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In a 12-lead ECG, all leads except the limb leads are assumed to be unipolar (aVR, aVL, aVF, V 1, V 2, V 3, V 4, V 5, and V 6). The measurement of a voltage requires two contacts and so, electrically, the unipolar leads are measured from the common lead (negative) and the unipolar lead (positive).
The leads of the ECG are placed on the chest wall. The treadmill is started at 2.74 km/h (1.7mph) & at an inclined gradient of 10%. After 3 min incline of the treadmill is increased by 2%, and the speed increases.
Electrocardiographic features include: [2] Atrial rate: 100 to 250 BPM; Ventricular conduction can be variable Irregular or irregularly irregular in the setting of variable AV block; Regular if 1 to 1, 2 to 1, or 4 to 1 AV block; P wave morphology Unifocal, but similar in morphology to each other; Might be inverted; Differs from normal sinus P wave
The first wireless EKG heart rate monitor was invented in 1977 by Polar Electro as a training aid for the Finnish National Cross Country Ski team. As "intensity training" became a popular concept in athletic circles in the mid-80s, retail sales of wireless personal heart monitors started in 1983. [1]
The devices can also store mass amounts of ECG data on the phone, replay the ECG readings at a high speed, and have a low-voltage alarm function to not waste the battery life. These characteristics of the devices are seen as benefits in comparison to current ambulatory ECG monitoring equipment such as the Holter monitor. [3]
In a person with atrial flutter, a 12-lead electrocardiogram (ECG) will demonstrate the atrial chambers of the heart contracting at a rate of 280–300 beats per minute whereas the ventricular chambers of the heart typically beat at a rate of 140–150 beats per minute. [2]
A sinus rhythm is any cardiac rhythm in which depolarisation of the cardiac muscle begins at the sinus node. [1] It is necessary, but not sufficient, for normal electrical activity within the heart. [2] On the electrocardiogram (ECG), a sinus rhythm is characterised by the presence of P waves that are normal in morphology. [2]
Arrhythmias, also known as cardiac arrhythmias, are irregularities in the heartbeat, including when it is too fast or too slow. [2] A resting heart rate that is too fast – above 100 beats per minute in adults – is called tachycardia, and a resting heart rate that is too slow – below 60 beats per minute – is called bradycardia. [2]
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