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Published by Summer Suarez

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Published by: Summer Suarez on Aug 01, 2013
Copyright:Attribution Non-commercial


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• A diagnostic tool that measures and records the electrical activity of the heart. • ECG is recorded by applying electrodes and connecting them to a recording apparatus.

Uses of ECG
• Evaluation of function of cardiac pacemakers • Myocardial ischemia and infarction • Determination of effects of cardiac drugs • Systemic diseases that affects the heart • Disturbances in electrolyte balance • Detect delay of atrial and ventricular impulses • Determines origin and behavior of Dysrhtmias

• 3 lead ECG
– Cardiac monitoring, emergency, ambulance; 3 electrodes

• 5 lead ECG
– ICU, cardiac monitoring; 6 lelectrodes

• 12 lead ECG
– Most views; 10 electrodes

ECG Lead Placment
• Limb leads
– 4 leads placed on the extremities: left and right wrist; left and right ankle – The lead connected to the right ankle is a neutral lead (black) – Provides information on the hearts VERTICAL plane.

• Unipolar
– Measure absolute electrical potential at one side

• Bipolar
– Register potential in 2 different leads

• Chest leads
– “V-leads” – Provides information about the hearts HORIZONTAL plane

Electrode Application
• Clean and dry the skin • Shave hair if present • Replace electrode every 2 days if skin irritation occurs • Mark position to ensure consistent lead placement

ECG Strip
• ECG strip consists of:
– Horizontal lines: seconds – Vertical lines: voltage
– Small square = 0.04 seconds/0.1 millivolts – Large square = 0.20 seconds/0.5 millivolts

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