1-What is an EKG?
Everybody remember that the heart works electrically? SA node, AV node, all that? The signaltravelling along its normal pathway goes from roughly northwest to roughly south, uh…southeast?This diagram shows the electrode placement for lead II, the “reference lead”, which follows thenormal conduction pathway – unlike the other leads, which look at conduction from all sorts of other directions.
Northwest: negative electrode goes here(the ground electrode goes here…)Southeast: Positive electrode herewww.arrhythmia.org/ general/whatis/
As the impulse goes along in lead II, it makes - or it ought to make – the normal conductioncomplex that we all learned, like so:And everybody remembers what the different parts of thecomplex are: the PR interval represents the signal going throughthe atria, so it makes a small-sized wave? And the QRSrepresents the signal going through the what? So it makes awhat-sized wave? And the T-wave represents the re-setting of what?Right - no problems so far.However, when bad things happen, things start to look a little different.