4.5.10
Electrocardiograms
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Electrocardiograms (ECGs)
Electrocardiograms (ECGs) measure and record the heart’s electrical activity. Each heartbeat can be represented in a characteristic trace that is constructed from several key features, each relating to a phase of the heartbeat.

ECG traces
- Each heartbeat has a P-wave, QRS-complex and T-wave.
- The P-wave represents the depolarisation of the atria as the impulse passes from the sinoatrial node (SAN) to the atrioventricular node (AVN).
- The QRS-complex represents the depolarisation of the ventricles as the impulse passes through the bundle of His and the Purkinje fibres.
- The T-wave represents the repolarisation of the ventricles.
- After depolarisation of the atria, the impulse is held at the AVN before moving down the bundle of His to depolarise the ventricles. This pause is seen on the ECG trace between the P-wave and QRS-complex.


Abnormal ECG traces
- The frequency of each PQRST cycle determines the heart rate (HR).
- An ECG trace with PQRST cycles very close together signals a high HR. Sinus arrhythmia is a heartbeat that is too fast or slow.
- Tachycardia is a condition of the heart that involves a resting HR of over 100 beats per minute (bpm).
- Bradycardia is an abnormally slow HR (below 60 bpm) and will be seen in an ECG as the PQRST cycles will be spread out.
- An ectopic heartbeat or arrhythmia is an irregular heartbeat, these ECG traces will be shown by an irregular spread of PQRST cycles.
Abnormal ECG traces 2
- Atrial fibrillation is a condition involving a lack of coordinated atrial depolarisation, the ECG trace will represent this condition through the absence of the P-wave.
- Ventricular fibrillation is a condition involving a lack of coordinated ventricular depolarisation. The ECG will be very irregular and have no discernable pattern.
1Principles of Science I
1.1Structure & Bonding
1.1.1Atomic Model1.1.2Electron Shells, Sub-Shells & Orbitals1.1.3Ionic Bonding1.1.4Representing Ionic Bonds1.1.5Covalent Bonding1.1.6Representing Covalent Bonds1.1.7Metallic Bonding1.1.8Intermolecular Forces1.1.9Intermolecular Forces 21.1.10End of Topic Test - Bonding1.1.11Relative Masses1.1.12The Mole1.1.13Molar Calculations1.1.14Molar Calculations 21.1.15Empirical & Molecular Formulae1.1.16Balanced Equations1.1.17Percentage Yield1.1.18End of Topic Test - Amount of Substance
1.2Properties of Substances
1.2.1The Periodic Table1.2.2Ionisation Energy1.2.3Factors Affecting Ionisation Energies1.2.4Trends of Ionisation1.2.5Trends in the Periodic Table1.2.6Polarity1.2.7Metals & Non-Metals1.2.8Alkali Metals1.2.9Alkaline Earth Metals1.2.10Reactivity of Alkaline Earth Metals1.2.11Redox1.2.12Transition Metals1.2.13Redox Reactions of Transition Metals
1.3Cell Structure & Function
1.4Cell Specialisation
1.5Tissue Structure & Function
1.5.1Human Gas Exchange1.5.2Blood Vessels1.5.3Atherosclerosis1.5.4Skeletal Muscle1.5.5Slow & Fast Twitch Fibres1.5.6Neurones1.5.7Speed of Transmission1.5.8Action Potentials1.5.9End of Topic Test - Neurones & Action Potentials1.5.10Synapses1.5.11Types of Synapse1.5.12Medical Application1.5.13End of Topic Test - Synapses1.5.14Chemical Brain Imbalances1.5.15Effect of Drugs on the Brain
1.6Working with Waves
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2Practical Scientific Procedures and Techniques
3Science Investigation Skills
3.1Scientific Processes
3.2Data Handling & Analysis
3.3Enzymes in Action
3.4Diffusion
3.5Plants & Their Environment
3.6Energy Content in Fuels
4Principles of Science II
4.1Extracting Elements
4.2Relating Properties to use of Substances
4.3Organic Chemistry
