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What is Polarization on ECG?

Published in Electrocardiography 2 mins read

Polarization on an ECG represents the heart's resting state, the period between electrical impulses when the heart muscle is relaxed and ready for the next depolarization. It's the baseline on the ECG tracing.

Here's a more detailed breakdown:

  • The Polarized State: The baseline of an ECG reflects the polarized state of the heart. This means the myocardial cells are at their resting membrane potential. No electrical activity is occurring in a coordinated manner across the heart chambers.

  • Relationship to Electrical Activity: Polarization precedes depolarization (electrical activation) and repolarization (return to the resting state). The ECG records these changes in electrical activity.

  • What it Doesn't Show: The flat line of polarization doesn't indicate a lack of activity at a cellular level; rather, it means there's no net electrical potential difference large enough to be detected across the myocardium. Ion channels and pumps are actively maintaining the resting membrane potential.

In summary, polarization on an ECG is the baseline representing the resting state of the heart muscle before electrical stimulation triggers a heartbeat.

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