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Understanding the Electrocardiogram

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  2. Understanding the Electrocardiogram In Health & Disease
  3. 3.0.0 Inter and intra-ventricular Conduction Disturbances
  4. 3.4.0 Aberrant Ventricular Conduction (52)

3.4.5 (57)

In normal ventricular fibers, the duration of the refractory period is determined primarily by the time required for the repolarization limb of the action potential (phase III) to return to -60 mV because the fiber is inexcitable, i.e. is absolutely refractory, until this transmembrane voltage is reached. Between transmembrane potentials -60 mV an -85 mV, the fiber will be incompletely recovered, i.e. will be relatively refractory. A response initiated during this time will be associated with action potentials having a decreased upstroke velocity. This will result in a decreased conduction velocity of the propagated response and is the mechanism most responsible for the aberrant conduction associated with early atrial premature beats.

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  • Introduction to First Edition
  • 1.0.0 Generation of the ECG
  • 2.0.0 The Normal Electrocardiogram
  • 3.0.0 Inter and intra-ventricular Conduction Disturbances
    • 3.0.1 Introduction Continued
    • 3.1.0 Right Bundle Branch Block (RBBB)
    • 3.2.0 Left Bundle Branch Block (LBBB)
    • 3.3.0 Fascicular blocks (frame 29)
    • 3.4.0 Aberrant Ventricular Conduction (52)
      • 3.4.1 (53)
      • 3.4.2 (54)
      • 3.4.3 (55)
      • 3.4.4 (56)
      • 3.4.5 (57)
      • 3.4.6 (58)
      • 3.4.7 (59)
      • 3.4.8.(THIS IS FRAME 61)
      • 3.4.9 (62)
      • 3.4.10 (63)
      • 3.4.11 (64)
      • 3.4.12 (65)
      • 3.4.13 (68)
      • 3.4.14 (69)
      • 3.4.15 (frame 75)
      • 3.4.16 (76)
    • 3.5.0 Ventricular Pre-excitation (77)
  • 4.0.0 Ventricular Hypertrophy
  • 5.0.0 ELECTROLYTE ABNORMALITIES, DRUG EFFECTS AND THE LONG QT SYNDROMES
  • 6.0.0 Ischemia and Infarction - Introduction (frame i and ii)
  • 7.0.0 Tachycardias- Introduction
  • 8.0.0 The Bradycardias frame i-introduction
  • 9.0.0 The ECG of Heart Murmurs-introduction
  • 10.0.0 The Electrocardiogram in the Emergency Department-Introduction
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