EKG I Flashcards
Myocytes
cardiac cells, electrically polarized at rest
Polarity
is maintaned by membrane pumps necessary to keep the inside of the cells electronegatave
which pump maintains membrane electrical polarity
sodium/potassium
Ratio of Na to K
3 Na outside for every 2 K inside
What is needed to keep cell polarized
ATP
pacemaker cells
electrical power source of the heart
electrical conducting
the hard wiring of the heart
myocardial cells
the contractile machinery of the heart
what determines rate of depolarization
innate electrical characteristcs of the cell and the external neurohormonal input
action potential
a record of one elecrical cycle of depolarization & repolarization from a single cell
sinus node
dominant pacemaker of the heart, located in the RA, rate 60-100 BP, altered by Autonomic NS
Automaticity
all hearts cells posses ability to behave as a pacemaker.
intrinsic pacing SA node
60-100
intrinsic pacing atrial foci
60-75
junctional foci AV
40-60
Ventricular foci (his bundle, etc.)
30-40
horizontal small square distance in time
.04 sec
horizontal large square distance in time
.2 sec
vertical small square voltage
.1mV
vertical large square voltage
.5mV
P Wave
atrial depolarization
3 parts of ventricular conduction
1-bundle of Hi, 2-Bundle Branches, 3-Terminal Purkinje fibers
Q wave
1st downard deflection
R wave
1st upward deflection
R prime
a second upward upward deflection
S wave
1st downard deflection following an R wave
QS wave
entire configuration consits solely of one downward deflection
Repolarization
restoration of electronegative state
T wave
represents the wave ventricular repolarization
PR Interval
from p wave to the start of QRS
ST Segment
from the end of the QRS complex to the beginning of the T wave
QT interval
includes the QRS complex, ST segment, and the T wave
positive deflection
a wave of depolarization towards a positive electrode
negative deflection
a wave of depolarization away from a positive electrode
biphasic wave
a depolarizing wave moving perpendicular to a postive electrode
deflections are reversed in repolarization
toward positive (negative deflection), perpendicular (negative precedes positive)
lead I
right arm (-) left arm (+)
lead II
right arm (-) legs (+)
Lead III
left arm (-) legs (+)
AVL
left arm (+) other limbs (-)
AVR
right arm (+) other limbs (-)
AVF
legs (+) arms (-)
Anterior view of the heart
V2, V3, V4
Left Lateral view of the heart
I, aVL, V5, V6
Inferior view of the heart
II, III, aVF
right ventricular
aVR, V1
average movement
vector
PR interval
0.12-0.2 sec
Delay in AV node significance
allows ventricles to fill
Q wave _mV
.1mV
Q waves after inferior MI
strong negative Q wave.
QRS average vector
0-90 degrees
QRS Positive deflections
left lateral and inferior
QRS duration
.06-1 sec
> _mmhg in ST segment represents pathologic process
1mmhg
QT represents _% of cardiac cycle
40 %