Download - Ecg normal
![Page 1: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/1.jpg)
..
![Page 2: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/2.jpg)
E C G
![Page 3: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/3.jpg)
.
![Page 4: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/4.jpg)
.
![Page 5: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/5.jpg)
.
![Page 6: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/6.jpg)
.
![Page 7: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/7.jpg)
.
![Page 8: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/8.jpg)
.
![Page 9: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/9.jpg)
.
![Page 10: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/10.jpg)
.
![Page 11: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/11.jpg)
.
![Page 12: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/12.jpg)
.
![Page 13: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/13.jpg)
.
![Page 14: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/14.jpg)
.
![Page 15: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/15.jpg)
.
![Page 16: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/16.jpg)
.
![Page 17: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/17.jpg)
.
![Page 18: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/18.jpg)
.
![Page 19: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/19.jpg)
.
![Page 20: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/20.jpg)
.
![Page 21: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/21.jpg)
.
![Page 22: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/22.jpg)
.
![Page 23: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/23.jpg)
.
![Page 24: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/24.jpg)
.
![Page 25: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/25.jpg)
.
![Page 26: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/26.jpg)
.
![Page 27: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/27.jpg)
.
![Page 28: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/28.jpg)
.
![Page 29: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/29.jpg)
.
![Page 30: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/30.jpg)
.
![Page 31: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/31.jpg)
.
![Page 32: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/32.jpg)
.
![Page 33: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/33.jpg)
.
![Page 34: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/34.jpg)
.
![Page 35: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/35.jpg)
.
![Page 36: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/36.jpg)
.
![Page 37: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/37.jpg)
.
![Page 38: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/38.jpg)
.
![Page 39: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/39.jpg)
.
![Page 40: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/40.jpg)
.
![Page 41: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/41.jpg)
.
![Page 42: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/42.jpg)
.
![Page 43: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/43.jpg)
.
![Page 44: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/44.jpg)
.
![Page 45: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/45.jpg)
.
![Page 46: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/46.jpg)
.
![Page 47: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/47.jpg)
.
![Page 48: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/48.jpg)
.
.
![Page 49: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/49.jpg)
.
![Page 50: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/50.jpg)
Electrocardiograma
• Registro gráfico de los potenciales eléctricos que produce el corazón.
• Obtenidos desde la superficie corporal
• Mediante un electrocardiógrafo
![Page 51: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/51.jpg)
.
EL ECG ES UN ESTUDIO COMPLEMENTARIO
SOLO VALE AL LADO DEL PACIENTE
BRADIC. EMBARAZO.TEMBLOR
![Page 52: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/52.jpg)
.MEDICO RECIBE ECGINFORMA:ECG CON BUENA TECNICARITMO SINUSAL REGULARFC 70 X´P DE MORFOLOGIA Y TAMAÑO NORMALPR DE 0,14 SEGQRS 0,10 SEG SIN Q PATOLOGICA R < A 20 MVEJE A 70ºST ISOELECTRICOT ASIMETRICAS +QT 0,35 SEG
CONCLUSION ECG DENTRO DE VALORES NORMALES
![Page 53: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/53.jpg)
.
NORMALANORMAL
![Page 54: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/54.jpg)
.NORMAL
![Page 55: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/55.jpg)
.
TECNICARITMO FCONDA POR ONDA
![Page 56: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/56.jpg)
.
TECNICA
![Page 57: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/57.jpg)
..1) DATOS2) CALIBRACION3) ELECTRODOS BIEN COLOCADOS4) VELOCIDAD5) ARTEFACTOS6) QUE ESTEN TODAS LAS
DERIVACIONES
![Page 58: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/58.jpg)
.
![Page 59: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/59.jpg)
.DATOS
APELLIDO, NOMBRE,
EDAD,
DIA HORA .
![Page 60: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/60.jpg)
.CALIBRACION
VOLTAJE 1MV O 10 CUADRADITOS (0,1 MV C/UNO).
![Page 61: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/61.jpg)
.
![Page 62: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/62.jpg)
.
![Page 63: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/63.jpg)
Papel de registro• Milimetrado (Cuadriculado)
• Cada 5 rayitas finas una gruesa
Calibrado el electrocardiógrafo para que:
• Velocidad del papel: 25 mm/seg: 1 mm de ancho = 0´04 seg
• 1 cm de altura = 1 mV 1 mm de altura = 0`1 mV
1 mm = 0´04 seg 5 mm = 0´20 seg
1 mm = 0`1 mV1 cm = 1 mV
![Page 64: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/64.jpg)
.
