心電圖訊號原理及特性 - 國立臺北科技大學taipei...

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心電圖訊號原理及特性 或者 ElectrocardiographyECG或者EKG 授課教師:王多柏

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  • ElectrocardiographyECGEKG

  • 2

  • 1

    -

    27

    3

    4

    4

    4

    5

    5

    6

    1

    7

    3

  • (SA node)(SA node)60-100 (AV d ) (AV node)0.12 0.20

    4

  • PP0.120.25 mV

    P-RPRPQ0 120 2P R0.120.2P-R

    5

  • QRSQRSQS0.08-0.12 0.08 0.12

    QT/QTcQT/QTcQT QT QTQTcQTc0.41QTc = QT + 1.75 (HR 60) 6

  • ST: STJ0.04T

    7

  • 8

  • 1212

    1 2 3 4 5 6

    aVR X X X X X X 4

    aVL X X X X X X 4

    aVF X X X X X X 4

    V1 X X X X X 5

    V1 X X X X X 5

    V2 X X X X X 5

    V3 X X X X X 5

    V4 X X X X X 5V4 X X X X X 5

    V5 X X X X X 5

    V6 X X X X X 5

    I X X X X X X X 3

    II X X X X X X X 3

    III X X X X X X X 3

    9

  • 1 2 3 4 5 6

    I X X X X X X X 3

    II X X X X X X X 3

    III X X X X X X X 3

    10

  • 1 2 3 4 5 6

    aVR X X X X X X 4

    aVL X X X X X X 4

    aVF X X X X X X 4

    11

  • 1 2 3 4 5 6

    V1 X X X X X 5

    V2 X X X X X 5

    V3 X X X X X 5

    V4 X X X X X 5

    V5 X X X X X 5

    V6 X X X X X 5

    12

  • 1212

    12

    13

  • Normal Sinus Rhythm Normal Sinus Rhythm

    60 10060-100

    14

  • Sinus Bradycardia Sinus Bradycardia

    6060

    15

  • Sinus Tachycardia Sinus Tachycardia

    100 100

    16

  • Supraventricular Tachycardia (SVT) 140-250(160)

    17

  • Atrial Fibrillation, Coarse

    18

  • Atrial Fibrillation, Fine

    P

    19

  • (Atrial Flutter) (Atrial Flutter)

    250 350 250-350PQRSPQRS

    20

  • (Ventricular Rhythm)(Ventricular Rhythm)

    (PVC)

    21

  • (Ventricular Tachycardia)(Ventricular Tachycardia)

    QRS100

    22

  • (Ventricular Fibrillation)(Ventricular Fibrillation)

    23

  • ( Sinus Arrhythmia)( Sinus Arrhythmia)

    60-100R-R

    24

  • 25

  • Paroxysmal Atrial Tachycardia (PAT)

    6 6140 220/140-220/

    26

  • Nodal RhythmNodal Rhythm

    PP-R0.09

    Nodal Rhythm

    27

  • (Left Ventricular Hypertrophy)(Left Ventricular Hypertrophy)

    RR

    28

  • (First Degree A-V Heart Block)PQRSPRPQRSPR(0.25)

    29

  • (Second Degree A-V Heart Block)

    PRPQRSPRPQRSP-QRS-TPR QRS QRS(Wenkebach Phenomenon)

    30

  • (Third Degree A-V Block)PQRS

    31

  • Right Bundle Branch Block (RBBB) QRSRS

    32

  • Left Bundle Branch Block (LBBB) QRS0.10 ~0.12R

    33

  • Premature Atrial Contraction (PAC)

    34

  • Premature Ventricular Contraction (PVC)QRS(3) QRSTQRS(3)QRST

    35

  • Bigeminy Bigeminy

    36

  • Trigeminy Trigeminy

    37

  • 38

  • ECG ECG

    39

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