Coronary Circulation + EKG Flashcards

1
Q

P wave corresponds to

A

Atrial depolarization

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2
Q

QRS complex corresponds to

A

Ventricular depolarization

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3
Q

T wave corresponds to

A

Ventricular repolarization

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4
Q

Depolarization causes

A

Muscle contraction

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5
Q

Repolarization causes

A

Muscle relaxation

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6
Q

Where does atrial repolarization (muscle relaxation) occur

A

QRS complex

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7
Q

What are Purkinje fibers

A

Modified myocardial cells

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8
Q

What is measured in the EKG

A

Muscle depolarization (muscle contraction)

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9
Q

What cation causes contraction of myocytes

A

Calcium

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10
Q

An increase in cytoplasmic calcium will cause

A

Higher contractility of myocytes

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11
Q

Does potassium and sodium cause a physiological increase in myocyte contraction?

A

No, only intracytoplasmic Ca++

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12
Q

Is [Na+] greater inside or outside the cell

A

Outside

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13
Q

Is [K+] greater inside or outside the cell

A

Inside

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14
Q

Myocyte cells are + or - charged inside

A

Negatively due to K+

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15
Q

Definition of polarized cell

A
  • resting potential inside the cell

+ resting potential outside the cell

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16
Q

V1 and V2 leads observe

A

Ventricular septum

17
Q

V2 and V3 observe

A

Anterior wall of left ventricle

18
Q

V4 and V5 observe

A

The anterolateral wall of left ventricle

19
Q

Cara lateral seen at

20
Q

Cara anterior seen at

A

C1, C2, C3, C4

21
Q

Cara inferior seen at

A

II, III, aVF

22
Q

Acute heart attack seen at where in EKG

A

ST elevation at cara inferior: I, II, aVF

23
Q

Strategy to count the heart beat

A

QRS aligned with the lines and count square to square (300-150-100-75-60-59) until the next QRS

24
Q

Normal heart rate

A

60-100 beats per minute

25
Normal P wave parameters
Positive and 3 small squares
26
A negative P wave suggests
Dysrrythmia | Replace leads
27
Normal PR parameters
Less than 1/2 big square
28
If PR interval > half of a big square
Blockage dysrythmia
29
Normal P - P interval
Same length between P peaks
30
Normal QRS parameters
< 1/2 big square
31
Checking axis deviation
Check the leads to see the most uniform (I, II, III, aVL, aVR, aVF) Go to the circle and turn 90º either left or right to where there is another lead mark