Electocardiogram (ECG) Flashcards

1
Q

Electrocardiogram

ECG or EKG

A

Graphic representation of the electrical activity that passes through the heart

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2
Q

What level does the electrical activity of the heart begin?

A

The electrical activity of the heart begins at the cellular level. Then follows the conductive pathway, bringing about the cardiac cycle which results in the heart pumping blood throughout the body.

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3
Q

Cardiac Polarity

A

Electrical status of cardiac muscle cells

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4
Q

Polarization

A

Resting cardiac muscle cells

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5
Q

Depolarization

A

Charged and contracting cardiac muscle cells

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6
Q

Repolarization

A

Recovering cardiac muscle cells and returning to equilibrium

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7
Q

What is the cardiac cycle?

A

The pumping of the heart in rhythmic cycle of contraction and relaxation.

(“Lub-dub” sound)

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8
Q

Adult heart rate

A

60-100 Bpm

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9
Q

ECG complex is what?

A

A full cardiac electrical cycle represented by PQRST waves working together as a complex

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10
Q

P wave is…

A

And upward curve resenting atrial contraction used to measure the arterial rate

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11
Q

Q wave is…

A

A downward deflection after the P wave

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12
Q

R wave is…

A

A large upward spike after the Q wave

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13
Q

S wave is…

A

A downward deflection after the R wave

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14
Q

T wave is…

A

And upward curve after the S wave. Representing the repolarization and resting of the ventricle

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15
Q

U wave is …

A

A small upward curve sometimes following the T wave. Representing slow repolarization a return to resting

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16
Q

What is the QRS complex?

A

The QRS waves representing contraction of the ventricles

17
Q

What is the PR interval?

A

The P-wave in the line connecting it to the QRS complex. Representing the time the electrical impulse travels from the sinoatrial (SA) node to the atrioventricular (AV) node.

18
Q

What is the QT interval?

A

The QRST waves were presenting a full cardiac electrical cycle

19
Q

What is the ST segment?

A

A slight upward line connecting the QRS waves to the T wave and representing the time between contraction of the ventricles and relaxation or recovery

20
Q

4 types of ECG’s:

A

1) Single-lead
2) 12 lead
3) Telemetry
4) Interpretive

21
Q

What is a single lead ECG?

A

Info recorded from one view of the heart.

22
Q

What’s a 12 lead ECG?

A

Info recorded from 10 electrodes.

Representing 12 views of the ❤️from 12 angles.

23
Q

What is a telemetry ECG?

A

A single lead or 12 lead transmitted by radio, electronic or telephone waves to another site for monitoring or reading

24
Q

Interpretive ECG is a…

A

Computerized ECG programed to analyze data & produce a printed interpretation.

25
Q

Placement of electrodes

10 sensors

A

•Chest electrodes (6)
{V1-V6}

•Limb electrodes (4)
{RA & RL}
{LA & LL}

26
Q

Which limb electrode is the ground on an ECG?

A

RL - Right Leg

27
Q

V1 placement

A

4th intercostal space @ right margin of sternum.

28
Q

V2 placement

A

4th intercostal space @ left margin of the sternum.

29
Q

V3 placement

A

Midway between V2 & V4

30
Q

V4 placement

A

5th intercostal space @ left midclavicular line

31
Q

V5 placement

A

Placed midway between V4 & V6

32
Q

V6 placement

A

5th intercostal space @ the left midaxillary line.