Introduc2on/Mo2va2on

Size: px
Start display at page:

Download "Introduc2on/Mo2va2on"

Transcription

1 Introduc2on/Mo2va2on Today: many examples & applica2ons of signal & system analysis. Course will be much more mathema2cal than this intro! Remember the skill vs fame plot... Note about today s lecture: Don t worry if you don t understand everything! 1

2 Electrocardiography (ECG or EKG) Measurement of electrical ac2vity of heart using noninvasive skin sensors (electrodes). Electrical impulses produced by sinoatrial node travel through the heart muscles, causing contrac2on. ECG signal analysis is used to diagnose abnormal rhythms and damage to heart 2ssue/muscle. 2

3 ECG waves: P wave QRS complex T wave Electrocardiography (ECG) List of diagnoses... 3

4 Electrocardiography (ECG) Willem Einthoven researched the P,Q,R,S,T deflec2ons and described the ECG features of many cardiovascular disorders. He got the Nobel Prize in medicine for this! An ac2ve area of research is to find more accurate methods of using ECG payerns to detect dangerous heart arrhythmia. Researchers hope to build implantable devices that measure heart signals and process them. These devices can s2mulate nerves, deliver drugs, or defibrillate the heart. 4

5 Measured ECG signals are not clean : they need to be filtered to separate disturbances, ar2facts, & noise. Sources of disturbances are: breathing Hz power network... Electrocardiography (ECG) Filtering: raw ECG measurement filter signal used for diagnosis Hz Hz 5

6 Electrocardiography (ECG) How fast should our measurement device take samples? Too many samples huge data sets, difficult to store & process. Too few samples important informa2on about signal is lost. More on sampling later... 6

7 Electroencephalography (EEG) Measurement of electrical ac2vity of brain using noninvasive sensors (electrodes) placed on scalp. Electrical impulses are produced by firing neurons in the brain. EEG signal analysis is used to diagnose epilepsy and other brain abnormali2es (tumors, stroke, etc). EEG can be even superior to MRI due to its higher temporal resolu2on (on order of mili seconds rather than seconds). 7

8 Electroencephalography (EEG) Delta 0--4 Hz sleep Theta 4--7 Hz idling/ meditation Alpha Hz reflecting Beta Hz alert working/ anxious thinking Gamma Hz motor functions 8

9 Electroencephalography (EEG) Pathologies in each wave can help diagnose a par2cular disorder. Measured EEG signals are not clean : they need to be filtered to separate disturbances, ar2facts, & noise. Sources of disturbances are: Hz power network (this mostly corrupts the Gamma wave) blinking & eye movement heart beat jaw & neck muscle ac2va2on (this mostly corrupts the Delta wave) Filtering performed to clean measured signal. 9

10 Audio Signals Spelling over the phone difficult to dis2nguish between b, d, p, t, v f, s my cousin is sailing in college vs my cousin is failing in college Most of the energy in vowels is in the lower frequencies (< 3 khz), whereas for consonants the energy is in the higher frequencies. Difference between f & s lies en2rely above 3.3 khz. Phone network severely ayenuates frequencies above 3 khz khz 10

11 Audio Signals signal lower limit upper limit phone 300 Hz 3 khz AM radio 50 Hz 5 khz FM radio 30 Hz 15 khz CD audio 20 Hz 20 khz human hearing range professional audio 20 Hz 22 khz (human ear most sensitive around 3.3 khz) 11

12 To digi2ze an audio signal, we sample it quan2ze it Digi2zing Audio Signals itunes now uses 256 kbps! We now consider the effects of different sampling rates... 12

13 Sampling Rate Ques2on: To capture the signal well, for which one of the signals below do we need to take faster samples? 13

14 Sampling Rate 14

15 Sampling Rate 15

16 Sampling Rate 16

17 Sampling Rate 17

18 Sampling Rate Ques2on: Given signal we need to digi2ze, how fast do we sample it? Shocking result: Nyquist Shanon sampling theorem : For no loss of informa2on sampling frequency > 2 * maximum signal frequency Example: limit of human hearing approximately 20 khz by Nyquist, sampling frequency must be > 40,000 samples/sec. CD & mp3 sample rate = 44,100 samples/sec. (click Get Info for music you ve bought from itunes!) telephone uses 8,000 samples/sec. 18

19 Sampling Rate Signal analysis methods can also be applied to problems where 2me axis is replaced with a spa2al coordinate (e.g. image processing) 19

20 Sampling Rate 20

21 Sampling Rate 21

22 Sampling Rate 22

23 The Fourier Transfrom Whenever we talk about frequency, we need the Fourier transform or Fourier series The Fourier transform takes a 2me signal, and gives a signal that does not live in the real world, but is very informa2ve about the original 2me signal. It shows the frequency content of the 2me signal. 23

24 Summary Examples of systems and signal processing in: biomedical applica2ons audio imaging Filtering of signals Frequency content of signals Sampling and reconstruc2on of signals 24

