Lecture 16: Physiological Basis of ECG Flashcards

1
Q

The ECG measures ____ potential.

A

Extracellular

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2
Q

Why does the ECG not report a difference between the atria and ventricles?

A

Due to insulation between atria and ventricles

-no current flow

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3
Q

What are the normal charges of the base and apex of the heart?

A

Base: negative
Apex: positive

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4
Q

What is the pathway of depolarization of the heart?

A

SA Node –> atrial muscles –> AV node –> bundle branches –> purkinje fiber –> ventricular muscles

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5
Q

SA nodes cause atria to depolarize in what direction?

A

Right to left

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6
Q

Ventricles depolarize in what direction?

A

Right to left
Base to apex
Interior to exterior

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7
Q

Ventricles repolarize in what direction?

A

Left to right

Base to apex

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8
Q

Where is the u wave seen?

A

After T wave but not normal

-unsure what causes it

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9
Q

When are timed potassium gates opened in ventricles?

A

T wave (phase 3)

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10
Q

When is sodium most permeable?

A

P wave (phase 0)

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11
Q

What is a segment?

A

Duration of single event on ECG

  • P wave
  • QRS complex
  • T wave
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12
Q

What is an interval?

A

Duration of two or more events

  • PR interval
  • QT interval
  • ST interval
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13
Q

How many large boxes make up 1 second on an ECG?

A
5 boxes (horizontal)
-each box is 0.2 seconds
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14
Q

How many large boxes make up 1 mv on an ECG?

A
2 boxes (vertical)
-each box is 0.5 mv
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15
Q

How long is PR interval normally?

A

0.16 ms

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16
Q

How long is QT interval normally?

A

0.35 ms

17
Q

An abnormal QT interval can be caused by what?

A

Abnormal phase 2

-issues with calcium or potassium channels

18
Q

What can be the underlying problem for a longer PR interval?

A

Maybe issue with AV node

19
Q

Where are leads normally placed?

A

Right Arm
Left Arm
Left Leg

20
Q

Which chest/precordial leads tend to be negative and positive?

A

Negative: V1 and V2
Positive: V4-V6

21
Q

Which electrodes look at inferior regions of the heart?

A

II
III
aVF

22
Q

Which electrodes look at the right ventricle of the heart?

A

V1

V2

23
Q

Which electrodes look at anterior regions of the heart?

A

V3

V4

24
Q

Which electrodes look at lateral regions of the heart?

A

V5
V6
I
aVL

25
Q

Which electrodes look at interventricular septum of the heart?

A

V3

V4