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Electrical alternans is an electrocardiographic phenomenon of alternation of QRS complex amplitude or axis between beats and a possible wandering base-line. It can be seen in cardiac tamponade and severe pericardial effusion and is thought to be related to changes in the ventricular electrical axis due to fluid in the pericardium, as the heart essentially wobbles in the fluid filled ...
Diagram showing how the polarity of the QRS complex in leads I, II, and III can be used to estimate the heart's electrical axis in the frontal plane. The QRS complex is the combination of three of the graphical deflections seen on a typical electrocardiogram (ECG or EKG). It is usually the central and most visually obvious part of the tracing.
In lead V 1, the QRS complex is often entirely negative (QS morphology), although a small initial R wave may be seen (rS morphology). In the lateral leads (I, aVL, V 5-V 6) the QRS complexes are usually predominantly positive with a slow upstroke last >60ms to the R-wave peak. [4] Notching may be seen in these leads but this is not universal.
In mathematics, an alternating series is an infinite series of terms that alternate between positive and negative signs. In capital-sigma notation this is expressed ∑ n = 0 ∞ ( − 1 ) n a n {\displaystyle \sum _{n=0}^{\infty }(-1)^{n}a_{n}} or ∑ n = 0 ∞ ( − 1 ) n + 1 a n {\displaystyle \sum _{n=0}^{\infty }(-1)^{n+1}a_{n}} with a n ...
The sinus node should pace the heart – therefore, P waves must be round, all the same shape, and present before every QRS complex in a ratio of 1:1. Normal P wave axis (0 to +75 degrees) Normal PR interval, QRS complex and QT interval. QRS complex positive in leads I, II, aVF and V3–V6, and negative in lead aVR. [3]
This refers to the appearance of leads I and II. If the QRS complex is negative in lead I and positive in lead II, the QRS complexes appear to be "reaching" to touch each other. This signifies right axis deviation. Conversely, if the QRS complex is positive in lead I and negative in lead II the leads have the appearance of "leaving" each other.
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The usual waveform of alternating current in most electric power circuits is a sine wave, whose positive half-period corresponds with positive direction of the current and vice versa (the full period is called a cycle). "Alternating current" most commonly refers to power distribution, but a wide range of other applications are technically ...