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Phys Exam 2: Ch 11
The Normal ECG
| Question | Answer |
|---|---|
| What is an ECG? | 1. Detecting repetiitive changes in the flow of current thru the heart; 2. These changes correlate w/the cardiac cycle stages. 3. These changes are caused by waves of depolarization & repolarization that flow thru the cardiac muscle w/each heartbeat. |
| What is the P wave? | Depolarization of the atria --> atria contract |
| What is the QRS wave? | Depolarization of the ventricles --> ventricles contract |
| What is the T wave? | Repolarization of the ventricles |
| Where is the repolarization of the atria within an ECG? | Hidden within the QRS wave |
| What is the PQ interval? | From the beginning of the P wave to the beginning of the QRS wave |
| What is the ST segment? | From the end of the S wave to the beginning of the T wave |
| What is the QT interval | From the beginning of the QRS wave to the end of the T wave |
| What is the J point? | At the end of the S wave, when S returns to baseline |
| What do the vectors of the heart represent? | Vectors represent amounts of energy and direction. |
| (Blank) is a measurement of heart vectors as they pass under an electrode | The EKG |
| What causes the downward deflection in an EKG? | When a positive electrical wave is moving away from an electrode |
| What causes the upward wave in an EKG? | When a positive wave moves towards an electrode |
| Describe Lead I | Negative to R arm, Positive to L arm; Measures QRS wave and pulse rate |
| Describe Lead II | Negative to R arm, Positive to L leg |
| Describe Lead III | Negative to L arm, Positive to L leg |
| What is Einthoven's Triangle? | Visually correlates electrode placement and the heart |
| What is Einthoven's Law? | The voltages measured by Lead I and Lead III equal the voltage measured by Lead II |
| If a patient has an enlarged ventricular muscle mass, what will the EKG from Lead I show? | An enlarged QRS wave |
| If a patient has a decreased ventricular muscle mass (ex: from an old MI), what will the EKG from Lead I show? | A reduced QRS wave |
| How do you determine pulse rate from an ECG? | Measure the X-axis length b/n peaks, and calculate at 0.2 sec/dark bar, or 0.04 sec/light bar... OR... Estimate by counting the # of dark bars crossed, and use 300, 150, 100, 75, 60, 50." - Pulse rate at a glance. |
| What is the value of the large squares on the Y axis? What does this measure? | 0.5mV; QRS wave |
| What is the value of the large squares on the X axis? The small squares? What does this measure? | Large squares = 0.2sec, small squares = 0.04sec, it measures pulse rate |
| What is the electrical axis of the heart? | The net vector of all of the vectors of the heart. |