ECG基础知识-.ppt

室 颤 心室多异位快速心律 心率：心室350～500bpm 节律：无规则 QRS：不定 P波：无 PR：无 噪声干扰 Welcome to Indications and Mode Selection, a course module in CorePace. The Indications and Mode Selection module addresses established and new indication for pacemaker implantation. It also provides guidance in choosing the appropriate mode for optimal pacing therapy. Upon completion of this module, the participant should be able to accomplish the above objectives. Upon completion of this module, the participant should be able to accomplish the above objectives. Upon completion of this module, the participant should be able to accomplish the above objectives. Action potential is the cycle of electrical activity in a myocardial cell. It has three general phases. Depolarization is the stimulation phase. Sodium ions rush into the cell, creating a positive charge and a strong electric current (voltage spike on the graph). When one cell depolarizes, the adjacent cells are stimulated to depolarize. Thus, a heart contraction is a wave of positive electrical charges moving through the myocardium. Repolarization is the recovery phase. Ions return to their starting point, and the myocardial cell to its negatively-charged state. During this time, the cell does not respond to stimuli (it does not depolarize) and is said to be refractory. Resting is the phase of electrical stability. During the resting phase, the inside of a cell has a negative charge and no electrical impulses are conducted. Some myocardial cells (pacemaker cells) do not rest. Ions leak out and gradually increase the internal voltage of the cell. When the voltage is high enough (at its threshold), the next depolarization wave begins. This is called automaticity, the ability of the normal heart to depolarize spontaneously at regular intervals. Notes The three phases of electrical activity in the myocardial cell are depolarization repolarization, and resting potential. Upon completion of this module, the participant should be able to ac