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Understanding the Electrocardiogram

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  1. Home
  2. Understanding the Electrocardiogram In Health & Disease
  3. 1.0.0 Generation of the ECG
  4. 1.7.0 Events at the Cellular Level

1.7.9

The ST segment of the electrocardiogram will reflect the lack of voltage gradients during the plateau phase and will be isoelectric as it was when the cells were in their resting stage and the transmembrane potential of all cells was in the range of -85 mV. The important thing to remember is this:

IT IS THE VOLTAGE GRADIENTS CREATED AS THE MEMBRANE SEGMENTS SEQUENTIALLY DEPOLARIZE AND THEN SEQUENTIALLY REPOLARIZE THAT ARE RESPONSIBLE FOR THE WAVEFORM RECORDED ON THE BODY SURFACE ELECTROCARIOGRAM.

If there are no voltage gradients, then the wavefrom will show no deflections and it will be flat and isoelectric.

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  • Introduction to First Edition
  • 1.0.0 Generation of the ECG
    • 1.1.0 Basic Physiology
    • 1.2.0 SA Node & Pacemakers
    • 1.3.0 Atrial Depolarization
    • 1.4.0 Atrio Ventricular Conduction
    • 1.5.0 Ventricular Depolarization
    • 1.6.0 Repolarization
    • 1.7.0 Events at the Cellular Level
      • 1.7.1
      • 1.7.2
      • 1.7.3
      • 1.7.4
      • 1.7.5
      • 1.7.6
      • 1.7.7
      • 1.7.8
      • 1.7.9
      • 1.7.10
      • 1.7.11
      • 1.7.12
    • 1.8.0 Electrodes
    • 1.9.0 ECG Leads and Placement
  • 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)
  • 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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