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The EKG (Elecrocardiogram or ECG) measures cardiac
electrical potential waveforms (voltages produced during the contraction of the
heart). NOTE: This product is to be used for educational purposes only. It is
not appropriate for medical or research applications. Specifically, it may not
be used for patient diagnosis. The sensor comes with a package of one hundred
silver/silver chloride electrode patches that can be attached to the skin. The
sensor consists of the electronics box with a cable for connecting to a MultiLog
interface via a DIN plug connector. Three electrode leads enter the EKG Sensor
box on the side opposite the cable that attaches to the interface. The sensor's
circuitry isolates the user from the possibility of electrical shock in two ways:
Heart muscle cells are
polarized at rest. This means the cells have slightly unequal concentrations
of ions across their cell membranes. An excess of positive sodium ions on the
outside of the membrane causes the outside of the membrane to have a positive
charge relative to the inside of the membrane. The inside of the cell is at
a potential of about 90 millivolts (mV) less than the outside of the cell membrane.
The 90 mV difference is called the resting potential. The typical cell membrane
is relatively impermeable to the entry of sodium. However, stimulation of a
muscle cell causes an increase in its permeability to sodium. Sodium ions migrate
into the cell through the opening of voltage-gated sodium channels. This causes
a change (depolarization) in the electrical field around the cell. This change
in cell potential from negative to positive and back is a voltage pulse called
the action potential. In muscle cells, the action potential causes a
muscle contraction.
Other ions and charged molecules are involved in the
depolarization and repolarization of the cardiac muscle. These include
potassium, calcium, chlorine, and charged protein molecules. The sum action
potential generated during the depolarization and repolarization of the cardiac
muscle can be recorded by electrodes at the surface of the skin. A recording of
the heart's electrical activity is called an electrocardiogram (EKG). The
depolarization of cardiac-muscle cells triggers the contraction.
The cells of
the heart's conducting system will depolarize spontaneously. This spontaneous
depolarization is most apparent in a cluster of cardiac-muscle cells embedded in
the upper wall of the right atrium. This group of cells is called the pacemaker
(also known as the sinoatrial or SA node). Depolarization of the
pacemaker generates a current that leads to the depolarization of all other
cardiac-muscle cells. The wave of depolarization travels from the right atrium
to the left atrium quickly enough that both atria contract at essentially the
same time.
The atria and the ventricles
are isolated from each other electrically by connective tissue that acts like
the insulation on an electric wire. The depolarization of the atria does not
directly affect the ventricles. There is another group of cells in the right
atria, called the atrioventricular or AV node, that will conduct
the depolarization of the atria down a special bundle of conducting fibers (called
the Bundle of His) to the ventricles. In the muscle wall of the ventricles
are the Purkinje Fibers, which are a special system of muscle
fibers that bring depolarization to all parts of the ventricles almost simultaneously.
This pro-cess causes a small time delay, so there is a short pause after the
atria contract and before the ventricles contract. Because the cells of the
heart muscle are interconnected, this wave of depolarization, contraction, and
repolarization spreads across all of the connected muscle of the heart.
When a portion of the heart is polarized and the adjacent portion is
depolarized, an electrical current is created going through the body. This
current is greatest when one half of the connected portion of the heart is
polarized and the adjacent half is not polarized. The current decreases when the
ratio of polarized tissue to non-polarized tissue is less than one to one. The
changes in these currents can be measured, amplified, and plotted over time. The
EKG represents the summation of all the action potentials from the heart, as
detected on the surface of the body. It does not measure the mechanical
contractions of the heart directly.
The impulse originating at the SA node
causes the atria to contract, forcing blood into the ventricles. Shortly after
this contraction, the ventricles contract due to the signal conducted to them
from the atria. The blood leaves the ventricles through the aorta and pulmonary
artery. The polarity of the cardiac-muscle cells returns to normal and the heart
cycle starts again.
The electrocardiogram
(EKG) is a graphic tracing of the heart's electrical activity. A typical tracing
consists of a series of waveforms occurring in a repetitive order. These waveforms
arise from a flat baseline called the isoelectric line. Any deflection from
the isoelectric line denotes electrical activity. The five major deflections
on a normal EKG are designated by the letters P, Q, R, S, and T. One heart cycle
is represented by a group of waveforms beginning with the P wave, followed by
the QRS wave complex, and ending with the T wave. The P wave represents the
depolarization of the atria and is associated with their contraction. The QRS
wave complex consists of three waves. The first negative deflection is the Q
wave and is followed by a positive deflection called the R wave. The complex
ends with a negative deflection known as the S wave. The QRS wave complex denotes
depolarization of the ventricles and is associated with their contraction. Atrial
repolarization occurs during the depolarization of the ventricles. For this
reason, the waveform associated with atrial repolarization is undetectable on
an EKG. The last wave is called the T wave, and is usually represented by a
positive deflection. The T wave indicates ventricular repolarization.
Electrical energy is also generated by skeletal muscle, and can be seen as muscle artifacts if your arm is moved while the EKG is attached. The sequence from P wave to T wave represents one heart cycle The number of cycles in a minute is called the heart rare and is typically 70-80 beats per minute at rest. Some typical times for portions of the EKG are:
P-R interval 0.12 to 0.20 seconds
QRS interval less than 0.i seconds
Q-T interval less than 0.38 seconds
If your EKG does not
correspond to the above numbers, DO NOT BE ALARMED! These numbers represent
typical averages and many healthy hearts have data that fall outside of these
parameters. To read an EKG effectively takes considerable training and skill.
Note: This sensor is NOT intended for medical diagnoses !!!
Use three electrode patches per subject. The electrodes can be reused, but they tend to absorb moisture (they are very hygroscopic) and, therefore, reuse is not recommended. Note: Once opened, the electrodes should be kept refrigerated in a clean, dry, air-tight container for storage. Even with air-tight storage, opened electrode packages cannot be stored from one year to the next.
EKG is usually used for measurements of the heart activity and response in various human body modes like, rest and active, standing up and sitting down, etc & The measurement parameters are the following intervals: P-Q, QRS, Q-T, and heart rate.
Range: 0V to 5V