Chapter 2 Flashcards

electrophysiology

1
Q

Polarized

A

negatively charged resting cardiac cell

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2
Q

Depolarization

A

discharge of electricity - occurs when cardiac cell becomes positively charged

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3
Q

Repolarization

A

return of the cardiac cell to its resting negative charge

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4
Q

Electrical events

A

Depolarization and Repolarization

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5
Q

Mechanical

A

contraction and relaxation

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6
Q

Action Potential

A

what happens to cardiac cell when stimulated by electrical charge

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7
Q

Action Potential - Phase 4

A

cardiac cell at rest. Corresponds with isoelectric line of EKG

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8
Q

Action Potential - Phase 0

A

depolarization. Cell becomes positively charged. Corresponds with QRS complex on EKG

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9
Q

Action Potential - Phase 1 and 2

A

early repolarization. calcium is released. muscle contraction begins. Corresponds with ST segment of EKG

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10
Q

Refractory Periods

A

cardiac cell cannot responding to/depolarizing from an impulse

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11
Q

Refractory Periods - Absolute refractory period

A

cardiac cell cannot respond to another impulse, no matter how strong

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12
Q

Refractory Periods - Relative refractory period

A

cell can respond only to very strong impulse

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13
Q

Refractory Periods - supernormal period

A

cardiac cell is “hyper” will respond to very weak stimulus

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14
Q

P-QRS-T represents

A

one heartbeat

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15
Q

P wave

A

Atrial depolarization

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16
Q

Ta wave

A

atrial repolarization

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17
Q

QRS

A

a series of spiky waves; ventricular depolarization

18
Q

T wave

A

ventricular repolarization

19
Q

U wave

A

late ventricular repolarization

20
Q

PR segment

A

flat line between the P wave and the QRS complex

21
Q

ST segment

A

flat line between the QRS complex and the T wave

22
Q

Q wave

A

negative wave that precedes an R wave in the QRS complex

23
Q

R wave

A

any positive wave in the QRS complex

24
Q

S wave

A

negative wave that follows an R wave

25
Q

Cardiac Conduction System

A

pathway of specialized cells - job is to create and conduct impulses to tell the heart when to beat

26
Q

Conduction pathway

A

sinus node>interatrial tracts>atrium>internodal tracts>AV node>bundle of His>bundle of branches>perkinje fibers>ventricle

27
Q

Cardiac cells - automaticity

A

electrical - ability to create an impulse

28
Q

Cardiac cells - Conductivity

A

electrical - ability to pass that impulse along to neighboring cells

29
Q

Cardiac cells - Excitability

A

electrical - ability to respond to that impulse by depolarizing

30
Q

Cardiac cells - Contractility

A

mechanical - ability to contract and do work

31
Q

Sinus node rate

A

60-100

32
Q

AV junction

A

40-60

33
Q

Ventricle

A

20-40

34
Q

Escape

A

predominant pacemaker slows down

35
Q

Escape beat

A

beat that comes in after a pause longer than the normal R-R interval

36
Q

Usurpation

A

lower pacemaker becomes hyper

37
Q

Arrhythmia

A

abnormal heart rhythm

38
Q

One small block =

A

0.04 secs

39
Q

One big block =

A

0.20 secs

40
Q

Intervals

A

measurements of time between EKG waves and complexes

41
Q

PR interval

A

beginning of P wave to beginning of QRS wave; 0.12-0.20 secs

42
Q

QRS interval

A

beginning of QRS wave to end of QRS wave; 0.12 secs