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Paramedic Care
Cardiac
| Question | Answer |
|---|---|
| aberrant conduction | an abnormal conduction of the electrical impulse through the heart's conductive system |
| absolute refractory period | period of the cardiac cycle when stimulation will not produce any depolarization |
| action potential | stimulation of myocardial cells that subsequently spreads across the myocardium |
| acute arterial occlusion | sudden occlusion of arterial blood flow |
| acute coronary syndrome (ACS) | spectrum of coronary artery disease processes from myocardial ischemia and myocardial injury to myocardial infarction |
| acute pulmonary embolism | blockage that occurs when a blood clot or other particle lodges in a pulmonary artery |
| afterload | resistance against which the heart must pump |
| anastomosis | communication b/w two or more vessels |
| aneurysm | dilation of a blood vessel |
| angina pectoris | chest pain that results when the heart's oxygen requirements exceed oxygen supply available from blood |
| arrhythmia | any deviation from the normal electrical rhythm of the heart |
| arteriosclerosis | progressive, degenerative disease of the midsize and large arteries |
| augmented leads | another term for unipolar limb leads, reflecting the fact that the ground lead is disconnected, which increases the amplitude of deflection of the ECG tracing |
| automaticity | pacemaker cells' capability of self-depolarization |
| bipolar leads | electrocardiogram leads applied to the arms and legs that contain two electrodes of opposite polarity (positive and negative) |
| bradycardia | heart rate less than 60 bpm |
| bruit | sound of turbulent flood flow through a vessel |
| bundle branch block | kind of interventricular heart block in which conduction through either the right or left bundle branch is blocked or delayed |
| bundle of Kent | an accessory AV conduction pathway that is thought to be responsible for ECG findings of preexcitation syndrome |
| cardiac arrest | absence of ventricular contraction |
| cardiac cycle | period of time from the end of one cardiac contraction to the end of the next |
| cardiac depolarization | reversal of charges at a cell membrane so that the inside of the cell becomes positive in relation of the outside; opposite of the cell's resting state |
| cardiac output | amount of blood pumped by the heart in one minute |
| cardiac tamponade | accumulation of excess fluid inside the pericardium |
| cardiogenic shock | inability of the heart to meet the metabolic needs of the body, resulting in inadequate perfusion |
| cardiovascular disease (CVD) | disease affecting the heart, peripheral blood vessels, or both |
| chronotrophy | pertaining to heart rate |
| claudication | severe pain in the calf muscle due to inadequate blood supply |
| compensatory pause | pause following an ectopic beat where the SA node is unaffected and the cadence of the heart is uninterrupted |
| conductivity | ability of the cells to propagate the electrical impulse from one cell to another |
| congestive heart failure (CHF) | condition in which the heart's reduced stroke volume causes an overload of fluid in the body's other tissues |
| contractility | ability of muscle cells to contract, or shorten |
| coronary artery disease (CAD) | type of CVD; single largest killer of Americans |
| corrected QT | QT interval divided by the square root of the RR interval |
| coupling interval | distance b/w the preceding beat and the PVC |
| current of injury (injury current) | the flow of current b/w the pathologically depolarized area of myocardial injury and the normally depolarized areas of the myocardium |
| cystic medial necrosis | death or degeneration of a part of an artery wall |
| deep venous thrombosis | a blood clot in a vein |
| defibrillation | process of passing an electrical current through a fibrillating heart to depolarize a critical mass of myocardial cells |
| diastole | period of time when the myocardium is relaxed and cardiac filling and coronary perfusion occur |
| dissecting aortic aneurysm | aneurysm caused when blood gets b/w and separates the layers of the aortic wall |
| downtime | duration from the beginning of the cardiac arrest until effective CPR is established |
| dromotrophy | pertaining to the speed of impulse transmission |
| ectopic beat | cardiac depolarization resulting from depolarization of ectopic focus |
| ectopic focus | nonpacemaker heart cell that automatically depolarizes |
| Einthoven's triangle | triangle around the heart formed by the bipolar limb leads |
| ejection fraction | ratio of blood pumped from the ventricle to the amount remaining at the end of diastole |
| electrocardiogram (ECG) | graphic recording of the heart's electrical activity |
| excitability | ability of the cells to respond to an electrical stimulus |
| heart failure | clinical syndrome in which the heart's mechanical performance is compromised so that cardiac output cannot meet the body's needs |
