This document provides an overview of electrocardiography (ECG) including its history, basics, components, and interpretation. It discusses that ECG was invented in 1895 and measures the heart's electrical activity through electrodes placed on the skin. The ECG waveform includes the P wave, QRS complex, and T wave which represent atrial depolarization, ventricular depolarization, and ventricular repolarization, respectively. It also describes the normal ranges for components, abnormalities, cardiac axis determination, and standard 12-lead ECG. The document is a comprehensive review of electrocardiography fundamentals.
This presentation covers few basic things about ECG, especially for UG Medical students like ECG leads, normal ECG waves, axis of ECG and how to look for common ECG misplacements.
M.sc part. 1 seme 2 . This is topic are biochemistry
ECG are electro cardio graph this full from of ECG
And this topic related a heart function in human body
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
This presentation covers few basic things about ECG, especially for UG Medical students like ECG leads, normal ECG waves, axis of ECG and how to look for common ECG misplacements.
M.sc part. 1 seme 2 . This is topic are biochemistry
ECG are electro cardio graph this full from of ECG
And this topic related a heart function in human body
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
2. ▪ In 1895, William Einthoven has been credited for invention of EKG
who later diagnosed heart problem using string electrometer ECG
▪ In 1924, Noble prize for medicine as been awarded for the same
▪ In 1942, Goldberger, increased Wilson’s unipolar lead voltage by
50% and made augmented leads
History of ECG
4. What is an ECG?
▪ ECG is a graphic recording of electric potential is generated by the
heart and the signals are detected. By means of metal electrode is
attached to the extremities and chest wall and then our amplified
and recorded by an electrocardiograph.
▪ Actually ECG leads display instantaneous potential differences
between the electrodes.
▪ Being a non-invasive, inexpensive and highly versatile test &
immediate availability it is used to detect Arrhythmias , Conduction
disturbances and myocardial ischaemia in clinical utility. ECG may
also reveal findings related to life-threatening metabolic
disturbances or sudden cardiac death syndromes.
5. Electrophysiology
▪ Depolarisation is sudden change in membrane potential, which is
usually from negative to positive charge relatively.
▪ This depolarisation causes Muscle contraction
▪ This Sequential Depolarisation of cardiac muscle tissue causes
activation-excitation front, which results in electrical current or
electromagnetic force or vector as it’s has both
magnitude & direction.
6.
7.
8.
9. Electrocardiocardiological significance of
cardiac anatomy
▪ Although it’s obvious to see the heart is Four chambered,
where as in electrophysiological sense the heart consists of
only two chambers: one formed by the atria and the other
formed by the ventricles The two atria/ventricle function as a
single electrophysiological unit which referred to as the
biatrial/biventricular chamber.
▪ The two electrophysiological chambers are separated by inert
conduction barrier formed by fibrous atrioventricular (AV)
ring.
▪ Communication across this occurs by specialized conducting
system formed by the AV node, the bundle of His, the bundle
branches and its ramifications
10. Cardiac Pacemakers
▪ SA node – dominant pacemaker with an intrinsic rate of 60-100 bpm
▪ AV node : Backup Pacemaker with an intrinsic rate of 40–60bpm
▪ Ventricular Cells : Backup Pace maker with an intrinsic rate of 20-45bpm
11. The ‘‘PQRST ’’ Waveforms
P Wave : atrial depolarisation
QRS complex: ventricular depolarisation
T wave: Ventricular repolarisation
12. Electrocardiographic Paper
▪ Small Square = 1mm
▪ Large Square = 5mm(5xSmallSq)
▪ ECG is conventionally recorded it
paper speed of 25mm/sec
▪ 5 large squares = 1 sec
▪ 1 Large Square = 0.2sec(200ms)
▪ 1 Small Square = 0.04sec(40ms)
13. Conventional ECG leads
12 Conventional leads divided into two
groups depending on orientation to the heart :
1) the frontal plane leads : oriented in
coronal plane of the body and consists of
I,II,III(standard), aVR, aVL, aVF(unipolar)
2) the horizontal plane leads: oriented in
horizontal plane of the body consisting of
Leads V 1 to V6
14. Standard LEAD I
Lead I is derived from placement of the negative electrode on the right arm
and the positive electrode on the left arm
15. Standard LEAD II
LEAD II is derived from the placement of negative electrode on
the right arm and the positive electrode on the left leg
16. Standard LEAD III
LEAD III derived from placement of the negative electrode on
the left arm and the positive electrode on the left leg
17. Unipolar Limb Leads
▪ According to Einthoven, some of the potentials of three leads(I,II,III) is
at any instant equal to ZERO.