25 Appendix ECG Diagnoses Shape and dura2on of the P waves may indicate atrial enlargement. Absence of the P wave may indicate atrial fibrilla2on. Saw tooth formed P wave may indicate atrial fluyer. Dura2on, amplitude, and morphology of the QRS complex is useful in diagnosing cardiac arrhythmias, conduc2on abnormali2es, ventricular hypertrophy, myocardial infarc2on, electrolyte derangements, and other disease states. Q waves greater than 1/4 the height of the R wave, greater than 0.04 sec (40 ms) in dura2on, or in the right precordial leads are considered to be abnormal, and may represent myocardial infarc2on. PR interval of over 200 ms may indicate a first degree heart block. Short PR interval may indicate a pre excita2on syndrome via an accessory pathway that leads to early ac2va2on of the ventricles, such as seen in Wolff Parkinson White syndrome. Variable PR interval may indicate other types of heart block. PR segment depression may indicate atrial injury or pericardi2s. Variable morphologies of P waves in a single ECG lead is sugges2ve of an ectopic pacemaker rhythm such as wandering pacemaker or mul2focal atrial tachycardia. Inverted (or nega2ve) T waves can be a sign of coronary ischemia, Wellens' syndrome, lep ventricular hypertrophy, or CNS disorder. Tall or "tented" symmetrical T waves may indicate hyperkalemia. Flat T waves may indicate coronary ischemia or 25

26 Appendix Audio Signals Human voice uses different mechanisms to form consonants compared to vowels. Vibra2on of vocal cords, when unfiltered, is a raw buzzing sound! Vowels are produced by filtering (shaping) the frequencies in this buzzing through the vocal tract. Consonants are unvoiced clicks, puffs, breaths. They are not created from vocal cords, but by colliding, snapping, and hissing through combina2ons of tongue, cheeks, and teeth. 26

EEG, ECG, EMG. Mitesh Shrestha

EEG, ECG, EMG. Mitesh Shrestha EEG, ECG, EMG Mitesh Shrestha What is Signal? A signal is defined as a fluctuating quantity or impulse whose variations represent information. The amplitude or frequency of voltage, current, electric field

More information

Electrocardiography Abnormalities (Arrhythmias) 7. Faisal I. Mohammed, MD, PhD

Electrocardiography Abnormalities (Arrhythmias) 7. Faisal I. Mohammed, MD, PhD Electrocardiography Abnormalities (Arrhythmias) 7 Faisal I. Mohammed, MD, PhD 1 Causes of Cardiac Arrythmias Abnormal rhythmicity of the pacemaker Shift of pacemaker from sinus node Blocks at different

More information

Electrocardiogram ECG. Hilal Al Saffar FRCP FACC College of medicine,baghdad University

Electrocardiogram ECG. Hilal Al Saffar FRCP FACC College of medicine,baghdad University Electrocardiogram ECG Hilal Al Saffar FRCP FACC College of medicine,baghdad University Tuesday 29 October 2013 ECG introduction Wednesday 30 October 2013 Abnormal ECG ( ischemia, chamber hypertrophy, heart

More information

ECG ABNORMALITIES D R. T AM A R A AL Q U D AH

ECG ABNORMALITIES D R. T AM A R A AL Q U D AH ECG ABNORMALITIES D R. T AM A R A AL Q U D AH When we interpret an ECG we compare it instantaneously with the normal ECG and normal variants stored in our memory; these memories are stored visually in

More information

Introduction to ECG Gary Martin, M.D.

Introduction to ECG Gary Martin, M.D. Brief review of basic concepts Introduction to ECG Gary Martin, M.D. The electrical activity of the heart is caused by a sequence of rapid ionic movements across cell membranes resulting first in depolarization

More information

CRC 431 ECG Basics. Bill Pruitt, MBA, RRT, CPFT, AE-C

CRC 431 ECG Basics. Bill Pruitt, MBA, RRT, CPFT, AE-C CRC 431 ECG Basics Bill Pruitt, MBA, RRT, CPFT, AE-C Resources White s 5 th ed. Ch 6 Electrocardiography Einthoven s Triangle Chest leads and limb leads Egan s 10 th ed. Ch 17 Interpreting the Electrocardiogram

More information

Electrocardiography Biomedical Engineering Kaj-Åge Henneberg

Electrocardiography Biomedical Engineering Kaj-Åge Henneberg Electrocardiography 31650 Biomedical Engineering Kaj-Åge Henneberg Electrocardiography Plan Function of cardiovascular system Electrical activation of the heart Recording the ECG Arrhythmia Heart Rate

More information

UNDERSTANDING YOUR ECG: A REVIEW

UNDERSTANDING YOUR ECG: A REVIEW UNDERSTANDING YOUR ECG: A REVIEW Health professionals use the electrocardiograph (ECG) rhythm strip to systematically analyse the cardiac rhythm. Before the systematic process of ECG analysis is described

More information

Interpreting Electrocardiograms (ECG) Physiology Name: Per:

Interpreting Electrocardiograms (ECG) Physiology Name: Per: Interpreting Electrocardiograms (ECG) Physiology Name: Per: Introduction The heart has its own system in place to create nerve impulses and does not actually require the brain to make it beat. This electrical

More information

ECG interpretation basics

ECG interpretation basics ECG interpretation basics Michał Walczewski, MD Krzysztof Ozierański, MD 21.03.18 Electrical conduction system of the heart Limb leads Precordial leads 21.03.18 Precordial leads Precordial leads 21.03.18

More information

CASE 10. What would the ST segment of this ECG look like? On which leads would you see this ST segment change? What does the T wave represent?

