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ECG

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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ECG Note Cards
ECG Note Card Answers
Normal pacemaker of the heart   SA node  
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· Located where the superior vena cava enters the right atrium   SA node  
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SA node Fires at a rate of   60-100 bpm  
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Internodal tracts and Bachmann’s bundle   Existence of 3 internodal tracts is debatable  
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Impulse travels to left atrium via Bachmann’s bundle   Internodal tracts and Bachmann’s bundle  
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AV node is located   in the inferior right atrium  
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AV node Delays impulse by _______seconds to give   by 0.04 seconds to give ventricles a chance to fill while atria contract  
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AV node cannot generate an________ but ______ can   AV node cannot generate an impulse but junctional tissue can  
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Beginning of the ventricular conduction system   Bundle of His  
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_______Divides into right and left bundle branches   Bundle of His  
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Bundle of His is where a Peacemaker fires at a rate of   40-60 bpm when SA node doesn’t fire or impulse doesn’t reach AV note  
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Extend down right and left side of interventricular septum   Bundle branches  
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· Covers endocardial surfaces of both ventricles, spreads to myocardium and epicardium   Purkinje fibers  
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Purkinje fibers is where a Peacemaker fires at a rate of   20-40 bpm when impulse is blocked at/above bundle branches  
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P wave represents   the electrical conduction through both atria.  
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P wave Precedes_______, is ______ and ________.   QRS complex; is Rounded and smooth  
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PR interval represents   _the impulse travel time through the AV node, through the bundle of His, and to the Purkinje fibers  
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PR interval Measured   from the start of the P to the end of the Q/r where it starts to go down.  
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Normal duration is - normal length for the PR interval is   0.12 to 0.20 second. Should not be longer than 0.2 seconds and this is what you need to know.  
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QRS complex Represents   QRS complex indicates that the electrical impulse has traveled through the ventricles  
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QRS complex follows   the PR interval  
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QRS complex consists of   3 waves: Q (1st – deflection), R (1st + deflection), and S (2nd – deflection)  
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QRS complex normal duration is   0.06 to 0.10 second  
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Represents the end of ventricular depolarization and the beginning of ventricular repolarization   ST segment  
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ST segment follows   QRS, from end of S wave to beginning of T wave  
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T wave Represents   Ventricular repolarization recovery  
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T wave flows what?   Follows the ST segment  
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What wave is slightly rounded and smooth?   T wave  
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QT interval represents ___?   Represent ventricular depolarization - repolarization of ventricle cycle  
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QT interval is measured from _________.   Start of Q to end of T  
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QT interval duration is   normal QT interval is 0.12 to 0.42 seconds  
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How do you figure the rate?   1500/# ob boxes between two R points  
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Sinus Bradycardia   is less than 60  
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Sinus Tachycardia   is over 100  
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Normal Sinus   60-100  
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