Lab 8- Cardiac Anatomy Flashcards
What is the function of intercalated discs?
Type of gap junction
Heart wall
- Epicardium (visceral pericardium)
- Myocardium (muscle)
- Endocardium (facing ventricles)
Describe the position of the valves when the ventricles re relaxed and when they are contracted.
Relaxed- AV valved open, semilunar are closed
Contracted- Semilunar open, AV are closed
Systole
Contraction
-atrial systole happens first
Diastole
relaxation
Cardiac cycle
P wave to P wave
-when the heart goes through full systole and diastole
S1 (lubb)
AV valves closing
S2 (dubb)
Semi lunar valves closing
How much time does one little box represent?
0.04s
Hw much time does one large box (5 little) represent?
0.20s
How many little boxes equal 1 second?
25 little boxes
What voltage is represented by one little box?
.10mV/small box
How many little boxes equal 1mV?
10
What do P waves represent?
Normal duration?
normal amplitude?
Cause of abnormalities?
atrial depolarization
- <0.12s
- 0.05 to 0.25mV
- mitral valve stenosis or pulmonary hypertension
What does the PQ segment represent?
between end of P start of Q
What does PR segment represent?
normal duration?
include a wave, atrial systole and depolarization.
- 0.12 to 0.20s
What does QRS segment represent?
normal duration?
ventricle depolarization
- 0.06 to 0.12s
What does the ST segment represent?
between waves, end of S and start of T, when ventricles are fully contracted.
What do T waves represent?
ventricle repolorization
What does the ST interval represent?
ventricle contraction and repolarization.
What does the Q-T interval represent?
ventricle systole and diastole
Normal sinus rhythm (NSR)
75 bpm
Sinus Tachycardia
> 100 bpm
Sinus Bradycardia
<60 bpm
Artifact occurs when something causes sorption in monitoring.
Some common causes are:
- movement
- muscle tremors
- respiratory movements
- loose electrode
- broken lead wire
What causes atrial fibrillation?
something wrong with SA node
What causes PVC’s?
extra abnormal heart beats that begin in ventricles.
What causes 3rd degree or complete heart block?
Only P waves are working, conductive pathway to ventricles not working.
What is the relationship between the P wave and QRS?
not synchronized
How is 3rd degree block determined on EKG?
A PR interval greater than 20ms
What causes ventricular tachycardia?
stress, drugs, heart disease.
What causes ventricular fibrillation?
CAD (coronary artery disease), high potassium, fibrosis.
What does ST segment elevation indicate?
myocardial infarction
What does an inverted T wave indicate?
coronary ascemia, left ventricle hypertrophy
What do Q waves indicate?
depolarization of intraventricular septum