CASE 10. What would the ST segment of this ECG look like? On which leads would you see this ST segment change? What does the T wave represent? CASE 10 A 57-year-old man presents to the emergency center with complaints of chest pain with radiation to the left arm and jaw. He reports feeling anxious, diaphoretic, and short of breath. His past history

More information

The Electrocardiogram part II. Dr. Adelina Vlad, MD PhD

The Electrocardiogram part II. Dr. Adelina Vlad, MD PhD The Electrocardiogram part II Dr. Adelina Vlad, MD PhD Basic Interpretation of the ECG 1) Evaluate calibration 2) Calculate rate 3) Determine rhythm 4) Determine QRS axis 5) Measure intervals 6) Analyze

More information

-RHYTHM PRACTICE- By Dr.moanes Msc.cardiology Assistant Lecturer of Cardiology Al Azhar University. OBHG Education Subcommittee

-RHYTHM PRACTICE- By Dr.moanes Msc.cardiology Assistant Lecturer of Cardiology Al Azhar University. OBHG Education Subcommittee -RHYTHM PRACTICE- By Dr.moanes Msc.cardiology Assistant Lecturer of Cardiology Al Azhar University The Normal Conduction System Sinus Node Normal Sinus Rhythm (NSR) Sinus Bradycardia Sinus Tachycardia

More information

Please check your answers with correct statements in answer pages after the ECG cases.

Please check your answers with correct statements in answer pages after the ECG cases. ECG Cases ECG Case 1 Springer International Publishing AG, part of Springer Nature 2018 S. Okutucu, A. Oto, Interpreting ECGs in Clinical Practice, In Clinical Practice, https://doi.org/10.1007/978-3-319-90557-0

More information

ECG Interpretation Cat Williams, DVM DACVIM (Cardiology)

ECG Interpretation Cat Williams, DVM DACVIM (Cardiology) ECG Interpretation Cat Williams, DVM DACVIM (Cardiology) Providing the best quality care and service for the patient, the client, and the referring veterinarian. GOAL: Reduce Anxiety about ECGs Back to

More information

CORONARY ARTERIES HEART

CORONARY ARTERIES HEART CARDIAC/ECG MODULE THE HEART CORONARY ARTERIES FIBRILLATING HEART CORONARY ARTERIES HEART PRACTICE RHYTHMS PRACTICE RHYTHMS ELECTRICAL CONDUCTION SA Node (60 100) Primary pacemaker AV Node (40 60) ***Creates

More information

This presentation will deal with the basics of ECG description as well as the physiological basics of

This presentation will deal with the basics of ECG description as well as the physiological basics of Snímka 1 Electrocardiography basics This presentation will deal with the basics of ECG description as well as the physiological basics of Snímka 2 Lecture overview 1. Cardiac conduction system functional

More information

Signal Processing of Stress Test ECG Using MATLAB

Signal Processing of Stress Test ECG Using MATLAB Signal Processing of Stress Test ECG Using MATLAB Omer Mukhtar Wani M. Tech ECE Geeta Engineering College, Panipat Abstract -Electrocardiography is used to record the electrical activity of the heart over

More information

ECG INTERPRETATION MANUAL

ECG INTERPRETATION MANUAL Lancashire & South Cumbria Cardiac Network ECG INTERPRETATION MANUAL THE NORMAL ECG Lancashire And South Cumbria Cardiac Physiologist Training Manual THE NORMAL ECG E.C.G CHECKLIST 1) Name, Paper Speed,

More information

Electrocardiography for Healthcare Professionals. Chapter 14 Basic 12-Lead ECG Interpretation

Electrocardiography for Healthcare Professionals. Chapter 14 Basic 12-Lead ECG Interpretation Electrocardiography for Healthcare Professionals Chapter 14 Basic 12-Lead ECG Interpretation 2012 The Companies, Inc. All rights reserved. Learning Outcomes 14.1 Discuss the anatomic views seen on a 12-lead

More information

Human Anatomy and Physiology II Laboratory Cardiovascular Physiology

Human Anatomy and Physiology II Laboratory Cardiovascular Physiology Human Anatomy and Physiology II Laboratory Cardiovascular Physiology 1 This lab involves two exercises: 1) Conduction System of the Heart and Electrocardiography and 2) Human Cardiovascular Physiology:

More information

ECG Basics Sonia Samtani 7/2017 UCI Resident Lecture Series

ECG Basics Sonia Samtani 7/2017 UCI Resident Lecture Series ECG Basics Sonia Samtani 7/2017 UCI Resident Lecture Series Agenda I. Introduction II.The Conduction System III.ECG Basics IV.Cardiac Emergencies V.Summary The Conduction System Lead Placement avf Precordial

More information

CHAPTER 6 INTERFERENCE CANCELLATION IN EEG SIGNAL

CHAPTER 6 INTERFERENCE CANCELLATION IN EEG SIGNAL 116 CHAPTER 6 INTERFERENCE CANCELLATION IN EEG SIGNAL 6.1 INTRODUCTION Electrical impulses generated by nerve firings in the brain pass through the head and represent the electroencephalogram (EEG). Electrical

More information

HTEC 91. Performing ECGs: Procedure. Normal Sinus Rhythm (NSR) Topic for Today: Sinus Rhythms. Characteristics of NSR. Conduction Pathway

HTEC 91. Performing ECGs: Procedure. Normal Sinus Rhythm (NSR) Topic for Today: Sinus Rhythms. Characteristics of NSR. Conduction Pathway HTEC 91 Medical Office Diagnostic Tests Week 3 Performing ECGs: Procedure o ECG protocol: you may NOT do ECG if you have not signed up! If you are signed up and the room is occupied with people who did

More information

ECG CONVENTIONS AND INTERVALS

ECG CONVENTIONS AND INTERVALS 1 ECG Waveforms and Intervals ECG waveforms labeled alphabetically P wave== represents atrial depolarization QRS complex=ventricular depolarization ST-T-U complex (ST segment, T wave, and U wave)== V repolarization.

