ECG Flashcards

1
Q

Name the great Vessels.
(5)

A
  • Aorta
  • Pulmonary Arteries
  • Pulmonary Veins
  • Pulmonary Trunk
  • Vena Cava (Superior and Inferior)
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2
Q

Where does the “lub” sound come from?
S1 sound

A

Atrioventricular Valves

(Tricuspid and Bicuspid valves)

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3
Q

Where is the S2 sound from and what does it sound like?

A

Semilunar Valves. - “dub”

(Pulmonary and Aortic valves)

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4
Q

Baroreceptors are…

A

nerve tissues with specialized sensors

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5
Q

What are the characteristics of Pacemaker Cells?

A
  • automaticity
  • excitability
  • conductivity
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6
Q

What do Pacemaker Cells do?

A

~ —Generate impulse—
~ Control the rate & rhythm

~ Do NOT have the ability to contract

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7
Q

Myocardial Cells can…

A

~ —Cause actual contractions—
~ Found in myocardium
~ Contain contractile filaments

~ conduct electrical impulses

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8
Q

Characteristics of a Myocardial Cell are…

A
  • contractility
  • excitability
  • conductivity
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9
Q

What is the onset of atrial depolarization to the beginning of ventricular depolarization called?

A

PR Interval

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10
Q

Ventricular depolarization is which complex?

A

QRS Complex

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11
Q

What segment is represented by a flat line ?
(isoelectric line)

A

ST Segment

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12
Q

Ventricular repolarization is shown on an ECG as what wave?

A

T Wave

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13
Q

What is a product from an outside source on an ECG, such as movement called?

A

Artifact

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14
Q

Cardiac Cycle consists of 2 cycles. Name them and how long do they last?

A

Dystole - about 0.52 seconds

Systole - about 0.28 secondsEjection Fraction Measures what?

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15
Q

Ejection Fraction Measures what?

A

The amount of blood pumped out of the left ventricle during the cardiac cycle.

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16
Q

What is the amount of blood pumped out of one of the ventricles during the cardiac cycle called?

A

Stroke Volume

(refers to PER CYCLE)

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17
Q

What is the amount of blood ejected out of the left ventricle in 1 minute referred to as?

A

Cardiac Output

(PER MINUTE)

18
Q

What is the formula for Cardiac Output?

A

Heart Rate x Stroke Volume = Cardiac Output

19
Q

Which side of the heart has deoxygenated blood?

A

Right side

goes to the lungs

20
Q

Oxygenated blood sent to the rest of the body is from what side of the heart?

A

Left side

21
Q

What is the function of the heart valves?

A

Prevent backflow of blood

22
Q

Which electrolytes crucially affect cardiac function?

A

Sodium
Potassium
Calcium

23
Q

The ability of a cell to generate its own electrical impulse is…

A

Automaticity

24
Q

What leads are you looking at for Bundle Branch Blocks?

A

V1 and V6

  • Deep, Wide S Wave
  • Everything looks Wide
  • 2 R Waves
25
Q

What is unique about the appearance of a Right Bundle Block?

A

They appear like Bunny Ears

26
Q

If there is no P Wave with bizarre wide complexes, where do you think it’s firing from?

A

Ventricles

27
Q

What is the difference between Unifocal and Multifocal?

A

Unifocal – arising from a single ectopic focus; each PAC is identical.

Multifocal – arising from two or more ectopic foci; multiple P-wave morphologies.

28
Q

If the ST elevations appear tombstone like, what does that mean?

A

Heart attack - infarction

Patient will be symptomatic

29
Q

Which body system controls the heart rate and blood pressure?

A

Autonomic Nervous System

30
Q

What is the intrinsic firing rate the SA Node fires at?

A

60-100 bpm

31
Q

The AV Node fires at what rate?

A

40-60 bpm

31
Q

The purkinje fibers fire at what rate?

A

20-40 bpm

31
Q

PR Interval is normally how long?

A

3-5 small boxes
(0.12-0.20 sec)

32
Q

The QRS complex at it’s normal range is how long?

A

2-3 small boxes
(0.08-0.12 sec)

33
Q

What rhythm is most likely to have 3 different P Waves; upright, inverted or absent

A

Wandering Atrial Pacemaker
(WAP)

34
Q

What does Atrial Flutter look like?

A

Flutter wave looks like a sawtooth pattern

35
Q

Which is the only rhythm that is Irregularly Irregular?

No P Waves,
QRS Complexes look similar

A

Atrial Fibrillation

36
Q

The course of blood flow through the heart and lungs is referred to as ________circulation

A

Pulmonary

37
Q

One cardiac cycle occurs how often?

A

0.8 seconds

38
Q

What are the 5 steps to ECG?

A
  1. Heart Rate
  2. Heart Rhythm
  3. P Wave
  4. PR Interval
  5. QRS Complex