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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
C-suite
The group of people in a hospital responsible for making big decisions for big money
26
Fluoroscopy
A type of medical imaging that shows a continuous x-ray image on a monitor
27
3-D mapping system
A system that creates a 3-D anatomical map using a hybrid of current ratio and magnetic technology
28
Recording system
A system that displays and records the heart rhythms and vital signs during the procedure
29
Cardiac stimulator
A device that delivers electrical stimulation to the heart for pacing
30
Pacing
Delivering electrical stimulation to the heart in order to see how it responds in order to help diagnose an arrhythmia
31
RF Generator
A device that generates radiofrequency energy to the catheter for ablation and monitors the temperature of the catheter tip
32
Robotic/magnetic system
An optional way to use robotics to manipulate a catheter for an EP study
33
Defibrillation patch
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
Grounding pad
A patch placed on a patient in an EP study; it completes the circuit for RF ablation energy
35
Mapping system patches
A set of patches placed on a patient in an EP study; they detect current ratio technology for CARTO
36
12-lead ECG patches
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
Electrode catheter
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
Distal end of a catheter
The tip of the catheter that is inserted into the patient's body
39
Proximal end of a catheter
The end of the catheter that is not inserted into the patient's body
40
Diagnostic catheter
A catheter used for confirming suspected heart arrhythmias
41
Therapeutic catheter
A catheter that transmits radiofrequency (RF) current to the catheter tip electrode for ablating tissue
42
4-pole catheter
A diagnostic catheter that detects when an electrical event occurs
43
Multiple-pole catheter
A diganostic catheter that detects a sequence of electrical activity that spans the entire length of the catheter
44
Internal jugular (IJ) vein
A blood vessel located at the root of the neck, commonly used for superior access to the heart
45
Subclavian vein
A blood vessel located under the clavicle, commonly used for superior access to the heart
46
Antecubital vein
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
Brachial vein
A blood vessel located in the arm (running from the elbow to the shoulder), commonly used for superior access to the heart
48
Right femoral vein (RFV)
A blood vessel located in the upper thigh and pelvic region, one of the most common access sites for inserting catheters
49
Right femoral artery (RFA)
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
Left femoral vein (LFV)
A blood vessel located in the upper thigh and pelvic region, one of the most common access sites for inserting catheters
51
Left femoral artery (LFA)
A blood vessel located in the upper thigh and pelvic region, commonly used for access to the heart
52
Sheath
A hollow structure with a one-way valve, inserted into the patient’s blood vessel to assist with catheter insertion
53
French
The unit of measurement for catheters and sheaths; 1 Fr = 0.33 mm
54
Seldinger Technique
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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