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01 — Heart and ECG basics

flowchart LR
    SA["electrical pulse starts"] --> A["atria squeeze\nblood pushed down"]
    A --> V["ventricles squeeze\nblood pushed to body"]
    V --> R["ventricles recover"]

One pulse, one heartbeat. An ECG records that electricity from skin stickers (electrodes): voltage plotted against time. Each bump maps to a squeeze:

Bump What happens Shape on trace
P wave atria squeeze small bump
QRS complex ventricles squeeze tall sharp spike (R is the peak)
T wave ventricles recover medium bump

The R peak (tall spike top) is the landmark software finds first; everything else is located relative to it.

  • Beat: one heartbeat.
  • Lead: one camera angle on the heart electricity (we start with MLII).
  • Sampling rate: numbers stored per second (MIT-BIH: 360 Hz, so 1 s = 360 numbers).

Next: 02-arrhythmia-and-aami-classes.md