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Cardiac vocab and rhythms

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Question
Answer
Atrial Flutter   P waves many saw tooth, QRST present, appear same, atrial rhythm reg/ irreg,> one P per QRS, vent rhythm reg/irreg. Atrial rate >vent rate, Atrial rate 250-350. UTM PRI, QRS normal, ↓CO or emboli. TX= Ca channel blocker, b-blocker, Digoxin, anticoagulants  
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Atrial fibrillation   QRST present, appear same. P absent, replaced by small fibrillatory waves. Irreg, chaotic, UTD atrial rate. If could measure>400. Uncontrolled-vent>100. Controlled-vent<100.UTM PRI,QRS normal. Emboli, ↓CO. TX= ca channel block, b-block, Digoxin, anticoagu  
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Premature ventricular contractions (PVCs)   P absent, QRS complex wide, bizarre appear. Baseline rhythm irregular-PVC early.Rate measured baseline rhythm.Conduction meas baseline Config: single, isolated,multiple runs. Paired, couplet-2 PVCs in row. Bigeminy, trigeminy-PVC every other beat, every  
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Angiography   diagnostic or therapeutic radiography of the heart and blood vessels using a radiopaque contrast medium. MR angiography, interventional radiology, CT  
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Angioplasty   any endovascular procedure that reopens narrowed blood vessels and restores forward blood flow.  
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Angiotensin   vasopressor produced when renin is released from the kidney.  
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Arteriosclerosis   disease of the arterial vessels marked by thickening, hardening, and loss of elasticity in the arterial walls.  
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Atherosclerosis   most common form of arteriosclerosis, marked by cholesterol-lipid-calcium deposits in the walls of arteries that may restrict blood flow.  
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B-Type Natriuretic Peptide   peptide that stimulates the kidneys to excrete salt and water.  
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Biomarkers   signal that serves as an indicator of the state of a living organism. Biochemical, genetic or molecular indicator that can be used to screen diseases, such as cancer.  
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Cardiac Isoenzyme (CK-MB)   enzyme that catalyzes the reversible transfer or high-energy phosphate between creatinine and phosphocreatinine and cardiac muscle. May be increased to 10-25 times normal level in first 10-14 hours after MI and return to normal in 2-4 days.  
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Cardiac Output   amount of blood discharged from the left or right ventricle per minute. Avg 3.0L per sq m of body surface area.  
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Cardiogenic shock   failure of the heart to pump an adequate supply of blood and oxygen to the body tissues. Most common cause is MI.  
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Central venous pressure   CVP pressure within the superior vena cava. Reflects pressure under which the blood is returned to the right atrium  
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Coronary artery disease   CAD narrowing of the coronary arteries, usually the result of atherosclerosis. Single most common cause of death in industrialized nations.  
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D-Dimer test   byproduct of the degradation of blood clots, specifically of the fibrin within the clot. Presence of an elevated test in the setting of suspected PE or DVT is justification for further testing.  
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Dysrhythmia   abnormal, disordered, or disturbed rhythm.  
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Electrocardiogram (ECG)   record of the electrical activity of the heart.  
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Emboli   mass of undissolved matter present in a blood or lymphatic vessel and brought there by the blood or lymph.  
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Endarterectomy   surgical removal of the lining of an artery. Can be performed on almost any major artery that is diseased or blocked. Carotid, femoral, popliteal  
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Endocarditis   infection or inflammation of the heart valves or the lining of the heart.  
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Hyperlipidemia   increased lipids in the blood.  
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Implantable Cardiovertor/Defibrillator (ICD)   implantable device for detecting and terminating ventricular tachycardia or fibrillation.  
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Infarct   area of tissue in an organ or part that undergoes necrosis following cessation of the blood supply.  
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Intermittent claudication   cramping or pain in the leg muscles brought on by a predictable amount of walking or other exercise and relieved by rest.  
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Ischemia   temporary deficiency of blood flow to an organ or tissue  
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Lumbar sympathectomy   excision of a portion of the sympathetic division of the autonomic nervous system. It may include a nerve, plexus, ganglion, or series of ganglia of the sympathetic trunk.  
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Murmur   abnormal sound heard when listening to the heart or neighboring large blood vessels. May be soft, blowing, rumbling, booming, loud, or variable. Can be heard with systole or diastole.  
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Orthopnea   labored breathing while lying flat, improves when standing or sitting up.  
