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Questions tagged [electrocardiogram]

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2 votes
1 answer
74 views

ECG: vector perpendicular to lead axis and its pattern

I have come across a contradiction while learning about ECG. Some sources say that a biphasic deflection (two waves of same size but of opposite directions) is drawn on ECG tracing if the electrical ...
2 votes
1 answer
155 views

What benefits for more EKG leads?

It seems that the 12-lead EKG is the gold standard for diagnosing many heart problems, but they're limited to fairly short samples (e.g. 30 minutes). Its possible to send a patient home for several ...
0 votes
0 answers
45 views

Should we invert other ECG leads if aVR was positive?

I would like to seek your kind guidance in understanding the right way of solving this question. (for the context, so far we only covered normal ECG and axis deviation) The question displays all 12 ...
1 vote
1 answer
224 views

How to determine QRS voltage from ECG?

Attached below is a question from my textbook "Guyton and Hall Textbook of Medical Physiology Review, 4e" and I am confused because the solutions manual has the answer as B (0.5mV), implying ...
8 votes
2 answers
121 views

How is adding up action potentials equivalent to measuring the direction of depolarization vectors?

An ECG of the heart measured from lead II looks like this: I have seen two ways of arriving at this image, the first is by considering the depolarization and the repolarization vectors and their ...
0 votes
1 answer
36 views

How to determine the "argument" of the electrical axis of the ECG from aVF & VI

This question is a continuation of the following question; Is the definition of aVF consistent with Novosel’s formula? Unfortunately, the article at the following URL is written in Japanese, but its ...
0 votes
1 answer
79 views

Is the definition of aVF consistent with Novosel’s formula?

"In regards to the electrocardiogram, there is often a Statement made that, 'The a' in aVF means 'augmented' by a factor of 1.5 for sensitivity adjustment. If the above statement is true, ...
1 vote
0 answers
15 views

On an ECG, do we take the J point to be the baseline or the TP segment?

I'm studying current of injuries and the diastolic current theory is explained as such: The ECG machine is programmed to keep the T-P segment at baseline with everything else on the strip moved up or ...
-2 votes
1 answer
59 views

Difference between strength and hypertrophy?

Doctors tell us to do lots of cardio exercise to "strengthen" the heart. Then some people get hypertrophy (another form of heart muscle growth) and it's considered "abnormal" (even ...
1 vote
0 answers
63 views

ECG-Lead 1 vs Lead 2

I am new to this and I am trying to do some filtering on ECG signals. I am working on Lead I signals but they appear too noisy. However, Lead II singals appear significantly less noisy whilst having ...
0 votes
0 answers
45 views

Is this a P-wave on single-lead ECG

I am an engineer working on a project using ECGs. I am trying a few techniques and I was wondering whether the P-wave is still visible in the ECG after filtering it. The issue is that I believe the ...
-1 votes
1 answer
96 views

Augmented lead equations

Extremely confused with augmented lead equations. Apparently - aVL = (Lead I - Lead III) ÷2 -aVR = (Lead I + Lead II) ÷2 aVF = (Lead II + Lead III) ÷2 I can't figure out why we're subtracting Lead III ...
0 votes
1 answer
50 views

Reason for ecg volume conduction waveform?

Can somebody for the love of humanity and genuine curiosity explain why does the voltage between 2 oppositely charged ends of a progressively depolarizing cell peak when the wave reaches the middle ...
1 vote
0 answers
127 views

EKG reading question [closed]

Can someone tell me what "ETRSR1-RSR' in V1 or V2, right VCD or RVH-QRS area positive & R' V1/V2 " means? In other comments it also said "otherwise normal EKG"
1 vote
0 answers
77 views

Estimation of QT interval when T and P waves overlap

On an ECG (EKG) machine, in a normal Sinus rhythum (with well distinguished T waves), the interval between the start of the QRS complex and the end of the T wave, (i.e. QT interval), can be estimated ...
5 votes
1 answer
101 views

Bradyarrhythmia & Bradycardia- same or different?

Do Bradyarrhythmia & Bradycardia denote same abnormality or are there some finer differences between the two?? In text provided by my college, it appears bradycardia condition comes under the ...
3 votes
0 answers
56 views

PR depressions on ECG when a patient has pericarditis

Can someone please explain why PR depressions are seen on an ECG when a patient has pericarditis? That is, from an electrophysiological perspective: What are the exact changes on the cell membrane ...
2 votes
0 answers
40 views

Is the voltage at the heart the same as in limbs for ECGs?

When doing an ECG we measure the electrical voltage between two points on a person's skin (for example for Lead II it's right arm and left leg). I am confused as to how the heart's potential ...
2 votes
0 answers
112 views

Should people with tachycardia avoid choline supplements?

After doing some brief research online it appears choline can have an effect on the electrical system of the heart, there are several medical papers online that discuss this topic, however I'm not ...
1 vote
0 answers
19 views

What would the graph look like if the electrodes were non-equidistant from the depolarization wave?

Hypothetically speaking using the diagram above. If the negative electrode was very far away from this cardiomyocyte and the positive electrode was right next to it. What would the voltage graph look ...
2 votes
1 answer
205 views

Positive deflection of an ECG

I understand that the voltage will be positive as measured by the ECG but I was wondering why the voltage reaches a maximum exactly at the midpoint. Is there a physiological reason (like sodium ...
0 votes
1 answer
54 views

4 Electrode vs 5 Electrode ECG [closed]

I see that in a 4 electrode ECG (LA, RA, LL, RL) we can measure upto 6 Leads (LeadI, LeadII, LeadIII, AvR, AvL, AvF). What increase in value does adding an additional chest electrode like V2 provide? ...
2 votes
0 answers
31 views

Looking for an ECG anomaly detection tool

In a few months I will be conducting a study where we take participents ECGs and try to measure stress levels from that using machine learning. I am also involved in pre-processing the data, meaning ...
2 votes
0 answers
88 views

Does a wave of depolarization towards a positive electrode always result in positive deflection on ECG? [closed]

Pretty much what the text says. For the sake of simplicity let's imagine we have this scenario here: https://www.google.com/search?q=ecg+guyton+and+hall&tbm=isch&ved=...
0 votes
0 answers
15 views

Standards for Electrocardiography and Photoplethysmography

Electrocardiography and Photoplethysmography are two techniques/devices that are commonly used to measure heart rate. My question is, clinically speaking, what are the standards these devices must ...
1 vote
0 answers
46 views

How wrist wearables count breaths?

I am doing a research about wrist wearables in order to understand how they work. They can be used to measure stress levels, just like pupillometry, skin conductance and other related measures can be. ...
1 vote
0 answers
24 views

What is the significance of the right lower node in a 12-lead electrocardiogram placement?

Given this EKG limb leads image, I noticed that the function of the right leg node in a 12-lead ecg/ekg is missing. In an actual placement I know this is present. So I need to ask, what is the ...
0 votes
1 answer
479 views

Please say what my ecg means [closed]

Please say is there any serious issue .really worried.My report says 95bpm and otherwise normal ecg.