
ECG1 • 6
right ventricles. The impulse continues through the Purkinje fibers causing the
ventricles to contract and squeezing the blood on its way throughout the body.
In the time that this is happening, the atria are resetting for the next beat, or
repolarizing. The polarization effect on the muscle cells is due to ionic-
molecular level function of the individual cells, and the ionic compounds
(including sodium (Na), potassium (K), and calcium (Ca)) contained in the cells
themselves.
While the Sinoatrial node is the built in pacemaker of the heart, this too can be
adjusted by the autonomic nervous system, which reacts to the everyday
stresses that we subject ourselves to. Consider the range we put our heart
muscle through every day, from rest (sleeping), through moderated activity
(walking, talking), to aerobic workouts (jogging, bicycling). It is certainly a good
thing that we have a feedback mechanism wired in for our range of activity.
The EKG (or ECG) waveform:
A typical cycle of the heart rhythm is shown in the following diagram. The timing
pattern is a follows:
1) The P wave is seen. This corresponds to
both the atrium contracting (depolarizing) and priming
the ventricle with blood.
2) The QRS complex is where the stronger
ventricles fire, pushing blood through the pulmonary
artery to the lungs, and through the aorta to the body.
3) The T wave is the time at which the
ventricles repolarize themselves for the next beat .
*Please note that there are many additional sources
of information on the interpretation of ECG
waveforms; visit your local library or search the World
Wide Web (search for ECG or EKG).
P Wave
QRS & T Wave
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