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CV Exam 3 Terminology
Terms and Tests for CV Exam 3
29
Medical
Professional
10/06/2011

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Term
overdrive suppression
Definition
depolarizations due to faster firing cause a more negative RMP (hyperpolarization), making the other nodes less likely to spontaneously fire
Term
Early Afterdepolarizations (EADs)
Definition
interrupt phase 2&3 repolarization, arise from prolonged AP plateau, exacerbated at slow HR, associated with Long QT Syndrome
Term
Delayed Afterdepolarizations (DADs)
Definition
occur after full repolarization, arise from RMP, increased stimulation rate may cause amplitude to increase until firing (self-sustained firing), often due to mutant Ryanidine Receptors
Term
Late phase 3 EADs
Definition
normal SR Ca2+ when triggered, exrasystole triggered, can be due to simultaneous sympathetic & vagal stimulation, associated with ventricular arrhythmias associated with HF
Term
Circus Movement Reentry
Definition
propagation around an anatomical or functional obstacle to reexcite origin, due to PAC through slow path triggering retrograde conduction through fast path, circuit length must be > than CVxAPD
Term
wavelength
Definition
CV (conduction velocity) x APD (action potential duration)
Term
Reflection reentry
Definition
depolarization impulse travles across an unexcitable region, current may not be able to depolarize inexcitable zone, distal APs cause retrograde current, proximal tissue has repolarized and is depolarized by reflected AP
Term
Phase 2 reentry
Definition
requires spatial dispersion of repolarization, damage may cause epicardium to repolarize faster, current backflow due to voltage different between adjacent depolarized/repolarized cells, a new AP is generated if current reaches threshold, AVRT
Term
Cinchonism (Quinidine, Salicylates)
Definition
auditory and visual problems, GI upset, CNS symptoms
Term
Paroxysmal Afib
Definition
self-terminating, <7d
Term
Persistent Afib
Definition
>7d, requires electrical/pharmacological cardioversion
Term
Permanent Afib
Definition
unsuccessful cardioversion
Term
Pacemaker cells
Definition
initiate electrical impulses
Term
Transitional cells
Definition
connect pacemaker cells to other conduction system, can slow conduction (AV and bundle of His)
Term
Purkinje cells
Definition
connect transitional cells to working myocardium, can rapidly slow contraction
Term
homeo/heteromeric
Definition
describe makeup of connexins on single cell
Term
homeo/heterotypic
Definition
describe makeup of connexins between cells
Term
Absolute Refractory Period (ARP)
Definition
Na+ channels have not been restored to active state
Term
Effective Refractory Period (ERP)
Definition
Na+ channels restored, muscles still do not response to stimulus
Term
Relative Refractory Period (RRP)
Definition
some cardiac cells have repolarization, can be stimulated
Term
P-wave
Definition
activation of atria
Term
QRS complex
Definition
activation of the ventricles, obscures atrial repolarization
Term
T-wave
Definition
repolarization of ventricles
Term
U-wave
Definition
unknown function, maybe afterdepolarization of purkinje fibers
Term
PR interval
Definition
duration of conduction from atrium through AV node
Term
J-point
Definition
occurs at end of QRs/beginning of ST segment
Term
Lateral leads
Definition
I, aVL, V5-V6
Term
Inferior Leads
Definition
II, III, aVF
Term
Anterior septal leads
Definition
V1-V4
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