ECG and ECG waves Flashcards Preview

My NBCE Part 1 - Cardiovascular Physiology > ECG and ECG waves > Flashcards

Flashcards in ECG and ECG waves Deck (27)
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1
Q

The heart impulse is initially generated where?

A

SA node

2
Q

SA node has its own intrinsic rhythm/rate of depolarization of what?

A

80-100 times per minute

3
Q

Impulse from SA node spreads through the __________ causing both atria to contract simultaneously.

A

Intra-atrial bundles

4
Q

Impulse spread from intra-atrial bundles to where?

A

AV node

5
Q

AV node has intrinsic rhythmicity/rate of depolarization of what?

A

40-60 times per minute

6
Q

When SA nodal rhythm is superimposed on AV nodal rhythm, what is the result?

A

70 beats/ min

7
Q

The AV node impulse is transmitted to what?

A

The bundle of His

8
Q

From the bundle of His the impulse travels where?

A

To right and left bundle branches located in the muscular part of interventricular septum.

9
Q

Impulse travels slowest where? Fastest?

A

Slowest - AV node (0.5 m/sec)

Fastest - purkinjie fibers (4 m/sec)

10
Q

The rate of depolarization is slowest where? Fastest?

A

Slowest - purkinjie fibers

Fastest - SA node

11
Q

P wave

A

Atrial depolarization

12
Q

PR interval extends from? How long?

A

P wave to beginning of Q wave

200 milliseconds

13
Q

What is a 1st degree AV block?

A

Causes prolonged PR interval (>200 msec)

14
Q

This AV block causes progressive prolonged PR interval with dropped beats.

A

2nd degree AV block

15
Q

2nd degree AV block is aka

A

Mobitz 1 - Wenckebach phenomenon

16
Q

What is a 3rd degree AV block?

A

No association btw P and QRS complex

17
Q

QRS complex?

A

Ventricular depolarization (

18
Q

QT interval extends from?

A

Beginning of Q wave to start of T wave

19
Q

ST segment extends from?

A

End of S wave to start of T wave - isoelectric line

20
Q

T wave

A

Ventricular repolarization

21
Q

Is atrial depolarization seen on ECG?

A

no

22
Q

Why is atrial depolarization not seen on ECG?

A

Buried in QRS complex

23
Q

Increase in pressure without change in volume?

A

isovolumic contraction

24
Q

Isovolumic contraction occurs between what?

A

Closure of AV valves and opening of aortic valve

25
Q

How much of the blood is ejected?

A

70 mL of the 120 mL, approx. 60%

26
Q

What is a decrease in pressure without a change in volume?

A

Isovolumic relaxation

27
Q

Isovolumic relaxation occurs between?

A

Closure of aortic valve and opening of AV valves