Arrythmias Flashcards

1
Q

describe electrical cardioversion for atrial fibrillation

A

electrical cardioversion may be done early in the process to stop the atrial fibrillation and put the heart back into normal sinus rhythm

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2
Q

does electrical cardioversion cure atrial fibrillation

A

no

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3
Q

describe normal sinus rhythm

A

it is the characteristic rhythm of the healthy human heart,

it is the rhythm that originates from the sinus node

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4
Q

what will varying normal sinus rhythm depend on

A

the rate in normal sinus rhythm will vary depending on autonomic inputs into the sinus node

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5
Q

what is first degree heart block

A

it is a disease of the electrical conduction system of the heart, the PR interval is lengthened beyond 0.2 seconds

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6
Q

what is second degree heart block

A

it is a disease of the electrical conduction system of the heart, it is diagnosed when one or more of the atrial impulses fail to conduct to the ventricle due to impaired conduction

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7
Q

what is third degree heart block

A

it is complete heart block
it is a medical condition
the nerve impulse generated in the sinoatrial node in the atrium of the heart does not propagate to the ventricles

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8
Q

what are the causes of atrioventricular block

A

ischaemic heart disease
infective diseases including Lyme disease and Chagas disease

cardiac sarcoidosis

aortic valve disease including endocarditis, calcific aortic stenosis

aortic valve surgery

hyperthyroidism

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9
Q

what is supra-ventricular tachycardia

A

it is an abnormally fast heart rhythm that arises from improper electrical activity in the upper part of the heart

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10
Q

what are the 4 main types of supra ventricular tachycardia

A

atrial fibrillation
paroxysmal supra ventricular tachycardia
atrial flutter
Wolff Parkinson white syndrome

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11
Q

what is Wolff Parkinson white syndrome

A

it is an electrical abnormality in the heart that may be associated with supra ventricular tachycardia i.e. it may be associated with fast heart rate originating above the ventricles

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12
Q

what is ventricular tachycardia

A

it is very fast heart rhythm that begins in the ventricles, it is a type of regular and fast heart rate that arises from improper electrical activity in the ventricles of the heart

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13
Q

what might ventricular tachycardia result in

A

cardiac arrest and turn into ventricular fibrillation

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14
Q

describe ventricular tachycardia

A

it is a pulse of more than 100 beats per minute with at least 3 irregular heartbeats in a row

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15
Q

what is fibrillation

A

it is very rapid irregular contractions of the muscle fibres of the heart

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16
Q

what does fibrillation result in

A

a lack of synchronism between heartbeat and pulse

17
Q

what is sinus tachycardia

A

it is a sinus rhythm with an elevated rate of impulses, it is defined as a rate greater than 100 beats per minute in an average adult

18
Q

what is sinus bradycardia

A

it is a sinus rhythm with a rate that is lower than normal, it is generally defined to be a rate of under 60 beats per minute

19
Q

what is sinus arrest

A

it is a medical condition, the sinoatrial node of the heart transiently ceases to generate electrical impulses that normally stimulate the myocardial tissue to contract and thus the heart to beat

20
Q

what is ectopic rhythm

A

it is an irregular rhythm due to premature heartbeat, the heart experiences an early beat

21
Q

what are 3 other ways ectopic rhythm can be referred to

A

premature atrial contraction
premature ventricular contraction
extrasystole

22
Q

what are atrial ectopic beats

A

atrial ectopic beats are problems in the electrical system of the heart, they are extra heartbeats caused by a signal to the atria from an abnormal electrical focus

23
Q

what are atrial ectopic beats also called

A

atrial premature beats and premature atrial contractions

24
Q

what are ventricular ectopic beats

A

extra heart beats originating from the ventricles, these beats are triggered by the hearts normal function

25
what are ventricular ectopic beats
premature ventricular contractions
26
what is atrial fibrillation
it is a heart condition that causes an irregular and abnormally fast heart rate
27
what are causes of atrial fibrillation
``` high blood pressure heart attacks coronary heart disease abnormal heart valves congenital heart defects an overactive thyroid metabolic imbalance exposure to stimulants ```
28
what are symptoms of atrial fibrillation
often episodes of atrial fibrillation have no symptoms ``` however symptoms could include: palpitations weakness reduced ability to exercise fatigue lightheadedness dizziness confusion shortness of breath ```
29
what are tests to diagnose atrial fibrillation
``` ECG holter monitor event recorder ECHO blood tests stress test CXR ```
30
what are complications of atrial fibrillation
stroke | heart failure
31
how can atrial fibrillation cause a stroke
in atrial fibrillation, the chaotic rhythm may cause blood to pool in your heart's atria and form clots
32
what may doctors use to correct atrial fibrillation
cardioversion to set the heart to sinus rhythm