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Foundations - Week 1 > EGMs And Field Experience > Flashcards

EGMs And Field Experience Flashcards

1
Q

Electrocardiogram

A

A graphic record of the heart’s electrical activity from surface electrodes (skin sensors).

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2
Q

Electrode

A

A sensor (either external to the body or intracardiac) that detects electrical activity

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3
Q

Lead

A

An angle from which the heart’s electrical activity is measured in an ECG

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4
Q

Bipolar

A

A type of lead used in surface ECGs that has both a negative and a positive pole (hence bi-polar)

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5
Q

Unipolar

A

A type of lead used in surface ECGs that has only a positive pole (plus a negative frame of reference in the area of the heart)

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6
Q

P wave

A

A positive (upward) wave that appears on an ECG when the SA node initiates a wave of depolarization that spreads rapidly through both atria. P wave = atrial depolarization and = atrial contraction

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7
Q

QRS complex

A

Ventricular depolariation on the ECG

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8
Q

T wave

A

Ventricular repolarization on the ECG

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9
Q

Myocyte

A

Or cardiac myocyte: A heart muscle cell

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10
Q

Refractory

A

Refers to a time when the tissue is unresponsive to electrical stimuli

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11
Q

Tachycardia

A

Rapid heart rate, usually more than 100 beats per minute

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12
Q

Bradycardia

A

Slow heart rate, usually lower than 60 beats per minute

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13
Q

12 Lead ECG

A

A non-invasive test where electrodes are placed on the chest and limbs to record the gross electrical activity of the heart from different angles.

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14
Q

Cycle length

A

The length of time between each heart beat measured in milliseconds. The faster the hearts rate the shorter the cycle length

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15
Q

Electrophysiology (EP) lab

A

An examination/treatment room in a hospital with diagnostic imaging equipment where patients can have their arrhythmia tested, diagnosed, and treated

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16
Q

Electrophysiology (EP) study

A

An examination/treatment in which a patient’s arrythmia is tested, diagnosed, and/or treated

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17
Q

Electrophysiologist

A

The person in an EP lab responsible for both diagnosing and correcting a patient’s arrhythmia

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18
Q

Circulating RN

A

The person who verifies, for every EP procedure, “right equipment, right patient, and right procedure”

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19
Q

Scrub nurse/CV tech

A

The person in an EP study who preps the patient for the procedure, scrubs and assists the EP with catheter insertion.

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20
Q

Monitor tech

A

The person in an EP study who sits at the EP recording system, observes intracardiac electrograms, and delivers energy to the catheters at specific rates and sequences

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21
Q

Anesthesiologist

A

The person in an EP study who administers anesthesia and monitors the patient’s vitals

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22
Q

Radiology tech

A

The person in an EP study who runs the x-ray system and monitors x-ray dosing

23
Q

EP fellow

A

An electrophysiologist-in-training who may be in an EP study to manipulate catheters or run the stimulator

24
Q

Lab manager

A

The person in a hospital who manages the day-in and day-out activities and logistics of the EP lab

25
Q

C-suite

A

The group of people in a hospital responsible for making big decisions for big money

26
Q

Fluoroscopy

A

A type of medical imaging that shows a continuous x-ray image on a monitor

27
Q

3-D mapping system

A

A system that creates a 3-D anatomical map using a hybrid of current ratio and magnetic technology

28
Q

Recording system

A

A system that displays and records the heart rhythms and vital signs during the procedure

29
Q

Cardiac stimulator

A

A device that delivers electrical stimulation to the heart for pacing

30
Q

Pacing

A

Delivering electrical stimulation to the heart in order to see how it responds in order to help diagnose an arrhythmia

31
Q

RF Generator

A

A device that generates radiofrequency energy to the catheter for ablation and monitors the temperature of the catheter tip

32
Q

Robotic/magnetic system

A

An optional way to use robotics to manipulate a catheter for an EP study

33
Q

Defibrillation patch

A

A patch placed on a patient in an EP study; it’s for putting the paddles on the patient to shock them out of a lethal arrhythmia

34
Q

Grounding pad

A

A patch placed on a patient in an EP study; it completes the circuit for RF ablation energy

35
Q

Mapping system patches

A

A set of patches placed on a patient in an EP study; they detect current ratio technology for CARTO

36
Q

12-lead ECG patches

A

A set of patches placed on a patient in an EP study; they detect electrical activity in the heart and translate it into an ECG

37
Q

Electrode catheter

A

A tube with electrodes (electrical sensors) on it, inserted into a patient’s vein or artery and then threaded to their heart to detect electrical activity

38
Q

Distal end of a catheter

A

The tip of the catheter that is inserted into the patient’s body

39
Q

Proximal end of a catheter

A

The end of the catheter that is not inserted into the patient’s body

40
Q

Diagnostic catheter

A

A catheter used for confirming suspected heart arrhythmias

41
Q

Therapeutic catheter

A

A catheter that transmits radiofrequency (RF) current to the catheter tip electrode for ablating tissue

42
Q

4-pole catheter

A

A diagnostic catheter that detects when an electrical event occurs

43
Q

Multiple-pole catheter

A

A diganostic catheter that detects a sequence of electrical activity that spans the entire length of the catheter

44
Q

Internal jugular (IJ) vein

A

A blood vessel located at the root of the neck, commonly used for superior access to the heart

45
Q

Subclavian vein

A

A blood vessel located under the clavicle, commonly used for superior access to the heart

46
Q

Antecubital vein

A

A blood vessel located in the arm (running up the lateral side from the hand to the shoulder), commonly used for superior access to the heart

47
Q

Brachial vein

A

A blood vessel located in the arm (running from the elbow to the shoulder), commonly used for superior access to the heart

48
Q

Right femoral vein (RFV)

A

A blood vessel located in the upper thigh and pelvic region, one of the most common access sites for inserting catheters

49
Q

Right femoral artery (RFA)

A

A blood vessel located in the upper thigh and pelvic region, a low-pressure area and under bone commonly used for access to the heart

50
Q

Left femoral vein (LFV)

A

A blood vessel located in the upper thigh and pelvic region, one of the most common access sites for inserting catheters

51
Q

Left femoral artery (LFA)

A

A blood vessel located in the upper thigh and pelvic region, commonly used for access to the heart

52
Q

Sheath

A

A hollow structure with a one-way valve, inserted into the patient’s blood vessel to assist with catheter insertion

53
Q

French

A

The unit of measurement for catheters and sheaths; 1 Fr = 0.33 mm

54
Q

Seldinger Technique

A

The most common technique for inserting catheters, which involves inserting a large-gauge needle into a vein, inserting a guidewire through the needle, and replacing the needle with a sheath and dilator

Foundations - Week 1 (3 decks)

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