EKG lecture Flashcards
Diagnostic tool → ElectroKardioGram (EKG)
_________ : record of action potentials (conduction through the
body fluids – recording the change in potential
EKG
EKG : represents hearts ______________ activity
electrical
Electrical activity → Myocardial ____________
contraction
Contraction → _______________(ions moving into the
myocardial cells)
Inside of the cell becomes positive
depolarization
Relaxation → _____________ (ions moving out of the
myocardial cells)
Inside of the cell becomes negative
repolarization
A ____________ consists of a positive and a negative electrode, which
detects the flow of electrical current between two electrodes
lead
A lead views the heart’s electrical activity from the position
of the positive electrode as it looks toward the direction of
the negative electrode
P wave represents atrial ____________
depolarization
PR segment- AV node into the His-Purkinje system
PR interval = P wave + PR segment
QRS complex- ventricular ___________
depolarization
ST segment- the early phase of ventricular repolarization
T wave- ventricular repolarization
QT interval = QRS complex + T wave
QTc calculates in the influence of HR on the QT interval
QTc = QT interval /√ of R to R interval
U wave- Purkinje fiber repolarization
Rate measurement
Normal range : 60-100bpm
Rate measurement
(Six-second method)
For the atrial rate- multiply the number of P waves times 10
For the ventricular rate- multiply the number of QRS complexes times 10
An________________rhythm
R-R intervals are not the same and there is no repeating pattern of irregularity
irregularly irregular
A __________________ rhythm R-R intervals are not the same, but there is a repeating pattern of irregularity
regularly irregular
__________ rate more than 100 beats/min
Tachycardia
___________- rate < 50 beats/min
Bradycardia
Normal sinus rhythm (NSR)
Rhythm- regular
Rate- 60-100 beats/min
Sinus bradycardia
Rhythm- regular
Rate- < 50 beats/min
Sinus tachycardia
Rhythm- regular
Rate- 101-180 beats/min
P wave- uniform in appearance
Atrial Flutter
P wave- replaced with saw-toothed “flutter” waves
Ventricular FLUTTER
Rhythm- atrial irregular, ventricular irregular
Typically rate is at 250-350 beats/min
Sine wave appearance
Atrial Fibrillation