PHSL_ Cardiovascular Lab 6

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University of Minnesota-Twin Cities *

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3701

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Mechanical Engineering

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Dec 6, 2023

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pdf

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Cardiovascular Lab 6 Worksheet: 1. In your own words, what does the electrocardiogram represent It detects heart rate activity. Specifically electrical activity within the heart. 2. In your own words: define what a lead is and what does a lead provide on an ECG A lead is a sensor that detects potential differences in electrical activity. Two surface electrodes of opposite polarity that pick up electrical differences. 3. Why is AV nodal delay important and where is it represented on the ECG waveform? It creates a delay between the atrial depolarization and the ventricles to depolarize. This allows time for the atria to finish contracting before the ventricles contract. It is represented after the P wave and before the QRS segment. 4. Fill in the mechanical event to its corresponding electrical event: a. P wave: Atrial Depolarization b. Courses c. QRS Complex: Electrical impulse and Ventricular Depolarization d. T Wave: Ventricular Repolarization e. Between the T wave and next P wave: Ventricular Filling 5. Explain why you can or cannot see atrial RE_polarization on an ECG? It is a small change compared to the ventricular repolarization 6. Consider the following ECG taken from Lead II a. Estimate the heart rate from this ECG tracing. Include your calculation and units. 8 beats per 6 seconds. 8*10= 80 bpm.
7. Consider consecutive ECG waveforms (ECGs shown one after another): a. If the R-R intervals decrease what is happening to the heart rate? Heart rate increases b. If the R-R intervals increase what is happening to the heart rate? Heart rate decreases 8. Which lead is the most parallel to the mean ventricular axis (MVA)? And what would cause the MVA to move? Lead 2: Changes in body shape 9. What would be indicated if the P wave was missing? Be sure to include the electrical and mechanical events affected. A flat line. QRS Complexes would appear at random intervals. Atrial depolarization would not be consistent. 10. What would be indicated by a QRS complex that was large, wide and slow? Be sure to indicate what is happening at the molecular level as well as the level of the heart. Ventricular depolarization would be slow but large. Heart abnormality. Analysis: Note the differences in Lead II, Lead I, and Lead III – which one has the largest QRS complex? Lead II In which lead are you best able to identify P waves, QRS complexes and T waves? Lead II Are any of the leads producing downward deflections? If so, which one? Lead III Using the magnifying glass tool on the right side of your screen, enlarge a portion of the ECG trace. Use the highlighting tool to shade the area from one R wave to the next R wave.
What is the heart rate? 70 bpm How long is the duration of one cardiac cycle? 0.817 seconds What is the duration of the P-R interval? 0.075 seconds Did the size of the QRS complex change when the subject was in the standing position? If there was a change, discuss in your group why this might be? At the standing position the heart rate went up and the QRS complex also got larger. What is the effect of a few seconds of jogging on the ECG? Makes the lead easier to identify as the QRS complex got larger Did the size of the QRS complex change or did the heart rate change as the person breathed deeply or as the person held his/her breath? Again, if you observed changes, discuss in your group the explanation for these changes. The ECG showed that heart rate sped up slightly but the P waves were slightly farther away from the QRS complex. What happened when the subject squeezed each hand into a fist and squeezed the leg muscles? This is equivalent to doing an EMG on top of the ECG. Explain the results. The ECG displayed very close lines and it was near unable to read. Neurons are firing. In the contraction the action potential voltage electricity. The muscles are contracting, giving off voltage electricity.
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