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Cardiology / ЭКГ при нарушениях ритма и проводимости со звуком для иностранцев.ppt
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Main ECG signs of incomplete blockade of the anterior branch of the left leg

bundle of His:

1.Pronounced deviation of EOS to the left (angle alpha exceeds -30 °). B I and aVL

leads the QRS complex of the qR type, and in II III and aVF leads of the rS type.

2.An increase in the amplitude of the S wave in the V5, V6 leads.

3.Normal or somewhat broadened (up to o, 1o-o, 11 s) QRS complex.

The main ECG signs of incomplete blockade of the posterior branch of the left bundle branch of Gis:

1.Expressed deviation of EOS to the right (angle alpha exceeds + 120 °). In I and

aVL leads a QRS complex of the rs type, and in III, aVF, sometimes II leads - of the qR type.

2.Normal or somewhat broadened (up to o, 10-o, 11 c) QRS complex.

Premature arousal syndromes ventricles:

Arise as a result of the simultaneous carrying out of excitatory

pulse along the main conductive system and additional conductive paths bypassing the AV node. With Wolff-Parkinson-White syndrome (WPW) the impulse is conducted to the ventricles by additional abnormal beams Kent, with shortened P-Q (R) interval syndrome atypical WPW syndrome, Clerk- Levi-Cristesco syndrome, or Launa- Ganong-Levin). - on a beam of James

Main ECG signs of shortened P-Q (R) interval syndrome:

1.Shortening (less than about 12 s) of the P-Q (R) interval.

2.Normal (no delta waves and undeformed) QRS complexes.

Shortened P-Q (R) interval syndrome:

The main ECG signs of WPW syndrome:

1.Shortening (less than about 12 s) of the P-Q (R) interval.

2.The presence of a delta wave on the ascending or descending knee of the complex

3.Widening (more about, 11 s) and slight deformation of the QRS complex.

4.Discordant displacement of the R (S) -T segment and the T wave (asymmetric

biphasic or negative) in relation to the main tooth complex QRS (intermittent signs).

Wolff-Parkinson-White syndrome (WPW):

Wolff-Parkinson-White syndrome (WPW):

Thank you for Attention!