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Electrocardiogram
The rhythmic sounds of "beep... beep... beep..." signify the measurement of the heart muscle's strength. This rhythmic signal varies from person to person and is recorded as an electrocardiogram (ECG). Within the body, a complex array of systemic neural responses generates electric currents that can be detected on the skin's surface. When a person is connected to an amplifier, these impulses are captured by an electrocardiograph. Most of the information gathered pertains to the heart, as it emits electric currents in waves. This "wave of excitation" propagates through the heart wall and is associated with electrical changes. The process occurs in three distinct phases. First, the "wave of excitation," accompanied by an electrical change, lasts for about 1 to 2 seconds following the contraction of the cardiac muscle. These electrical impulses are rhythmically discharged from the sinoatrial (SA) node, which acts as the heart's natural pacemaker, signaling the atrium to contract. The peak of the ECG reading is attributed to the atrioventricular (AV) node, which triggers the excitation of the ventricles. Finally, as the ventricles relax, any changes in the wave pattern can alert trained medical personnel to potential abnormalities within the heart.

Which statement is not listed as a detail within the passage?

  • A. Changes in the ECG are typically used for diagnosis of abnormal cardiac rhythm.
  • B. The signal has a characteristic record called the electrocardiogram.
  • C. The "wave of excitation" starts at the SA node.
  • D. The "wave of excitation" spreads through the heart wall and is accompanied by electric changes.
Correct Answer: A

Rationale: The correct answer is A. The passage discusses how the electrocardiogram (ECG) records the electrical activity of the heart, starting with the wave of excitation originating at the SA node, spreading through the heart wall, and leading to the ventricles relaxing. It does not mention that changes in the ECG are typically used for diagnosing abnormal cardiac rhythm. Therefore, option A is not a detail listed within the passage, making it the correct choice. Choices B, C, and D are all supported by the information provided in the passage.