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心電圖基本原理
黃炳賢心臟內科
光田綜合醫院
CARDIAC CELL
標準雙極誘導
Willem Einthoven
Einthoven W. Galvanometrische registratie van het menselijik electrocardigram. In Herinneringsbundel Prof. S.S. Rosenstern [ Galvanometric registration of the human electrogram]. Leiden, the Netherlands: Eduard Ijdo; 1902;101-106
標準雙極誘導
LEAD I
LEAD II
LEAD III
單極誘導 (四肢單極誘導 )
未加壓
單極誘導 ( 四肢單極誘導 )
加壓
aVR
aVL
aVF
標準雙極誘導 加壓四肢單極誘導
單極胸誘導
V1
V2
V3
V4
V5
V6
標準雙極誘導 加壓四肢單極誘導 單極胸誘導
A- atrium
V- ventricle
心房
心室
竇房結
房室結
His Bundle
18931893 -- Wilhelm His, Jr.Wilhelm His, Jr.
標準雙極誘導 加壓四肢單極誘導 單極胸誘導
從心電圖我們會知道－Heart rateHeart rhythmMyocardial ischemia (ACS-STEMI, NSTEMI, UA, CSA)Hypertrophy (RA, LA, RV, LV)Medication effects (Digoxin intoxication)Electrolyte disturbance (Hyperkalemia, Hypokalemia, Hypercalcemia, Hypocalcemia) Congenital diseases
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