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Leo Schamroth An Introduction To Electrocardiography Pdf Download

with your perusal of this electrocardiographic tracing, it is easily seen that the patient appears to have ventricular conduction system disease. the q-wave in lead v₁ is also a sign of a left bundle-branch block, but the cardiothoracic ratio is normal, given the apparent absence of pulmonary edema.

heart disease is the major cause of death and disability in the united states and a leading cause of illness and death worldwide. the heart is composed of four chambers, or ventricles, that are separated by valves and muscle. the left ventricle receives blood from the lungs and pump it throughout the body. the right ventricle pumps blood into the lungs. the left atrium receives oxygenated blood from the lungs and pumps it into the left ventricle via the interventricular septum. in a healthy heart, both the left and right ventricles pump in a regular rhythm at a normal rate.

each of the chambers of the heart has a particular function, and the electrical activities that occur in the chambers are essential to the proper functioning of the heart. as shown in figure 1a, the typical surface ecg begins with an atrial p-wave, which is the electrical activity originating from the right atrium. the p-wave is the first wave that travels down the right atrial wall to the atrial septum. the septum divides the right atrium into the right atrial appendage and the right atrium proper.

the atrial septum forms the wall between the right and left atria. this is a very important tissue as it allows blood to flow from the right atrium to the left atrium when they are not both full. because there is normally no heart tissue between the atria and the left and right ventricles, any leak in the atrial septum will allow blood to freely flow from the right atrium to the left atrium (or left to right).

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