More information

Ekg pra pr c a tice D.HAMMOUDI.MD

Ekg pra pr c a tice D.HAMMOUDI.MD Ekg practice D.HAMMOUDI.MD Anatomy Revisited RCA (Right Coronary Artery) Right ventricle Inferior wall of LV Posterior wall of LV (75%) SA Node (60%) AV Node (>80%) LCA (Left Coronary Artery) Septal wall

More information

Full file at

Full file at MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question. 1) What electrical event must occur for atrial kick to occur? 1) A) Atrial repolarization B) Ventricular

More information

Understanding basics of EKG

Understanding basics of EKG Understanding basics of EKG By Alula A.(R III) www.le.ac.uk Topic for discussion Understanding of cellular electrophysiology Basics Rate Rhythm Axis Intervals P wave QRS ST/T wave Abnormal EKGs Understanding

More information

Family Medicine for English language students of Medical University of Lodz ECG. Jakub Dorożyński

Family Medicine for English language students of Medical University of Lodz ECG. Jakub Dorożyński Family Medicine for English language students of Medical University of Lodz ECG Jakub Dorożyński Parts of an ECG The standard ECG has 12 leads: six of them are considered limb leads because they are placed

More information

ECG Interpretation Made Easy

ECG Interpretation Made Easy ECG Interpretation Made Easy Dr. A Tageldien Abdellah, MSc MD EBSC Lecturer of Cardiology- Hull University Hull York Medical School 2007-2008 ECG Interpretation Made Easy Synopsis Benefits Objectives Process

More information

Chapter 20 (2) The Heart

Chapter 20 (2) The Heart Chapter 20 (2) The Heart ----------------------------------------------------------------------------------------------------------------------------------------- Describe the component and function of

More information

Biomedical Signal Processing

Biomedical Signal Processing DSP : Biomedical Signal Processing What is it? Biomedical Signal Processing: Application of signal processing methods, such as filtering, Fourier transform, spectral estimation and wavelet transform, to

More information

CORONARY ARTERIES. LAD Anterior wall of the left vent Lateral wall of left vent Anterior 2/3 of interventricluar septum R & L bundle branches

CORONARY ARTERIES. LAD Anterior wall of the left vent Lateral wall of left vent Anterior 2/3 of interventricluar septum R & L bundle branches CORONARY ARTERIES RCA Right atrium Right ventricle SA node 55% AV node 90% Posterior wall of left ventricle in 90% Posterior third of interventricular septum 90% LAD Anterior wall of the left vent Lateral

More information

Basic Dysrhythmia Interpretation

Basic Dysrhythmia Interpretation Basic Dysrhythmia Interpretation Objectives 2 To understand the Basic ECG To understand the meaning of Dysrhythmia To describe the normal heart conduction system. To describe the normal impulse pathways.

More information

Diploma in Electrocardiography

Diploma in Electrocardiography The Society for Cardiological Science and Technology Diploma in Electrocardiography The Society makes this award to candidates who can demonstrate the ability to accurately record a resting 12-lead electrocardiogram

More information

BEDSIDE ECG INTERPRETATION

BEDSIDE ECG INTERPRETATION BEDSIDE ECG INTERPRETATION Presented by: Ryan Dean, RN, MSN, CCRN, CCNS, CFRN Flight Nurse 2017 Based on presentations originally by Gennifer DePaoli, RN Objectives Hospital policies Electrical conduction

More information

Birmingham Regional Emergency Medical Services System

Birmingham Regional Emergency Medical Services System Birmingham Regional Emergency Medical Services System 2018 ALCTE Summer Conference EKG Basics Brian Gober, MAT, ATC, NRP, CSCS Education Services Manager ECC Training Center Coordinator Birmingham Regional

More information

Arrhythmias. Pulmonary Artery

Arrhythmias. Pulmonary Artery Arrhythmias Introduction Cardiac arrhythmia is an irregularity of the heart beat that causes the heart to beat too slowly, too fast, or irregularly. There are different types of arrhythmias. Most arrhythmias

More information

Electrocardiography for Healthcare Professionals

Electrocardiography for Healthcare Professionals Electrocardiography for Healthcare Professionals Kathryn A. Booth Thomas O Brien Chapter 5: Rhythm Strip Interpretation and Sinus Rhythms Learning Outcomes 5.1 Explain the process of evaluating ECG tracings

More information

PD233: Design of Biomedical Devices and Systems

PD233: Design of Biomedical Devices and Systems PD233: Design of Biomedical Devices and Systems (Lecture-7 Biopotentials- 2) Dr. Manish Arora CPDM, IISc Course Website: http://cpdm.iisc.ac.in/utsaah/courses/ Electromyogram (EMG) Skeletal muscles are

More information

Restoring Communication and Mobility

Restoring Communication and Mobility Restoring Communication and Mobility What are they? Artificial devices connected to the body that substitute, restore or supplement a sensory, cognitive, or motive function of the nervous system that has

More information

An electrocardiogram (ECG) is a recording of the electricity of the heart. Analysis of ECG

An electrocardiogram (ECG) is a recording of the electricity of the heart. Analysis of ECG Introduction An electrocardiogram (ECG) is a recording of the electricity of the heart. Analysis of ECG data can give important information about the health of the heart and can help physicians to diagnose

More information

Sample. Analyzing the Heart with EKG. Computer

Sample. Analyzing the Heart with EKG. Computer Analyzing the Heart with EKG Computer An electrocardiogram (ECG or EKG) is a graphical recording of the electrical events occurring within the heart. In a healthy heart there is a natural pacemaker in

