10年全英circu1.pptVIP

思考题 心脏AP的产生、传导与临床（起源部位、频率、节律、速度、激动次序） 窦性：过速、过缓、不齐、停搏 异位：逸搏、早搏/阵发性心动过速/扑动/颤动 传导：生理性，病理性（多个部位的阻滞），途径异常（预激综合征） 3. The Electrocardiogram (ECG) With an electrocardiogragh, electrical activity of the heart can be recorded from the surface of the body. When a large number of cells are simultaneously depolarizing or repolarizing, large voltages are observed on ECG. NAME OF LEAD ELECTRODE PLACEMENT Leads Reference(-) Electrode Recording(+) Electrode Standard Limb Leads Lead Ⅰ Right arm Left arm Lead Ⅱ Right arm Left leg Lead Ⅲ Left arm Left leg Augmented Limb Leads aVR Left arm left leg Right arm aVL Right arm left leg Left arm aVF Right arm left arm Left leg Chest Leads V1 Combined limb leads 4th intercostal space, right sternum V2 Combined limb leads 4th intercostal space, left sternum V3 Combined limb leads 5th intercostal space, left sternum V4 Combined limb leads 5th intercostal space, centered on clavicle V5 Combined limb leads 5th intercostal space, left of V4 V6 Combined limb leads 5th intercostal space, under left arm 0.2s P wave : atrial depolarization QRS complex : ventricular depolarization T wave : ventricular repolarization PQ(PR) interval: from the onset of atrial excitation to the onset of ventricular excitation. PQ (PR) segment: delay in AV node. Q-T interval: from the onset of QRS complex to the end of the T wave. S-T segment: from the end of QRS complex to the onset of T wave Signifi