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Recall that a positive current (as created by depolarization of cardiac cells) traveling towards the positive electrode and away from the negative electrode creates a positive deflection on the ECG. Likewise, a positive current traveling away from the positive electrode and towards the negative electrode creates a negative deflection on the ECG.
ECG showing right axis deviation. In general, a positive (upwards) deflection of an ECG trace demonstrates an electrical activity that moves towards the measuring electrode, whereas a negative (downwards) deflection of an ECG trace demonstrates an electrical activity that moves away from the measuring electrode.
Einthoven's triangle. Einthoven's triangle is an imaginary formation of three limb leads in a triangle used in the electrocardiography, formed by the two shoulders and the pubis. [1] The shape forms an inverted equilateral triangle with the heart at the center. It is named after Willem Einthoven, who theorized its existence.
The hexaxial reference system is a diagram that is used to determine the heart's electrical axis in the frontal plane. The hexaxial reference system, better known as the Cabrera system, is a convention to present the extremity leads of the 12 lead electrocardiogram, [1] that provides an illustrative logical sequence that helps interpretation of the ECG, especially to determine the heart's ...
The current flows from the more positive subepicardium to the less positive subendocardium during phase 2 of the fast fiber type depolarization, which on ECG occurs during ST segment. The positive electrodes on the anterior chest wall detect the movement of positive charge away from the electrode and record it as a downward deflection on the ...
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.
Left axis deviation. The hexaxial reference system is a diagram that is used to determine the heart's electrical axis in the frontal plane. In electrocardiography, left axis deviation (LAD) is a condition wherein the mean electrical axis of ventricular contraction of the heart lies in a frontal plane direction between −30° and −90°.
Intrinsicoid deflection. In the electrocardiogram, the intrinsicoid deflection is the downstroke of the QRS complex, from its highest amplitude until it reaches the baseline or lower. [1] Since the ventricles normally depolarize from inside to outside, this deflection reflects the depolarization vector from the endocardium to the epicardium.