心电图教学课件：ECG-2.pptVIP

Measurement of ECG and normal data一.Measurement of ECG Measurement of ECG（一）measure the heart rateWhen paper rate is 25mm/s,1 unit is 0.04s, per 5 grids is 0.2 sTo measure the heart rate, we use 60s to divided by the duration between P-P or R-R Measurement of ECG（二）measure the amplitudePositive amplitude: from the superior border of the baseline to the top of the waveNegative amplitude: from the inferior border of the baseline to the bottom of the depth Measurement of ECG（三）measure the time of waveWe measure from the beginning interval border of the initial wave to internal border of the end of terminal wave, this is one cardiac circle Measurement of ECG(四) mean axis1.concept: also called mean QRS axis, is the main direction in which ventricular force point, it is integrated force Measurement of ECG2.measure methodIt can be estimated according to the direction of main wave in lead Ⅰand lead Ⅲ Measurement of ECG3.clinical significantNormal range:-30----+90Left axis deviation:-30----- -90 in the case with left ventricular hypertropy, LABB et alRight axis deviation:+90------+180 in the case of right ventricular hypertropy, LPBB et alIndeterminate axis:-90---- -180 Measurement of ECG4.TranspositionClockwise rotationCounterclockwise rotation 二 Normal shape of wave and data1.p waveIt is upright in leadⅠⅡ AVF,V4-V6,and inverted normally in AVR.It should not be widen than 0.12sIt should not be taller than 0.25mv in limb leads and 0.2mv in precordial leads 二 Normal shape of wave and data2.P-R interval: normal measure is 0.12-0.20s, it represent the time from the beginning of the atrial depolarization to ventricular depolarizationIf it longer than 0.2s, may be block in the conduction 二 Normal shape of wave and data3.QRS complex: is the width of the ventricular complex, measure 0.06-0.1s,not exceed 0.12sNormally upright in lead Ⅱand in left chest leadsV5-V6Low voltage: not less than 0.5mv in limb leads and 0.8mv in precordial leads 二 Normal shape of wave and data4.Q