Conduction and Dysrhythmias Flashcards

1
Q

Cardiac Muscle Cells: How does it function? (4 steps)

A

automaticity
excitability
conductivity
contractility

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2
Q

Automaticity: Definition

A

ability to generate an electrical impulse

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3
Q

Excitability: Definition

A

ability to respond to an outside impulse (chemical, mechanical, or electrical)

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4
Q

Conductivity: Definition

A

ability to receive an electrical impulse and conduct it

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5
Q

Contractility: Definition

A

ability of myocardial cells to shorten in response to an impulse (responsible for the “pump” part of the heart)

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6
Q

Cardiac Conduction: Action Potential: Order

A

P Wave
PR Segment (small straight line)
QRS Complex
T Wave
Isoelectric line (straight line)

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7
Q

What causes the P Wave?

A

atrial DEpolarization
the atria are squeezing

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8
Q

What causes the PR Segment (small straight line)?

A

delay at AV node

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9
Q

What causes the QRS Complex?

A

ventricular DEpolarization
the ventricles are squeezing

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10
Q

What causes the T Wave?

A

ventricular REpolarization
the ventricles are recharging

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11
Q

What causes the isoelectric line (straight line)?

A

no electrical activity

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12
Q

What causes these action potentials to occur?

A

Na+/K+ Pump

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13
Q

Normal Electrical Conductivity of the Heart

A

Rate: 60-100
Rhythm: regular
P Waves:
-upright and rounded
-one before every QRS
-regular rhythm
PR Interval: 0.12-0.20 sec
QRS: <0.12 sec

“sinus rhythm”

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14
Q

Sinus Arrhythmia

A

another NORMAL

-a degree of variability in the HR
-common in young people
-HR fluctuates with respiration or autonomic nervous system
-Intervals P Wave- P Wave are different

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15
Q

Dysrhythmia: Definition

A

Abnormality of the cardiac rhythm
Problem with impulse generation or conduction

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16
Q

Dysrhythmias: Why are they a problem?

A

when these rhythms are altered, it affects our cardiac output

17
Q

Dysrhythmias: Causes (3)

A

inappropriate automaticity
triggered activity
re-entry

18
Q

Inappropriate Automaticity: Definition

A

a cell initiates action potentials when it isn’t supposed to

19
Q

Triggered Activity: Definition

A

an extra impulse is generated during or just after repolarization
-cells get confused and think they’re supposed to contract, but they’re not

20
Q

Re-entry: Definition

A

cardiac impulse in one part of the heart continues to depolarize after the main impulse has finished