basic principles of electrical potentials recorded from the body surface Heart dipole and ECG Einthoven triangle Flashcards

1
Q

Why are EKG recorded

A

When the cardiac impulse passes through the heart, electrical current also spreads from the heart into the adjacent tissues surrounding the heart.
A small portion of the current spreads all the way to the surface of the body. If electrodes are placed on the skin on opposite sides of the heart, electrical potentials generated by the current can be recorded;

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2
Q

The normal electrocardiogram is composed of

A

P wave, a QRS complex, and a T wave.

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3
Q

The P wave is caused by electrical potentials generated when

A

atria depolarize before atrial contraction begins.

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4
Q

The QRS complex is caused by potentials generated when

A

the ventricles depolarize before contraction

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5
Q

both the P wave and the components of the QRS complex are

A

depolarization waves.

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6
Q

The T wave is caused by potentials generated as

A

ventricles recover from the state of depolarization.

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7
Q

Repolarisation occurs in ventricular muscles…… seconds after depolarisation

A

0.25-0.35

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8
Q

Magnitude (size) of deflection indicates

A

the number of charges moving.

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9
Q

The width of deflection represents

A

time interval of the event.

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10
Q

No potential is recorded when

A

cardiac muscle is completely depolarized or repolarized.

charges move perpendicular to the lead-axis.

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11
Q

ECG recording profile depends on the location of

A

the electrode

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12
Q

During depolarization of the heart the extracellular fluid surrounding the myocardium becomes more …… because…

A

negative,

positively charged ions (Na+ and Ca2+) enter cardiac myocytes.

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13
Q

Depolarization is the travelling ….. charges on the surface and travelling …. charges within the cells.

A

negative

Positive

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14
Q

A dipole is a ….

A

vector quantity

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15
Q

Magnitude of dipole depends on the ……. and direction is from the …….

A

amount of charge creating the dipole

negative charge center to the positive charge center

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16
Q

heart can be treated as a dipole. Why

A

As the depolarization wave spreads through the heart, positive and negative regions are observed

17
Q

Dipole moment magnitude and direction changes dynamically with

A

depolarization wave.

18
Q

Depolarisation wave is

A

Positive charges moving from the negative electrode to positive electrode

19
Q

You can think of the cardiac dipole as

A

an arrow pointing from the most depolarised region of the heart to the most polarised region

20
Q

Where each end of the arrow is located depends on

A

how the wave of depolarisation spreads through the heart

21
Q

When the heart is completely depolarised or repolarised,

A

there is no dipole and the ECG is flat (isoelectric)