临床诊断学周蕾心电图-正常.ppt

心电图Electrocardiogram ECG 南京医科大学第一附属医院 心脏科 陈明龙 ECG is an electric curve recorded by ECG recorder from body surface Basic principles(1) The basis for ECG is the depolarization and repolarization of the myocardial cell Basic principles(1) Basic principles(2) Basic principles(3) The direction of depolarization and repolarization is opposite in a single cell The direction of depolarization and repolarization is the same in ventricular myocardium Depolarization: endocardial pericardial Repolarization: endocardial pericardial The relationship between electrode position and the direction of depolarization Basic principles(4) Vector, resultant vector The ring of 2-D vector The ring of 3-D vector Electrode placement and ECG The electrode connection of the limb leads Electrode placement and ECG The three limb leads Einthoven triangle Electrode placement and ECG The three augmented leads Electrode placement and ECG Hexaxial system Electrode placement and ECG The precordium leads The additional precordium leads： V7、V8、 V9 , V3 R、 V4R 、 V5R Different segments of ECG and their nomenclature 1. P wave 2. P-R segment 3. P-R interval 4. QRS complex 5. ST segment and T wave 6. Q-T interval Different segments of ECG and their nomenclature Nomenclature of the components of QRS complex Different segments of ECG and their nomenclature Atrial depolarization posterior→anterior，right→left，upper→lower Different segments of ECG and their nomenclature Ventricular depolarization(frontal) Different segments of ECG and their nomenclature Ventricular depolarization(horizontal) The measurement of ECG The premise of the measuremet: Paper speed:25mm/s; amplification: 1cm=1mv The measurement of ECG The measurement of ECG Heart rate 60/R-R T