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Файл:Cardiology / Презентация экг 1 звук.ppt
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- •Federal State Budgetary Educational Institution of Higher Education "Kuban State Medical University" of
- •Electrocardiography (ECG)
- ••Registration of electrical processes occurring in the heart to one degree or another
- •Первые электрокардиограммы были записаны Габриелем Липпманом
- •Виллем Эйнтховен (Willem Einthoven; 1860 - 1927)
- •The ECG standard provides 12-lead recording:
- •Normal ECG (12-leads)
- •Recording of 6 limb leads.
- •ГРУДНЫЕ отв. chest leads
- •An ECG of a healthy subject has the following elements:
- •Generation of ECG waves and intervals:
- •Длительность.
- •Other characteristics.
- •Interpretation of ECG
- •The sequence of ECG analysis:
- •4. Heart rate (HR)
- •6. The position of the electrical axis of heart changes with changes of
- •7. Analysis of waves and intervals. The length and size of ECG
- •Normal sinus rhythm.
- •ELECTRICAL AXIS
- •normal electrical axis
- •left electrical axis
- •right electrical axis
- •The 6 frontal plane ECG leads form a hexaxial reference system
- •normal electrical axis
- •left electrical axis
- •right electrical axis
- •Thus, based on the above, we can assume that:
- •The chest leads also reflect the balance between the right and left sides
- •normal electrical axis
- •Left ventricular hypertrophy
- •left-ventricular hypertrophy
- •left-ventricular hypertrophy
- •right-ventricular hypertrophy
- •Right ventricular hypertrophy options
- •right-ventricular hypertrophy R-type
- •right-ventricular hypertrophy: rSR -type
- •right-ventricular hypertrophy: S –type
- •Hypertrophy of auricles is determined by changes of P-wave.
- •Left atrium hypertrophy
- •Left atrium hypertrophy
- •Right atrium hypertrophy
- •ECG in left bundle branch block is characterized: - the QRS interval is
- •left bundle branch block
- •left bundle branch block
- •ECG in right bundle branch block is characterized:
- •right bundle branch block
Right atrium hypertrophy
ECG in left bundle branch block is characterized: - the QRS interval is 0,12 sec in duration;
-wide and deformed QRS has the form of qR in I, II, V5- 6; rS in III,
aVF, V1-2 (the shape of the ventricular complexes resembles that of right
ventricular extrasystoles);
-disconcordance of ST, T and the main wave of QRS; - levogram.
left bundle branch block
left bundle branch block
ECG in right bundle branch block is characterized:
-the QRS interval is 0,12 sec in duration;
-wide QRS in III, V1-2 has the form of rsR, rSR, RsR´(similar to
“M”) (the shape of the ventricular complexes resembles that of leftventricular extrasystoles);
-wide S in I, aVL,V5-6;
-negative ST and T in V1-2;
-dextrogram.
right bundle branch block
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