![Page 65: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/65.jpg)
,
![Page 66: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/66.jpg)
.ELECTRODOS BIEN COLOCADOS
LA SUMA ALGEBRAICA DI + DIII DEBE SER IGUAL A DII .COMPLEJOS NEG. EN AVR
![Page 67: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/67.jpg)
.
![Page 68: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/68.jpg)
.
![Page 69: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/69.jpg)
Son derivaciones• situadas en el plano horizontal • monopolares
V1: 4º Espacio Intercostal Derecho junto al esternónV2: 4º Espacio Intercostal Izquierdo junto al esternónV3: Entre V2 y V4V4: 5º Espacio Intercostal Izquierdo Linea Medio ClavicularV5: En el plano horizontal de V4 Linea Axilar Anterior Izq. V6: En el plano horizontal de V4 Linea Axilar Media Izq.
Ángulo de Louis
Derivaciones precordiales
![Page 70: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/70.jpg)
Derivaciones precordialesPlano horizontal
V1: 4º E. I.D. junto al esternónV2: 4º E.I.I. junto al esternónV3: Entre V2 y V4V4: 5º E.I.I. L.M.C.V5: Altura de V4 L.Axilar A. V6: Altura de V4 L.Axilar M. V7: Altura de V4 L.Axilar Post.V8: Altura de V4 L. medioescapularV3R: Símétrica a V3 (Lado dcho)V4R: Simétrica a V4 (Lado dcho)
Posición de cada derivación precordial en el plano horizontal
![Page 71: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/71.jpg)
.
![Page 72: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/72.jpg)
.VELOCIDAD25 MM/ SEG. SI LA FC ES >100 O < 60AUSCULTAR AL PACIENTE (¿COINCIDE?) CADA CUADRADITO 0,04 SEG. 5 CUADRADITOS 0,20
![Page 73: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/73.jpg)
.
![Page 74: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/74.jpg)
.
![Page 75: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/75.jpg)
.ARTEFACTOS
TEMBLOR, TIERRA,
COMPLEJOS QUE NO CHOQUEN ABAJO.
![Page 76: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/76.jpg)
.
![Page 77: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/77.jpg)
.
![Page 78: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/78.jpg)
.
![Page 79: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/79.jpg)
.QUE ESTEN TODAS LAS DERIVACIONES
DI DII DIII ( SI HAY Q : HACER DIII INSPIRADO)AVR AVL AVF V1 A V6 DII RITMO O LARGOCASOS ESPECIALES V3R V4R (IAM DER) V7V8 (IAM POST). 3 COMPLEJOS POR DERIVACION.
![Page 80: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/80.jpg)
.
![Page 81: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/81.jpg)
.NORMALANORMAL
TECNICARITMO FCONDA POR ONDA
TECNICADATOSCALIBRACIONELECTRODOSVELOCIDADARTEFACTOSDERIVACIONES
![Page 82: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/82.jpg)
.
![Page 83: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/83.jpg)
.
![Page 84: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/84.jpg)
.
RITMOFRECUENCIA C.
![Page 85: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/85.jpg)
.RITMO
![Page 86: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/86.jpg)
.
ES SINUSAL?ES REGULAR?
![Page 87: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/87.jpg)
.
![Page 88: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/88.jpg)
.
![Page 89: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/89.jpg)
.
![Page 90: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/90.jpg)
,
![Page 91: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/91.jpg)
.
![Page 92: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/92.jpg)
.
![Page 93: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/93.jpg)
.
![Page 94: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/94.jpg)
.
![Page 95: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/95.jpg)
.
![Page 96: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/96.jpg)
.
![Page 97: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/97.jpg)
.
![Page 98: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/98.jpg)
.CUANDO EL RITMO ES SINUSALESTIMULO ELECTRICO INICIA
EN NS EN AD 60- 100 X´ NODO AV RETRASO FISIOLOGICO 40 -60 X´
HAZ DE HIS RAMAS D E I ( ANTERIOR POSTERIOR)
FIBRAS DE PURKINGE 30-40 X´
![Page 99: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/99.jpg)
.
![Page 100: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/100.jpg)
.
![Page 101: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/101.jpg)
.
SINUSAL NORMAL: P DE MORFOLOGIA NORMALF 60 100
+ EN DII DIII AVF Y NEG. EN AVRSEGUIRSE DE QRS
![Page 102: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/102.jpg)
.
![Page 103: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/103.jpg)
.RITMO
![Page 104: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/104.jpg)
RITMO CARDIACO:REGULAR O IRREGULAR (DII LARGO)VARIOS COMPLEJOS P-P IGUAL O DESIGUAL R-R IGUALES = REGULAR R-R DESIGUALES = IRREGULAR
![Page 105: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/105.jpg)
.
