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8/10/2019 Practica 3 Electrocardiograma
1/22
LABORATORIO DE FISIOLOGA
GRUPO: 4
PRCTICA #3 Electrocardiografa
INTEGRANTES:
MORGADO MARTNEZ LUIS ENRIQUE ____________________
OCAMPO TORRES FLOR DE JESS ____________________
SOL ORTEGA RAL ____________________
VALVERDE CARCAO ADRIANA ____________________
VERA MONSALVO NATZIDIELLY ____________________
03 ! "!#$%!&'(! !) *0+3
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OBJETIVO GENERA!
Q,! !) -),&./ -#(!.- - (!-)%-( ,. (!1%"$(/ !)!2$(/2-(%/1(%2/ #/( /" &5$//"%!(!.$!"6
OBJETIVO" PARTICARE"! Regi$tro electrocardiogr%fico co& el fi$i'grafo!
+6 A#(!.!( - ,"-( !) %"%71(-/ #-(- /'$!.!( )-" !(%8-2%/.!" '%#/)-(!" 9DI DII; DIII!$/ !!"$,%/ !"$ !. (!#/"/6
36 C/-(-( )/" (!1%"$(/" ! DII /'$!.%/" &%!.$(-" !) ",>!$/ !"$ !. (!#/"/ ;!"#,5" !) !>!(2%2%/ -!(/'%/6
46 C-)2,)-( !) !>! !)52$(%2/ !) 2/(-7.6
R!1%"$(/ !)!2$(/2-(%/1(%2/ 2/. )- ,.%- ! -?,%"%2%7. MP 3@ 9B%/#-2
S%"$!&" %.26!$/:
N/&'(!: R-) J/.-$-. S/) E-:+ -/"E"$-$,(-: +64 & P!"/: =41 S!/: &-"2,)%./
"eg+e&to :del regi$troA; ")T ?C@ =
A+(lit)d 1+ili0oltio$4> ?C@ =
Ciclo : Ciclo = Ciclo 3 -edia Ciclo : Ciclo = Ciclo 3 -edia
O.- P 060 060* 060+0 06+4 060@ 06+* 06+*0 06++0I.$!(8-)/ PR 06+= 06+=3 06+= 06+= 06*4 06*04 0644 06*S!1&!.$/ PR 060@3 060 060@ 0600 064* 06@@ 06*@3 0643+C/)!>/ QRS 060@ 060@ 060+ 060 06@ 06@@ 06=3= 06=03
I.$!(8-)/ QT 06430 06404 064+0 064+4 06@@ 063= 06@3+ 064=S!1&!.$/ ST 06++ 06+0@ 06+04 06+0 060 060@ 060@= 060=O.- T 06+0 06+= 06+=3 06+= 06+40 06+*+4 06+*0 06+*
L- ,(-2%7. ! ,. 2%2)/ 2-(%-2/ !" ! 2!(2- ! 06 "!1,./"L/" 8-)/(!" ! -)%$, ./(&-) #-(- )- !(%8-2%7. II -#-(!2!. !. )- $-')- @6+ ; "! (!#%$!. -?,6
Ta/la :
Ta/la .;: -edici'& &or+al de ECG2 deri0aci'& II8A"E 7RACIN 1$eg)&do$4 A-PIT7 1+ili0olt$4
O.- P 060=K06++ 06*@I.$!(8-)/ PKR 06+*K06*0
S!1&!.$/ PKR 060
C/)!>/ QRS 06+* 06 +6*S!1&!.$/ SKT 06+*I.$!(8-)/ QKT 063=K0644
O.- T 06+= 06@
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Ta/la ; D,(-2%7. ! )-" !$-#-" &!2.%2-" !) 2%2)/ 2-(%-2/ !. (!#/"/6
HT C* 9"!1,./"T C* +6+@@ 06*+ 06 06@+ 06K+6+@@
BP- C* @+64 =@6+4 =6* =46== @+64K=6*
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"eg+e&to 3 del regi$tro
C6 E) ",>!$/ "!.$-/ (!-)%-./ %."#%(-2%/.!" ; !"#%(-2%/.!" )!.$-" ; #(/,.-"6
Ta/la D;V-)/(!" ! ,(-2%7. ; (!2,!.2%- ! )/" 2%2)/" 2-(%-2/" !. ,. ",>!$/ "!.$-/ (!-)%-./%."#%(-2%/.!" ; !"#%(-2%/.!" )!.$-" ; #(/,.-"6
7)ra&te lai&$(iraci'&
Ca&al = 1C@ =4 -edia
Ciclo : Ciclo = Ciclo 3
>T 06=4 06=3 06=* 06=3
BP- =64@ 64 6* 6@@
7)ra&te lae$(iraci'&
Ca&al = 1C@ =4 -ediaCiclo : Ciclo = Ciclo 3
>T 0640 06=@ 06+ 06+
BP- +60 =633 36= 36=
U.- -((%$&%- "%.,"-) 2/&. ; ./(&-) #,!! "!( 8%"$- 2/. )/" 2%2)/" (!"#%(-$/(%/"6 D,(-.$! ,.- %."#%(-2%7. )- (!2,!.2%-
2-(%-2- -,&!.$- ; ,(-.$! )- !"#%(-2%7. )- (!2,!.2%- 2-(%-2- %"&%.,;!6
"eg+e&to del regi$tro
C; E) ",>!$/ - $!(&%.-/ ! -2!( !>!(2%2%/ -!(7'%2/6
Ta/la ; D,(-2%7. ! )-" !$-#-" &!2.%2-" !) 2%2)/ 2-(%-2/ %.&!%-$-&!.$! !"#,5" ! ?,! !)",>!$/ (!-)%7 !>!(2%2%/ -!(7'%2/6
ect)ra$ 0e&tric)lare$ >T C@= 1$eg)&do$4Ciclo : Ciclo = Ciclo 3 -edia
"$tole 0e&tric)lar9I.$!(8-)/ RT !"! !) 8-)/( &" -)$/ !
