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EKG 12 derivati

EKG 12 derivati

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Published by: neopetre on Nov 23, 2009
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06/03/2013

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•12-Mar-07•1
INVESTIGAREA CORDULUI
METODE NEINVAZIVE
---fonocardiograma-jugulograma-carotidograma-balistocardiograma-ELECTROCARDIOGRAMA--SCINTIGRAFIA CU RADIONUCLIZI etc.
METODE INVAZIVE
-CATETERISM CARDIAC
•Fiziologie, UMF Carol Davila, 2007•Dr. RalucaPapacocea•http://fiziologie.univermed-cdgm.ro
1901
 –Einthoven inventeaz
ă
un nou dispozitiv pentru înregistrarea EKG, din electrozi din argint
1924
 –Willem Einthoven ca
ş
tig
ă
premiul Nobelpentru inventarea electrocardiografului
•Fiziologie, UMF Carol Davila, 2007•Dr. RalucaPapacocea•http://fiziologie.univermed-cdgm.ro
 
•12-Mar-07•2
DEFINI
Ţ
IE
EKG =Înregistrarea la suprafa
ţ
a corpului a varia
ţ
iilor  cardiac
ă
Inima poate fi considerat
ă
o baterie, un generator decurent electric inclus într-un volum conductor (corp).Inima genereaz
ă
un camp electric ce poate fieviden
ţ
iat la suprafa
ţ
a corpului, prin electrozi plasa
ţ
i petegument.
•Fiziologie, UMF Carol Davila, 2007•Dr. RalucaPapacocea•http://fiziologie.univermed-cdgm.ro
PRINCIPIUDepolarizare
ş
iRepolarizare
 În repaus, cardiomiocitele sunt înc
ă
rcatepozv pe versanu exern a memrane
ş
 negativ la interior. În timpul depolariz
ă
rii, poten
ţ
ialul demembran
ă
se inverseaz
ă
.Neativitatea de reaus a interiorului sereduce spre 0
ş
i apoi interiorul devine pozitiv caurmare a influxului de Na (revezi PA, faza 0).
•Fiziologie, UMF Carol Davila, 2007•Dr. RalucaPapacocea•http://fiziologie.univermed-cdgm.ro
 
•12-Mar-07•3
Polaritatea celulei miocardice
-90 mV
+repaus
-
-activare
+
+35 mV
•Fiziologie, UMF Carol Davila, 2007•Dr. RalucaPapacocea•http://fiziologie.univermed-cdgm.ro
PROIEC
Ţ
IA VECTORIAL
Ă
PE OAX
Ă
α
Lpr. = L max.Lpr.=Lcos
α
Lpr.= 0
•Fiziologie, UMF Carol Davila, 2007•Dr. RalucaPapacocea•http://fiziologie.univermed-cdgm.ro

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