More information

Basic electrocardiography reading. R3 lee wei-chieh

Basic electrocardiography reading. R3 lee wei-chieh Basic electrocardiography reading R3 lee wei-chieh The Normal Conduction System Lead Placement avf Limb Leads Precordial Leads Interpretation Rate Rhythm Interval Axis Chamber abnormality QRST change What

More information

2017 BDKA Review. Regularity Rate P waves PRI QRS Interpretation. Regularity Rate P waves PRI QRS Interpretation 1/1/2017

2017 BDKA Review. Regularity Rate P waves PRI QRS Interpretation. Regularity Rate P waves PRI QRS Interpretation 1/1/2017 1. 2017 BDKA Review 2. 3. 4. Interpretation 5. QT 6. 7. 8. 9. 10. QT 11. 12. 13. 14. 15. 16. 17. 18. QT 19. 20. QT 21. 22. QT 23. 24. Where are pacer spikes? Before the P wave or before the QRS complex?

More information

Introduction to Electrocardiography

Introduction to Electrocardiography Introduction to Electrocardiography Class Objectives: Introduction to ECG monitoring Discuss principles of interpretation Identify the components and measurements of the ECG ECG analysis ECG Monitoring

More information

also aid the clinician in recognizing both the obvious and subtle abnormalities that may help guide therapy.

also aid the clinician in recognizing both the obvious and subtle abnormalities that may help guide therapy. Karen Lieberman, MS, CRNP f the many diagnostic tools used to screen for and evaluate cardiac abnormalities, the 12-lead electrocardiogram (ECG) is among the most basic. This inexpensive and noninvasive

More information

Pennsylvania Academy of Family Physicians Foundation & UPMC 43rd Refresher Course in Family Medicine CME Conference March 10-13, 2016

Pennsylvania Academy of Family Physicians Foundation & UPMC 43rd Refresher Course in Family Medicine CME Conference March 10-13, 2016 Pennsylvania Academy of Family Physicians Foundation & UPMC 43rd Refresher Course in Family Medicine CME Conference March 10-13, 2016 Disclosures: EKG Workshop Louis Mancano, MD Speaker has no disclosures

More information

Paediatric ECG Interpretation

Paediatric ECG Interpretation Paediatric ECG Interpretation Dr Sanj Fernando (thanks to http://lifeinthefastlane.com/ecg-library/paediatric-ecginterpretation/) 3 yo boy complaining of abdominal pain and chest pain Child ECG vs Adult

More information

3/26/15 HTEC 91. EKG Sign-in Book. The Cardiac Cycle. Parts of the ECG. Waves. Waves. Review of protocol Review of placement of chest leads (V1, V2)

3/26/15 HTEC 91. EKG Sign-in Book. The Cardiac Cycle. Parts of the ECG. Waves. Waves. Review of protocol Review of placement of chest leads (V1, V2) EKG Sign-in Book HTEC 91 Review of protocol Review of placement of chest leads (V1, V2) Medical Office Diagnostic Tests Week 2 http://www.cvphysiology.com/arrhythmias/a013c.htm The Cardiac Cycle Represents

More information

Relax and Learn At the Farm 2012

Relax and Learn At the Farm 2012 Relax and Learn At the Farm 2012 Session 2: 12 Lead ECG Fundamentals 101 Cynthia Webner DNP, RN, CCNS, CCRN-CMC, CHFN Though for Today Mastery is not something that strikes in an instant, like a thunderbolt,

More information

12 Lead ECG. Presented by Rebecca Sevigny BSN, RN Professional Practice & Development Dept.

12 Lead ECG. Presented by Rebecca Sevigny BSN, RN Professional Practice & Development Dept. 12 Lead ECG Presented by Rebecca Sevigny BSN, RN Professional Practice & Development Dept. Two Main Coronary Arteries RCA LCA which branches into Left Anterior Descending Circumflex Artery Two Main Coronary

More information

Electrocardiography for Healthcare Professionals

Electrocardiography for Healthcare Professionals Electrocardiography for Healthcare Professionals Kathryn A. Booth Thomas O Brien Chapter 10: Pacemaker Rhythms and Bundle Branch Block Learning Outcomes 10.1 Describe the various pacemaker rhythms. 10.2

More information

TEST BANK FOR ECGS MADE EASY 5TH EDITION BY AEHLERT

TEST BANK FOR ECGS MADE EASY 5TH EDITION BY AEHLERT Link download full: http://testbankair.com/download/test-bank-for-ecgs-made-easy-5thedition-by-aehlert/ TEST BANK FOR ECGS MADE EASY 5TH EDITION BY AEHLERT Chapter 5 TRUE/FALSE 1. The AV junction consists

More information

THE HEART THE CIRCULATORY SYSTEM

THE HEART THE CIRCULATORY SYSTEM THE HEART THE CIRCULATORY SYSTEM There are three primary closed cycles: 1) Cardiac circulation pathway of blood within the heart 2) Pulmonary circulation blood from the heart to lungs and back 3) Systemic

More information

: Biomedical Signal Processing

: Biomedical Signal Processing : Biomedical Signal Processing 0. Introduction: Biomedical signal processing refers to the applications of signal processing methods, such as Fourier transform, spectral estimation and wavelet transform,

