COMPONENTS OF THE NORMAL ELECTROCARDIOGRAM Flashcards

1
Q

atrial depolarization wave

A

P wave

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2
Q

ventricular depolarization wave

A

QRS complex

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3
Q

ventricular repolarization wave

A

T wave

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4
Q

EKG Leads

A

Leads are electrodes which measure the difference in electrical potential between either bipolar or unipolar

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5
Q

HR = 300 ÷ # heavy lines between 2 QRS’s

A

Calculation for HR on EKG

ex:
(300/6 boxes)= 50 BMP

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6
Q

Depolarization moving toward a positive electrode produces a ______ deflection

A

positive

and vice versa

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7
Q
QRS will be upright (+) in \_\_\_\_\_\_ leads
And downward (-) in right-sided leads
A

left and lateral

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8
Q

Leads: Two different points on the body

A

bipolar leads

std limb leads I, II, III

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9
Q

Leads: One point on the body and a virtual reference point with zero electrical potential, located in the center of the heart

A

unipolar leads

V1-V6
aVR
aVL
aVF

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10
Q
QRS will be upright (+) in left and lateral leads
And downward (-) in \_\_\_\_\_\_\_\_
A

right-sided leads

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11
Q

Ischemia occurs when blood supply is insufficient to meet:

A

oxygen demand in the ventricles

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12
Q

Ischemia due to sudden high oxygen demand (under stress) in the presence of fixed coronary obstruction causes:

A

depression of the ST segment

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13
Q

Ischemia due to acute coronary artery obstruction (at rest) during low oxygen demand causes:

A

T wave inversion

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14
Q

ST elevation is a sign of

A

TRANSMURAL CURRENT OF INJURY
Can be Tissue damage MI
Is reversible

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15
Q
1- PEAKED  T-WAVE
2- T-WAVE INVERSION
3- ST ELEVATION
or
Q-WAVE
ST-ELEVATION
T-INVERSION

Caused by?

A

EVOLVING TRANSMURAL MYOCARDIAL INFARCT

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16
Q

MYOCARDIAL INFARCT

Transmural vs Subendocardial

A

Subendocardial:
ST depression
no Q wave

Transmural:
ST elevation
with Q waves

17
Q

PROLONGED QT INTERVAL

Causes:

A

Hypocalcemia, hypokalemia, hypomagnesemia
Class 1A or 3 anti-arrhythmic drugs
Hypothermia
Congenital Long QT syndrome

18
Q

The QT interval is more than half the RR interval says________

A

PROLONGED QT INTERVAL

19
Q

Hypercalcemia causes on ECG

A

Shortened QT

20
Q

Hypocalcemia causes on ECG

A

Prolonged QT