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Electrocardiogram
Electrocardiogram
87
Medical
Not Applicable
06/09/2010

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Term
Electrocardiogram
Definition
Electric energy-heart-recording
Term
What does electrocardiogram do?
Definition
It records the hearts electrical activity.
Term
How many LEADS does a ECG produce?
Definition
It produces 12 leads.
Term
How many total electrodes are on a ECG machine?
Definition
There are a total of 10 ELECTRODES.
Term
What is a lead?
Definition
It is the electrical signal of the heart, in laymens terms; it is the picture of the heart shown through a graph.
Term
What are the three layers of the heart wall?
Definition
Endocardio, myocardium and epicardio.
Term
Endocardio
Definition
inner layer of the heart.
Term
Myocardium
Definition
middle layer of the heart, it is the muscle of the heart.
Term
epicardio
Definition
outside layer of the heart.
Term
Pericardium
Definition
two layer sac enclosing the heart.
Term
how many sacs is the pericardium composed of and name them.
Definition
2 sacs- visceral layer and parietal layer. Visceral layer is the inner layer and the parietal layer is the outer layer.
Term
Pericardial Effusion.
Definition
An excess accumulation of fluid between the pericardo space; visceral and parietal.
Term
Pericardial
Definition
space between the visceral and parietal layer.
Term
Name the four chambers of the heart
Definition
Right Atrium, Right Ventricle, Left atrium and left ventricle.
Term
name the 4 valves of the heart.
Definition
Tricuspid valve, Pulmonic valve, mitral/biscuspid valve and aortic valve.
Term
Veins...
Definition
go towards the heart.
Term
arteries...
Definition
go away from the heart.
Term
Dyspnea
Definition
difficulty breathing
Term
Cyonosis
Definition
Blue discoloration of the skin due to lack of oxygen.
Term
Murmur
Definition
abnormal heart sound
Term
Interventricular valve/ A-V valve
Definition
is composed of the tricuspid valve and mitral/biscuspid valve.
Term
Semilunar
Definition
shape of the hearts flaps of the pulmonic valves and aortic valves.
Term
mitral valve prolapse
Definition
condition in which the bicuspid vlave flip flops during ventricular contraction. IN other words the valves do not close all the way.

