Page 201 - The Miracle of the Blood and Heart
P. 201

AV node

               SA node                             Purkinje
                                                   fibers


                                                       Atrial  Ventricular Atrial/ventricular
                                                      systole  systole  diastole
                                                   Millivolts




                                                            Milliseconds
              a)
                                    Normal
                                     ECG

              b)




                 Sinus tachycardia  Ventricular fibrillation  Mitral stenosis
                               Abnormal ECGs



                   a) The sinus node (SA node) sends out a signal that causes the atria to
                   contract. When this signal reaches the AV node, it sends a signal to the
                   ventricles to contract by way of the Purkinje fibers.
                   b) A normal ECG shows the heart is working properly. The P wave
                   forms when the atria contract, the QRS wave when the ventricles con-
                   tract, and the T wave when the ventricles are recovering from contrac-
                   tion.
                   c) Abnormal ECGs: Sinus tachycardia is a rapid heartbeat due to
                   a fast pacemaker. An irregular heartbeat occurs because of the
                   ventricles' irregular stimulation (ventricular fibrillation).
                   Mitral stenosis occurs because the mitral valve is obstructed.
                                                                       Adnan
                                                                       Oktar



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