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Einthoven's Triangle
Einthoven's triangle is an imaginary formation of three limb leads in a triangle used in electrocardiography, formed by the two shoulders and the pubis. The shape forms an inverted equilateral triangle with the heart at the center. It is named after Willem Einthoven, who theorized its existence. Einthoven used these measuring points, by immersing the hands and foot in pails of salt water, as the contacts for his string galvanometer, the first practical ECG machine. Lead placements * Lead I — This axis goes from shoulder to shoulder, with the negative electrode placed on the right shoulder and the positive electrode placed on the left shoulder. This results in a 0 degree angle of orientation. : I = LA - RA * Lead II — This axis goes from the right arm to the left leg, with the negative electrode on the shoulder and the positive one on the leg. This results in a +60 degree angle of orientation. : II = LL - RA * Lead III — This axis goes from the left shoulder (negative el ...
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Limb Leads Of EKG
Limb may refer to: Science and technology *Limb (anatomy), an appendage of a human or animal *Limb, a large or main branch of a tree *Limb, in astronomy, the curved edge of the apparent disk of a celestial body, e.g. lunar limb *Limb, in botany, the border or upper spreading part of a petal or sepal *Limb, in a measuring instrument, the graduated edge of a circle or arc Music * ''Limb'' (album), by Foetus, 2009 *''Limb'', an album by Justin Clayton, 1999 *"Limbs", a song by Emma Pollock from ''Watch the Fireworks'', 2007 *Limb Music, a German record label Other uses *Limb (surname), a list of people *Limb McKenry (1888–1956), American baseball pitcher *Limb Brook, a stream in Sheffield, South Yorkshire, England *Limbs Dance Company, in Auckland, New Zealand *Limbs, in archery, the upper and lower working parts of the bow; see recurve bow * Bresso Airfield, Bresso, Italy (ICAO code) *Limbu script (ISO 15924 code) See also * Limb darkening Limb darkening is an optical effec ...
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Electrocardiography
Electrocardiography is the process of producing an electrocardiogram (ECG or EKG), a recording of the heart's electrical activity. It is an electrogram of the heart which is a graph of voltage versus time of the electrical activity of the heart using electrodes placed on the skin. These electrodes detect the small electrical changes that are a consequence of cardiac muscle depolarization followed by repolarization during each cardiac cycle (heartbeat). Changes in the normal ECG pattern occur in numerous cardiac abnormalities, including cardiac rhythm disturbances (such as atrial fibrillation and ventricular tachycardia), inadequate coronary artery blood flow (such as myocardial ischemia and myocardial infarction), and electrolyte disturbances (such as hypokalemia and hyperkalemia). Traditionally, "ECG" usually means a 12-lead ECG taken while lying down as discussed below. However, other devices can record the electrical activity of the heart such as a Holter monitor but al ...
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Willem Einthoven
Willem Einthoven (21 May 1860 – 29 September 1927) was a Dutch doctor and physiologist. He invented the first practical electrocardiograph (ECG or EKG) in 1895 and received the Nobel Prize in Physiology or Medicine in 1924 for it ("for the discovery of the mechanism of the electrocardiogram"). original URL now redirects to https://ethw.org/Willem_Einthoven Background Willem Einthoven was born in Semarang on Java in the Dutch East Indies (now Indonesia), the son of Louise Marie Mathilde Caroline de Vogel and Jacob Einthoven. His father, a doctor, died when Willem was a child. His mother returned to the Netherlands with her children in 1870 and settled in Utrecht. His father was of Jewish and Dutch descent, and his mother's ancestry was Dutch and Swiss. In 1885, Einthoven received a medical degree from the University of Utrecht. He became a professor at the University of Leiden in 1886. He married his first cousin Frédérique Jeanne Louise de Vogel (7 September 1861 31 J ...
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String Galvanometer
A string galvanometer is a sensitive fast-responding measuring instrument that uses a single fine filament of wire suspended in a strong magnetic field to measure small currents. In use, a strong light source is used to illuminate the fine filament, and the optical system magnifies the movement of the filament allowing it to be observed or recorded by photography. The principle of the string galvanometer remained in use for electrocardiograms until the advent of electronic vacuum-tube amplifiers in the 1920s. History Submarine cable telegraph systems of the late 19th century used a galvanometer to detect pulses of electric current, which could be observed and transcribed into a message. The speed at which pulses could be detected by the galvanometer was limited by its mechanical inertia, and by the inductance of the multi-turn coil used in the instrument. Clément Adair, a French engineer, replaced the coil with a much faster wire or "string" producing the first string galvanome ...
