心电图教学课件：ECG-1.pptVIP

Electrocardiogram(ECG )Basic knowledge of clinical electrocardiogram(ECG ) （一）The mechanism of ECG１．Concept: Dipole: encapsulated a pair of positive and negative chargeSource: positiveSink: negative （一）The mechanism of ECGPolarization : when a cell in polarization state, positive in outside and negative insideDepolarization: positive inside and negative outsideRepolarization: cell remove to the polarization state （一）The mechanism of ECGVector: both have the direction and strength, arrow represent the direction and length represented the amplitudeResultant vector: integrated all the vector of cardiac cell (二)Composition and name of the ECG1．Heart’s conduction systemInclude: sinus (S-A node) internodal tracts Bachmann tracts A-V node A-V bundles Left and Right branch Pukinje fiber (二)Composition and name of the ECGLeft branch: anterior branch posterior branch Normal impulse from sinus internodal tracts A-V node left and right branch pukinje fiber (二)Composition and name of the ECG2.name of ECGP vector loop :represent atrial depolarizationP-R segment: represent atrial repolarizationP-R interval: represent the time from atrial depolarization to the beginning of the ventricular depolarization (二)Composition and name of the ECGQRS vector loop: represent ventricular depolarization ,lasting time present depolarization timeQRS need further dissection: the first upright deflection is R wave, if precede by a negative deflection is Q wave, if follow by a negative wave is S wave. (二)Composition and name of the ECGST segment and T wave :represent the slow and rapid repolarization of the ventricle (三) lead system of ECG1.limb leadⅠⅡ Ⅲ is bipolar aVL aVR aVF is unipolarEinthoven triangle: right arm left arm left leg (三) lead system of ECG2. chest leadsis unipolar, include V1V6V1:4th interspace just to right of sternumV2:4th interspace just to left of