The Electrical Highway
Depolarization & Repolarization
CARDIAC CELL CHARACTERISTICS
EKG Wave Relationships
ECG GRAPH PAPER & MEASURING TIME
100

What structure is the heart’s natural pacemaker?

SA node

100

Which ion rushes into the cell during depolarization?

Sodium (Na⁺)

100

What property allows pacemaker cells to generate impulses without stimulation?

Automaticity

100

What does the PR interval represent?

Time from atrial depolarization to ventricular depolarization

100

How many seconds does one small box on ECG paper represent?

0.04 seconds

200

Which node delays the electrical impulse?

AV node

200

Which ion leaves the cell during repolarization?

Potassium (K⁺)

200

What property allows cardiac cells to respond to an electrical stimulus?

Excitability

200

What does the QRS complex represent?

Ventricular depolarization

200

How many seconds does one large box represent?

0.20 seconds


300

What structure carries the impulse from the AV node into the ventricles?

Bundle of His

300

What EKG wave represents atrial depolarization?

P wave

300

What property allows electrical impulses to travel from cell to cell?

Conductivity

300

What does the QT interval represent?

Total ventricular activity (depolarization + repolarization)

300

How many large boxes equal one full second?

Five large boxes

400

Which node slows the electrical impulse just long enough to allow the ventricles to fill?  

AV node

400

Why is the QRS complex larger than the P wave?

The ventricles have more muscle mass.

400

What property allows cardiac cells to shorten and create a heartbeat?

Contractility

400

What does a prolonged PR interval indicate?

Slowed conduction through the AV node

400

If the PR interval measures 5 small boxes, what is the PR interval duration?

0.20 seconds

500

What part of the conduction system splits into right and left pathways?

Bundle branches

500

What happens to the T wave when potassium levels are abnormal?

It changes shape (peaked, flat, or inverted).

500

Which cardiac cells have the fastest rate of automaticity?

SA node cells

500

What does a widened QRS complex indicate?

Ventricular depolarization is taking longer than normal

500

If the QRS complex spans 3 small boxes, is it normal or wide?

3 small boxes = 0.12 seconds → wide

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