ECG and Cycle Flashcards

1
Q

P

A

Atrial excitation

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2
Q

QRS

A

ventricle excitation

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3
Q

T

A

End of ventricular excitation

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4
Q

Phase 4

A

Rectifier channels leak K out

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5
Q

The greater the preload and stretching of the sarcomeres

A

the more SV

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6
Q

In cardiac muscle, the fast depolarization phase of the action potential is the result of

A

increased membrane permeability to sodium ions.

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7
Q

The long plateau phase of the cardiac muscle action potential is due to

A

Calcium channels remaining open

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8
Q

The normal pacemaker of the heart is located in

A

the SA node

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9
Q

Abnormally slow depolarization of the ventricles would most change the shape of the ________ in an ECG tracing.

A

QRS complex

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10
Q

As a result of the long refractory period in the cardiac action potential, cardiac muscle CANNOT exhibit

A

Tetany

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11
Q

If the pacemaker cells in the SA node become more permeable to potassium ions, the

A

HR will decrease and cells with HYPERPOLARIZE

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12
Q

If the connection between the SA node and AV node becomes blocked, A) the ventricles will beat faster.

A

the ventricles beat more slowly

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13
Q

Components of the conducting system of the heart. (in order)

A
  1. SA node
  2. Atrial depolarization
  3. AV node
  4. AV bundle of His
  5. Bundle branches (Left and Right)
  6. Purkinje fibers
  7. Ventricular repolarization
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14
Q

The P wave of the electrocardiogram is a signal from

A

Depolarization of the atria

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15
Q

If there is a complete block between the SA node and the AV node, how would the ECG be affected?

A

Rate of P waves will be faster than the QRS complexes

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16
Q

Depolarization of the ventricles is represented on an electrocardiogram by the

A

QRS complex

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17
Q

The T wave on an ECG tracing represents

A

Ventricular Repolarization

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18
Q

Pacemaker cells isolated from the SA node generate action potentials at ________ beats per minute.

A

80-100

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19
Q

Depolarization of the atria corresponds to the EKG’s

A

P wave.

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20
Q

Cardiac muscles have specialized

A

Gap junctions in cardiac muscle not found in skeletal or smooth muscles.

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21
Q

The structures responsible for distributing excitation to the contractile cells are

A

Conducting cells

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22
Q

Collectively, the conducting cells that carry the impulse from the SA node to the AV node is known as the

A

Internodal pathway

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23
Q

The AV node delay is beneficial because

A

t allows time for the atria to contract.

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24
Q

The first heart sound (“lubb”) is associated with

A

closing of the atrioventricular valves.

25
Considering the left ventricle, why does isov-olumetric ventricular contraction occur during ventricular systole?
Aortic pressure is higher than ventricular pressure and the ventricle must pressurize the blood to open the aortic valve.
26
The phase in the cardiac cycle when the mitral valve is closed and the aortic valve is open is the
Systolic ejection phase
27
During ventricular systole, the
AV valves are closed
28
With each ventricular systole,
Blood pressure increases
29
In mitral valve prolapse, the cusps of the mitral valve are pushed into the
Left atrium
30
The ________ is the amount of blood in a ventricle after it has contracted and before it begins to refill.
End Systolic Volume
31
The ________ is the volume of blood in a ventricle at the beginning of systole.
End-Diastolic Volume
32
The amount of blood remaining in the ventricle when the semilunar valve closes is the
End Systolic volume
33
The heart spends most of the cardiac cycle in which phase?
Ventricular diastole
34
During the beginning of ventricular systole when the muscle is contracting but not enough pressure has built up to open the semilunar valves the heart is said to be in
Isovolumetric relaxation
35
When heart rate increases, the time spent in all phases _______ but most of it is during _____
Decreases;; Diastole
36
In an adult at rest, the end-diastolic volume is typically
130ml
37
During ventricular diastole...
The ventricles are passively filling and atria are contracting.
38
The volume of blood ejected from each ventricle during a contraction is called the
Stroke Volume
39
ECG reading Step RRCEI
``` Rate Rhythm Conduction Ectopic Interpretation ```
40
P wave is the
Atrial depolarization
41
PR INTERVAL
Time from onset of depolarization to the onset of ventricular depolarization
42
QRS complex
Sum of all ventricular depolarizations
43
ST interval
Ventricular myocardium depolarized
44
Qt interval
Electrical systole of the ventricles
45
T wave
Ventricular repolarization
46
Each tiny box is _____mm and ___sec
1mm ; 0.04 sec
47
5 tiny boxes is ____mm and ______sec
5; 0.20 sec
48
5 large boxes _____mm and _____sec
25mm 1 sec
49
PR should be less than _____ boxes
5
50
QRS complex should be less than
3 small boxes
51
Wave heights | P wave up to
3mm
52
Wave heights QRS at least
5 mm
53
Wave height T wave
Up to 5mm
54
Depolarization of atrial contractile fibers produces ____wave and tell us ___________
P wave ; action potential in SA node
55
Depolarization of ventricular contractile fibers produce
QRS complex
56
End of QRS complex is
Ventricular contraction
57
Repolarization of ventricular contractile fibers produce
T wave
58
Ventricular diastole
After the t wave