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ECG

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Question
Answer
P WAVE   represents depolarization of the atria  
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QRS COMPLEX   correspond to the depolarization of the ventricles  
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T WAVE   represents ventricular repolarization  
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LARGER SIZEOF THE QRS COMPLEX OVER SMALLER P WAVE   caused by the greater muscle mass of the ventricles and hence greater number of cellular depolarizations  
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SMALL Q WAVE   occurs during the activation of the septal fascicle and the depolarization of the interventricular sseptum  
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R WAVE SPIKE   occurs when both ventricles are depolarizing at the same rate  
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ECG   useful for the clinician in diagnosing heart attacks (MI), conduction abnormalities, arrhythmias, toxicity and electrolyte imbalances  
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Cardiac muscle contains 3 types of cells that are involved in synchronized contraction of the 4 chambers of the heart   NODAL CELLS, SPECIALIZED CONDUCTING FIBERS, CONTRACTILE OR MYOCARDIAL CELLS  
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1. NODAL CELLS   involved in generating the internal action potentials of the heart. They are localized in 2 areas of the heart, the SA and AV node.  
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2. SPECIALIZED CONDUCTING FIBERS   allows for the quick transmission of the action potentials from one part of the chambers to another. AV bundle and the PURKINJE fibers  
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Nodal cells and specialized conducting fibers   INTRINSIC CONDUCTION SYSTEM OF THE HEART  
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3. CONTRACTILE OR MYOCARDIAL CELLS   makes up over 90 percet of the heart and is responsible for muscle contraction and the pumping of blood  
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ELECTRICAL AXIS OF THE HEART   important for clinical diagnosis because it indicates the position of the heart in the thoracic cavity and hypertrophy of the chambers  
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ELECTRICAL AXIS RANGE   nomally between -30 degrees and +90 degrees.  
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LEFT AXIS DEVIATION   when the electrical axis is less than -30 degrees and can be caused by left ventricular hypertrophy, COPD, obesity, or an inferior myocardial infarction.  
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RIGHT AXIS DEVIATION   when electrical axis is greater than +90 degrees and can be caused by right ventricular hypertrophy, an anterior-lateral myocardial infarction, pulmonary emboli, or normally occurs in tall thin adults  
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PR INTERVAL   represents the time it takes electrical impulse to spread from the beginning of atria depolarization to the beginning of ventricular depolarization and is normally 0.12 to 0.20 seconds  
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PR INTERVAL   calculated from the beginning of the P wave to the first Q wave deflection in the QRS complex.  
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PROLONGED PR INTERVAL   may be caused by longer delay at the AV node, hypothyroidism, or various drugs.  
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SHORTEND PR INTERVAL   suggests that the impulse has originated in areas other than the SA node.  
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PR SEGMENT   is a component of the interval and is measured from the end of the P wave to ventricular depolarization.  
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PR INTERVAL   if longer, AV node block  
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QRS DURATION   the time it takes to complete depolarization within the ventricles.  
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QRS DURATION   measured from the beginning of the Q wave to the end of the S wave and is normally between 0.08 to 0.11 seconds  
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QRS - prolonged   prolonged time might suggest a bundle block or ventricular hypertrophy  
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QT INTERVAL   is a measurement of the duration of the action potential and thus the refractory period in the ventricles and is calculated from the beginning fo the Q wave to the end of the T wave  
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QT INTERVAL   changes with physical activity, calcium or potassium imbalances and various drugs.  
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ST SEGMENT   part of the QRS interval and is measured from the end of the S wave to the beginning of the T wave. Represents the PLATEAU phase of the action potential  
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