Electrocardiogram waveforms Flashcards
Principle Wave forms
P wave, QRS complex, T wave
The principle segments
PR segment, and the ST segment
The intervals
PR interval, QRS interval, and the QT interval
What does the P wave represent?
corresponds to atrial depolarization produced by the propagation of the impulse from the SA node, through the atria
-atrial contraction takes place milliseconds after depolarization
What does the PR interval indicate
the PR interval from the beginning of the P wave to the beginning of the QRS complex reflects the time required for atrial depolarization and the delay of the impulse at the AV node
What does the PR segment indicate?
the PR segment, the time immediately following the p wave to the beginning of the QRS complex, reflects the delay at the AV node
What does the QRS complex indicate?
corresponds to ventricular depolarization
- ventricular contraction occurs after the QRS complex in the ST segment
- atrial repolarization also occurs during ventricular contraction, that waveform is not visible but buried in the QRS complex
What does the T wave indicate?
corresponds to ventricular repolarization
What does the QT interval reflect?
reflects the time required for ventricular depolarization and repolarization
Depolarization
movement of ions preceding and facilitating cardiac mechanical contraction
Repolarization
movement of ions back to the resting state, the cardiac resting membrane potential of -90mV, to allow for the initiation of another action potential
Cardiac Action Potential
a process in which the membrane potential, the difference in charge between the inferior and exterior of the cell, changes or goes up and down in a consistent pattern
Absolute refractory period
occurs during and immediately following depolarization
- during this time, the cell is unresponsive to any stimulus
- corresponds to phase 0 through the middle of phase 3
Relative refractory period
immediately following the absolute refractory period, this represents a time when a greater-than normal stimulus may initiate an impulse
- corresponds to the end of phase 3
- medications utilized to control irregular heart rhythms or dysrhythmias typically manipulate the movement of ions in some way