Cardiac/ECG Flashcards

1
Q

What causes the first heart sound? (S1)(lub)

A

Closing of the atrioventricular valves at the beginning of ventricular systole (contraction)

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2
Q

What causes the second heart sound? (s2)(dub)

A

The closing of the semilunar valves at the end of beginning of ventricular diastole (relaxation)

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3
Q

What are the two main types of heart cells?

A

-Specialized/pacemaker cells-working myocardial cells

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4
Q

Where are 5 examples of specialized pacemaker cells?

A

SA nodeAV nodeBundle of HISBundle branches (left and right)Purkinje fibers

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5
Q

What is the normal order of conduction though the heart?

A

SA node, atria, AV node, His bundle, bundleBranches, purkinje fibers, ventricles

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6
Q

What is the SA nodes main function?

A

Act as a pacemaker

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7
Q

What is the AV nodes main function?

A

Create a slight delay between atrial and ventricular contraction

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8
Q

What are the 5 phases of cardiac action potential (AP)?

A

-Phase 0: upstroke, rapid depolarization-Phase 1: rapid repolarization-Phase 2: depolarization plateau-phase 3: rapid repolarization after plateau-Phase 4: resting potential

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9
Q

What affect does an action potential have on the intracellular Ca++ concentration?

A

Increases it 1000 fold by opening L-type channels in the sarcolemma

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10
Q

How do you calculate cardiac output? (CO)

A

Cardiac output=stroke volume x heart rate

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11
Q

How do you determine stroke volume?

A

End diastolic volume-end systolic volume

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12
Q

How is blood pressure calculated?

A

Cardiac output x total peripheral resistance= blood pressure

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13
Q

What does the baroreceptor reflex do?

A

Corrects for changes in arterial pressure by increasing or decreasing heart rate

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14
Q

What does the bainbridge reflex do?

A

Responds to changes in blood volume by increasing heart rate

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15
Q

What is considered a normal sinus rhythm?

A

When the SA node is acting as the pacemaker

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16
Q

What range is normal for heart rate?

A

60-100 bpm

17
Q

When are you tachycardic?

A

HR above 100

18
Q

When are you bradycardic?

A

HR less than 60

19
Q

What is happening at the p wave?

A

Atrial depolarization

20
Q

What happens at the QRS wave?

A

Ventricular depolarization (Atrial repolarization happens here as well)

21
Q

What happens during the T wave?

A

Ventricular repolarization

22
Q

What interval reflects conduction from atria to ventricle?

A

PR

23
Q

What interval reflects average AP duration in ventricles?

A

QT

24
Q

An elevation or depression in which interval indicates myocardial infarction?

A

ST segment

25
Q

What is the R-R interval used for? What is the formula?

A

Determining HRHR in BPM= 60/R-R interval

26
Q

How many large boxes equal 1 second on an ECG?

A

5

27
Q

What is the equation for Einthovens law?

A

Lead 1 + Lead 3= Lead 2 (mean electrical axis)

28
Q

What cell junction is key in propagating an action potential through cardiac muscle?

A

Gap junctions

29
Q

What is a primary AV block?

A

Wide PR interval

30
Q

What is a second AV block type 1?

A

Cyclic lengthening, dropping QRS complex

31
Q

What is a second AV block type 2?

A

Skips QRS complex

32
Q

What is a third degree AV block?

A

Regular P but ventricle and atria are not in sync

33
Q

What four things with you see in ECG for a heart attack?

A

1-ST elevation
2-T wave inversion
3-exaggerated Q wave
4-ST depression