4.4Energy Changes in Industry
4.5The Circulatory System
4.5.1The Circulatory System4.5.2Blood Vessels4.5.3Blood Transfusion & the ABO Rhesus System4.5.4The Heart4.5.5The Cardiac Cycle4.5.6Cardiac Output4.5.7Coordination of Heart Action4.5.8Heart Dissection4.5.9Controlling Heart Rate4.5.10Electrocardiograms4.5.11Cardiovascular Disease4.5.12Investigating Heart Rates
4.6Ventilation & Gas Exchange
4.7Urinary System
4.9Thermal Physics
4.9.1Power & Efficiency4.9.2Work & Energy4.9.3Conservation of Energy4.9.4Pressure4.9.5First Law of Thermodynamics4.9.6Second Law of Thermodynamics4.9.7Heat Engines, Heat Pumps & Refrigerators4.9.8Non-Flow Processes4.9.9p-V Diagrams4.9.10Ideal Gases4.9.11Ideal Gases 24.9.12Thermal Energy Transfer4.9.13Thermal Energy Transfer Experiments
4.10Materials
5Contemporary Issues in Science
5.1Contemporary Issues in Science
5.2Analysing Scientific Information
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1Principles of Science I
1.1Structure & Bonding
1.1.1Atomic Model1.1.2Electron Shells, Sub-Shells & Orbitals1.1.3Ionic Bonding1.1.4Representing Ionic Bonds1.1.5Covalent Bonding1.1.6Representing Covalent Bonds1.1.7Metallic Bonding1.1.8Intermolecular Forces1.1.9Intermolecular Forces 21.1.10End of Topic Test - Bonding1.1.11Relative Masses1.1.12The Mole1.1.13Molar Calculations1.1.14Molar Calculations 21.1.15Empirical & Molecular Formulae1.1.16Balanced Equations1.1.17Percentage Yield1.1.18End of Topic Test - Amount of Substance
1.2Properties of Substances
1.2.1The Periodic Table1.2.2Ionisation Energy1.2.3Factors Affecting Ionisation Energies1.2.4Trends of Ionisation1.2.5Trends in the Periodic Table1.2.6Polarity1.2.7Metals & Non-Metals1.2.8Alkali Metals1.2.9Alkaline Earth Metals1.2.10Reactivity of Alkaline Earth Metals1.2.11Redox1.2.12Transition Metals1.2.13Redox Reactions of Transition Metals
1.3Cell Structure & Function
1.4Cell Specialisation
1.5Tissue Structure & Function
1.5.1Human Gas Exchange1.5.2Blood Vessels1.5.3Atherosclerosis1.5.4Skeletal Muscle1.5.5Slow & Fast Twitch Fibres1.5.6Neurones1.5.7Speed of Transmission1.5.8Action Potentials1.5.9End of Topic Test - Neurones & Action Potentials1.5.10Synapses1.5.11Types of Synapse1.5.12Medical Application1.5.13End of Topic Test - Synapses1.5.14Chemical Brain Imbalances1.5.15Effect of Drugs on the Brain
1.6Working with Waves
1.7Waves in Communication
2Practical Scientific Procedures and Techniques
3Science Investigation Skills
3.1Scientific Processes
3.2Data Handling & Analysis
3.3Enzymes in Action
3.4Diffusion
3.5Plants & Their Environment
3.6Energy Content in Fuels
4Principles of Science II
4.1Extracting Elements
4.2Relating Properties to use of Substances
4.3Organic Chemistry
4.4Energy Changes in Industry
4.5The Circulatory System
4.5.1The Circulatory System4.5.2Blood Vessels4.5.3Blood Transfusion & the ABO Rhesus System4.5.4The Heart4.5.5The Cardiac Cycle4.5.6Cardiac Output4.5.7Coordination of Heart Action4.5.8Heart Dissection4.5.9Controlling Heart Rate4.5.10Electrocardiograms4.5.11Cardiovascular Disease4.5.12Investigating Heart Rates
4.6Ventilation & Gas Exchange
4.7Urinary System
4.9Thermal Physics
4.9.1Power & Efficiency4.9.2Work & Energy4.9.3Conservation of Energy4.9.4Pressure4.9.5First Law of Thermodynamics4.9.6Second Law of Thermodynamics4.9.7Heat Engines, Heat Pumps & Refrigerators4.9.8Non-Flow Processes4.9.9p-V Diagrams4.9.10Ideal Gases4.9.11Ideal Gases 24.9.12Thermal Energy Transfer4.9.13Thermal Energy Transfer Experiments
4.10Materials
5Contemporary Issues in Science
5.1Contemporary Issues in Science
5.2Analysing Scientific Information
Practice questions on Electrocardiograms
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