Le basi dell elettrocardiogramma. Michela Bevilacqua Gianfranco Buja

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1 Le basi dell elettrocardiogramma Michela Bevilacqua Gianfranco Buja

2 Sistema di conduzione e Trasmissione elettrica Fascio di Bachman Fascio di His 1 Nodo seno atriale 2 Branca sinistra 3 Branca destra Fibre di Purkinje

3 ECG Einthoven in Leiden with the original galvanometer, 1906

4 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

5

6 Rappresentazione schematica dello stato elettrico della cellula miocardica

7 Potenziale d azione

8

9

10 fronte d onda di depolarizzazione ECCITAZIONE o DEPOLARIZZAZIONE D Dubin, Rapid interpretation of EKG s. 4 ed italiana

11 fronte d onda di depolarizzazione D Dubin, Rapid interpretation of EKG s. 4 ed italiana

12

13 fronte d onda di depolarizzazione D Dubin, Rapid interpretation of EKG s. 4 ed italiana

14 deflessioni positive e negative D Dubin, Rapid interpretation of EKG s. 4 ed italiana

15 deflessioni positive e negative R R Q S Q D Dubin, Rapid interpretation of EKG s. 4 ed italiana

16

17 Tratto (segmento) S-T D Dubin, Rapid interpretation of EKG s. 4 ed italiana

18 Onda T D Dubin, Rapid interpretation of EKG s. 4 ed italiana

19 Ciclo cardiaco completo onda T D Dubin, Rapid interpretation of EKG s. 4 ed italiana

20 Triangolo di Einthoven D Dubin, Rapid interpretation of EKG s. 4 ed italiana

21 DERIVAZIONI PERIFERICHE D1 D2 D3 D Dubin, Rapid interpretation of EKG s. 4 ed italiana

22 D Dubin, Rapid interpretation of EKG s. 4 ed italiana

23 MD Sorbo e E Piccolo, 2003

24 MD Sorbo e E Piccolo, 2003

25 DERIVAZIONI PERIFERICHE D1, D2, D3 AVR, AVL, AVF D Dubin, Rapid interpretation of EKG s. 4 ed italiana

26 MD Sorbo e E Piccolo, 2003

27 ECG standard a 12 derivazioni D Dubin, Rapid interpretation of EKG s. 4 ed italiana

28 PIANO ORIZZONTALE DERIVAZIONI PRECORDIALI D Dubin, Rapid interpretation of EKG s. 4 ed italiana

29

30 MD Sorbo e E Piccolo, 2003

31 D Dubin, Rapid interpretation of EKG s. 4 ed italiana

32 Chest Leads Emphasis: V1 & V2 = Right Side of Heart V2 & V3 = Interventricular Septum Emphasis: V5 & V6 = Left Side of Heart

33 Asse elettrico-conduzione normale Piano frontale Piano orizzontale

34 V1 V6

35 MD Sorbo e E Piccolo, 2003

36 MD Sorbo e E Piccolo, 2003

37 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

38 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

39 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

40 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

41 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

42 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

43 MD Sorbo e E Piccolo, 2003

44 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

45 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

46 Calcolo della frequenza cardiaca D Dubin, Rapid interpretation of EKG s. 4 ed italiana

47 Determination of Heart Rate Summary

48 R-R Interval Method (ms bpm) Measure cycle length (interval) in milliseconds (ms) Heart rate = 60,000 ms cycle length 60, = bpm = 68 bpm

49 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

50 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

51 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

52 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

53 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

54 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

55 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

56 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

57 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

58 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

59 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

60 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

61 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

62 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

63 BLOCCO DI BRANCA DESTRA

64 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

65 BLOCCO DI BRANCA SINISTRA

66 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

67 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

68 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

69 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

70 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

71 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

72 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

73 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

74 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

75 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

76 MD Sorbo e E Piccolo, 2003

77 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

78 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

79

80 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

81 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

82 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

83 S.Scheidt and JA Erlebacher. Illustr: FH Netter. 1991

84

85

86

87 The Triplicate Method

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