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ECGs
JJC Vet Tech 212
45
Veterinary Medicine
Undergraduate 2
09/11/2014

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Term
Uses of ECGs:
Definition
-determine HR
-determine heart rhythm
-evaluate conduction abnormalities, chamber enlargement by eval. PQRST
Term
Define depolarization:
Definition
-electrical stimulation of heart muscle causing contraction
-electrolytes Na+, Ca+ move into cell
-systole when ventricle depolarizes
Term
Define repolarization:
Definition
-heart muscle relaxation occurs when K+ moves out of cardiac muscle cells, leading to relaxation of muscle
-diastole when ventricle repolarizes
Term
Systole occurs when the (chamber) (re/de-polarizes).
Definition
ventricle depolarizes
Term
Diastole occurs when the (chamber) (re/de-polarizes).
Definition
ventricle repolarizes
Term
Bundle of His:
Definition
a slender bundle of modified cardiac muscle that passes from the atrioventricular node in the right atrium to the right and left ventricles by way of the septum and that maintains the normal sequence of the heartbeat by conducting the wave of excitation from the right atrium to the ventricles
Term
Purkinje fibers:
Definition
specialized cardiomyocytes that are able to conduct cardiac action potentials more quickly and efficiently than any other cells in the heart. Purkinje fibers allow the heart's conduction system to create synchronized contractions of its ventricles, and are, therefore, essential for maintaining a consistent heart rhythm.
Term
Clip vs Lead
Definition
Clip: electrodes that attach to patient
Lead: recordings taken from different locations using two or more electrode placements on body
Term
Where to place clips:
Definition
Front Limb: caudal, proximal to elbow
Hind Limb: cranial, proximal to stifle
Term
ECG leads most used in animals:
Definition
I, II, III - just need 2 clips
aVR
aVL
aVF
Term
You need only __ clips to do all __ leads.
Definition
5 clips for 12 leads
Term
QRS represents:
Definition
ventricular depolarization / contraction (systole)
Term
P tells us about...
Definition
atria
Term
T represents:
Definition
ventricular repolarization / relaxation (diastole)
Term
P represents...
Definition
depolarization of atria; duration = time for pulse to pass from SA node to AV node
Term
QRS tells us about...
Definition
ventricles
Term
P-R reflects...
Definition
activation of AV junction
Term
QRS complex represents...
Definition
depolarization of the ventricles (contraction)
Term
Interval =
Definition
segment + wave
Term
S-T segment represents...
Definition
time from end of QRS to onset of T wave (early vent. repol.)
Term
1 cm =
Definition
1 mv
Term
ECG paper speeds:
Definition
25mm/sec, 50mm/sec
Term
What paper speed has easier to read ECGs?
Definition
50mm/sec
Term
What paper speed saves paper but makes ECGs harder to read?
Definition
25mm/sec
Term
Assess rhythm by...
Definition
measuring between P waves and R waves (P-P should all be equal, R-R should all be equal)
Term
If a time span on the ECG only contains 2 R waves, how do you calculate the HR?
Definition
50mm/sec paper:
count mm between two Rs, and 3000/mm = Bpm

25mm/sec paper:
count mm between 2 Rs, and 1500/mm = Bpm
Term
Amplitude vs Length
Definition
Amplitude = height (vertical)
Length = seconds (horizontal)
Term
Assess rhythm by measuring between...
Definition
P waves, and R waves

-Are P-Ps equal? Are R-Rs equal? Is there a P for every QRS? Any "no" indicates abnormal rhythm
Term
How to get a more accurate HR from ECG?
Definition
always count two intervals
Term
"Sinus" means ___.
Definition
normal
Term
Sinus Bradycardia
Definition
P-Ps equal
R-Rs equal
P for every QRS

no arrhythmia, "normal slow"
Term
Sinus Tachycardia
Definition
P-Ps equal
R-Rs equal
P for every QRS

no arrhythmia, "normal fast"
Term
What is the "pacemaker" of the heart?
Definition
SA node
Term
The SA node signals the ___ to contract.
Definition
atrium
Term
APC stands for:
Definition
Atrial Premature Contraction
Term
What can cause an APC?
Definition
-irritated atrium
-electrolyte imbalance
-toxins
-atrial enlargement
Term
Atrial Premature Contraction
Definition
P-Ps not equal
R-Rs not equal
not a P for every QRS (lacking Ps)
Term
An ECG of an APC shows what special feature?
Definition
ectopic start
Term
Atrial Tachycardia
Definition
P-Ps not equal
R-Rs not equal
not a P for every QRS (lacking Ps)
Term
Definition of Atrial Tachycardia?
Definition
3 or more APCs in a row
Term
In Atrial Tachycardia and APCs, what is normal and abnormal about the ECG?
Definition
P is abnormal, QRS is fine
Term
What can you do if a patient is having atrial tachycardia?
Definition
press eyeballs for vagal effect
Term
paroxysmal
Definition
brief, transient
Term
In Atrial Fibrillation, what is normal and abnormal about the ECG?
Definition
No Ps, just f waves (fibrillations), QRS is fine
Term
Atrial Fibrillation
Definition
P-Ps not normal- f waves in place of Ps
R-Rs not normal
not a P for every QRS (lacking Ps)
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