<p>Depolarization (B)</p> Signup and view all the answers

How many leads does a 12-lead ECG have?

<p>12 (B)</p> Signup and view all the answers

What is the purpose of the exercises mentioned in the objectives?

<p>To practice learning about ECGs (C)</p> Signup and view all the answers

Who developed the ECG?

<p>Willem Einthoven (B)</p> Signup and view all the answers

Which wave on the ECG represents ventricular depolarization?

<p>QRS complex (B)</p> Signup and view all the answers

What is the general direction of heart depolarization?

<p>From right side downward toward left (D)</p> Signup and view all the answers

What is the purpose of the 0.1 second delay at the AV node?

<p>To allow blood to pass through AV valves into the ventricles (D)</p> Signup and view all the answers

Which wave on the ECG represents atrial depolarization?

<p>P wave (C)</p> Signup and view all the answers

What is the significance of ST segment elevation or depression on the ECG?

<p>It is usually a sign of serious pathology (D)</p> Signup and view all the answers

What is the purpose of the precordial sensors (leads) on the patient's chest wall?

<p>To record ventricular depolarization (D)</p> Signup and view all the answers

What does the QRS complex represent on the ECG?

<p>Ventricular depolarization (D)</p> Signup and view all the answers

Which leads provide a view of the interventricular septum?

<p>V1 and V2 (A)</p> Signup and view all the answers

What is the significance of the positive sensor in limb leads?

<p>It emphasizes the importance of the lead (D)</p> Signup and view all the answers

Which leads look at the inferior aspect of the heart's electrical activity?

<p>II, III, and AVF (A)</p> Signup and view all the answers

What is the purpose of augmented limb leads in ECG recordings?

<p>To provide a different viewpoint of the heart (A)</p> Signup and view all the answers

What is the angle at which augmented limb leads intersect?

<p>60 degrees (C)</p> Signup and view all the answers

Which leads provide a view of the anterior wall of the left ventricle?

<p>V3 and V4 (C)</p> Signup and view all the answers

Why does the R wave grow taller and the S wave disappear from V1 to V6?

<p>The left ventricle generates more electrical signal (B)</p> Signup and view all the answers

What is the purpose of having multiple limb leads in ECG recordings?

<p>To obtain different camera views of the heart's electrical activity (C)</p> Signup and view all the answers

What do the chest (precordial) leads primarily observe in the heart?

<p>Different walls of the left ventricle (A)</p> Signup and view all the answers

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Study Notes

ECG Basics

  • ECG represents the electrical activity of the heart.
  • A standard ECG has 12 separate sensors (leads).

Leads and Their Functions

  • Bipolar leads consist of a pair of electrodes.
  • Augmented limb leads (aVL, aVR, aVF) provide a view of the interventricular septum.
  • Chest (precordial) leads (V1-V6) primarily observe the anterior wall of the left ventricle.
  • Leads II, III, and aVF look at the inferior aspect of the heart's electrical activity.

Waves and Intervals

  • The P wave represents atrial depolarization.
  • The QRS complex represents ventricular depolarization.
  • The QT interval represents the duration of ventricular depolarization and repolarization.
  • The PR interval measures the time between atrial depolarization and ventricular depolarization.

Cardiac Function and ECG

  • The SA node is responsible for initiating the heartbeat.
  • Depolarization is the process by which heart cells change from a polarized state to a depolarized state.
  • The 0.1 second delay at the AV node allows for atrial contraction to finish before ventricular contraction.

ECG Analysis

  • ST segment elevation or depression on the ECG indicates myocardial injury or ischemia.
  • The R wave grows taller and the S wave disappears from V1 to V6 due to the change in orientation of the heart's electrical activity.

ECG History and Purpose

  • The ECG was developed by Willem Einthoven.
  • The purpose of an ECG machine is to provide a continuous readout of cardiac activity and assess a patient's condition.

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