R -"$- !) %. ! T! !) 8!2$/( 2/((!"#/.%!.$!6 A./$! !. )- "%1,%!.$! $-')- )/" 8-)/(!" #-(- )- 2/.%2%7. !)",>!$/ -2/"$-/ ; ,$%)%2! )- G(%2- 3 #-(- /'$!.!( !) !>! !)52$(%2/ ! !"$- &-.!(-6
Co&dici'&-edia de la -ag&it)d
elHctrica-edia del e
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ACOSTADOGr%fica 3
ACO"TA7ODI060033 &V92/" 0 "!. 0< 9060033 &V 0 &V/ QRS !" .!1-$%8/ #/(?,! !) !)!2$(// !) $7(- ! !"$-"!(%8-2%/.!" !"$ &" 2!(2- ! )- '-"! !) 2/(-7. ?,! ! )- #,.$- ; )- '-"! !) 2/(-7. !"$ !.)- %(!22%7. ! )- !)!2$(/.!1-$%8%- ,(-.$! )- &-;/( #-($! !) #(/2!"/ ! !"#/)-(%-2%7.8!.$(%2,)-(6
V3
8/10/2019 Practica 3 Electrocardiograma
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V
V.
VD
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P/( !) 2/.$(-(%/ )/" 2/)!>/" QRS ! )-" !(%8-2%/.!" V4 V@ ; V= "/. #(%.2%#-)&!.$! #/"%$%8/"#/(?,! !) !)!2$(// !) $7(- ! !"$-" !(%8-2%/.!" !"$ &" 2!(2- ! )- #,.$- 2-(-2- ?,! !"$!. )- %(!22%7. ! )- !)!2$(/#/"%$%8%- ,(-.$! )- &-;/( #-($! ! )- !"#/)-(%-2%7.6
E8ECTO 7E EJERCICIO AERBICO
7II e& re(o$o
7II de$()H$ de e!(2%2%/ -!(7'%2/ !'%7 -'!(-,&!.$-/ #!(/ )- %&-1!. !) !)!2$(/ 2-(%/1(-&- ./ ./" 2/.%(&- !"/ )- (!2,!.2%- 2-(%-2-#!(&-.!2! &" / &!./" %1,-)6
RE"TA7O"!
"EG-ENTO :! ")!$/ ! -.)%"%" #(!"!.$7 ,. DT 9"!1,./"< !) 2%2)/ 2-(%-2/ ?,! ./ !"$- !. )/" (-.1/"#(/&!%/" #!(/ ./ %%!(! &,2/ 2/. (!"#!2$/ - DT #(/&!%/ 906 "< ; #(!"!.$/ ,.- (!2,!.2%-2-(%-2- 9BPM< #/( !'->/ !) 8-)/( #(/&!%/ - !&" ,. (-.1/ ?,! -#!.-" -)2-.- !) 8-)/(#(/&!%/ ! =0 K+00 )-$%/" #/( &%.,$/6
8/10/2019 Practica 3 Electrocardiograma
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C/. (!"#!2$/ - )- ,(-2%7. ; -)%$, ! )/" 2//.!.$!" !) ECG 2/-(-/" 2/. )- $-')- + !)$!$/ #/!&/" !2%( ?,! .,!"$(/ ",>!$/ !"$- !.$(! %2/" 8-)/(!" 2/. ,.-" )%1!(-" 8-(%-2%/.!" !.)- ,(-2%7. ; -)%$, #!(/ )- &-;/(- !.$(-. !. )/" 8-)/(!" #(/&!%/6
E. !) 2-"/ ! )- O.- P #(!"!.$- ,.- &!%- )%1!(-&!.$! &-;/( - )- &!%2%7. ./(&-) ! EGC ;,.- -)%$, 2/((!2$- 2/. (!"#!2$/ - %2- $-')-6 ! %1,-) &-.!(- !) %.$!(8-)/ PR !) "!1&!.$/ ST
! %.$!(8-)/ QT6
C/. (!"#!2$/ - )- ,(-2%7. ! )-" !$-#-" !) 2%2)/ 2-(%-2/ !. (!#/"/ !) 2%2)/ 2-(%-2/ 9D$< "!!.2,!.$(- !.$(! )/" 8-)/(!" #(/&!%/ 2/. '-"$-.$! !-2$%$, -,.?,! ./ ,! #(!2%"-6
"EG-ENTO =! ")
