Electrocardiogram Flashcards

1
Q

What is the first event you can see on the EKG?

A

Atrial activation (depolarization) which is resembled by the P wave.

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2
Q

What is the second event you can see on the EKG?

A

The onset of the QRS complex.

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3
Q

What does the T wave represent on the EKG?

A

ventricular repolarization, but still shows upward deflection.

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4
Q

What does the QRS complex represent?

A

It represents the impulse from the AV node through the ventricles = ventricular contraction = Systole

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5
Q

What does the S-T segment represent?

A

It is the interval when ventricles are contraction, it correlates w/ plateau phase of the myocyte AP.

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6
Q

How are abnormal sinus rhythms calculated?

A

by looking at the R-R interval.

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7
Q

What HR is considered to be Tachycardia?

A

anything >100 BPM

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8
Q

What HR is considered to be Bradycardia?

A

anything <60 BPM

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9
Q

Does HR increase more during inhalation or exhalation?

A

Inhalation

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10
Q

How is AV block identified?

A

By looking at the P-R interval.

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11
Q

What are causes of AV block?

A
  1. Ischemia of A-V bundle
  2. Compression or Inflammation of A-V bundle
  3. Extreme vagal stimulation.
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12
Q

What happens during a “dropped” beat?

A

The atria empty but the ventricles fail to contract.

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13
Q

What results if a ectopic pacemaker is present?

A

It results in a premature atrial or ventricular contraction.

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14
Q

What is characteristic of a premature atrial contraction?

A

a premature P wave is seen which indicates the ectopic foci near the AV node, also causes a compensatory pause which discharges SA node.

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15
Q

What happens when the AV node becomes a ectopic pacemaker?

A

It creates a premature ventricular contraction because its sending the signal to the ventricles without propagating through the atria. (you get a absence of P wave)

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16
Q

What is ventricular fibrillation?

A

Complete asynchrony of ventricles, which does not allow them to coordinate a normal contraction.

17
Q

How do you correct ventricular fibrillation?

A

With Defibrillation (completely shocks the heart and allows for everything to depolarize “reset”)

18
Q

What are causes of ventricular fibrillation?

A

sudden electric shock

Ischemia

19
Q

What is Atrial Fibrillation?

A

The ventricular filling time is compromised, and does not allow for a proper contraction. Can live with AFib.

20
Q

What causes Atrial Fibrillation?

A

It is caused by many ectopic foci.

21
Q

What is Atrial Flutter?

A

It can be asymptomatic or patient can experience palpitations. Usually can physically feel heart beating.

22
Q

True or False: Atrial Fibrillation and Atrial Flutter are the same thing.

A

False