ekg u 31 lekciji

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  • 7/22/2019 EKG u 31 lekciji

    1/32

    . ,

    31

    !

    70 , . , .

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    2

    1.

    () .

    . 25 cm/,

    0.04 , 0.1 mV. ( 5x 5 ) 0.2 , 0.5 mV.

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    3

    2.

    SA-,

    AV- ( - P ), ( - QRS ).

    , ( ST -) , - -.

    PT

    R

    Q s

    SA

    AV HISS-

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    4

    3.

    12 "".

    , . :

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    5

    4.

    , .

    , . , V1 V6.

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    6

    5.

    ( )

    -:

    P

    PQ ( P Q ) - V

    QRS

    S ( S ) , -

    P

    Q

    R

    S

    T

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    7

    6.

    - -

    : P : 2,5 , 3

    PQ ( P Q): 3 5

    QRS : 5 22 , 2,5

    : 6 , 5

    Q ( Q ) 8 10

    S ( S ) 2 PQ

    P

    Q

    R

    S

    T

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    8

    7.

    12 ,

    :1. - , -

    R .2. .

    1500 R ()

    3. . . - ,

    .

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    9

    8.

    R

    : I VF.1. R ( PQ ) ,

    :

    2.

    R I , VF-, :

    3. R I , VF-, :

    I aVF

    I aVF

    I aVF

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    10

    9.

    ,

    . VR- (" "). VR - .

    I

    aVR

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    11

    10.

    - ?

    . :

    1. 2. 3. 4. Hiss-

    ? :

    1.

    2.

    3. 4. Hiss-

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    12

    11.

    QRS

    . :

    1.

    R VL S V3 28 mm , 20 mm

    R V5 V6 25 mm

    2. :

    R V1 7 mm

    S V5 V6 7 mm

    R I 2 mm

    * 1 mm = 1

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    13

    12.

    QRS

    , (.

    ).

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    14

    13.

    P

    "P - " - P II III 2,5

    "P - " - P I VL 2,5

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    15

    14.

    PQ

    PQ ( P Q ) 3

    (. Wolf-Parkinson-White /WPW/ ), V

    PQ 5 V (. V ). V .

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    16

    15.

    PQ

    V I - PQ 5

    V II - 2 :

    a) ( Mobic I)

    PQ ,

    P QRS . , .

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    17

    16.

    ) Mobic II

    PQ , P QRS . . QRS .

    V III - , P , QRS , .

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    18

    17.

    QRS

    QRS 2,5 Hiss- .

    Hiss- :

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    19

    18.

    :

    - QRS 3 ()- - I V6 R :

    :-

    QRS 3 ()- S I V6 - V1 VR R

    "" R

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    20

    19.

    - QRS 2,5 3 - - II, III AVF S- I Q

    !

    IQ IIIS

    - QRS 2,5 3

    - - I S- III Q

    !

    IS IIIQ

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    21

    20.

    Q

    Q , Q (V1, V2,V3)

    Q (. ).

    > 1mm

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    22

    21.

    S ( S )

    S PQ () ()

    2

    "", . -

    . - Q.

    S

    S

    P

    Q

    RT

    P

    Q

    R

    T

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    23

    22.

    S ( S )

    S angina-epectoris, . , angina-e pectoris S .

    S .

    , S

    .

    S (, , , .).

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    24

    23.

    S - - , Q . Q - .

    - Q V1, V2, V3 V4.

    - Q I VL

    ( : Lateralni Infarkt = VL + I )

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    25

    24.

    - Q II, III VF

    - R V1 V2- Q V6

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    26

    25.

    Q

    Q ( Q ) ( 8 ) .

    Q ( 10 ) - I (, -, )

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    27

    26.

    ( 6 ) ( 5 ) .

    :

    VP V1.

    ( 6 ) ( 5 ) -.

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    28

    27.

    P QRS -.

    P - , QRS V . QRS .

    P , QRS V . QRS .

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    29

    28.

    - .

    , :

    ( V ) - , P .

    P , QRS , . - QRS :

    - - (" "). - .

    E

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    30

    29.

    ,

    . - , . :

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    31

    30.

    - : , S , PR QRS. P .

    : U

    ( )

    Q , .

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    32

    1. Bennet JC, Plum F. Cecil Texbook of Medicine. 20thed., WB Saunders Co,Philadelphia, 1996: pp. 2233.

    2. Berkow R, Beers MH, Fletcher AJ. The Merck Manual of medical information.Home edition, Merck Research Laboratories, New York, 1997: pp1509.

    3. British National Formulary. No 35, British Medical Association and RoyalPharmaceutical Society of Great Britain, London, 1998: 736 str.

    4. Dubin D. Rapid interpretation of EKG's. 3rd ed., Cover Publishing Co, Tampa,Florida, 1974.

    5. Hope RA, Longmore JM, Hodgetts TJ, Ramrakha PS. Oxford Handbook ofClinical Medicine. 3rded., Oxford University Press, Oxford, 1993: pp. 837.

    6. Ramsey PG, Larson EB. Medical Therapeutics, 2nded., W.B. SaundersCompany, London, 1993: pp. 633.

    7. Reynolds JEF. Martindale The Extra Pharmacopoeia. 30thed., ThePharmaceutical Press, London, 1993: pp. 2363.

    8. Vrcelj S. Elektrokardiografski atlas. II izd., Medicinska knjiga, Beograd-Zagreb, 1982: 407 str.