lecture 11 rhythm of the heart Flashcards

1
Q

where does the electrical system start

A

SAN

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2
Q

what is the SAN influenced by

A

sympathetic and parasympathetic

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3
Q

after SAN

A

AVN

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4
Q

what happens at the AVN

A

electrical impulses paused

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5
Q

after AVN

A

purkinje

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6
Q

where do you see slow AVN conduction on ECG

A

P-R

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7
Q

bradycardia

A

less than 60bpm

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8
Q

tachycardia

A

more than 100 bpm

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9
Q

parasympathetic affact

A

slows

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10
Q

sympathetic effect

A

speeds up

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11
Q

very fit people heart rate

A

high vagal tone
active parasympathetic
low heart rate

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12
Q

brady cardia, normal QRS distance and P wave

A

sinus bradycardia

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13
Q

no P wave normal QRS distance bradycardia

A

heart block

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14
Q

bradycardia, normal QRS, normal P wave, long PR

A

first degree heart blcok

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15
Q

why might you have first degree heart block

A

old

beta blockers

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16
Q

non regular QRS, bradycardia, P waves

A

second degree heart block

17
Q

more P waves than QRS bradycardia

A

2:1 heart block

18
Q

no relationship between QRS and P wave

A

complete heart block

19
Q

what happens in complete heart block to the ventricles

A

contract at their own intrinsic rhythm

20
Q

why might someone have bradycardia

A

hypothyroid
young
drugs

21
Q

someone who is unwell with bradycardia treatment

A

atropine

22
Q

what does atropine do

A

speeds the AVN

23
Q

BBB usually benign

A

right BBB

24
Q

LBBB is a problem with

A

left vetricle

25
Q

regular narrow QRS tachycardia

A

SVT

26
Q

regular QRS tachycardia

A

VT

27
Q

how do you distiguish between SVT and VT

A

inject ademnosine (blocks AVN)

28
Q

ventricular fibrillation patient

A

unconscious

no pulse

29
Q

why does AVN not always conduct SAN

A

usually in refractory

30
Q

Torsades de pointes caused by

A

class 1 antiarrhythmics

31
Q

treatment of Torsades de pointes

A

inject magnesium

32
Q

what could you try and treat SVT

A

vagotonic manouvres

33
Q

vagotonic manouvres

A

cold water
blowing through small tube
pressing on the carotid to stimulate the AVN

34
Q

treatment for VT

A

amioderone IV

cardioversion

35
Q

atrial fibrilation and stroke

A

bad flow in the atria

leeds to clots

36
Q

treatment for AF

A

beta blockers

warfarin

37
Q

atrial flutter treatment

A

beta blockers

warfarin