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Understanding the Electrocardiogram

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  2. Understanding the Electrocardiogram In Health & Disease
  3. 5.0.0 ELECTROLYTE ABNORMALITIES, DRUG EFFECTS AND THE LONG QT SYNDROMES
  4. 5.1.0 Ion Channel R review (frame 1)

5.1.5(6)

[PLEASE INSERT A VOLAGE SALE GOING FROM -85 TO + 40 MV TO THE LEFT OF THE ACTION POGENTIAL UPSTROKE AND LABEL PHASES 0 (THE UPSTROKE), 1 (THE PEAK) AND 2 (THE PLATEAU) ON THE ACTION POTENTIAL] When the cell is depolarized to -40mV, the slow calcium inward current is activated and calcium ions begin to flow from the extracellular to the intracellular compartment. This contributes to the terminal portion of the upstroke and the peak of the action potential (phase 1) which is approximately +35mv and close to the sodium equilibrium potential. At this potential there is no longer a driving force for sodium, but the electrical driving force for potassium is very high. Potassium conductance begins to rise and potassium ions begin to flow from the intracellular to the extracellular compartment, generating an outward current. The balance between this slowly activated potassium outward current and the slow calcium inward current generates the almost flat action potential plateau (phase 2).


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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
  • 4.0.0 Ventricular Hypertrophy
  • 5.0.0 ELECTROLYTE ABNORMALITIES, DRUG EFFECTS AND THE LONG QT SYNDROMES
    • 5.1.0 Ion Channel R review (frame 1)
      • 5.1.1(frame 2)
      • 5.1.2 (frame 3)
      • 5.1.3 (frame )
      • 5.1.4 (5)
      • 5.1.5(6)
      • 5.1.6(7)
      • 5.1.7
      • 5.1.8 (8)
    • 5.2.0 High Potassium (9)
    • 5.2.10 (frame 19)
    • 5.3.0 low potassium (frame 28)
    • 5.4.0 CHANGES IN CALCIUM AND SODIUM (frame 36)
    • 5.5.0 Drug effects (frame 45)
    • 5.6.0 (frame 96) Hypothermia
    • 5.7.0 Brugada syndrome frame 116
  • 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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