ECG Flashcards

(46 cards)

1
Q

P-R interval

A

0.12 - 0.20 sec (3 - 5 small squares)

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2
Q

QRS width

A

0.08 - 0.12 sec (2 - 3 small squares)

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3
Q

QT interval

A

0.35-0.43 seconds

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4
Q

Widowmaker:

A

expression describing the complete closure of the left anterior descending (LAD) coronary artery. The LAD is an essential coronary artery and its occlusion can result in immediate death

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5
Q

Sinus node artery supplies:

A

right atrium

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6
Q

Right marginal artery supplies:

A

right ventricle

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7
Q

Posterior descending artery supplies:

A

inferior walls of both ventricles

interior portion of the interventricular septum

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8
Q

Circumflex artery supplies:

A

left atrium
posterior and lateral walls of the left ventricle
anterior and inferior walls of the left ventricle

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9
Q

Left anterior descending artery

A

anterior portion of the interventricular septum

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10
Q

diastole:

A

Phase of the cardiac cycle when myocardium is relaxed

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11
Q

systole

A

Phase of the cardiac cycle when the myocardium contracts

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12
Q

Atrial systole

A

when atria contract

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13
Q

Ventricular systole

A

when ventricles contract

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14
Q

ECG - electrocardiogram

A

graphic recording of electrical events
established electrode pattern results in specific tracing pattern
electrical pattern reveals blood supply problems

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15
Q

ECG records a positive (upward) deflection

A

If an electrode is placed so that wave of depolarization spreads toward the recording electrode

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16
Q

negative (downward) deflection

A

If wave of depolarization spreads away from recording electrode

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17
Q

V1

A

Fourth intercostal space to the right of the sternum

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18
Q

V2

A

Fourth intercostal space to the Left of the sternum

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19
Q

V3:

A

Directly between leads V2 and V4

20
Q

V4:

A

Fifth intercostal space at midclavicular line

21
Q

V5:

A

Level with V4 at left anterior axillary line

22
Q

V6:

A

Level with V5 at left midaxillary line. (Directly under the midpoint of the armpit)

23
Q

Where does Lead I travel?

A

travels’ horizontally

Its left pole (LA) is positive and its right pole (RA) is negative

24
Q

What does Lead I show?

A

Shows a positive wave when an impulse moves towards the left arm, negative wave when an impulse moves away from the left arm

25
P wave:
atrial depolarization
26
PR segment:
delay of conduction from AV node
27
QRS complex:
ventricular depolarization (.06-.10 sec)
28
ST segment:
repolarization begins
29
T Wave:
repolarization
30
Sinus Pause/Block:
SA node fails to initiate impulse, usually only for one cycle RR interval: occasional pauses noted
31
Causes of Sinus Block:
increased parasympathetic activity disease of SA node infection severe ischemia
32
Atrial tachycardia:
3 or more premature atrial complexes in a row | P waves not always present before QRS complex
33
Atrial flutter:
multiple P waves before QRS complex
34
Atrial Fibrillation
no P waves | AV node controls impulse that activates QRS complex
35
Causes of atrial fibrillation
atria does not contract could develop clots CHF, ischemia
36
Junctional (Nodal) Rhythm
AV node takes over as pacemaker of heart | no P wave before QRS complex
37
1st Degree AV block
impulse at SA node delayed on way to AV node | lengthened PR interval
38
2nd Degree AV block Type I (Mobitz I)
prevents conduction of some impulse thru AV node P wave can stand alone lengthening of PR interval
39
2nd Degree AV block Type II (Mobitz II)
no conduction of impulses to ventricles without change to PR interval ratio of P waves to QRS complex greater than 1:1 2-4 P waves for every QRS complex
40
3rd Degree AV Block
all impulses initiated above ventricles; are not conducted to ventricles no relation between P waves and QRS complex
41
Premature Ventricular Complex
impulse originates in ventricles | QRS complex: wide without P wave, followed by compensatory pause
42
Ventricular Tachycardia
3 or more PVCs in a row no P wave QRS wide and bizarre
43
Ventricular Fibrillation
erratic quivering of ventricular muscles resulting in no cardiac output
44
What does T wave inversion mean?
ischemia
45
What does elevated ST segment mean?
ischemia
46
What does depressed ST segment mean?
infarction