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25 Cards in this Set

  • Front
  • Back
Define ECG
an external recording of the electrical activity of the heart

provides information on the speed of electrical conduction through the cardiac conduction system used to diagnose abnormalities and diseases of the heart, measures electrical activity of the heart
Define electrode
conductor through which electricity enters of leaves an oject, substance, or region
Define automaticity
development of an action potential in pacemaker cells of the heart
Define gap junctions
in cardiac muscle allow action potentials to spread between cardiac cells by permitting the passage of ions between cells, producing depolarization of the heart muscle
Locate the SA node and state the function
SA node generates impulse; atrial excitation begins
Locate the AV node and state the function
Impulse delayed at AV node
Locate the AV bundle and state the function
Impulse passes to heart apex; ventricular excitation begins
Locate the R/L bundle branches and state the function
impulse passes to heart apex, ventricular excitation begins
Locate the Purkinje fibers and state the function
ventricular excitation complete
What is the P wave?
corresponds to the depolarization of the atria
What is the QRS complex?
corresponds to the initial depolarization of the ventricles
What is the T wave?
corresponds to the repolarization of the ventricles
The time between each ECG cycle (measured as the R-R interval) is used to calculate ______.
heart rate
The ECG trace gives information on the speed of electrical conduction through the cardiac conduction system and can be used to .....
diagnose a variety of abnormalities and diseases of the heart.
What is the P-Q interval?
the time in seconds from the beginning of the P wave to the beginning of the Q portion (first downward deflection) of the QRS complex.
• The P-Q interval corresponds to the time of atrial depolarization plus the conduction delay at the AV node
What is the QRS interval?
the beginning of the Q wave (downward deflection) to the end of the S component of the QRS complex. This corresponds to the initial rapid depolarization of the ventricles.
What is the Q-T interval?
The beginning of the Q wave to the end of the T wave. This corresponds to the entire period of ventricular excitation, and is an estimate of the time the ventricle are contracting (systole)
What is the S-T interval?
the end of the S wave to the beginning of the T wave. This corresponds approximately to the plateau phase of the ventricular action potential
What is the T-Q interval?
the end of the T wave to the beginning of the Q wave. This corresponds to the time the ventricular cells are back at their resting potential and is an estimate of the time the ventricles are relaxed (diastole).
During exercise cardiac output,
increases to meet the increased blood flow requirements of exercising muscles.
• Controlled by SNS division
• ANS sympathetic neurons innervate the heart to release norepinephrine
• Norepinephrine and Epinephrine bind to beta adrenergic receptors on cardiac cells at the SA node, AV node, and ventricular myocardium
Diving reflex
when underwater our bodies need to conserve oxygen in the blood by decreasing heart rate which decreases the cardiac output, which reduces he work load and oxygen requirement of the heart so that you can survive longer underwater.
total change
(Diving HR - Resting HR)
percent change
100 x (diving HR - Resting HR)/Resting HR
Suppose a patient displays an extended P-Q interval on their ECG. What electrical events occur during the P-Q interval, and what can you conclude specifically about the cardiac conduction system in a patient with a longer than normal P-Q interval?
During the P-Q interval is the time of atrial depolarization and the conduction delay at the AV node. With this you can conclude that the cardiac conduction system in a patient with a longer than normal P-Q interval has an abnormally in the right atrium which causes the elongated delay.
Explain the physiological basis for the observed differences in heart rate and other ECG intervals (such as the P-Q, Q-T, and T-Q intervals) between the resting and exercise ECG. Describe the specific physiological control mechanisms that effect these changes in heart rate and other ECG intervals.
P-Q interval: time in seconds from the beginning of the P wave to the beginning of the Q portion. First downward deflection of the QRS complex corresponds to the time of atrial depolarization plus the conduction delay at the AV node.
QT interval: corresponds to the entire period of ventricular excitation and is an estimate of the time the ventricles are contracting (systole)
T-Q interval: time the ventricular cells are back at their resting potential and is an estimate of the time the ventricles are relaxed (diastole)

During exercise, cardiac output increases to meet the increased blood flow requirements of the exercising muscles. Sympathetic neurons innervate the heart and release epinephrine and norepinephrine which bind to beta adrenergic receptors on cardiac cells at the SA node, AV node and ventricular myocardium