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Atrial depolarization
represents
P
wave
T wave represents
ventricular repolarization
Ventricular depolarization is
QRS
complex
Cardiac cells are
Sodium
,
Potassium
,
Calcium
and
Chloride
ions
Sinoatrial node
(
SA
) initiates the
heartbeat
by generating an
electrical impulse
that spreads through the
atria.
Purkinje fibers
carry the signal throughout the
ventricles
, causing them to
contract
simultaneously.
The
Atrioventricular
Node (
AVN
) receives the signal from the
SA
node and
slows
it down to allow time for blood to flow into the
ventricles.
Purkinje fibers
conduct the electrical impulses
rapidly
throughout the ventricles, causing them to
contract simultaneously.
Phase 0
- rapid depolarization by the influx of Na ions
Phase 1
-
repolarization
due to
K+ channels
opening
Phase 2 -
plateau
phase where there is
no change
in
membrane potential
Phase 2
-
plateau
phase where
Ca2
+ enters the cell via
L-type calcium
channels
Phase 3
-
slow repolarization
as
K+
channels
open
again
Phase 4 -
resting
state with
negative
charge inside the cell
Phase 4
-
resting membrane potential
is reached when all
ion channels
are
closed
Phase 1
- early fast repolarization
Phase 2
- maintained by influx of Calcium and Potassium ion
Phase 4 -
resting membrane potential
;
diastolic
Neutral -
Right leg
Lead I -
Right arm to Left arm
Lead II -
Right
Arm to
Left
Leg
Lead III -
Left arm
to
Left leg
Augmented Unipolar Lead
(
aVR
,
AVL
,
AVF
) - A unipolar lead that is augmented with an additional electrode placed on the chest wall.
Unipolar
leads include
V1-V6
and
Augmented Unipolar Leads
(aVR, AVL, AVF).
V1 and V2 - mostly
negative
V4
-
V6
- mostly
positive
Lead
II
,
III
,
AVR
,
AVF
are located in
inferior wall
of the heart that receives blood in
Right Coronary Artery
Lead I
,
AVL
,
V5
and
V6
are located in
lateral
part of the heart that receives blood from
Left Circumflex Artery
V1 and V2 are located in
septal
that receives blood from
Left Anterior Descending Artery
V3 and V4 are located in
anterior
part that receive blood from
Left Anterior Descending Artery
There are
12-
Lead
ECG