![Page 106: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/106.jpg)
.
![Page 107: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/107.jpg)
Valores del ECG del ritmo sinusal normal
II.- Ritmicidad de los complejos PQRST
Lo normal
• Que sean rítmicos (los intervalos PQRST: idénticos)
• Hay situaciones normales que pueden ser arrítmicos (Arrítmia respiratoria)
![Page 108: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/108.jpg)
.
FRECUENCIA CARDIACA
![Page 109: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/109.jpg)
.
FRECUENCIA CARDIACA:SI RR ES REGULAR CONTAR
300- 150- 100 -75- 60
![Page 110: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/110.jpg)
Valores del ECG del ritmo sinusal normal
a) Normal en el adulto: 60-100 l.p.m. • Menos de 60: Bradicardia, mas de 100: Taquicardia
b) Como se calcula la frecuencia cardiaca:
I.- Frecuencia de los complejos PQRST
1.- Con la norma:
300
150 100 75
50
60
l.p.m.43
37
33 30
![Page 111: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/111.jpg)
.
![Page 112: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/112.jpg)
.
![Page 113: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/113.jpg)
.
SI IRREGULAR CONTAR 15 CUADRADOS Y MULTIPLICAR POR 20
![Page 114: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/114.jpg)
.
![Page 115: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/115.jpg)
.
FRECUENCIA CARDIACA:SI RR ES REGULAR CONTAR
300- 150- 100 -75SI IRREGULAR CONTAR 15
CUADRADOS Y MULTIPLICAR POR 20
![Page 116: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/116.jpg)
.NORMAL RITMOANORMAL SINUSAL REG O IRREG.TECNICA FCFC Y RITMOONDA POR ONDA
TECNICADATOSCALIBRACIONELECTRODOSVELOCIDADARTEFACTOSDERIVACIONES
![Page 117: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/117.jpg)
.
ONDA X ONDA
![Page 118: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/118.jpg)
.
![Page 119: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/119.jpg)
.
![Page 120: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/120.jpg)
.
![Page 121: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/121.jpg)
Onda PSegmento PR
Onda QOnda ROnda S
Segmento STOnda T
Intervalo QTIn
terv
alo
PR
QRS
1 mm = 0´1 mV
1 mm = 0´04 seg
![Page 122: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/122.jpg)
.ONDA PINTERVALO PRINTERVALO QRSSEGMENTO STTINTERVALO QT
![Page 123: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/123.jpg)
.ONDA P
![Page 124: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/124.jpg)
.
![Page 125: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/125.jpg)
.
![Page 126: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/126.jpg)
MORFOLOGIA DE LA P:
DESPOLARIZACION DE LA AURICULA
PORCION INICIAL AD FINAL AI
ALTA, DIFASICA ,ANCHA, MELLADA.
MORFOLOGIA
TAMAÑO
POLARIDAD
![Page 127: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/127.jpg)
.
![Page 128: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/128.jpg)
Repolarización cardiaca auricular
No tiene representación en el ECG, ya que está enmascarada por la representación de las fuerzas eléctricas de la despolarizacion ventricular.
![Page 129: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/129.jpg)
.
![Page 130: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/130.jpg)
.
![Page 131: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/131.jpg)
.
INTERVALO PR:DESDE INICIO DE P HASTA INICIO DE QRS0,12 A 0,20 SEGSE RELACIONA CON LA FC >FC <PRMIDE EL TIEMPO DE CONDUCCION AVCORTO LARGO VARIABLE
![Page 132: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/132.jpg)
.
![Page 133: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/133.jpg)
III.- Características y secuencia de las ondas:
Valores del ECG del ritmo sinusal normal
PR (o PQ) normal• Intervalo PR
• Comienzo P Comienzo QRS• Límites: 0,12 – 0,21 s. (adulto)
• Segmento PR• Fin P comienzo QRS• Lo normal es que sea isoeléctrico
Intervalo PR
Segmento PR
![Page 134: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/134.jpg)
. .
![Page 135: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/135.jpg)
.
INTERVALO QRS
![Page 136: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/136.jpg)
INTERVALO QRS
MORFOLOGIA
EJE
DURACION
VOLTAJE
PROGRESION R
![Page 137: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/137.jpg)
.
![Page 138: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/138.jpg)
.
![Page 139: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/139.jpg)
INTERVALO QRS
MORFOLOGIA
EJE
DURACION
VOLTAJE
PROGRESION R
![Page 140: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/140.jpg)
,MORFOLOGIA
![Page 141: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/141.jpg)
.
