The electrocardiogram chart is a graph. What is plotted against the vertical axis?
A. The voltage produced by the myocardial cells
B. The elapsed time
C. The rate of contraction of the myocardium
D. The current flowing in the conduction system of the heart
The correct answer and explanation is :
Correct Answer:
A. The voltage produced by the myocardial cells
Explanation:
An electrocardiogram (ECG or EKG) is a graphical representation of the electrical activity of the heart over time. The chart generated by an ECG machine consists of waveforms that help in diagnosing various heart conditions. The vertical and horizontal axes represent different physiological parameters.
Understanding the Axes of an ECG Graph:
- Vertical Axis (Y-Axis) – Represents voltage (electrical potential) in millivolts (mV). This voltage is generated by the depolarization and repolarization of myocardial (heart muscle) cells.
- Horizontal Axis (X-Axis) – Represents time in seconds, typically measured in milliseconds (ms).
Why the Correct Answer is A (Voltage Produced by Myocardial Cells)?
- The ECG records the electrical potential differences generated by the heart as it beats.
- These electrical signals arise due to the depolarization and repolarization of the heart muscle cells.
- The voltage changes are detected by electrodes placed on the skin, and they are displayed as waveforms with different amplitudes (heights) on the ECG graph.
- Common wave components include:
- P wave (atrial depolarization)
- QRS complex (ventricular depolarization)
- T wave (ventricular repolarization)
Why Other Options Are Incorrect?
- B (Elapsed time) – Time is plotted on the horizontal axis, not the vertical axis.
- C (Rate of contraction of myocardium) – The ECG measures electrical activity, not mechanical contraction.
- D (Current flowing in the conduction system of the heart) – The ECG measures voltage, not current.
Thus, the vertical axis of an ECG graph represents voltage (mV), confirming option A as the correct answer.