Arrhythmia Flashcards

1
Q

Arryhtmia

A

abnormalties in HR

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2
Q

causes of arrythmia

A

impulse generation, impulse conduction

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3
Q

impulse generation types

A

triggered, abnormal automaticity

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4
Q

impulse conduction types

A

re-entry circuits, heart block

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5
Q

classification based on

A

effect on HR, site of origin

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6
Q

normal pacemaker

A

SAN

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7
Q

tachyarrhythmia

A

increase HR

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8
Q

bradyarrhythmia

A

decrease HR

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9
Q

Abnormal automaticity

A

SAN overriden by abnormal pacemaker activity in myocardium

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10
Q

causes of abnormal A

A

ischaemia, hypokalaemia, catecholamine

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11
Q

triggered automaticity

A

extra depol during non-nodal AP, EAD end of phase 2/phase 4 DAD

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12
Q

triggered A causes

A

excessive net inward depol current, Ca accumulation in cell

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13
Q

Triggered A in response to:

A

cardiac glycosides, phosphodiesterase type III inhibitor, catecholamines, hypercalcaemia, ischaemia, class 1A+III AA drugs

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14
Q

re-entry circuits

A

re-excitation of myocardium by arrival or re-entry of delayed impulse

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15
Q

re-entry circuit requirements

A

control inexcitable region, zone of slowed conduction, zone of unidirectional block

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16
Q

what is an effective barrier to re-entrant impulse

A

absolute refractory period

17
Q

Heart block

A

partial/complete failure of conduction by AVN of impulses from SAN to ventricles

18
Q

Heart block 3rd degree

A

complete (no conduction)

19
Q

HB-2nd degree

A

fraction of impulse conducted

20
Q

HB-1st degree

A

abnormally slow (PR interval increase on ECG)