More information

DR QAZI IMTIAZ RASOOL OBJECTIVES

DR QAZI IMTIAZ RASOOL OBJECTIVES PRACTICAL ELECTROCARDIOGRAPHY DR QAZI IMTIAZ RASOOL OBJECTIVES Recording of electrical events in heart Established electrode pattern results in specific tracing pattern Health of heart i. e. Anatomical

More information

Collin County Community College

Collin County Community College Collin County Community College BIOL. 2402 Anatomy & Physiology WEEK 5 The Heart 1 The Heart Beat and the EKG 2 1 The Heart Beat and the EKG P-wave = Atrial depolarization QRS-wave = Ventricular depolarization

More information

BME 365 Website. Project Directions

BME 365 Website. Project Directions Lecture 17 EKG BME 365 Website Project Directions Heart rate Factors Affecting CO Parasympathetic activity decreases HR Sympathetic activity increases HR Stroke volume Depends on force generated by cardiac

More information

ECG Cases and Questions. Ashish Sadhu, MD, FHRS, FACC Electrophysiology/Cardiology

ECG Cases and Questions. Ashish Sadhu, MD, FHRS, FACC Electrophysiology/Cardiology ECG Cases and Questions Ashish Sadhu, MD, FHRS, FACC Electrophysiology/Cardiology 32 yo female Life Insurance Physical 56 yo male with chest pain Terminology Injury ST elevation Ischemia T wave inversion

More information

Other 12-Lead ECG Findings

Other 12-Lead ECG Findings Other 12-Lead ECG Findings Left Atrial Enlargement Left atrial enlargement is illustrated by increased P wave duration in lead II, top ECG, and by the prominent negative P terminal force in lead V1, bottom

More information

HUMAN ANATOMY AND PHYSIOLOGY

HUMAN ANATOMY AND PHYSIOLOGY HUMAN ANATOMY AND PHYSIOLOGY NAME Detection of heart sounds. Clean the ear pieces of the stethoscope before using. The ear pieces should be pointing slightly forward when inserted into the ears because

More information

Electrocardiography I Laboratory

Electrocardiography I Laboratory Introduction The body relies on the heart to circulate blood throughout the body. The heart is responsible for pumping oxygenated blood from the lungs out to the body through the arteries and also circulating

More information

Paroxysmal Supraventricular Tachycardia PSVT.

Paroxysmal Supraventricular Tachycardia PSVT. Atrial Tachycardia; is the name for an arrhythmia caused by a disorder of the impulse generation in the atrium or the AV node. An area in the atrium sends out rapid signals, which are faster than those

More information

Ecg Ebook PDF ecg What Is An Electrocardiogram (ekg Or Ecg) Test: Purpose... Electrocardiogram (ecg Or Ekg) American Heart Association

Ecg Ebook PDF ecg What Is An Electrocardiogram (ekg Or Ecg) Test: Purpose... Electrocardiogram (ecg Or Ekg) American Heart Association We have made it easy for you to find a PDF Ebooks without any digging. And by having access to our ebooks online or by storing it on your computer, you have convenient answers with ecg. To get started

More information

4/14/15. The Electrocardiogram. In jeopardy more than a century after its introduction by Willem Einthoven? Time for a revival. by Hein J.

4/14/15. The Electrocardiogram. In jeopardy more than a century after its introduction by Willem Einthoven? Time for a revival. by Hein J. The Electrocardiogram. In jeopardy more than a century after its introduction by Willem Einthoven? Time for a revival. by Hein J. Wellens MD 1 Einthoven, 1905 The ECG! Everywhere available! Easy and rapid

More information

Electrocardiography Normal 5. Faisal I. Mohammed, MD, PhD

Electrocardiography Normal 5. Faisal I. Mohammed, MD, PhD Electrocardiography Normal 5 Faisal I. Mohammed, MD, PhD 1 Objectives 2 1. Describe the different waves in a normal electrocardiogram. 2. Recall the normal P-R and Q-T interval time of the QRS wave. 3.

More information

ECGs and Arrhythmias: Family Medicine Board Review 2009

ECGs and Arrhythmias: Family Medicine Board Review 2009 Rate Rhythm Intervals Hypertrophy ECGs and Arrhythmias: Family Medicine Board Review 2009 Axis Jess (Fogler) Waldura, MD University of California, San Francisco walduraj@nccc.ucsf.edu Ischemia Overview

More information

ELECTROCARDIOGRAPHY (III) THE ANALYSIS OF THE ELECTROCARDIOGRAM

ELECTROCARDIOGRAPHY (III) THE ANALYSIS OF THE ELECTROCARDIOGRAM ELECTROCARDIOGRAPHY (III) THE ANALYSIS OF THE ELECTROCARDIOGRAM Scridon Alina, Șerban Răzvan Constantin Recording and analysis of the 12-lead ECG is part of the basic medical assessment performed for every

More information

Chapter 03: Sinus Mechanisms Test Bank MULTIPLE CHOICE

Chapter 03: Sinus Mechanisms Test Bank MULTIPLE CHOICE Instant download and all chapters Tesst Bank ECGs Made Easy 5th Edition Barbara J Aehlert https://testbanklab.com/download/tesst-bank-ecgs-made-easy-5th-edition-barbara-jaehlert/ Chapter 03: Sinus Mechanisms

More information

LABORATORY INVESTIGATION

LABORATORY INVESTIGATION LABORATORY INVESTIGATION Recording Electrocardiograms The taking of an electrocardiogram is an almost universal part of any complete physical examination. From the ECG record of the electrical activity

More information

EKG Abnormalities. Adapted from:

