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RPSGT Heart Rhythms
EKG
33
Health Care
Pre-School
07/08/2011

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Term
2ND DEGREE AV BLOCK TYPE 2(MOBITZ TYPE 2)
Definition
INTERMITTENT BLOCKS OF SINUS IMPULSES IN THE AV NODE. DROPPED BEATS OCCUR WITHOUT WARNING.
Term
P WAVE MAY OR MAY NOT BE PRESENT. THERE IS NO CONDUCTION OF THE ATRIAL IMPULSE TO THE VENTRICLES. QRS COMPLEX IN ABSENT. EPINEPHRINE IS USED.
Definition
ASYSTOLE
Term
P WAVE NORMAL IN SIZE. VENTRICULAR RATE IS LESS THAT 40BPM. QRS IS WITHIN NORMAL LIMITS. ATROPINE OR ISOPROTERENOL IS USED.
Definition
SINUS BRADYCARDIA
Term
ETOPIC BEATS ORIGINATE LOW IN THE VENTRICLES OCCUR EARLIER THAN EXPECTED.
Definition
PVC
Term
ATRIA AND VENTRICLES DEPOLARIZE INDEPENDENTLY FROM EACH OTHER
Definition
3RD DEGREE AV HEART BLOCK
Term
ATRIAL RHYTHM IS CHARACTERIZED BY DISORGANIZED ATRIAL ACTIVITY WITHOUT DISCERNABLE P WAVES. "WAVY BASELINE" UNCONTROLLED >100BPM CONTROLLED <100BPM
Definition
A-FIB
Term
P WAVE ABSENT, BUT MAY BE OBSCURED BY THE QRS COMPLEX. ATRAIL RATE CAN'T BE DETERMINED. VENTRICULAR RATE IS 100 TO 250BPM. QRS WIDE AND BIZZARE LOOKING. INCREASED AMPLITUDE. LIFE-THREATNING. DEFIBRILLATE IF UNSTABLE. TREAT WITH LIDOCAINE OR EPINEPHRINE.
Definition
V-TACH
Term
SUDDEN DECREASES IN QRS WITHOUT PRIOR LENGTHING.
Definition
2ND DEGREE AV BLOCK TYPE 2
Term
ELECTRICAL IMPULSES FLOW NORMALLY FROM SA NODE THROUGH THE ATRIA BUT ARE DELAYED AT THE AV NODE. P WAVE NORMAL. PR INTERVAL IS PROLONGED GREATER THAN .2SEC BUT CONSTANT IN DURATION. QRS COMPLEX IS NORMAL.
Definition
1ST DEGREE AV BLOCK
Term
P-P INTERVAL CONSTANT. PR ONTERVAL PROGRESSIVELY LENGTHENS WITH EACH CYCLE UNTIL A P WAVE APPEARS WITHOUT A QRS COMPLEX. QRS NORMAL.
Definition
2ND DEGREE AV BLOCK TYPE 1
Term
SINUS TACHYCARDIA
Definition
SINUS RHYTHM GREATER THAN 90BPM.
Term
PREMATURE ABNORMAL SHAPED P WAVES. PR INTERVAL IS TYPICALLY WITHIN NORMAL LIMITS, BUT MAY BE SHORTHER OR SLIGHTLY PROLONGED. QRS COMPLEX IS USUALLY WITHIN NORMAL LIMITS AND NORMAL CONFIGURATION.
Definition
PAC
Term
P WAVE FOR EVERY QRS. 70BPM QRS IS NORMAL
Definition
NORMAL SINUS RHYTHM
Term
P WAVE IS PRESENT BUT SEEN AS RAPID FLUTTER WAVES. THE VENTRICULAR RATE IS REGULAR OR IRREGULAR OR SLOWER. QRS NORMAL
Definition
ATRIAL FLUTTER
Term
A-FIB
Definition
BASELINE WAVE IS IRREGULAR. P WAVE ABSENT. VENTRICULAR RESPONSE QRS IS SLOWER OR RAPID. 160-180BPM. BETA BLOCKERS, CARDIZEM, AMIODARONE, AND DIGIXON ARE USED TO TREAT.