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Distally
Standard anatomical terms of location are used to unambiguously describe the anatomy of animals, including humans. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position provides a definition of what is at the front ("anterior"), behind ("posterior") and so on. As part of defining and describing terms, the body is described through the use of anatomical planes and anatomical axes. The meaning of terms that are used can change depending on whether an organism is bipedal or quadrupedal. Additionally, for some animals such as invertebrates, some terms may not have any meaning at all; for example, an animal that is radially symmetrical will have no anterior surface, but can still have a description that a part is close to the middle ("proximal") or further from the middle ("distal"). International organisations have determined vocabularies that are often used as standard vocabularies for subdisciplines of anatom ...
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Proximal
Standard anatomical terms of location are used to unambiguously describe the anatomy of animals, including humans. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position provides a definition of what is at the front ("anterior"), behind ("posterior") and so on. As part of defining and describing terms, the body is described through the use of anatomical planes and anatomical axes. The meaning of terms that are used can change depending on whether an organism is bipedal or quadrupedal. Additionally, for some animals such as invertebrates, some terms may not have any meaning at all; for example, an animal that is radially symmetrical will have no anterior surface, but can still have a description that a part is close to the middle ("proximal") or further from the middle ("distal"). International organisations have determined vocabularies that are often used as standard vocabularies for subdisciplines of anatom ...
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Depolarization
In biology, depolarization or hypopolarization is a change within a cell, during which the cell undergoes a shift in electric charge distribution, resulting in less negative charge inside the cell compared to the outside. Depolarization is essential to the function of many cells, communication between cells, and the overall physiology of an organism. Most cells in higher organisms maintain an internal environment that is negatively charged relative to the cell's exterior. This difference in charge is called the cell's membrane potential. In the process of depolarization, the negative internal charge of the cell temporarily becomes more positive (less negative). This shift from a negative to a more positive membrane potential occurs during several processes, including an action potential. During an action potential, the depolarization is so large that the potential difference across the cell membrane briefly reverses polarity, with the inside of the cell becoming positively char ...
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Repolarization
In neuroscience, repolarization refers to the change in membrane potential that returns it to a negative value just after the depolarization phase of an action potential which has changed the membrane potential to a positive value. The repolarization phase usually returns the membrane potential back to the resting membrane potential. The efflux of potassium (K+) ions results in the falling phase of an action potential. The ions pass through the selectivity filter of the K+ channel pore. Repolarization typically results from the movement of positively charged K+ ions out of the cell. The repolarization phase of an action potential initially results in hyperpolarization, attainment of a membrane potential, termed the afterhyperpolarization, that is more negative than the resting potential. Repolarization usually takes several milliseconds. Repolarization is a stage of an action potential in which the cell experiences a decrease of voltage due to the efflux of potassium (K+) ions ...
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Myocyte
A muscle cell is also known as a myocyte when referring to either a cardiac muscle cell (cardiomyocyte), or a smooth muscle cell as these are both small cells. A skeletal muscle cell is long and threadlike with many nuclei and is called a muscle fiber. Muscle cells (including myocytes and muscle fibers) develop from embryonic precursor cells called myoblasts. Myoblasts fuse to form multinucleated skeletal muscle cells known as syncytia in a process known as myogenesis. Skeletal muscle cells and cardiac muscle cells both contain myofibrils and sarcomeres and form a striated muscle tissue. Cardiac muscle cells form the cardiac muscle in the walls of the heart chambers, and have a single central nucleus. Cardiac muscle cells are joined to neighboring cells by intercalated discs, and when joined in a visible unit they are described as a ''cardiac muscle fiber''. Smooth muscle cells control involuntary movements such as the peristalsis contractions in the esophagus and stoma ...
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Cardiac Electrophysiology
Cardiac electrophysiology is a branch of cardiology and basic science focusing on the electrical activities of the heart. The term is usually used in clinical context, to describe studies of such phenomena by invasive (intracardiac) catheter recording of spontaneous activity as well as of cardiac responses to programmed electrical stimulation - clinical cardiac electrophysiology. However, cardiac electrophysiology also encompasses basic research and translational research components. Specialists studying cardiac electrophysiology, either clinically or solely through research, are known as cardiac electrophysiologists. Description Electrophysiological (EP) studies are performed to assess complex arrhythmias, elucidate symptoms, evaluate abnormal electrocardiograms, assess risk of developing arrhythmias in the future, and design treatment. These procedures include therapeutic methods (typically radiofrequency ablation, or cryoablation) in addition to diagnostic and prognostic pro ...
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