EKG Abnormalities. Adapted from: EKG Abnormalities Adapted from: http://www.bem.fi/book/19/19.htm Some key terms: Arrhythmia-an abnormal rhythm or sequence of events in the EKG Flutter-rapid depolarizations (and therefore contractions)

More information

HR: 50 bpm (Sinus) PR: 280 ms QRS: 120 ms QT: 490 ms Axis: -70. Sinus bradycardia with one ventricular escape (*)

HR: 50 bpm (Sinus) PR: 280 ms QRS: 120 ms QT: 490 ms Axis: -70. Sinus bradycardia with one ventricular escape (*) 1? HR: 50 bpm (Sinus) PR: 280 ms QRS: 120 ms QT: 490 ms Axis: -70 1 Sinus P waves? 2 sinus cycles The pause (2 sinus cycles) suggests that the sinus fired (?) but did not conduct to the atria (i.e., missing

More information

BIOPAC Systems, Inc BIOPAC Inspiring people and enabling discovery about life

BIOPAC Systems, Inc BIOPAC Inspiring people and enabling discovery about life BIOPAC Systems, Inc. 2016 BIOPAC Inspiring people and enabling discovery about life 1 BIOPAC s Guide to EEG for Research: Mobita Wireless EEG Housekeeping Attendees are on Mute Headset is Recommended!

More information

Comparison of Different ECG Signals on MATLAB

Comparison of Different ECG Signals on MATLAB International Journal of Electronics and Computer Science Engineering 733 Available Online at www.ijecse.org ISSN- 2277-1956 Comparison of Different Signals on MATLAB Rajan Chaudhary 1, Anand Prakash 2,

More information

Electrocardiography Workshop

Electrocardiography Workshop Electrocardiography Workshop Richard A. Squires BVSc, PhD, Massey University New Zealand Uses of ECG Monitoring of animals under general anaesthesia Assessment / monitoring of acutely ill emergency / trauma

More information

EKG. Danil Hammoudi.MD

EKG. Danil Hammoudi.MD EKG Danil Hammoudi.MD What is an EKG? The electrocardiogram (EKG) is a representation of the electrical events of the cardiac cycle. Each event has a distinctive waveform, the study of which can lead to

More information

Depression Tinnitus Stroke. PowerMAG

Depression Tinnitus Stroke. PowerMAG Depression Tinnitus Stroke PowerMAG Applicaon Magnec smulaon is a highly innovave method that can be used to in uence the electrical acvity of the nerve cells non-invasively and virtually pain-free. The

More information

Electrocardiography for Healthcare Professionals

Electrocardiography for Healthcare Professionals Electrocardiography for Healthcare Professionals Chapter 7: Junctional Dysrhythmias 2012 The Companies, Inc. All rights reserved. Learning Outcomes 7.1 Describe the various junctional dysrhythmias 7.2

More information

8/20/2012. Learning Outcomes (Cont d)

8/20/2012. Learning Outcomes (Cont d) 1 2 3 4 Electrocardiography for Healthcare Professionals Chapter 7: Junctional Dysrhythmias Learning Outcomes 7.1 Describe the various junctional dysrhythmias 7.2 Identify premature junctional complexes

More information

Emergency Medical Training Services Emergency Medical Technician Paramedic Program Outlines Outline Topic: WPW Revised: 11/2013

Emergency Medical Training Services Emergency Medical Technician Paramedic Program Outlines Outline Topic: WPW Revised: 11/2013 Emergency Medical Training Services Emergency Medical Technician Paramedic Program Outlines Outline Topic: WPW Revised: 11/2013 Wolff-Parkinson-White syndrome (WPW) is a syndrome of pre-excitation of the

More information

ELECTROCARDIOGRAPH. General. Heart Rate. Starship Children s Health Clinical Guideline

ELECTROCARDIOGRAPH. General. Heart Rate. Starship Children s Health Clinical Guideline General Heart Rate QRS Axis T Wave Axis PR Interval according to Heart Rate & Age P Wave Duration and Amplitude QRS Duration according to Age QT Interval R & S voltages according to Lead & Age R/S ratio

More information

Module 1: Introduction to ECG & Normal ECG

Module 1: Introduction to ECG & Normal ECG Module 1: Introduction to ECG & Normal ECG Importance of Correct anatomical positions Measurements & Morphologies ONLY accurate if Precise anatomical positions adhered to Standardised techniques are used

More information

REtrive. REpeat. RElearn Design by. Test-Enhanced Learning based ECG practice E-book

REtrive. REpeat. RElearn Design by. Test-Enhanced Learning based ECG practice E-book Test-Enhanced Learning Test-Enhanced Learning Test-Enhanced Learning Test-Enhanced Learning based ECG practice E-book REtrive REpeat RElearn Design by S I T T I N U N T H A N G J U I P E E R I Y A W A

More information

HST-582J/6.555J/16.456J-Biomedical Signal and Image Processing-Spring Laboratory Project 1 The Electrocardiogram

HST-582J/6.555J/16.456J-Biomedical Signal and Image Processing-Spring Laboratory Project 1 The Electrocardiogram HST-582J/6.555J/16.456J-Biomedical Signal and Image Processing-Spring 2007 DUE: 3/8/07 Laboratory Project 1 The Electrocardiogram 1 Introduction The electrocardiogram (ECG) is a recording of body surface

