[32] Introduction to Arrythmias Flashcards

1
Q

Dominant Pacemaker of the Heart

A

Sinoatrial Node

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2
Q

When is automaticity not normal?

A

When a lower pacemaker takes over or when a non-pacemaker cell transforms into a pacemaker cell

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3
Q

Do non-pacemaker cells have a fast type or action potential or a slow one?

A

Fast Type

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4
Q

[Slow Type vs. Fast Type]

Difference of Channels

A

Fast Type: Sodium Channels

Slow Type: Calcium Channels

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5
Q

Main change to turn a non-pacemaker cell into a pacemaker one

A

Change in the pervading resting membrane potential

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6
Q

Differentiate Focal vs. Re-entrant Arrythmia

A

Focal: Arrhythmia from a single spot

Re-entrant: Short circuiting

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7
Q

Atrial Tachycardia can be defined when ECG shows?

A

3 Premature Atrial Complexes together

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8
Q

Interpret

A

Sinus Bradycardia

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9
Q

Interpret

A

Sinus Tachycardia

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10
Q

Long QT Syndrome is also called?

How can you tell if the QT is long?

A

Torsade de Pointes

If it’s greater than half of the R interval

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11
Q

Can you give Amiodarone in Torsade de Pointes

A

This is the only KCB that is contraindicated for it, because it causes QT Elongation

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12
Q

“Scooped Out” ST Segment is indicative of what Drug?

A

Chronic Digitalis Therapy

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13
Q

Why do you need slow conduction for re-entry to happen?

A

Time for recovery

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14
Q

If you want to unmask flutter waves what do you give?

A

Adenosine

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15
Q

Wolff-Parkinson-White

A

Widened QRS

Presence of Delta Waves

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16
Q

In a third degree AV block why is the P-P interval shorter than the R-R interval?

A

An escaped pacemaker created a junctional escape rhythm

17
Q

[Site of Escape in Complete Heart Block]

AV Node vs Intra His vs Infra His

Rate

A

AV: 40-50 BPM

Intra-His: 30-40 BPM

Infra-His: 30 BPM

18
Q

[Site of Escape in Complete Heart Block]

AV Node vs Intra His vs Infra His

Stability

A

AV: Stable

Intra-His: Stable/Unstable

Infra-His: Unstable