▪ So if these three leads are connected to a central terminal the potential
of this terminal will be ZERO.(Indifferent or Neutral Electrode)
19. DERIVATION OF Unipolar Leads
▪ The central terminal(neutral or indifferent electrode) is connected
to one pole of the galvanometer that Lead will always have
potential value of ZERO.
▪ & The Electrode connected to other pole of the galvanometer will
record the true potential at any given point and this electrode is
termed as exploring electrode.
20. Extremity Leads (LEAD V)
1. Lead aVR : obtained by
connecting the exploring
electrode to the right arm
2. Lead aVL : obtained by
connecting exploring
electrode to the left arm
3. Lead aVF : obtained by
connecting the exploring
electrode to the left leg
23. P Wave
• The P wave is those composite
deflection of right and left
atrial activation
• Always positive in lead I & II
• Always negative in Lead aVR
• < 3 small squares in duration
• <2.5 small squares in amplitude
• Commonly biphasic in lead I
• Best seen in lead II
24. Normal P wave Genesis
▪ the maximum duration of normal
Atrial activation is 110 ms
▪ SA node being situated in right
atrium,RA activation begins first
which is reflected by proximal limb
of P wave in most commonly lead
II(fig 3.1 b)ranging 20-40ms
▪ Left atrial activation begins 30ms
after right little activation
constitutes the distal half of the p
wave and ranges from 50 to 60 ms
25. QRS Complex
▪ The normal QRS complex is narrow and
sharply pointed
▪ Duration= 0.08-0.12 secs
▪ Amplitude normally varies from less than
5 mm to more than 15 mm
▪ Non-pathological Q waves may present
in I, Ill, aVL,V5, and V6
▪ R wave in lead V6 is smaller than V5
▪ Depth of the S wave, should not exceed
30 mm
▪ Pathological Q wave > 2mm deep and >
1mm wide or
▪ > 25% amplitude of the subsequent R
wave
26. QRS COMPLEX
▪ Depolarization/Activation of
ventricles is reflected by QRS
complex
▪ QRS complex reflects ventricular
activation as follows
An initial downward deflection
after P wave is termed as Q wave.
an initial upward deflection after. Is
termed as R wave
The S Wave usually represents the
terminal part of ventricular
activation
A second positivity of QRS complex
is termed as r-r' prime deflection
27. T Wave
▪ Normal T wave is asymmetrical &
proximal shallow limb with relatively
blunt apex or nadir
▪ Should be at least 1/8 but less than
2/3 of the amplitude of the R
▪ T wave amplitude rarely exceeds 10
mm
▪ Abnormal T waves are symmetrical, tall,
peaked, biphasic or inverted.
▪ T wave follows the direction of the QRS
deflection.
28. QT Interval
▪ Total duration of Ventricular
Depolarization and
Repolarization
▪ QT interval decreases when
heart rate increases
▪ For HR = 70 bpm, QT <0.40 sec
▪ QT interval should be 0.35- 0.45
sec. Should not be more than
half of the R-R interval.
29. QT Interval Significance
▪ QT interval shortens with Tachycardia and lengthens with
bradycardia(inverse)
▪ QT interval is also inversely related to R-R' interval
▪ QT interval cannot be viewed in absolute terms but must be
corrected for the effect of associated heart rate.
30. Correction of QT interval (QTc)
▪ QT interval is corrected for what it
would theoretically be at a rate of
60 bpm.
▪ Bazett's Formula is the most
frequently used.
33. ECG AXIS
▪ Spatial orientation and polarity of the
six frontal plane leaves is represented
on the Hexaxial diagram (ECG axis)
▪ The direction of this total frontal QRS
vector, defined by the angle it makes
with lead I, is the cardiac axis
▪ In normal circumstances, the direction
of the frontal QRS vector is dominated
by the depolarization forces generated
in the large left ventricular muscle
mass.
▪ The pattern of depolarization of the left
ventricle is in turn dictated by the
precise anatomy of the intraventricular
conducting system.
34. Construction of Frontal Hexaxial System
Frontal plane hexaxial reference system constructed by the
combination of the two triaxial reference systems.