More information

Nathan Cade, MD Brandon Fainstad, MD Andrew Prouse, MD

Nathan Cade, MD Brandon Fainstad, MD Andrew Prouse, MD Nathan Cade, MD Brandon Fainstad, MD Andrew Prouse, MD OBJECTIVES 1. Identify the basic electrophysiology of the four causes of wide complex tachycardia. 2. Develop a simple framework for acute management

More information

Ronald J. Kanter, MD Director, Electrophysiology Miami Children s Hospital Professor Emeritus, Duke University Miami, Florida

Ronald J. Kanter, MD Director, Electrophysiology Miami Children s Hospital Professor Emeritus, Duke University Miami, Florida S306- Pediatric Electrocardiography: A Potpourri Ronald J. Kanter, MD Director, Electrophysiology Miami Children s Hospital Professor Emeritus, Duke University Miami, Florida Disclosure of Relevant Relationship

More information

Objectives of the Heart

Objectives of the Heart Objectives of the Heart Electrical activity of the heart Action potential EKG Cardiac cycle Heart sounds Heart Rate The heart s beat separated into 2 phases Relaxed phase diastole (filling of the chambers)

More information

The ECG in healthy people

The ECG in healthy people The ECG in healthy people The normal cardiac rhythm 3 The heart rate 3 Extrasystoles 7 The P wave 7 The PR interval The QRS complex 3 The ST segment 29 The T wave 33 The QT interval 42 The ECG in athletes

More information

The Electrocardiogram

The Electrocardiogram The Electrocardiogram Chapters 11 and 13 AUTUMN WEDAN AND NATASHA MCDOUGAL The Normal Electrocardiogram P-wave Generated when the atria depolarizes QRS-Complex Ventricles depolarizing before a contraction

More information

Lake EMS Basic EKG Review: Atrial Rhythms. The Lake EMS Quality Development Team

Lake EMS Basic EKG Review: Atrial Rhythms. The Lake EMS Quality Development Team Lake EMS Basic EKG Review: Atrial Rhythms The Lake EMS Quality Development Team This program is the Intellectual Property of Lake Emergency Medical Services Use of this program is limited to training and

More information

ECG Interpretation. Introduction to Cardiac Telemetry. Michael Peters, RN, CCRN, CFRN CALSTAR Air Medical Services

ECG Interpretation. Introduction to Cardiac Telemetry. Michael Peters, RN, CCRN, CFRN CALSTAR Air Medical Services ECG Interpretation Introduction to Cardiac Telemetry Michael Peters, RN, CCRN, CFRN CALSTAR Air Medical Services Disclosures Nothing to disclose Objectives Describe the electrical conduction pathway in

More information

The ABCs of EKGs/ECGs for HCPs. Al Heuer, PhD, MBA, RRT, RPFT Professor, Rutgers School of Health Related Professions

The ABCs of EKGs/ECGs for HCPs. Al Heuer, PhD, MBA, RRT, RPFT Professor, Rutgers School of Health Related Professions The ABCs of EKGs/ECGs for HCPs Al Heuer, PhD, MBA, RRT, RPFT Professor, Rutgers School of Health Related Professions Learning Objectives Review the basic anatomy of the heart Describe the cardiac conducting

More information

Electrocardiography for Healthcare Professionals

Electrocardiography for Healthcare Professionals Electrocardiography for Healthcare Professionals Chapter 9: Ventricular Dysrhythmias 2012 The Companies, Inc. All rights reserved. Learning Outcomes 9.1 Describe the various ventricular dysrhythmias 9.2

More information

Conduction Problems / Arrhythmias. Conduction

Conduction Problems / Arrhythmias. Conduction Conduction Problems / Arrhythmias Conduction Wolf-Parkinson White Syndrome (WPW) and Lown-Ganong-Levine (LGL): Atrial impulses bypass the AV node through an accessory pathway or bypass tract (bundle of

More information

Cardiovascular Nursing Practice: A Comprehensive Resource Manual and Study Guide for Clinical Nurses 2 nd Edition

Cardiovascular Nursing Practice: A Comprehensive Resource Manual and Study Guide for Clinical Nurses 2 nd Edition Cardiovascular Nursing Practice: A Comprehensive Resource Manual and Study Guide for Clinical Nurses 2 nd Edition Table of Contents Volume 1 Chapter 1: Cardiovascular Anatomy and Physiology Basic Cardiac

More information

Section V. Objectives

Section V. Objectives Section V Landscape of an MI Objectives At the conclusion of this presentation the participant will be able to Outline a systematic approach to 12 lead ECG interpretation Demonstrate the process for determining

More information

Understanding the 12-lead ECG, part II

Understanding the 12-lead ECG, part II Bundle-branch blocks Understanding the 12-lead ECG, part II Most common electrocardiogram (ECG) abnormality Appears as a wider than normal S complex Occurs when one of the two bundle branches can t conduct

More information

Cardiovascular System Notes: Heart Disease & Disorders

Cardiovascular System Notes: Heart Disease & Disorders Cardiovascular System Notes: Heart Disease & Disorders Interesting Heart Facts The Electrocardiograph (ECG) was invented in 1902 by Willem Einthoven Dutch Physiologist. This test is still used to evaluate

More information

Cardiac Cycle. Each heartbeat is called a cardiac cycle. First the two atria contract at the same time.

Cardiac Cycle. Each heartbeat is called a cardiac cycle. First the two atria contract at the same time. The Heartbeat Cardiac Cycle Each heartbeat is called a cardiac cycle. First the two atria contract at the same time. Next the two ventricles contract at the same time. Then all the chambers relax. http://www.youtube.com/watch?v=frd3k6lkhws

More information