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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. 5.2.10 (frame 19)

5.2.11 (frame 20)

The voltage difference between the inside and outside of the cell during diastole - the resting membrane potential (RMP)- is close to and determined by the potassium equilibrium potential (Ek). This is the transmembrane potential required to maintain the concentrations of potassium on either side of the cell membrane. As discussed above (page 5.1.2) it is determined by the Nernst equation which, for potassium, is: Ek (-83mV)= -61 log Ki/Ke (Ki = 120 mM and Ke = 4.0 mM). A doubling of extracellular K, for example from 4.0 to 8.0 mM, will change Ki/ Ke from 30 to 15 and will shift the RMP from -83 to -66 mV. As shown in this table and graph, any doubling of extracellular K, i.e. from 3.0 to 6.0, or from 6.0 to 12.0 mM etc will result in a +17mV shift in the RMP.

Book traversal links for 5.2.11 (frame 20)

  • 5.2.10 (frame 19)
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  • 5.2.12 (21)

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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)
    • 5.2.0 High Potassium (9)
    • 5.2.10 (frame 19)
      • 5.2.11 (frame 20)
      • 5.2.12 (21)
      • 5.2.13 (22)
      • 5.2.14 (23)
      • 5.2.15 (24)
      • 5.2.16 (25)
      • 5.2.17 (26)
      • 5.2.18 (27)
    • 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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