Lab 9 Flashcards

1
Q

? are striated and joined to adjacent cells by ? that appear as dark staining lines (?) when viewed with a light microscope.

A
  • Myocardial cells
  • gap junctions
  • intercalated discs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Since the myocardial cells are electrically coupled, the mass of myocardial cells joined together by the intercalated discs acts as one unit, a ? known as a ?.

A
  • functional syncytium

- myocardium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

In a normal heart, (1) cells in the (2) initiate action potentials that allow the heart to beat. This (3) or (4) rhythm is brought about without nervous system input, but can be modified by the ANS or by increased venous return to the heart chambers.

A
  1. autorhythmic
  2. sinoatrial (SA) node
  3. automatic
  4. intrinsic
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The autorhythmic cells initiate (1) that allow the myocardium to function as a unit. The cells have an (2), causing them to (3) to threshold.

A
  1. action potentials
  2. unstable resting membrane potential
  3. spontaneously depolarize (pacemaker potential)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The spontaneous depolarization to threshold is caused by channels (?) that open in response to a hyperpolarization or an increase in cyclic nucleotide second messengers.

A

HCN, hyperpolarization cyclic nucleotide channels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The ? involve a slow influx of Ca2+ which will trigger the excitation contraction coupling events for cardiac muscle to contract.

A

myocardial action potentials

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The ? of the heart consists of ? that distribute impulses in a coordinated fashion so that the atrial and ventricular contractions are controlled.

A
  • intrinsic conduction system

- nodal tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

nodal tissues include

A

the SA node, three internodal tracts, the atrioventricular (AV) node, the atrioventricular
bundle (AV bundle or bundle of His), right and left bundle branches, and Purkinje fibers.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The SA node is the ? of the heart, discharging at about 70-80 times per minute; the characteristic rhythm of the heart is thus called ?.

A
  • primary pacemaker

- sinus rhythm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The AV node (?, 40-60 beats per minute) will become the primary pacemaker should something happen to the SA node.

A

secondary pacemaker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The junction between the atria and the ventricles is associated with an interval between atrial and ventricular activity (?).

A

A-V delay

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

junctional fibers propagate excitation at velocities as low as 5 cm/sec. This slow propagation accounts for the interval of “A-V delay”, but is important in allowing the atria to contract fully (?) before the ventricles contract.

A

atrial systole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

The Purkinje fibers are also capable of their own intrinsic pacemaker rhythms
(?, 30-40 discharges per minute).

A

tertiary pacemakers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Ventricular contraction (?) immediately follows the depolarization of the ventricles.

A

ventricular systole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

? of the myocardium signifies the relaxation of the heart muscle and is termed ?.

A
  • Repolarization

- diastole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

continual cycling of the electrical conduction (and thus systolic contractions followed by diastolic relaxation) is termed the ?.

A

cardiac cycle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

A ventricular rate that is slower than 60 beats per minute is referred to as ?.

A

bradycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

A ventricular rate that is faster than 100 beats per minute is termed ?.

A

tachycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

a graphic recording of the electrical currents generated by the cardiac cycle.

A

electrocardiogram (ECG or EKG)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

During a cardiac cycle, three distinct waves can be seen on the ECG:

A

the P wave, the QRS complex, and the T

wave.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

represents the depolarization of the atria.

A

The P wave

22
Q

represents depolarization of the ventricles.

A

The QRS complex (0.08 sec)

23
Q

represents repolarization of the ventricles.

A

The T wave

24
Q

Critical measurements in an electrocardiogram are

A
  • the P-R interval
  • the S-T segment
  • the Q-T interval
25
less than 0.2 sec, represents atrial depolarization and systole as well as depolarization throughout the rest of the system
the P-R interval
26
the plateau of the action potential when all of the myocardium is depolarized
the S-T segment
27
0.31-0.43 seconds, the period from ventricular depolarization through ventricular repolarization
the Q-T interval
28
can be positioned at various locations on the body to record the ECG.
Recording electrodes (leads)
29
record the voltage difference between electrodes on the wrists and legs in ECG
Bipolar limb leads
30
records electrical potentials between the right arm and left arm in ECG
Lead I
31
records right arm to left leg in ECG
Lead II
32
records left arm to left leg in ECG
Lead III
33
serves as the ground in ECG
right leg
34
exploratory electrodes that use a built in ground in the electrocardiograph machine.
Unipolar leads
35
The unipolar limb leads are the ? (right arm), ? (left arm), and ? (left leg) in ECG.
AVR, AVL, AVF
36
The ? are numbered V1-V6 and begin at the midline of the chest (4th intercostal space) to the right of the sternum in ECG
unipolar chest leads
37
a total of ? that are used to monitor the electrical | activity of the heart from different perspectives.
12 standard ECG leads
38
? are caused by irregular heart rhythms called ?. They can occur when there is a defect in the intrinsic conduction system.
- Abnormal ECG patterns | - arrhythmias
39
At times, abnormal beats develop in the myocardia as a result of the formation of an ?. In the atria, this develops in addition to the SA node, and can lead to atrial flutter or fibrillation.
ectopic pacemaker
40
characterized by rapid atrial waves (sawtooth appearance), with the AV node beating to every third or fourth wave it receives.
Atrial flutter
41
characterized by an absence of P waves that are replaced by a wavy baseline.
Atrial fibrillation
42
Ectopic foci in the ventricles result in a rapid discharge called ?. With this, the ECG will show a widened and distorted QRS complex that obscures the P waves.
ventricular tachycardia
43
the most serious arrhythmia. It results in uncontrolled contractions which do not allow the ventricles to adequately pump blood. No definable waves are seen.
Ventricular fibrillation
44
Electrically shocking the heart depolarizes the entire myocardium, hopefully allowing the natural sinus rhythm to be restored by the SA node. This technique is called ?.
defibrillation
45
At times, ectopic foci appear when the heart is functioning normally. Impulses are generated even more quickly than the normal sinus rhythm of the SA node. These ? result in ?.
- premature ventricular contractions (PVCs) | - extrasystoles
46
extra contractions of the ventricles, a QRS complex | without a preceeding P wave
extrasystoles
47
There are also times when delays occur between the atria and ventricles. These are known as ?, and they interfere with pacing signals to the ventricles.
AV blocks
48
In a ?, the ECG looks normal but the P-R interval is greater than 0.20 seconds.
first degree AV block
49
In a ?, two or more P waves are seen before a QRS complex is recorded. This looks like a “dropped” beat on the ECG recording.
second degree AV block
50
? or ? occurs when no signals from the atria reach the ventricles. The P wave is normal but not related to the QRS. The ventricles are freed from the SA node and ectopic pacemakers appear in the ventricles. The rhythm is slowed to 20-40 beats per minute.
- Third degree AV block | - complete AV block