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Physiology Exam III
Electrical Activity of the Heart
27
Physiology
Professional
03/07/2011

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Term
What turns on the (If) channel?
Definition
Repolarization of the membrane during the preceeding Action potential
Term
What causes the upstroke in the sinoatrial node?
Definition
Increase in calcium conductance, causing an inward calcium current
Term
In the slow conducting action potential, which phases are missing?
Definition
Phase 1 and 2
Term
What is conduction volume?
Definition
The time needed for the excitation to spread throughout cardiac tissue
Term
Conduction velocity is highest in the AV node and slowest in the Purkinje system.
Definition
Both statements are false
- Fastest in purkinje system
- Slowest in AV node
Term
Why is conduction velocity slowest in the AV node?
Definition
Allows for ventricular filling before ventricular contraction
Term
Structurally, what does the conduction velocity depend on?
Definition
- Number of gap junctions
- Fiber diamter
Term
Physiologically, what determins the conduction velocity?
Definition
- How fast the change in voltage occurs (Phase 0) (dV/dt)
- APA (don't know what this is)
Term
What three things determine the Electrical activity of the heart?
Definition
Source
Path
Target
Term
What changes do Chronotropic effects have?
Definition
Changes in heart rate
Term
What changes do dromotrophic effects have?
Definition
Produce changes in conduction velocity
Term
What areas of the heart have parasympathetic vagal innervation?
Definition
SA node, AV node, Atria
Term
What does the ST segment represent?
Definition
The period when the ventricles are depolarized and contracting
Term
What segments of the ECG are isoelectric portions without waves?
Definition
PR, ST, TP
Term
Which intervals of the ECG can be used to measure heart rate?
Definition
PP and RR intervals
Term
T/F In the heart, the first tissue to depolarize is the first to repolarize.
Definition
False, the first tissue in the heart is the last to repolarize
Term
What are Paroxysmal Tachycardias?
Definition
Tachycardias which arise from an ectotopic focus.
Term
How long can Paroxysmal Tachycardias last for?
Definition
- A few beats
- Many hours
- Days
Term
Are paroxysmal tachycardias recurring?
Definition
Yes
Term
List three things that may cause a paroysmal tachycardia?
Definition
- rapid firig of an ectopic pacemaker
- triggered activity secondary to afterpotentials that reach threshold
- An impulse that circles a reentry loop repeatively
Term
What are two examples of Supraventricular Tachycardias?
Definition
Atrial flutter and Atrial Fibrilation
Term
What does atrial flutter look like on an ECG?
Definition
Numers rapid flutter waves. Ventricular rate may be regular or irregular depending on degree of block
Term
What aspect of the ECG is missing in heart going through atrial fibrillation?
Definition
P wave is absent
Term
In a second degree AV block, All QRS complexes are preceeded by a p-wave, but not all p-waves are follwed by a QRS complex
Definition
Both statements are true
Term
What are the two types of second degree AV blocks?
Definition
- Mobitz I (Wenckebach)
- Mobitz II (Non-Wenckebach)
Term
What does the ECG look like in a Mobitz I AV block?
Definition
Pressive lengthening of the PR interval with intermittent dropped beats (QRS complexes)
Term
What does the ECG look like in a Mobitz II AV block?
Definition
Sudden drops of QRS complex without prior PR lengthening.
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