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Pacemaker   influences the rate and rhythm of occurrence. In cardiology, specialized cells or group of cells that automatically generate impulses that spread. SA node. Generally accepted term for artificial cardiac pacemaker  
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Palpitations   sensation of rapid or irregular beating of the heart. Thudding, fluttering, or throbbing  
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Pericarditis   inflammation of the pericardium, marked by chest pain, fever, and audible friction rub.  
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Percutaneous Coronary Intervention (PCI)   procedure in which catheters are placed within the coronary arteries to study them or open them when they are obstructed.  
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Positive inotropic effect   influencing the force of muscular contractility.  
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Primary hypertension   hypertension that develops without apparent cause.  
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Pulse pressure   difference between systolic and diastolic pressures. Is normally about 40 points different.  
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Regurgitation   backward flowing, as in the backflow of blood through a defective heart valve.  
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Renin   enzyme produced by the kidney that splits angiotensinogen to form angiotensin I, which is then transformed to angiotensin II which stimulates vasoconstriction and secretion of aldasterone  
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Sinoatrial node (SA node)   specialized group of cardiac muscle cells in the wall of the right atrium at the entrance of the superior vena cava. These depolarize spontaneously and rhythmically to initiate normal heartbeats.  
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Stenosis   constriction or narrowing of a passage or orifice.  
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Stent   material or device used to hold tissue in place, to maintain open blood vessels or to provide support for a graft or anastamosis while healing.  
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Stroke volume   amount of blood ejected by the left ventricle at each heartbeat.  
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Syncope   transient (usually sudden) LOC, accompanied by an inability to maintain an upright posture. Most common causes, vasovagal, cardiogenic, orthostatic, neurogenic  
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Telemetry   transmission of data electronically to a distant location.  
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Thrombosis   formation or presence of a blood clot within the vascular system.  
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Troponin   inhibitory protein in muscle fibers.  
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Venous Stasis   stasis of blood by venous congestion.  
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Ventricular hypertrophy   left or right ventricular hypertrophy, an increase in the size of an organ or structure or of the body owing to growth rather than tumor formation.  
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Atrial Tachycardia   QRST present, same appearance, P is lost in preceding T, T may invert due to ischemia. Rhythm regular, rate 150-250, unable to measure PRI-QRS is normal, decreased CO. TX=calcium channel blocker (Cardizem), beta-blocker (metoprolol), Digoxin.  
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Ventricular tachycardia   only wide bizarre QRS complexes, T wave opposite of QRS. Rhythm-regular Rate-150-200 bpm Pt Response-minimal cardiac output, pulseless, unconscious, life threatening. Treatment=assess first, lidocaine, possible code.  
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Asystole   no identifiable waves, straight or nearly, line. Rhythm-none. Conduction-no ventricular activity. Pt response-no cardiac output. Treatment-assess first, immediate CPR, code, epi, atropine, external pacer.  
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AV blocks   first degree (prolonged PR I) PQRST-sinus rhythm. Rhythm-regular. Conduction- PRI >0.20. Cause-medications such as Digoxin, beta-blockers, calcium channel blockers. TX-none, assess medications, Digoxin level.  
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Pacemaker Rhythm   QRST Pacer spikes-impulses travel pacer-heart, visible as vert spike ↑or↓isoelectric line. Atrial spike-instead of the P wave spike.Vent spike-within the Q wave.Rhyt-irreg b/c pt rhythm-pacer rhythm comb.Rate-preset by pacer. Pacer fires HR falls ↓pacer s  
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A.S.H.D.   atherosclerotic heart disease.  
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Aneurysm   localized abnormal dilatation of a blood vessel, usually in an artery, due to a congenital defect or weakness in the wall of the vessel.  
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Angina   oppressive pain or pressure in the chest caused by inadequate blood flow and oxygenation of the heart muscle.  
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Cardiac Catheterization   percutaneous intravascular insertion of catheter into cardiac ventricles, coronary arteries, great vessels for diagnosis, assessment of abnormalities, interventional treatment, evaluation of the effects of pathology on heart and great vessels.  
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Premature ventricular contraction (PVC) or beat   contraction of cardiac ventricle prior to normal time, caused by electrical impulse to ventricle arising from site other than SA node. May be a single event or occur several times in a minute, pairs, or strings. Three or more represent V. Tach.  
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Ventricular fibrillation   coarse waves, no discernible complexes, no P, no QRST. Rate-unable to determine. Rhythm-chaotic. PT response-no cardiac output, pulseless, unconscious, life threatening. Treatment-assess first, CPR, defibrillation, epi, lidocaine.  
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