Chapter 11: Cardiac Arrhythmias Flashcards

1
Q

True or false: A-fib is rare and usually occurs in younger people.

A

False; common and often elderly

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2
Q

Three conditions that increase risk of a-fib.

A

1) CVD
2) Chronic pulmonary disease
3) Hyperthyroid

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3
Q

Atria quiver instead of contracting normally; HR is irregular and fast

A

Atrial fibrillation

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4
Q

What can result from a-fib?

A

Blood pooling in the heart

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5
Q

Atrial arrhythmia characterized by a very fast, but regular rhythm.

A

Artial flutter

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6
Q

What would you look for on an EKG to dx A-fib?

A

Absent P wave

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7
Q

Normal variation of heart rate.

A

Sinus arrhythmia

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8
Q

True or false: Extrasystole (premature beat) and sinus arrhythmia are always normal variations normal sinus rhythm.

A

False. Sometimes caused by disease.

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9
Q

Wave of increased pressure that begins with
ventricular contraction in the heart and travels along
the arteries

A

Pulse

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10
Q

Detect at wrist, neck; normally equivalent
to heart rate, but can be hard to detect if heartbeat is
weak or obstructed

A

Pulse rate

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11
Q

True or false: HR tends to be slower in smaller people and females than in larger people and males.

A

False; tends to be faster than in larger people and males.

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12
Q

What are three cases in which HR tends to be slower?

A

1) While sleeping
2) In endurance athletes
3) In patients with hypothyroidism

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13
Q

Force against the walls of blood vessels.

A

Blood pressure

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14
Q

What is the major health risk of atrial fibrillation?

A

It can allow blood to pool and clots to form in the heart

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15
Q

True or false: Hypothyroidism is often a cause of a-fib.

A

False; Hyperthyroidism

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16
Q

What is the difference between atrial flutter and atrial fibrillation?

A

Atrial flutter is a regular rhythm; atrial fibrillation is irregular (both are rapid)

17
Q

What are the symptoms of a-fib (or a-flutter)?

A

Reduced cardiac output, so dizziness, light-headedness, DOE, risk of clot formation

18
Q

How do you treat a-fib and a-flutter?

A

1) Drugs to slow HR.

2) Potentially, cardiac conversion (shock) or ablation to remove abnormal signal pathways.

19
Q

What type of cardiac arrhythmia is due to delay or full interruption of impulses from atria to
ventricles; usually due to arteriosclerosis in coronary arteries supplying heart muscle; causes poor blood flow to the brain, resulting in dizziness, fainting.

A

Heart block

20
Q

What treatment may be necessary for a complete heart block arrhythmia?

A

Pacemaker