Anatomy of the heart and EKG interpretation Flashcards

(33 cards)

1
Q

Bundle branches

A

Split electrical impulse down the right and left side

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2
Q

Purkinje fibers

A

Electrical pathway for each cardiac cell

Impulse activates ventricles simultaneously

Produce an electrical wave

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3
Q

P wave

A

First positive deflection Occurs when atria depolarize

atrial contraction

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4
Q

Q wave

A
  • Represent conduction of impulse down the inter ventricular septum
  • First negative deflection before R wave
  • Not always visualized on the ECG
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5
Q

R wave

A
  • First positive wave of the QRS complex
  • Rep. Conduction of electrical impulse to the left ventricle
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6
Q

S wave

A

First negative deflection after R wave

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7
Q

QRS complex

A

Complete ventricle depolarization

atrial repolarization occurs (not seen)

0.06 - 0.1 seconds

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8
Q

ST segment

A

End of the S wave to the beginning of T wave

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9
Q

Myocardial damage

A

Elevated ST segment

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10
Q

Isoelectric line

A

Baseline

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11
Q

Ischemia

A

Reduced oxygen to the heart

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12
Q

T wave

A

Ventricular repolarization Positive

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13
Q

U wave

A

Not on all EKGs

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14
Q

PR interval

A

measured beginning of P wave (atrial depol) to beginning of QRS (ventr. depol)

.12-.20 seconds

how long it takes the ventricles to contract

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15
Q

QT interval

A

Time required for ventricular depolarization and repolarization

starts at the beginning of QRS complex and ends at the end of T

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16
Q

J point

A

Indicator of where the ST-Segment begins

End of QRS complex

17
Q

1 square on the paper is equilvelent to ______ seconds

A

.04mm or (40 ms)

18
Q

Calculating heart rate

A
  • 6-second method
  • 300 method
  • 1500 method
19
Q

6-second method

A

best for irregular

not as accurate

20
Q

300 method

A

300, 150, 100, 75, 60, 50, 43. 37, 33

21
Q

Describe the 1500 method.

A
  1. Count the number of small boxes between two R
  2. divide 1500 by that number
22
Q

What is Sinus Bradycardia?
Where does it originate from?

A

Originating from the SA node with a heart rate of less than 60 BPM.

This rate may or not affect cardiac output.

23
Q

What is sinus tachycardia?

Where does it originate from?

A

Sinus tachycardia originates from the SA node with a heart rate above 100 BPM.

24
Q

Define

Informed consent

A

A process for getting permission before conducting a healthcare intervention on a person, or for disclosing personal information.

25
Which leads are considered augmented leads and unipolar? Why are they called augmented?
aVR aVL aVF tracings are increased in size
26
Describe the aVF lead and its vector.
Positive deflection measures in the direction of left foot ![]()
27
What is the normal speed for an ECG
25mm/sec
28
What is the normal artifact filter for an EKG?
normal setting between 40 - 150 Hz
29
How many electrodes in a 12 lead ECG ?
10
30
What is being measured on the horizontal axis of an EKG reading?
time (seconds)
31
What is being measure on the vertical axis?
Myocardial Voltage (millivolts)
32
What is the measurement of one large box?
5mm x 5mm
33
Systole
Contracts creating pressure that opens the valves * right ventricle flows to lungs * left ventricle to aorta to body ![]()