EKG--Nordgren Flashcards

1
Q

Feature of echo that allows measurement of flow

A

doppler

determines flow speed and direction by determining if blood is moving toward or away form probe

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2
Q

Importance of end systolic volume-pressure relationship

A

measurement of cardiac contractility

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3
Q

What increases cardiac contractility and therefore the end systolic pressure-volume relationship?

A

vasoconstrictors

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4
Q

What decreases cardiac contractility and therefore the end systolic pressure-volume relationship?

A

heart disease

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5
Q

Fick principle

calculates amount of substance being added/removed from circulation at capillary bed

A

Q= Xtc/(Xa-Xv)

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6
Q

Cardiac index

A

corrects CO for patient size

uses surface are, not mass

use chart, mark lines where they cross

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7
Q

A large EKG box is how much time?

A

0.2 sec

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8
Q

Einthoven’s triangle

A

EKG measures difference between these leads

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9
Q

What determines how big the spike is on the EKG from any given heart activity?

A

net dipole in direction of detection

larger magnitude and correct direction

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10
Q

Positive inflection on EKG means

A

charge traveling to like electrode

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11
Q

Foot electrode charge

A

positive

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12
Q

Left wrist electrode charge

A

+ and -

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13
Q

Right wrist electrode charge

A

-

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14
Q

The last ventricular cells to depolarize…

A

are the first to repolarize

this explains why R wave and T wave are positive inflections

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15
Q

Mean electrical axis

A

orientation of cardiac dipole during most intense phase

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16
Q

Normal mean electrical axis

A

-30˚ to 90˚

17
Q

Two methods of determining mean electrical axis

A
  1. follow lead w/ largest R dipole on graph above (if negative inflection, go 180˚)
  2. find equiphasic lead, pick lead 90˚ and look at tracing. If +, then on axis, if -, then 180˚
18
Q

6 lead EKG

A

records 2D frontal plane activity of heart

records 3D transverse plane of heart