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2. Objectives. Describe the value and limitations of the electrocardiogram (ECG).Describe the electrophysiology of cardiac cells.Describe how the cardiac impulse is conducted through the different structures of the heart. Recognize various abnormal ECG recordings.. 3. The Electrocardio
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1. Chapter 17 Interpreting the Electrocardiogram
2. 2 Objectives • Describe the value and limitations of the electrocardiogram (ECG).
• Describe the electrophysiology of cardiac cells.
• Describe how the cardiac impulse is conducted through the different structures of the heart.
• Recognize various abnormal ECG recordings.
3. 3 The Electrocardiogram An ECG is a popular tool because it is inexpensive, noninvasive, and easy to obtain.
Often used to assess the patient suspected of having an acute myocardial infarction.
Also used as a health screening tool in patients over age 40 years.
It cannot predict future heart attacks or detect structural defects (e.g., valve stenosis).
4. 4 Electrophysiology Normally, cardiac cells are polarized with a positive charge on the outside.
When stimulated, cardiac cells depolarize as sodium rushes inside the cells.
Depolarization causes the muscle cells to contract momentarily.
Repolarization reestablishes the electrical imbalance across the cell membrane.
5. 5 Electrophysiology (cont.) Three different types of cardiac cells are present in the heart
Pacemaker cells (e.g., sinoatrial node)
Specialized rapidly conducting tissue (e.g., Purkinje fibers)
Atrial and ventricular muscle cells
All these cells have the ability to spontaneously depolarize (automaticity).
6. 6 Electrophysiology (cont.)