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Fundamentals of ECG
Cardiac Electrophysiology
Dr. Md.Toufiqur Rahman
MBBS, FCPS, MD, FACC, FESC, FRCP, FSCAI,
FCCP,FAPSC, FAPSIC, FAHA,FACP
Professor & head of Cardiology
CMMC, Manikganj
Ex professor of cardiology,
NICVD, Dhaka
drtoufiq1971@gmail.com
Conduction system of the heart
Action potential of cardiac tissues
Cardiac cell architecture
Blood supply of conduction tissue of heart
Influence of autonomic nervous system on heart
Conduction of impulse
Cardiac cycle
Electrical vector
Recording and presentation of Electrical activity of the heart
Parts and components of a normal ECG
Fundamentals of ECG
Electrophysiology
• SA node
• Ionic Basis of Electrical Activity in Pacemaker Cells
• Secondary/ Latent pacemaker
• How Atrial impulse is transmitted?
• AV node
• Bundle of His
• Purkinje fibers/ventricular myocardium
Fundamentals of ECG
Conduction system of the heart
Fundamentals of ECG
Conduction system of the heart
Fundamentals of ECG
Origin and propagation of cardiac impulse
Fundamentals of ECG
Action potential of SA node and contractile myocardium
Fundamentals of ECG
Action potential of pacemaker cell
Fundamentals of ECG
Electrophysiology
Fundamentals of ECG
Different phases of action potential/ contractile tissue
Fundamentals of ECG
Conduction system of the heart
Fundamentals of ECG
Electrophysiology
Fundamentals of ECG
Electrical impulse and pacemaker hierarchy
Fundamentals of ECG
Schematic representation of the trifascicular bundle branch system
Fundamentals of ECG
Electrophysiology
Electrical transmission in the ventricular wall
Fundamentals of ECG
Myocardial syncytium
Fundamentals of ECG
Intercalated disk and gap junction
Fundamentals of ECG
Blood supply of conduction system of the heart
Fundamentals of ECG
Autonomic nerve supply of the heart
Fundamentals of ECGPhases of cardiac cycle
Fundamentals of ECG
Phases of cardiac cycle
Fundamentals of ECG
Relation with aortic and ventricular pressure
Fundamentals of ECG
Atrial cycle
Fundamentals of ECG
Electrophysiology/ Refractory period
Fundamentals of ECG
Electrophysiology/ Vector
Fundamentals of ECG
Electrophysiology/Vector
Fundamentals of ECG
Electrophysiology/ECG waves & intervals
Fundamentals of ECG
Different Waves , segments and intervals of an ECG
Fundamentals of ECG
Electrophysiology

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