CPR Physiological Basis of ECG Flashcards

1
Q

What does an ECG illustrate?

A

Changes of electrical activity of cardiac muscle tissue (depol and repol)
At baseline = no active depol or repol happening

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2
Q

Why does an ECG not report electrical differences between atria and ventricles?

A

They are electrically isolated from each other. ECG only reports voltage differences between both atria or both ventricles

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3
Q

What is the P wave?

A

Atrial depol. First cells near SA node to depolarize, goes until last cells of L atrium depolarize

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4
Q

What is the QRS wave?

A

Ventricular depol. First cells in septum to depolarize, goes until last cells of upper ventricles depolarize

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5
Q

What does the baseline line between QRS and T waves represent? (ST segment)

A

Phase 2, ventricular cells all depolarized, waiting on repolarization

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6
Q

What is the T wave?

A

Repolarization of ventricles

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7
Q

What is a U wave?

A

Sometimes follows normal repolarization (T wave), unknown cause

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8
Q

What does a segment represent?

A

Duration of a single event on an ECG

Ex: P wave or time between QRS and beginning of T wave

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9
Q

What does an interval represent?

A

Duration of two or more events

Ex: P wave plus beginning of QRS

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10
Q

What does a solid vertical line on an ECG represent?

A

0.2 seconds

5 large boxes = 1 sec

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11
Q

What does a solid vertical line on an ECG represent?

A

0.5 mv

2 large boxes = 1.0 mv

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12
Q

What is the PR interval?

A

Distance between beginning of P wave and beginning of QRS (usually 0.16 ms)

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13
Q

What is the QT interval?

A

Beginning of QRS until end of T wave (usually 0.35 ms)

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14
Q

What is the PR segment?

A

End of atrial depol until beginning of QRS, not super clinically relevant

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15
Q

What is the ST segment?

A

End of QRS until beginning of T wave

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16
Q

What are the normal values for QRS complex, P wave, and T wave voltages?

A

QRS: 1.0-1.5 mv
P: 0.1-0.3 mv
T: 0.2-0.3 mv

17
Q

How many electrodes are used for a 12 lead ECG?

A

9

18
Q

Which electrodes look at inferior regions of the heart?

A

II, III, AVF

19
Q

Which electrodes look at septal regions of the heart?

A

V1 and V2

20
Q

Which electrodes look at anterior regions of the heart?

A

V2, V3, V4

21
Q

Which electrodes look at lateral regions of the heart?

A

V4, V5, V6, I, AVL