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CHAPTER 4

Vectors and the Basic Beat

Objectives

At the end of this chapter, the student should be able to:

  1. Describe the concept of a vector. (p 49)
  2. Discuss how the orientation of vectors in three-dimensional space can add up to create larger vectors. (p 49)
  3. Apply the concept of vector movements to and from surface electrodes to create waves on an ECG or rhythm strip. (pp 4950)
  4. Discuss the concept of lead placement and then apply that knowledge to calculate the orientation of vectors in the heart based on the waves on an ECG. (pp 50, 51)
  5. List the leads that compose the hexaxial system. (p 52)
  6. List the leads that compose the precordial system. (pp 52, 53)
  7. Clearly identify the baseline of an ECG strip and any elevations or depressions associated with the various segments. (pp 5354, 57, 61)
  8. Identify the various waves and intervals of an ECG complex. (pp 5360)
  9. List the criteria used to differentiate abnormal Q waves from normal Q waves. (p 56)
  10. Describe the formation of a T wave by the orientation of the depolarization and repolarization waves as they relate to an overlying electrode. (pp 5859)
  11. Differentiate between the QT interval and the QTc interval. (pp 5960)
  12. Calculate the P-P and R-R intervals on a rhythm strip or ECG. (p 60)