Depending on the severity the doctor will usually prescribe iron pills or heart surgery.
Term
Stroke volume
Definition
the volume of blood pumped by each ventricle in a single heart beat. It is around 60-70 cc/ beat.
Term
cardio output
Definition
amount of blood pumped by the heart in one minute. It is around 60-100 BPM.
To compute it; HR*Stroke volume.
Term
Bradycardia
Definition
slow hear rate, that is less then 60 beats/min.
Term
tachycardia
Definition
fast heart rate, that is more then 100 BPM
Term
another term for one cardiac cycle
Definition
=one heart beat
Term
another term for one heart beat
Definition
one cardiac cycle.
Term
diastole
Definition
relaxation of the heart, think of DIE.
Term
systole
Definition
contraction of the heart
Term
another term for one cardiac cycle
Definition
=one heart beat
Term
Can there be a diastole and systole period at the same time ?
Definition
NO only alternating action between systole and diastole.
Term
another term for one cardiac cycle
Definition
=one heart beat
Term
what is the time for one cardiac cycle?
Definition
= .8 seconds
Term
How do you measure blood pressure?
Definition
BP= systole/diastole
Term
Pacemaker cells
Definition
Have the ability to fire out electrical energy autonomously---this is called automaticity
Term
Automaticity
Definition
first property of pacemaker cells- it is the ability to fire out electrical energy autonomously and spontaneously. IN laymens terms , there is no command from the brain or else where.
Term
Excitability
Definition
the ability to respond to an electrical impulse.
Term
conductivity
Definition
ability to transfer electrical impulse to other cells.
Term
contractibility
Definition
ability of the muscles of the heart to contract
Term
Name the order of the electrical conduction system of the heart.
Definition
1. SA node Atrial contraction/ atrial depolarization
AV node- P wave
2. AV node
3.Bundle of His
4.Bundle branches- right bundle branch and left bundle branch.
5.Purjinke Fibers
Ventricular contraction/ Ventricular depolarization.
Term
BPM of the AV node
Definition
40-60 BPM
Term
What is the natural pace maker?
Definition
The SA node
Term
Name the order of the electrical conduction system of the heart.
Definition
1. SA node Atrial contraction/ atrial depolarization
AV node- P wave
2. AV node
3.Bundle of His
4.Bundle branches- right bundle branch and left bundle branch.
5.Purjinke Fibers
Ventricular contraction/ Ventricular depolarization.
Term
Where is the AV node located
Definition
right atrium
Term
where is the sa node located
Definition
Upper right atrium
Term
where is the bundle of his located
Definition
in between LV and RV
Term
Where is the left and right bundle branches located
Definition
in between RV and LV below Bundle of HIS
Term
Where is the perjinke fibers located
Definition
around the left and right ventricles.
Term
where is the sa node located
Definition
Upper right atrium
Term
What exactly does the ECG measure?
Definition
Depolarization and Repolarization
Term
ISOELECTRIC LINE
Definition
another word for base line./ straight line on the EKG graph.
Term
what wave letters represent one heart beat
Definition
PQRST
Term
Every wave begins and ends on the_____ what?
Definition
Baseline.
Term
one small square is measured as?
Definition
1 mm
Term
time to cover one mm in a ekg graph?
Definition
.04 seconds
Term
Name the INTERVALS of the PQRST
Definition
PRI, QT AND ST
Term
what is the avg length of the qt interval? And what is the avg time to complete a QT interval?
Definition
9-11 mm
time =.36-.44 seconds
Term
state the length and time it takes to complete the PR interval
Definition
3-5 mm
Term
state length and time to complete QT interval
Definition
9-11mm and .36-.44 seconds
Term
ST interval, state the length and time.
Definition
TRICK question, ekg only measures repolarization and depolarization. since ST is on the baseline it is not measureed.
Term
WHAT are the ELECTROLYTES involved in heart contraction
Definition
Ca
Na
K
Term
If a qrs interval is missing any Q R or S wave is it ok?
Definition
Yes, it can be missing two waves from the QRS at the most and it will still be ok
Term
What is the U wave and why is it there?
Definition
The U wave represents an electrolyte imbalance, it could possibly mean that your potassium level in the blood is low.
Term
Hypokalemia
Definition
Low potassium level in the blood.
Term
name the electrodes placed on the limb
Definition
RA LA LL RL
Term
which is the ground electrode.
Definition
RL, and it must be connected to the RL at all times during EKG operation.
Term
What are the BIPOLAR leads
Definition
Lead 1, lead 2 and lead 3.
Term
draw einthovens triangle with Augmented voltage and label + and negative including direction of the arrows.;
Definition
draw it!!!
Term
The normal recording for lead one is +, true or false?
Definition
true
Term
normal recording of AVR is negative, true or false?
Definition
true
Term
name the precordial leads and location of it
Definition
V1-V6
Term
supra sternal notch
Definition
angle of lewis is one inch from the super sternal notch and that one inch margin is where the second ICS is located
Term
standard ecg RECORDING SPEED IS
Definition
25mm /second
Term
voltage is
Definition
indicated in vertical position measured in .1mv per small square.
Term
STANDARDIZATION
Definition
1mv=10MM
Term
Artifacts
Definition
waveforms coming from sources outside of the heart.
Term
most common form of artifacts
Definition
patient movement= somatic muscle tremor= RESULTS FROM PATIENT MOVEMENT.
Term
Somatic muscle tremor
Definition
results from patient movement.
Term
Wandering baseline, shifting baseline, baseline shift
Definition
Indicates loose electrodes or connections.
Term
5 basic steps in EKG interpretation.
Definition
Checking heart rhythm, checking heart rate, Checking PRI interval , Checking QRS complex, Checking T wave.
Term
Myocardium infraction
Definition
heart attack,
Term
infract
Definition
dead tissue
Term
Ischemia
Definition
lack of blood supply to any body tissue.
Term
Angina Pectoris
Definition
Chest pain due to lack of blood to the myocardium tissue.

One way to treat is to use nitroglycerin- dilates blood vessels to bring more blood flow to heart.
Term
myalgia
Definition
muscle pain
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