| hypertensive emergency | an acute elevation of blood pressure that requires the blood pressure to be lowered w/in 1 hour |
| hypertrophy | stretching; enlargement w/o any additional cells |
| indeterminate axis | a calculated axis of the heart's electrical energy from -90 to -180 degrees |
| induced therapeutic hypothermia (ITH) | practice of cooling survivors of cardiac arrest in the immediate post resuscitation period |
| inotrophy | pertaining to cardiac contractile force |
| intercalated discs | specialized bands of tissue inserted b/w myocardial cells that increase the rate in which the action potential is spread from cell to cell |
| interpolated beat | PVC that falls b/w two sinus beats w/o effectively interrupting this rhythm |
| left axis deviation | calculated axis of the heart's electrical energy that equals or exceeds -30 degrees |
| limb leads | augmented leads; bipolar leads; unipolar leads |
| myocardial infarction (MI) | death and subsequent necrosis of the heart muscle caused by inadequate blood supply |
| myocardial injury | injury to the myocardium typically following myocardial ischemia that results from loss of blood and oxygen supply |
| myocardial ischemia | deprivation of oxygen and other nutrients to the myocardium, causing abnormalities in repolarization |
| myoglobin | similar to hemoglobin, it is released into circulation when skeletal or cardiac muscle is damaged |
| noncompensatory pause | pause following an ectopic beat where the SA node is depolarized and the underlying cadence of the heart is interrupted |
| normal sinus rhythm | normal heart rhythm |
| paroxysmal nocturnal dyspnea (PND) | sudden episode of difficult breathing that occurs after lying down |
| peripheral arterial atherosclerotic disease | progressive degenerative disease of the midsize and large arteries |
| Poiseuille's law | law of physiology stating that flood flow through a vessel is directly proportional to the radius of the vessel to the fourth power |
| precordial (chest) leads | electrocardiogram leads applied to the chest in a patter than permits a view of the horizontal plane of the heart, leads V1-V6 |
| preload | pressure w/in the ventricles at the end of diastole; commonly called end-diastolic volume |
| Prinzmetal's angina | variant of angina pectoris caused by vasospasm of the coronary arteries |
| prolonged QT interval | QT greater than 0.44 sec |
| pulmonary embolism (PE) | blood clot in one of the pulmonary arteries |
| QRS axis | reduction of all the heart's electrical forces to a single vector represented by an arrow moving in a single plane |
| QT interval | period from the beginning of the QRS to the end of the T wave |
| reciprocal | mirror image seen typically on the opposite wall of the injured area |
| refractory period | period of time when myocardial cells have not yet completely repolarized and cannot by stimulated again |
| relative refractory period | period of the cardiac cycle when a sufficiently strong stimulus may produce depolarization |
| repolarization | return to a muscle cell to its preexcitation resting state |
| resting potential | normal electrical state of cardiac cells |
| resuscitation | provision of efforts to return a spontaneous pulse and breathing |
| return of spontaneous circulation (ROSC) | resuscitation results in the patient's having a spontaneous pulse |
| rhythm strip | electrocardiogram printout |
| right axis deviation | a calculated axis of the heart's electrical energy that equals or exceeds +105 degrees |
| Starling's law of the heart | law of physiology stating that the more the myocardium is stretched, the more forceful the contraction will be |
| stroke volume | amount of blood ejected by the heart in one cardiac contraction |
| subendocardial infarction | myocardial infarction that affects only the deeper levels of the myocardium |
| sudden death | death w/in 1 hour after onset of symptoms |
| survival | when a patient is resuscitated and survives to be discharged from the hospital |
| synchronized cardioversion | the passage of an electric current through the heart during a specific part of the cardiac cycle to terminate certain kinds of dysrhythmias |
| syncytium | group of cardiac muscle cells that physiologically function as a unit |
| systole | period of the cardiac cycle when the myocardium is contracting |
| tachycardia | rapid heart rate greater than 100 bpm |
| total downtime | duration from the beginning of the arrest until the patient's delivery to the emergency department |
| transmural infarction | myocardial infarction that affects the full thickness of the myocardium and almost always results in a pathological Q wave in the affected leads |
| unipolar leads | electrocardiogram leads applied to the arms and legs, consisting of one polarized electrode and a nonpolarized reference point that is created by the ECG machine combining two additional electrodes |
| varicose veins | dilated superficial veins, usually in lower extremities |
| vasculitis | inflammation of blood vessels |
| vector | a force that has both magnitude and direction |