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Understanding the Electrocardiogram

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  2. Understanding the Electrocardiogram In Health & Disease
  3. 6.0.0 Ischemia and Infarction - Introduction (frame i and ii)
  4. 6.1.0 ST Segment (frame1)
  5. 6.1.20 (frame 20)

6.1.22 (22)


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When the ischemic zone involves the entire thickness of the ventricular wall, i.e. is transmural, the injury current generated during the resting phase (phase 4) of the action potential will flow from the more positive region (the ischemic zone - the red action potential) where the resting membrane potential is -65 mv , to the more negative region (the normal zone - the blue action potential) where, as depicted in this figure, the resting membrane potential is  -85 mv. Thus, during this phase of the action potential the injury current will flow away from the ischemic zone to the non-ischemic zone. This will cause depression of the TQ segment in electrograms recorded by electrodes placed directly over the ischemic region.

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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
  • 6.0.0 Ischemia and Infarction - Introduction (frame i and ii)
    • 6.1.0 ST Segment (frame1)
      • 6.1.1 (2)
      • 6.1.2(3)
      • 6.1.3(4)
      • 6.1.4(5)
      • 6.1.5(6)
      • 6.1.6 (7)
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      • 6.1.8 (new frame)
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      • 6.1.10 (frame 10)
      • 6.1.20 (frame 20)
        • 6.1.21 (21)
        • 6.1.22 (22)
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        • 6.1.24 (24)
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        • 6.1.26 (26)
        • 6.1.27 (27)
        • 6.1.28 (28)
        • 6.1.29 (29)
      • 6.1.30 (frame 30)
      • 6.1.40 (frame 39)
      • 6.1.50 (49)
    • 6.2.0 Q WAVES (frame 53)
    • 6.3.0 T WAVES (frame 75)
    • 6.4.0 (Bundle Branch Blocks and othe IVCDs--frame 87)
    • 6.5.0 (frame 106) FALSE POSITIVES
  • 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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