Term
COMPLETE BLOCK OF ALL SUPRAVENTRICULAR IMPULSES FROM REACHING THE VENTRICLES. NO RELATIONSHIP BETWEEN P WAVES AND QRS COMPLEXES. QRS RATE IS SLOWER THAN P RATE. ATRIA RATE IS FASTER THAN VENTRICULAR RATE. NO RELATIONSHIP BETWEEN ATRIA AND VENTRICULAR RHYTHMS.
Definition
3RD DEGREE AV BLOCK
Term
1ST DEGREE AV BLOCK
Definition
P WAVE PRECEDES EACH QRSCOMPLEX BUT PR INTERVAL IS .02SEC.
Term
P WAVE SAWTOOTHED. RATE IS RAPID AT 250-350BPM. VENTRICULAR RHYTHM IS 40-90BPM OR HIGHER. QRS NORMAL.
Definition
ATRIAL FLUTTER
Term
2ND DEGREE AV BLOCK TYPE 1(WENKEBACH OR MOBITZ TYPE 1)
Definition
DISEASED TISSUE OF THE AV NODE CONDUCTS EACH IMPULSE EARLIER IN THE REFRACTORY PERIOD. EVENTUALLY AN IMPULSE IS ABSENT. NEXT IMPULSE IS NORMAL.
Term
TOTAL ABSENCE OF VENTRICULAR ACTIVITY, ALTHOUGH SOME ACTIVITY MAY BE PRESENT IN THE ATRIA. EKG IS FLATLINED.
Definition
ASYSTOLE
Term
PREMATURE VENTRICULAR CONTRACTIONS(PVC)
Definition
NO P wave, QRS OCCURS EARLIER THAN IS EXPECTED AND IS WIDE. 0.12 SEC OR GREATER AND HAS A BIZARRE LOOKING CONFIGURATION. INCREASED AMP
Term
SUSTAINED RHYTHM OF THREE OR MORE PVC'S IN A ROW
Definition
V-TACH
Term
P WAVE NORMAL IN SIZE, ATRIAL RATE IS GREATER THAN 100BPM. VENTRICULAR RATE IS GREATER THAN 90BPM. QRS COMPLEX IS WITHIN NORMAL LIMITS.
Definition
SINUS TACHYCARDIA.
Term
ATRIAL RATE AND RHYTHM CAN'T BE DETERMINED. P WAVE NOT DISCERNABLE. VENTRICULAR RATE IS CAOTIC, NO PATTERN AND CAN'T BE DETERMINED. DURATION OF QRS IS NOT DISCERNABLE.
Definition
V-FIB
Term
TWO PVC'S IN A ROW
Definition
COUPLETS
Term
PROGRESSIVELY LENGTHING OF THE PR INTERVAL WITH INTERMITTENTLY DROPPED BEATS.
Definition
2ND DEGREE AV BLOCK TYPE 1
Term
COARSE V-FIB
Definition
INDICATES RECENT ONSET AND IS READILY CORRECTED BY DEFIB
Term
FINE V-FIB
Definition
MEANS A LONGER TIME SICE ONSET AND RESUSCITATION IS MORE DIFFICULT. CLOSER TO ASYSTOLE.
Term
TORSADES DE POINTES
Definition
FORM OF VTACH IN WHICH THE QRS APPEARS TO BE CONSTANTLY CHANGING
Term
DELIVERY OF ENERGY THAT IS SYNCHRONIZED TO QRS.
Definition
CARDIOVERSION
Term
DEFIBRILLATION
Definition
RANDOM DELIVERY OF SHOCK ANYTIME DURING CARDIC CYCLE
Term
REENTRY MECHANISM AND IS NOT TOLERATED WELL BY THE ELDERY OR THOSE WITH CPAP. 140-220BPM. P WAVE BURIED IN T WAVE. REG RYHTHM. QRS AND PR NORMAL INTERVAL OR PROLONGED.
Definition
SVT(SUPRAVENTRICULAR TACYCARDIA)
Term
V-FIB
Definition
RAPID, DISORGANIZED DEPOLARIZATION OF VENTRICLES. EKG TRACING CONSISTS OF WAVY BASELINE. LARGE WAVES INDICATE COARSE FIBRILLATION AND SMALL WAVES INDICATE FINE FIBRILLATION.
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