The Death-Defying Dunk
Summarize: A 22-year-old male, Joe Hamilton, suffered a cardiac arrest while playing basketball. Consequently, responders proceeded with cardiopulmonary resuscitation and electrical defibrillations that lead to a pulse return, however Joe remained in a coma.
Ask: What is a normal ECG and how do you read it?
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After Joe Hamilton’s cardiac arrest, an AED was placed on his chest and proceeded to analyze his cardiac rhythm (see Figure 1) and returned an inadequate rhythm. Figure 1 In the early 1920 the development of the electrocardiogram provided objective information about the hearts structure and function. The evolution of the ECG lead to new inventions that led to the 12-lead electrocardiogram (1). With this new invention a systematic way of interpreting an Electrocardiograph soon developed. The layout of the graph is as such: there are 4 columns which correspond to the leads; the first column – I, II, and III; the second column: aVR, AVL, aVF; the third V1-3; and the fourth V4-6. Each column is recorded simulation however they are not always displayed on the strip except for the last rhythm strip which occurs at the bottom of the tracing (lead II and V1).
The labels of the waves indicate a particular action on the heart. P waves represent atrial depolarization or atrial contraction. The QRS complex indicates ventricular depolarization. While QRS is normally seen not ever complex has Q (negative deflection), R (positive
Table 2. This table shows the recording of the amplitude, period, and BPMs for the ventricular contractions before and the effects of the Warm Ringer’s after.
12 Lead Electrocardiogram (ECG) - There are typical changes to the normal pattern of the ECG in a heart attack. Patterns that occur include pathological Q waves and ST elevation (Koutoukidis, Stainton & Hughson 2013, p. 505). However, it is possible to have a normal ECG even if a patient has had a heart attack. The indicators for this test include: suspected myocardial infarction, suspected pulmonary embolism, perceived cardiac dysrhythmias, fainting or collapse, a third heart sound, fourth heart sound, a cardiac murmur or other findings to indicate structural heart disease. The
When I did my own EKG lab testing I used the following materials: BIOPAC electrode lead set (SS2L), BIOPAC disposable vinyl electrodes (EL503), Cot, BIOPAC electrodes, Computer Sytem, BIOPAC Student Lab software v3.0 or greater, and BIOPAC acquisition unit (MP30). When all these materials are available the computer was turned on and three of the electrodes were placed on the body of my teammate. Two electrodes were positioned on the medial surface of each leg just above the ankle, and the last electrode was on the right anterior forearm at her wrist. When these were attached the subject was asked to lie down on the cot and relax. We then attached her to the EKG machine with three colored cables. The white cable was placed on the electrode on the right forearm, the black cable was placed on right leg and the red cable was attached to the electrode on the left leg.
14. What do your heart block experiment results indicate about the spread of impulses from the atria to the ventricles?
At the latter end of the p-q interval, atrial contraction occurs forcing additional blood into the ventricles. At the beginning of the QRS interval on an ECG reading, the mitral valve closes and the ventricles are at EDV (135ml). During the QRS interval, ventricular contraction occurs increasing the pressure in the ventricle and the aorta. When the pressure continues in the ventricle exceeds the pressure in the arteries, the aortic valve opens and blood is ejected. The increased pressure continues through the t peak. The ventricles are now in ESV (65ml) and the aortic valve is closed. Now the ventricles are relaxed causing pressure to fall and the cardiac cycle starts over again. This ECG reading was from a normal tracing. Keep in mind that an ECV is easy to obtain, but there are some subtleties that are very complex.
The atrial contraction is represented by the P wave. This is an upward, or positive wave of the line on the graph. The ventricular contraction is displayed by the QRS complex. The QRS
ECG : ventricular rate 54 beats/min, HR varying from 39 to 60 during a 45 minute period of monitoring, infrequent PVCs, ST elevation in leads II, III and avF indicating inferior injury or ischemia secondary to acute MI.
Lead I. In recording limb lead I, the negative terminal of the electrocardiograph is connected to the right arm and the positive terminal to the left arm. Therefore, when the point where the right arm connects to the chest is electronegative with respect to the point where the left arm connects, the electrocardiograph records positively, that is, above the zero voltage line in the electrocardiogram. When the opposite is true, the electrocardiograph records below the line. Lead II.
The heart is one of the most important organs in an organism’s body, no matter if they are aquatic, amphibian, or a mammal. This super organ works automatically, able to pump massive amounts of oxygen rich blood through the body by means of electrical impulses and the opening and closing of valves within its many layers. It is what keeps us and every other creature on this earth alive; so it is only natural for one to fear when there might be a problem with one’s heart. A cardiac arrhythmia can happen to anyone, no matter the age, race, or gender, and as such, doctors and scientist have spent years trying to better understand the heart and the way it functions so that they can try to prevent these problems and save millions of lives.
1. What does an electrocardiogram measure and what do the P-wave, QRS-complex, and T-wave represent?
4. Atrial hypertrophy would probably have what effect on an electrocardiogram? *spike the p wave
Without early intervention on average 360,000 people out of the hospital succumb to cardiac arrest. “ Cardiac arrest and sudden death account for 60 percent of all deaths from coronary artery disease”,(Bledsoe, Porter, & Cherry, 2011,2007,2004, p. 1229)There are several causes of sudden cardiac arrest. Most are caused by ventricular fibrillation. “During ventricular fibrillation, the ventricles do not beat normally. Instead they quiver rapidly and irregularly.” When this occurs, the heart pumps very little and blood does not get circulated throughout the body. “ Most of the cases found with sudden cardiac death are related to undetected cardiovascular disease.("Sudden Cardiac Death," 2015, para. 2)Sudden cardiac arrest are immediate and drastic that includes sudden collapse, no pulse, not breathing, and loss of consciousness. “Four rhythms produce pulseless cardiac arrest: ventricular fibrillation, rapid ventricular tachycardia, pulseless electrical activity and asystole.”("Circulation ," 2005, p. IV-58)Other signs and symptoms that could occur prior to sudden cardiac arrest, include fatigue,
The purpose of these lab exercises is to understand the function and importance of an electrocardiogram. This lab will demonstrate how stress levels or different elevations can affect human heart rate. Furthermore, the equipment used in the experiment will show the functions in the right and left arm; as well as, in the right and left ankles. Finally, the lab will serve a purpose as a way to know how to read an electrocardiogram and calculate the heart rate.
Patients and their families are counting on us. Time is precious, and it cannot be wasted on seeking reference resources. Identifying lethal rhythms must become second nature. As nurses and nursing students, we know all too well that a patient’s status can quickly change. At one moment, he or she may be conversing with you about their grandchild. Then, 45 minutes later, you are providing advanced cardiopulmonary resuscitative measures to save that very patient. Without a doubt, nurses are the glue that holds healthcare together. It is crucial that we correctly identify and interpret changes on an electrocardiogram because someone’s existence is dependent on our clinical
The cardiac cycle cannot be described as a linear series of events associated with the flow of blood through the four chambers. One can not accurately describe the cardiac cycle by simply tracing the path of blood from the