ECG Rules Flashcards

Consolidation of ECG Interpretation Rules & Guidelines

1
Q

Portion on Myocardium supplied by Right Coronary Artery?

A

Right Atrium
Right Ventricle
Interior Surface of Left Ventricle (85% of population)
Posterior Surface of Left Ventricle (85% of population)

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2
Q

Portion on Myocardium supplied by Left Anterior Descending artery?

A

Anterior surface of Left Ventricle
Part of lateral surface of left ventricle
Anterior 2/3 of interventricular septum

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3
Q

Portion on Myocardium supplied by Circumflex Artery?

A

Left Atrium
Part of Lateral Surface of Left Ventricle
Inferior Surface of Left Ventricle (approx 15% of population)
Posterior surface of Left Ventricle (approx 15% of population)

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4
Q

Portion of Cardiac Conduction System supplied by Right Coronary Artery?

A

SA Node (about 60% of population)
AV Bundle (Approx. 85-90% of population?)

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5
Q

Portion of Cardiac Conduction System supplied by Left Anterior Descending Artery?

A

Most of RBB
Anterior-superior fascicle of LBBB
Part of posterior-inferior fascicle of LBB

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6
Q

Portion of Cardiac Conduction System supplied by Circumflex Artery

A

SA Node (40% of population)
AV Bundle (10-15% of population)

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7
Q

Which blockage is referred to as the “Widow Maker”

A

Blockage of the Left Main Coronary Artery (supplies LAD and CX)

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8
Q

What is the location and result of stimulation of Alpha 1 Adrenergic Receptors?

A

Receptors are in eyes, blood vessels, bladder, and male reproductive organs.

Stimulation results in constriction.

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9
Q

What is the location and result of stimulation of Alpha 2 Adrenergic Receptors?

A

Located in digestive system and on presynaptic nerve terminals in peripheral nervous system. Stimulation results in decreased secretions, peristalsis, and suppression of norepinephrine release

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10
Q

What is the location and result of stimulation of Beta 1 Adrenergic Receptors?

A

Location: Heart and Kidneys.

Result: Increased HR, contractility, and irritability (heart), release of renin into blood (kidneys).

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11
Q

What is the location and result of stimulation of Beta 2 Adrenergic Receptors?

A

Location: Arterioles of heart, lungs, and skeletal muscle. Stimulation triggers dilation.

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12
Q

What are the two main types of cholinergic receptors, and where are they primarily located?

A

Nicotinic- in skeletal muscle.
Muscarinic- in smooth muscle

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13
Q

What are the effects of parasympathetic stimulation of the heart? (4)

A
  • Slows rate of discharge via the SA node
  • Slows conduction through the AV node
  • Decreases strength of atrial contraction
  • Small decrease in force of ventricular contraction
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14
Q

Location of chemoreceptors for blood pH?

A

Internal carotid arteries and aortic arch

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15
Q

What are meanings of chronotropic, inotropic, and dromotropic?

A

Chronotropic - refers to change in HR
Inotropic- refers to change in myocardial contractility
Dromotropic- refers to speed of conduction through A/V junction

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