![Page 142: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/142.jpg)
.
![Page 143: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/143.jpg)
Denominación de las ondas del ECG
1. Del ventrículo (QRS):
• Q : Onda (-) no precedida por otra onda en el QRS
• R : Cualquier onda (+) del QRS
• S : Onda (-) precedida por otra onda en el QRS
![Page 144: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/144.jpg)
Génesis del ECG
Cuando un vector de despolarización cardiaca
Se aproxima a un electrodo explorador
Produce Una deflexión positiva
Se aleja de un electrodo explorador
Produce Una deflexión negativa
Es perpendicular a un electrodo explorador
ProduceUna línea plana o una
deflexión +/-
![Page 145: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/145.jpg)
.
![Page 146: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/146.jpg)
.
![Page 147: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/147.jpg)
Efectos del vector de despolarización sobre un electrodo explorador
Despolarizaciòn
- +
![Page 148: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/148.jpg)
.LAS ONDAS POSITIVAS SON RLA NEGATIVA SIN ONDA
ADELANTE ES QCON ONDA ADELANTE ES S
![Page 149: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/149.jpg)
DENOMINACIÓN DE LAS ONDAS DEL ECG
![Page 150: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/150.jpg)
INTERVALO QRS
MORFOLOGIA
EJE
DURACION
VOLTAJE
PROGRESION R
![Page 151: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/151.jpg)
.EJE ELECTRICO DEL QRS
EN EL PLANO FRONTAL
![Page 152: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/152.jpg)
.
![Page 153: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/153.jpg)
.
![Page 154: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/154.jpg)
.
![Page 155: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/155.jpg)
.
![Page 156: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/156.jpg)
.
![Page 157: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/157.jpg)
.
![Page 158: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/158.jpg)
aVR aVL
aVF
D1
D2D3
+
++
C 0º
+90º
-180º+180º
-90º
1er Cuadrante
2º Cuadrante
3er Cuadrante
4º Cuadrante
+60º
-30º
+120º
Eje Eléctrico Plano Frontal
![Page 159: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/159.jpg)
.
![Page 160: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/160.jpg)
![Page 161: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/161.jpg)
.
![Page 162: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/162.jpg)
.
![Page 163: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/163.jpg)
.
![Page 164: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/164.jpg)
![Page 165: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/165.jpg)
.
![Page 166: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/166.jpg)
.
![Page 167: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/167.jpg)
.
![Page 168: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/168.jpg)
.
![Page 169: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/169.jpg)
.
![Page 170: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/170.jpg)
..
![Page 171: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/171.jpg)
.
![Page 172: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/172.jpg)
.
![Page 173: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/173.jpg)
,
![Page 174: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/174.jpg)
![Page 175: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/175.jpg)
![Page 176: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/176.jpg)
![Page 177: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/177.jpg)
.EJE DEL QRS EN EL PLANO HORIZONTAL
ROTACION HORARIAROTACION ANTIHORARIA
![Page 178: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/178.jpg)
.
![Page 179: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/179.jpg)
.
![Page 180: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/180.jpg)
.
![Page 181: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/181.jpg)
INTERVALO QRS
MORFOLOGIA
EJE
DURACION
VOLTAJE
PROGRESION R
![Page 182: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/182.jpg)
.DURACION QRS : MENOR A DOS CUADRADITOS Y MEDIO
0,10 SEG
![Page 183: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/183.jpg)
.
![Page 184: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/184.jpg)
.
![Page 185: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/185.jpg)
INTERVALO QRS
MORFOLOGIA
EJE
DURACION
VOLTAJE
PROGRESION R
![Page 186: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/186.jpg)
.
![Page 187: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/187.jpg)
.
![Page 188: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/188.jpg)
.
![Page 189: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/189.jpg)
.Q MAYOR AL TERCIO DEL QRSPATOLOGICANAECROSIS
![Page 190: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/190.jpg)
.
![Page 191: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/191.jpg)
INTERVALO QRS
MORFOLOGIA
EJE
DURACION
VOLTAJE
PROGRESION R
![Page 192: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/192.jpg)
.PROGRESION DE R
![Page 193: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/193.jpg)
.
![Page 194: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/194.jpg)
.
![Page 195: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/195.jpg)
INTERVALO QRS
MORFOLOGIA
EJE
DURACION
VOLTAJE
PROGRESION R
![Page 196: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/196.jpg)
.ONDA PINTERVALO PRINTERVALO QRSSEGMENTO STTINTERVALO QT
![Page 197: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/197.jpg)
.SEGMENTO ST
![Page 198: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/198.jpg)
.
