MODULE 1 : FUNDAMENTALS OF ELECTRONICS, Exams of Fundamentals of Electronics

MODULE 1 : FUNDAMENTALS OF ELECTRONICS

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2022/2023

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MODULE 1 : FUNDAMENTALS OF
ELECTRONICS EXAM 1
1. Discuss the relationship of voltage, current and impedance in an electrical circuit
(Ohm's Law).
*V = I/R*
*HIGH* lead impedance *LESS* current with each output *EXTENDED*
pulse generator life
*LOW* lead impedance *MORE* current with each output *DECREASED*
pulse generator life
2. Define voltage, current, resistance, energy and charge.
1. *VOLTAGE*
i. The *electrical force* that *makes current move* through a *conductor*
2. *CURRENT*
ii. The *rate of flow of charge* in an *electrical circuit.* This is measured
in *amperes and in a pacing circuit in milliamperes (mA).*
3. *RESISTANCE*
iii. *Opposition to the flow of current* through a *conductor: measured in
ohms.*
4. *ENERGY*
iv. The *active force (work) of the pacing stimulus* and is expressed in
*microjoules.* It can be *calculated from the voltage and the charge
(current multiplied by the time) or voltage x current x time.* It is an
*index of the battery drain* with each output stimulus.
5. *CHARGE*
v. The *quantity of electricity that has flowed.* It is measured in
*coulombs and is the product of the current multiplied by the time.*
3. Describe the relationship between pulse amplitude and pulse width (strength
duration curve).
1. *Pulse width* is the *duration of the applied stimulus* (spike), measured in
*milliseconds (ms).*
2. Pacemaker *output* is usually *defined in terms of voltage (pulse amplitude) and
milliseconds (pulse width).*
3. Pulse width is *measured from the leading edge to the trailing edge, termed
pulse duration.*
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ELECTRONICS EXAM 1

  1. Discuss the relationship of voltage, current and impedance in an electrical circuit (Ohm's Law). V = I/R HIGH lead impedance ∴ LESS current with each output ∴ EXTENDED pulse generator life LOW lead impedance ∴ MORE current with each output ∴ DECREASED pulse generator life
  2. Define voltage, current, resistance, energy and charge.
  3. VOLTAGE i. The electrical force that makes current move through a conductor
  4. CURRENT ii. The rate of flow of charge in an electrical circuit. This is measured in amperes and in a pacing circuit in milliamperes (mA).
  5. RESISTANCE iii. Opposition to the flow of current through a conductor: measured in ohms.
  6. ENERGY iv. The active force (work) of the pacing stimulus and is expressed in microjoules. It can be calculated from the voltage and the charge (current multiplied by the time) or voltage x current x time. It is an index of the battery drain with each output stimulus.
  7. CHARGE v. The quantity of electricity that has flowed. It is measured in coulombs and is the product of the current multiplied by the time.
  8. Describe the relationship between pulse amplitude and pulse width (strength duration curve).
  9. Pulse width is the duration of the applied stimulus (spike), measured in milliseconds (ms).
  10. Pacemaker output is usually defined in terms of voltage (pulse amplitude) and milliseconds (pulse width).
  11. Pulse width is measured from the leading edge to the trailing edge, termed pulse duration.

ELECTRONICS EXAM 1

  1. Typical pulse width settings are .03 to 1.0 ms. with 0.40 ms. frequently used as a nominal setting. These two settings are used to ensure capture: Amplitude Pulse width
  2. Strength Duration Curve i. Quantity of charge, current, voltage, or energy required to stimulate the heart at various pulse widths. ii. It demonstrates graphically that at very high pulse amplitudes, only short pulse widths are needed to capture; as the pulse amplitude decreases, the pulse width must be increased to assure capture. iii. Finally, the line flattens out, showing that no amount of increase the pulse width will allow the threshold to fall below a certain voltage. In other words, capture will be lost below a certain voltage, even if the pulse width is programmed to 2 or 3 ms longer. iv. A very narrow pulse width requires relatively larger voltage to capture, and a wider pulse width requires less voltage. v. Two key landmarks on the strength duration curve: i. Rheobase ii. Chronaxie (chronaxie = 2 x rheobase).
  3. Safety margins : Threshold is determined by reducing the pulse width at a fixed voltage: i. At a given voltage where the pulse width value is ≤ 0.30 ms: Tripling the pulse width will provide a two-time voltage safety margin. i. Pulse widths at a given voltage value which are ≥ 0.30 ms are not typically selected, because expend more energy, while not providing further safety. In this case, the voltage should be doubled to provide a two-time safety margin.
  4. Explain the importance of sensing. i. Detection of Signals: iii. Amplitude of the signal that is detected will depend on the mass of the muscle under the electrode, the contact of the electrode(s) with the myocardium and the orientation of the electrodes relative to the advancing wave of depolarization.