| Introduction
Anatomy
Heart Rate
PR Interval
QRS Interval
QT Interval
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Action potentials and cardiac
contraction

Cardiac contractions are the result of a well
orchestrated electrical phenomenon called depolarization. Cell membranes move from their
negative resting potential to a more positive threshold which ultimately stimulates them
to contract. In the myocardium there are specialized fibers that are very conductive
and allow the rapid transmission of electrical impulses across the muscle, telling them to
contract. In order to maximize the force of the contraction there is uniformity in the
sequence. That is, the atria contract, then the ventricles contract. This allows
both sets to fill properly before ejecting the blood to its next destination. These two
sections are independent, yet linked to a single impulse, (in a healthy heart,) initiated
by the sinoatrial, (or sinus) node. The tissue around the valves helps to channel the
impulse from the sinus node through another collection of specialized tissue, the
atrioventricular node, that is situated between the two sets of chambers. This area allows
slightly slower transmission of the impulse to the ventricles, allowing the atria to empty
into the ventricles before they contract and force the blood to the lungs or body. This
area, the A/V Node, slows the impulse down to about 1/25th of the original signal then
passes it through to the atrioventricular bundle, or the bundle of His. This bundle
divides itself into two distinct tracts through the ventricles, the bundle branches, and
on to the Purkinje fibers, where the muscle of the ventricle is stimulated to contract
from the bottom up, maximizing the force of ejection. |
How the ECG measures activity:

The P-Wave, representing the electrical impulse across the atria to
the A/V Node;
The QRS representing the electrical impulse as it travels across the
ventricles;
The T-Wave, representing the electrical repolarization of the
ventricles. |