EKG
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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Cellular electrophysiologists measure potentials by | measuring the inside of the cell with respect to the outside of the cell
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Electrocardiographers depend on | Surface electrodes
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Measurements are recorded as the ________ between two electodes | Potential difference
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When the depolarizing wave approaches the positive electrode, the deflection is _______ | upward
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Fully Depolarized | All positive inside
all negative outside
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Repolarization occurs in the _________ direction | opposite
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The last to depolarize is the __________ to repolarize. | first
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Sequence of electrical activation and teh ECG | Endo -> Epi -> Apex -> Base
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Q wave | depolariztion of the sepum
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P wave | depolarization of the atria
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S | Late lateral depolarization of the left base
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ST segment | Full depolarization
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T | repolarization
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U | Late repolariztion of mid cells in myocardium
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QRS | Ventrical depolarization
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PR segment | time between atrial activation and ventricular activation
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If conduction is slowed through the AV node, what happens to the PR interval? | Lengthens
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Bundle Branch Block | Wide QRS
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cardiac ion channelopathies that can lead to long _____________ | QT intervals
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Lead I | + left arm
- right arm
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Lead II | + Left Leg
- Right arm
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Lead III | + left leg
- left arm
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aVF | + left foot
- Head
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aVR | + right arm
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aVL | + left arm
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Downward deflection of QRS normal in lead | aVR
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Horizontal plane | V1-V6
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Interpretation of ECG | rate
rhythm
vector in frontal plane
hypertorphy
infarction
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Rate = | (60s/min) / R-R interval
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Large box = | .2 seconds
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1 Large box | 300 bpm
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2 large box | 150 bpm
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3 large box | 100 bpm
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4 large box | 75 bpm
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5 large box | 60 bpm
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6 large box | 50 bpm
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LAD | I = upward
aVF = Downward
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Normal axis | I = upward
aVF = upward
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RAD | I = downward
aVF = upward
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Extreme RAD/LAD | I = downward
aVF = downward
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I | 0 degrees
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II | 60 degrees
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III | -60 degrees
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avF | 90 degrees
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avL | -30 degrees
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avR | -150 degrees
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Quick and easy devation method | 1. find isoelectric line
2. find vector that is perpendicular....is it up or down?
3. up is positive vector down is negative vector
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Hypertrophy vector movement | vector moves toward hypertrophy
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infaction vector movement | vector moves away infarction
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Created by:
tjamrose
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