![Page 199: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/199.jpg)
.
![Page 200: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/200.jpg)
III.- Características y secuencia de las ondas:
Valores del ECG del ritmo sinusal normal
Segmento ST
• Final QRS, comienzo de la onda T
• Normal: Isoeléctrico (+/- 1 mm)
• Punto J: Punto de Unión del ST con el QRS: Normalmente isoeléctrico,
Segmento ST
Punto J
![Page 201: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/201.jpg)
.INFRADESNIVELADOSUPRADESNIVELADO
![Page 202: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/202.jpg)
.
![Page 203: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/203.jpg)
.
![Page 204: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/204.jpg)
.
![Page 205: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/205.jpg)
.ALTERACION STLESION
![Page 206: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/206.jpg)
.ONDA PINTERVALO PRINTERVALO QRSSEGMENTO STTINTERVALO QT
![Page 207: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/207.jpg)
.ONDA T
![Page 208: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/208.jpg)
.
![Page 209: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/209.jpg)
.
![Page 210: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/210.jpg)
.SIMETRIAPOLARIDAD
![Page 211: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/211.jpg)
Onda T normal
• Asimétrica (rama ascendente lenta y descendente rápida)
III.- Características y secuencia de las ondas:
Valores del ECG del ritmo sinusal normal
• Polaridad: • Suele tener la misma que la máxima del QRS correspondiente• Suele ser (+) en todas las derivaciones excepto en aVR y a veces en
V1, D3 y aVF• Es (-) de V1-V4 en el 25 % de las mujeres, en la raza negra y en
niños
![Page 212: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/212.jpg)
.
![Page 213: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/213.jpg)
.
![Page 214: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/214.jpg)
.ONDA PINTERVALO PRINTERVALO QRSSEGMENTO STTINTERVALO QT
![Page 215: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/215.jpg)
.INTERVALO QT
![Page 216: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/216.jpg)
.
![Page 217: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/217.jpg)
III.- Características y secuencia de las ondas:
Valores del ECG del ritmo sinusal normal
• QT: • Del comienzo del QRS
hasta el final de la T
• Su valor normal depende de la frecuencia cardiaca
QTQT corregido por la frecuencia cardiaca: QTc
•El QTc debe de ser < 0,45 seg en el hombre y < 0,47 seg en la mujer
• Hay nomogramas que correlacionan Frecuencia Cardiaca y QT (+/- 10 %)
![Page 218: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/218.jpg)
QTc normal y prolongadoSu QTc será
L.P.M.0,44 si
su QT es
0,40 si su QT
es
30 0,622 0,565
40 0,538 0,489
50 0,481 0,438
60 0,440 0,400
70 0,407 0,370
80 0,381 0,346
90 0,359 0,326
Su QTc será
L.P.M.0,44 si
su QT es
0,40 si su QT
es
100 0,340 0,309
110 0,324 0,295
120 0,311 0,282
130 0,298 0,271
140 0,288 0,261
150 0,278 0,252
(Medidas en segundos)
![Page 219: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/219.jpg)
.QTDEBE SER MENOR A
LA MITAD DEL R-R
![Page 220: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/220.jpg)
.NORMAL RITMOANORMAL SINUSAL REG O IRREG.TECNICA FCFC Y RITMOONDA POR ONDA ONDA X ONDATECNICA DATOS ONDA PCALIBRACION INTERV. PRELECTRODOS INTERV. QRSVELOCIDAD SEGM. STARTEFACTOS ONDA TDERIVACIONES INTERV. QT
![Page 221: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/221.jpg)
.ECG NORMAL O NO
6 2 6
![Page 222: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/222.jpg)
.
6 TECNICA2 RITMO FC6 ONDA POR ONDA
![Page 223: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/223.jpg)
.
![Page 224: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/224.jpg)
.MEDICO RECIBE ECGINFORMA:ECG CON BUENA TECNICARITMO SINUSAL REGULARFC 70 X´P DE MORFOLOGIA Y TAMAÑO NORMALPR DE 0,14 SEGQRS 0,10 SEG SIN Q PATOLOGICA R < A 20 MVEJE A 70ºST ISOELECTRICOT ASIMETRICAS +QT 0,35 SEG
CONCLUSION ECG DENTRO DE VALORES NORMALES
![Page 225: Ecg normal](https://reader037.vdocument.in/reader037/viewer/2022102608/556df5cfd8b42a1e138b4b5b/html5/thumbnails/225.jpg)
. MUCHAS GRACIAS