practical 2: ekg Flashcards

1
Q

when the atrium contracts, marks start of systole

A

p wave

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2
Q

starts atrial diastole and start of ventricular systole

A

qrs complex

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3
Q

what happens between s and t wave

A

lub

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4
Q

relaxation of ventricle (wave?)

A

t wave

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5
Q

1st impulse of electricity in heart

A

sa node

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6
Q

sparks depolarization bc gap junctions in both atria

A

sa node

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7
Q

receives signal and pauses and holds, then let go. connected to cardiomyocites

A

av node

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8
Q

apex of heart is closest to

A

left hip

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9
Q

the activity of the heart can be measured by both

A

invasive and non-invasive methods

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10
Q

include pulmonary artery catheters and central venous pressure lines

A

invasive

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11
Q

include blood pressure, pulse, auscultation, and eks

A

noninvasive techniques

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12
Q

measures electrical activity of the heart

A

electrocardiogram

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13
Q

possesses specialized cardiac muscle tissue which is able to generate spontaneous depolarizations

A

the heart

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14
Q

where do spontaneous depolarizations occur in the heart

A

sinoatrial node

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15
Q

what does the resulting electrical impulses (action potentials) of sa node do

A

moves thru right and left myocardium resulting in synchronous contraction of both chambers

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16
Q

lies at the base of right atrium

A

av node (atrioventricular node)

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17
Q

lies in the interventricular septum

A

bundle of his

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18
Q

after bundle of his

A

bundle branches

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19
Q

after bundle branches.
-located thruout the myocardium of the ventricle walls as well as papillary muscles

A

purkinje fibers

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20
Q

stimulate the synchronous contraction of both ventricles as well as papillary muscles

A

purkinje fibers

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21
Q

contraction phase of the heart

A

systole

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22
Q

relaxation phase

A

diastole

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23
Q

indicates the pressure exerted at each stage which in turn indicates the mechanical function of heart

A

blood pressure measurements

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24
Q

utilized to measure electrical activity only and cannot determine the hearts mechanical energy

A

ecg

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25
why is the human body a good conductor of electrical impulses
because of high concentrations of ions in body fluid
26
electrical impulses produced by body travel thru body fluids to
body surface
27
how can electrical impulses be detected
placing electrodes on different areas of the body
28
record the differences in potentials between two of the leads, the third act as a ground -aka bipolar limb leads (ra,la,ll)
standard limb leads (1.2.3)
29
the triangle formed by electrode placement is called
einthovens triangle
30
a more detailed explanation of the hearts electrical activity can be conducted in --- -commonly referred to as --- and is routinely conducted in a clinical setting
-unipolar leads -12 lead ecg
31
unipolar chest leads are placed
v1-v6
32
commonly used to detect heart electral activity
lead 2 (LL-RA)
33
represents the electrical depolarization of the atria that occurs just prior to atrial contraction
p wave
34
produced by the depolarization of ventricles just prior to ventricular contraction
qrs complex
35
produced by repolarization of ventricles which occur during diastole
t wave
36
measured from the beginning of the p wave to the beginning of the q wave and is an estimate of the time of conduction through the av node
p-q interval
37
in an ekg, what determines a healthy individual
three sets of waves occur in a lead 2 ekg
38
bradycardia
slow
39
tachycardia
fast
40
a type of irregular heartbeat where the heart's upper chambers (atria) beat too quickly, often at a rate of 250 to 300 beats per minute. While the atria are beating rapidly, the ventricles (lower chambers) may not beat as fast, leading to a relatively regular, but fast, heartbeat
atrial flutter
41
an irregular and often rapid heart rhythm that occurs when the upper chambers of the heart (atria) beat chaotically and out of sync with the lower chambers (ventricles). This irregular heartbeat can lead to serious complications like stroke and heart failure.
atrial fibrillation
42
also known as first-degree heart block, is a mild form of arrhythmia characterized by a prolonged PR interval on an electrocardiogram (ECG). This means the electrical signal takes longer than normal to travel from the atria (upper heart chambers) to the ventricles (lower heart chambers). This can lead to a slower-than-normal heart rate, also known as bradycardia.
first degree av block
43
a heart condition where not all electrical signals from the atria (upper chambers) to the ventricles (lower chambers) are transmitted, resulting in missed heartbeats
second degree av block
44
also known as complete heart block, is a condition where the electrical signal from the heart's upper chambers (atria) to the lower chambers (ventricles) is completely blocked. This means the atria and ventricles contract independently, leading to a potentially dangerous slow heart rate and reduced cardiac output.
third degree av block
45
extra heartbeats that originate in the ventricles, the lower chambers of the heart, causing the heart to beat earlier than it should.
premature ventricular contractions
46
a dangerous heart rhythm where the heart's lower chambers beat too fast. This rapid heartbeat can prevent the heart from pumping enough blood to the body, potentially leading to loss of consciousness, low blood pressure, and even cardiac arrest.
ventricular tachycardia
47
the ventricles (lower chambers) of the heart quiver instead of contracting normally, leading to a lack of blood flow and potentially cardiac arrest
ventricular fibrillation -The quivering means that your heart is not pumping blood out to the rest of your body.
48
what is a normal heart rate in humans (bpm)
60/100 bpm
49
pacemaker of the heart
sa node
50
what are abnormal heart sounds called
murmurs
51
an abnormally long p-r interval indicates
first degree av block
52
this ecg wave occurs before ventricles contract
p wave
53
this ecg wave occurs after ventricles contract
t wave
54
contraction phase of heart
systole
55
relaxation phase of heart
diastole
56
leads 1,2,3 are called the standard --- leads
bipolar limb
57
blood passing and pumping of blood
pulse
58
why do we not take pulse on both coratid arteries at same time
pressure tells brain and it will lower blood pressure wich results in pass out. cut off blood supply to brain
59
what receptor is on coratid artery
baroreceptor (pressure)
60
why dont we take pulse with thumbs
thumbs have pulse too
61
listening to heart
auscultation
62
feeling pulse
palpation
63
what tool do we use for heart murmurs, respritory, and abdomin
stethoscope
64
what artery is used during bp test
brachial artery