ECG summary Flashcards

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1
Q

What does ECG stand for?

A

Electrocardiogram

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2
Q

What does action potential do?

A

These are nerve impulses and they allow for blood to be pumped through the atria and ventricles into pulmonary and systemic circuits.

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3
Q

What is action potential?

A

These are nerve impulses (small electrical currents) that travel through the body to the surface and is then detected by an electrocardiograph to produce an electrocardiogram.

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4
Q

What is the difference between electrocardiograph and electrocardiogram?

A

An electrocardiograph is the machine used to pick up the signals and produce the tracing and an electrocardiogram is the actual tracing that is produced.

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5
Q

What is the process of the conduction system?

A

1) Depolarisation- Na+ is flowing into the cell causing the voltage to increase inside the cell to +30mV (at rest, it is -90mV)
2) Plateau phase- this is where some Na+ leak out of the cell through leakage tunnels and cause mV to drop slightly
3) Repolarisation- as Na+ move out of cell, the mV return back to the resting amount of -90mV

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6
Q

What is the membrane potential at rest?

A

-90mV

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7
Q

What is the refractory period?

A

The period where cell cannot produce a new action potential (prevents summation/ tetanus)- build up of lots of potentials.

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8
Q

What causes change in electrical current?

A

The movement of ions from the outside to inside of cell.

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9
Q

What is the SA node?

A

This is known as the pacemaker cell as it has an unstable resting membrane and this starts the flow of electrical activity.

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10
Q

What does depolarisation mean?

A

Need for muscle to contract (causes a response). Depolarisation in one cell can be stimulus for another cell and leads to knock on effect (wave of contraction).

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11
Q

What does depolarisation mean?

A

Need for muscle to relax and return to resting position (getting ready for the next contraction).

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12
Q

What creates a P wave?

A

The SA node sending out an impulse across the atria.- atrial depolarisation

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13
Q

What creates the PR interval?

A

The impulse being delayed at the AV node.

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14
Q

What causes the QRS complex?

A

The impulse being passed onto the ventricles- ventricular depolarisation

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15
Q

What causes the ST segment?

A

The interval between ventricular depolarisation and repolarisation.

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16
Q

What creates a T wave?

A

When ventricular repolarisation begins.

17
Q

What impact do sympathetic nerves have on heart rate?

A

Increase heart rate and the force of contraction.

18
Q

What impact do parasympathetic nerves have on heart rate?

A

Decreases the heart rate.

19
Q

What is the ectopic foci?

A

This is the site that generates an ectopic beat.

20
Q

What are the characteristics of myocardial infarction?

A

-ST segment elevation over area of damage
-ST depression in leads opposite infarction
-Pathological Q waves
-Reduced R waves
-Inverted T waves.