EKG Flashcards

1
Q

atrial depolarization

A

P wave

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2
Q

conduction through AV node

A

PR segment

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3
Q

ventricular depolarization (atrial repolarization hidden)

A

QRS complex

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4
Q

ventricular repolarization (absolute refractory)

A

ST segment

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5
Q

ventricular repolarization (relative refractory period)

A

T wave

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6
Q

heart primary pacemaker

A

SA node

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7
Q

MOST COMMON ARE

A

PVC

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8
Q

conduction starts in SA
follows path through atria
hits AV junction (AV NODE)
follows path through bundle branches
and through ventricles

A
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9
Q

ectopic beat oustide atria
doesn’t affect cardiac output, ok to exercise

A

PACS

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10
Q

ectopic beat originate in ventricle
(delay or miss contraction)
(side effect to caffeine/ nicotine)
ok to exercise w no side effects

if it’s increases- sign of MI

A

PVCs

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11
Q

clench fist over sternum

A

Leviene sign

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12
Q

angina- pain from ischemia, is reversible, shows up as ST depress

A
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13
Q

lack of oxygen to myocardium
muscle damage is irreversible
(take aspirin/ nitroglycerin)

ischemic wound takes 4-6 wks to heal
(low level but no aerobic)

A

MI

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14
Q

avoid HR greater than 15, can exercise
“irregularly irregular”
take 1 min for HR
1/3 cardiac arrhythmia
1/5 every stroke

*clots in atria, take blood thinners
risk MI PE & stroke

A

A fib

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15
Q

HR above 150
may/ may not have pulse

A

Ventricular tachycardia
Vtach

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16
Q

ventricles don’t contract they quiever/ fibrilate
no effective contraction
PULSELESSNESS/ APENIC

reversed with treatment
CPR- AED

A

V fib

17
Q

any rhythm but V fib or V tach
no palpable pulse

PEA- CPR

NO AED

A

pulselessness electrical activity

18
Q

absence of activity
Pulselessness and apenic
NO AED

GET BACK TO A FIB OR V FIB

A

asystole

19
Q

insertion of radiopaque dye to help
determine lesions or blockage or
arteries

A

Angiogram

20
Q

insertion of catheter into artery
(femoral or radial)
• Follow arteries up to the aorta
• Place catheter tip into coronary
arteries
• Inject dye to inspect vasculature

A

coronary angiogram/ heart cath

21
Q

ultrasound to assess wall motion integrity, valvular status, wall thickness, chamber size LV function

A

echocardiogram

22
Q

Swan Ganz into right side of heart
• Inserted if unable to use cath
•patient able to exercise in bed/ chair

A

Central line

23
Q

ST depression is

A

angina

24
Q

regular/ irregular look at

A

QRS