Electrocardiogram Flashcards

(34 cards)

1
Q

atrial depolarization-> atrium contracts

A

Pwave

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2
Q

interval AV nodal delay

allows last 20% of blood

A

P-R interval

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3
Q

isovulmetric contraction

A

R wave

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4
Q

where do impulses go once released from AV node

A

down bundle of his into purkinjie fibers

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5
Q

what is a moderator band

A

right bundle of his in septomarginal recess of right ventricle

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6
Q

describe the purkinjie system in the ventricle

A

150 times faster than AV node in heart due to increased intercalated discs and gap junctions

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7
Q

ventricular depolarization-> ventricle contracts

A

QRS

stroke volume 70 ml

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8
Q

1st downward deflection

A

Qwave

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9
Q

where is atrial depolarization hidden

A

under the QRS complex

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10
Q

what prevents the AV valves from blowing back from ventricular contraction

A

chordae tindinae + papillary muscles

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11
Q

ventricular repolarization

A

Twave

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12
Q

repolarization of papillary muscle

A

u wave

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13
Q

isovolumetric relaxation

A

S-T segment

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14
Q

how many ml of blood in ventricles during isovolumetric relaxation

A

50 ml

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15
Q

what does an inverted T-wave or an altered ST-segment indicate

A

myocardial infarction

acute heart failure

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16
Q

what prevents the heart from tetany

A

slow calcium channels

17
Q

what are slow calcium channels aka

A

long absolute refractory period
plateaus

(impossible to fire heart again)

18
Q

what is auto rhythmicity aka

A

automatic conductivity

19
Q

how can the heart beat on its own

A

due to leaky sodium channels

20
Q

how many beats can the SA node keep the heart at

21
Q

what speed up the ehart

22
Q

what slows down the heart

A

parasympthetics

23
Q

hwat is a primary heart block (bundle branch blood)

A

elongation of PR interval

24
Q

what is a secondary heart block

A

winkebocks phenomena

elongation of PR till 2 atria depolarization show up

25
what is a complete heart block
no pattern to the EKG, random EKG
26
what sit eh first heart sound
AV valves closed during isometric contraction
27
what is the second heart sound
semilunars closed
28
what is the 3rd heart sound
ventricular gallop in CHF
29
what is the 4th heart sound
``` similar to 3rd=heard in diastole atrial gallop (CHF) ```
30
what occurs in the heart during diastole
arms and prts Aortic Regurgitation and Mitral Stenosis Pulmonic Regurgitation and Tricuspid Stenosis
31
what is diastole
relaxation
32
what is systole
contraction
33
when does end diastolic filling time occur
before systole
34
what is the purpose of an echocardiogram
detect murmurs