How an EKG Readout Is Made
Believe it or not, but the
human body is full of electrical signals which can be picked up and analyzed.
These signals come from nerve impulses, which can cause muscle contractions.
Voltages range from microvolts (brain waves and some muscle contractions)
up to around 2 millivolts p-p (peak-to-peak). Certain conditions
or exercise can increase voltages further. Currents tend to be no
more than probably a couple microamps or so. Thanks to God's wonderful
design of the body, these signals can be picked up and analyzed non-invasively
through the use of skin electrodes. Because skin resistance can be
high (usually in the mega-ohm range), conductive pastes or gels are often
used to make it easier to pick up these signals. Luckily, newer equipment
eliminates a lot of mess, due to higher input impedances (input resistance).
It is the varying VOLTAGES that are picked up and analyzed. These
voltages are amplified greatly (typically by a factor of 1000 X on EKG
and around 10,000 X for EEG). The output then can go to a video monitor,
paper plotter, radio transmitter, and/or to an analog or digital recording
system.
How to Wire Up Thy Neighbors
Notes
Please note that limb leads ( I, II, III, aVL, aVR, and aVF) do NOT require exact placement. However, better R-waves can be seen when using the limbs as opposed to the chest. However, the chest versions of these leads are more convenient when monitoring for several hours or days at a time. Unless you are doing an EKG for diagnostic reasons, many people would probably oppose the idea of shaving hair off their chests. Also when using limb connections, be sure to place the electrodes over fleshy areas (NOT over bony areas).
Please note that the green
marks on the drawings represents the ground electrode. The black
marks represent the positive electrode. The white marks represents
the negative electrode. If you want to do a quickie and use just
two electrodes, just short the negative and ground electrodes together.
However, this technique does make the output MUCH MORE susceptible to outside
interference, such as people walking around (not necessarily the patient).
LEAD 1
LEAD 2
LEAD 3
Chest version of LEAD 1
Chest version of LEAD 2
Chest version of LEAD 3
Modified Chest Lead V1 (MCL1) (or MCL)
This connection is more picky about
the locations of the electrodes.
Modified Chest Lead V4 (MCL4)
This connection is more picky about
the locations of the electrodes.
EKG Amplifier Circuit
Safety Notes on Above Circuit
First of all,
be sure to check your work when building this circuit. I will NOT
BE LIABLE for injury or death resulting from the use of this circuit.
Built it at your own risk. When I built this circuit using 9-volt
batteries for its power, I had a maximum of 7 microamps leaking from any
two electrodes. Leakage currents greater than 20 microamps renders
such hardware NOT ACCEPTABLE for medical use. Moreover, the medical
profession prefers leakage currents to be no more than 10 microamps.
Please be aware that some people can begin to feel a shock when even 200-300
microamps are passed through the body. However, be sure to test all
three electrode connections (positive to negative, negative to ground,
and positive to ground) after building this circuit. Please be aware
that maximum leakage currents will vary due to supply voltages, evenness
of individual supply voltages, and tolerances of the components themselves.
If you have any doubt of any voltage spikes coming out of a computer, oscilloscope,
or A/D (analog-to-digital) converter, please add opto-coupling. In
order to make this possible, the output of this circuit will need to have
5-9 volts (depending on individual supply voltage) added, and then
have a voltage-to-current circuit added. The output of this extra
circuit is to then go to an opto-coupler chip. Please be aware that
if opto-coupling is used, a small amount of extra programming is required
due to the loss of linearity. Probably an exponential function is
in order here.
Here I am--getting wired up!
Here I am--all wired up!
Here is my actual EKG as of September 28, 2001.
Want some wires on YOUR chest?
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