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L- #/"%2%7. ; !) !",!(/ ?,! (!-)%/ .,!"$(/ ",>!$/ "! 8%!(/. (!)!>-/" !. .,!"$(/ ECG ;- ?,! -)!"$-( .,!"$(/ ",>!$/ !. #/"%2%7. ! (!#/"/ ", (!2,!.2%- 2-(%-2- !" &!./( !. 2/-(-2%7. - )-#/"%2%7. "!.$-- ; #/( )/ $-.$/ !) 2%2)/ 2-(%-2/ !" %.8!("-&!.$! #(/#/(2%/.-) !" !2%( !. (!#/"/ !"&-;/( ?,! 2,-./ !"$ !) ",>!$/ "!.$-/6
SEGMENTO 3: E) ",>!$/ "!.$-/ (!-)%-./ %."#%(-2%/.!" ; !"#%(-2%/.!" )!.$-" ; #(/,.-"6
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
!"#%(-2%7. %"&%.,;! !"$/ "! !#)%2- #/(?,! !) &,"2,)/ "! 2/.$(-! ; "! (!)->-6
SEGMENTO 4: E) ",>!$/ - $!(&%.-/ ! -2!( !>!(2%2%/ -!(7'%2/6
D,(-.$! ; !"#,5" !) !>!(2%2%/ -,&!.$- )- (!2,!.2%- 2-(%-2- 2/&/ (!"#,!"$- - )- !&-.-&!$-'7)%2- ! )/" &"2,)/"6 D!"#,5" !) !>!(2%2%/ !) 2/(-7. '/&'!- &-" "-.1(! ;- ?,! )/"&"2,)/" (!?,%!(!" &" /%1!./ ; .,$(%!.$!" #-(- (!2,#!(-( ", !.!(1- )- "-.1(! "! ))!8- !) CO*- &!%- ?,! )-" !&-.-" &!$-'7)%2-" %"&%.,;!. )- (!2,!.2%- 2-(%-2- $-&'%5. )/ -2!6
D,(-.$! )- ""$/)! ; )- %"$/)! #/!&/" /'"!(8-( ?,! )- (!2,!.2%- 2-(%-2- -,&!.$- !'%/ - )-%"&%.,2%7. $-. 1(-.! ! )- (!)->-2%7. 8!.$(%2,)-(6 ,(-.$! !"$- 9%"$/)!-6
LECCIN 0=: D%(!22%7. ! )-" /.-" R !. 2-- !(%8-2%7. ; M!%- ! )- &-1.%$, !)52$(%2- !) !>!-%"6
A?, !.2/.$(-&/" )-" $(!" #(%&!(-" !(%8-2%/.!" 9DI DII ; DIII
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L- /.- ! -2$%8-2%7. "! -#(/%&- !. ", (!2/((%/ -) '(-/ ; )- #%!(.- %?,%!(- ; )/" $/(.- - #/)/"#/"%$%8/"6 L-" !(%8-2%/.!" ! E%.$/8!. (!2/1!. )/" #/$!.2%-)!" 2-(-2/" !. ,. "/)/ #)-./ !- "," )%&%$-2%/.!" ; !. .,!"$(/ ECG /'$,8%&/" )- DI 2/. ,. (!1%"$(/ .!1-$%8/ DII &/"$(/ ,.(!1%"$(/ #/"%$%8/ ; DIII &/"$(/ ,. (!1%"$(/ #/"%$%8/6
CONC"IONE"
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
A) (!-)%-( )/" (!1%"$(/" !)!2$(/2-(%/1(%2/ #/( !) &5$// !) (!1%"$(/ 2/. !) %"%71(-/ ; ,$%)%-./!) "%"$!&- ! -?,%"%2%7. MP 3@ 9B%/#-2 S;"$!&" I.26< /'"!(8-&/" ?,!:
L- 2/((%!.$! !)52$(%2- ),;! ! #/"%$%8/ - .!1-$%8/6 C,-./ !) !)!2$(// !"$5 &" 2!(2- ! )- '-"! !) 2/(-7. !) (!1%"$(/ !) 2/)!>/ QRS
!" .!1-$%8/ &%!.$(-" ?,! 2,-./ !) !)!2$(// !"$5 &" 2!(2-./ -) #! !) (!1%"$(/ !)2/)!>/ QRS !" #/"%$%8/6
L-%.-)-2%7. ; !-)-2%7. #(/,.-" -)$!(-. )- ).!- '-"-) !) ECG6 A) !-)-( )- (!2,!.2%- 2-(%-2- -,&!.$-6 L- (!2,!.2%- 2-(%-2- -,&!.$- -) %.2(!&!.$-("! )- -2$%8%- &!$-'7)%2- 9!&-.- !
/1!./