Electrophysiology through the heart
Sinus rhythms
Rhythms
ECG Components
Cause and Effect
100

Known as the natural pacemaker of the heart, this structure initiates the electrical impulse. 

What is the Sinoatrial (SA) node?

100

What is the rate of normal sinus rhythm?

What is 60-100 bpm? 

100

Is Atrial Fibrillation regular or irregular? 

What is irregular? 

100

What ECG component represents atrial depolarization and are typically round and upright?

What are P waves?

100

Name 1 cause of Sinus Tachycardia? 

What is... increased O2 demands...

exercise; increased temp; infection; hypovolemia, dehydration; hypoxia; CHF, acute MI; sympathetic stimulation -> stress, fight or flight

200

This electrical gateway delays the impulse from the atria to the ventricles to allow the heart chambers to fill. 

What is the Atrioventricular (AV) node? 

200

What is the rate of A-fib RVR? 

What is a rate of >100 bmp?

200

What ECG component represents ventricular depolarization? 

What are qRs complexes?

200

Name 1 cause of Sinus Bradycardia. 

What is...

athletes; increased vagal tone; medication -->calcium channel blockers, digitalis, beta blockers; Diseased SA node; hypothermia 

300

This is the intrinsic firing rate (in beats per minute) of the SA node in a resting adult. 

What is 60-100 bpm? 

300

What ECG component represent ventricular repolrization? 

What are T waves? 

300

Name 1 risk factor that puts someone at higher risk to develop Atrial Fibrillation. 

What is...

advance age; HTN; underlying heart disease (MI, valve problems, cardiomyopathy and heart surgery); alcohol use; sleep apnea; family hx; obesity; diabetes; thyroid problems; asthma. 

400

This bundle of specialized fibers carries the electrical impulse down the interventricular septum. 

What is Bundle of His (or AV bundle)? 

400

Name 1 cause of a PAC?

What is...

CHF; MI or Injury; PE; Hypokalemia; Excessive use of Caffeine, Alcohol, Tobacco 


500

These rapidly conducting, terminal fibers branch out from the bundle branches to distribute the electrical impulse directly to the ventricle muscle cells. 

What are Purkinje Fibers? 

500

The normal duration of a PR interval in normal sinus rhythm

What is 0.12-0.20 seconds?

500

In a junctional rhythm what ECG component can be missing, upside down, buried or after the QRS? 

What is P wave? 

500

What type of shock is delivered to a patient in pulseless ventricular fibrillation? 

What is defibrillation?

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