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Electrical EKG
electrical anatomy for EKG
Question | Answer |
---|---|
What are the 4 heart properties? | automaticity excitability conductivity contractility |
Define automaticity. | cells ability to stimulate an electrical impulse without an external source |
Define excitability. | ability to respond to an impulse |
Define conductivity. | ability to receive and transmit impulse information to other cells |
Define contractility. | ability to contract when it is stimulated by an impulse; must have myofibrils present |
What is present and missing from the conductive pathway of the heart? | NO myofibrils NO contractility properties MORE gap junctions |
Name the components of the atrial electrical system. | SA node internodal pathways & Bachmann's bundle AV node |
The SA node is known as the... | pacemaker of the heart. |
Where is the SA node is located? | right atrium below the superior vena cava |
What is the intrinsic rate of the SA node? | 60-100 bpm |
What are the internodal pathways? | three pathways that connect the SA and AV node together |
Where are the internodal pathways located? | right atrium |
Which of the internodal pathways is known as the FAST track? | anteriosuperior track |
Which of the internodal pathways is known as the SLOW track? | posterioinferior track |
Where is Bachmann's bundle located? | left atrium |
What are the three parts of the AV node? | 1. transition zone 2. compact zone 3. trigger zone |
What are the characteristics of the TRANSITION zone? | located on the tip or covering of the AV node made of autonomic fibers arrhythmogenic (creates it own rhythm) |
What are the characteristics of the COMPACT zone? | core of the AV node similar tissue as SA node signal is SLOWED here backup pacemaker |
Why is the signal slowed in the AV node? | to allow for atrial contraction (otherwise all chambers would contract at the same time) |
What is the intrinsic rate of the compact zone of the AV node? | 40-60 bpm |
What are the characteristics of the TRIGGER zone? | connects AV node to bundle of His signal is SPED UP here |
Name the components of the ventricular electrical system. | bundle of His R & L bundle branches Purkinje fibers |
What is the special purpose of the bundle of His? | should be the ONLY line of communication between the atria and ventricles |
What are characteristics of the LBB? | one of the splits from the bundle of His splits into two parts shorter than RBB |
The LBB splits into what two parts? | left POSTERIOR fascicular left ANTERIOR fascicular |
Which of the LBB fascicle is most common for blocks? | left ANTERIOR |
What are characteristics of the RBB? | begins at the bundle of His and ends at the Purkinje fibers |
What are the Purkinje fibers? | where the LBB (left anterior & posterior fascicular) and RBB end |
What is the intrinsic rate of the Purkinje fibers? | 20-40 bpm |
When cardiac cells are at REST, what are the charges inside and outside of the cell? | positively charged on the outside negatively charged on the inside |
Which ions are found on the inside of cardiac cells? | POTASSIUM (K) sulfate phosphate |
Which ions are found on the outside of cardiac cells? | SODIUM (Na) CALCIUM (Ca) |
What is an action potential? | the change in the electrical charge of the cell which is based on the levels of Na, Ca, and K |
What is depolarization? | a shift in electrical charges within and outside of a cell an ACTION occurs |
What is repolarization? | restoration of the charges within and outside of a cell the RESET |
How many phases occur during an action potential? | 5 (0, 1, 2, 3, 4) |
What happens during Phase 0? | fast Na channels open and Na+ rushes into the cell rapid DEPOLARIZATION |
What happens during Phase 1? | fast Na channels close early REPOLARIZATION |
What happens during Phase 2? | Ca channels slowly open the PLATEAU |
Ca is needed for what? | muscle contractions |
What happens during Phase 3? | Ca channels close K channels open relative refractory period can occur here rapid REPOLARIZATION |
What happens during Phase 4? | Na/K pump ions switch places to reset RESTING PHASE |
What is the ratio of Na+ to K+ as the pump returns the ions back to their original resting state? | 3:2 |
What is relative refractory period? | cell CAN respond to another stimulus, but was not at rest when it occurred |
What is absolute refractory period? | cell CANNOT respond to another stimulus |