MedSurg RLE | NCM 71.

Ms. Jane Panchacala | August 31, 2022

CONTENTS • QRS COMPLEX – ventricular contraction as whole

I. Definition of Terms • ST-SEGMENT – ventricular relaxation as whole
II. Classifications (plateau)
III. ECG/EKG Waveforms
IV. Concept Map
V. Compare and Contrast

I. DEFINITION OF TERMS
• ACUTE CORONARY SYNDROME
o an emergent situation characterized by an
acute onset of myocardial ischemia that
results in myocardial death if definitive
interventions do not occur promptly
• STEMI
o ST-segment myocardial infarction
• NSTEMI
o Non-ST-segment myocardial infarction
• MYOCARDIAL INFARCTION
o Commonly called heart attack
o Extremely dangerous condition caused by a
lack of blood flow to your heart muscle
• ECG/EKG
o Electrocardiogram records the electrical signal
from the heart to check for different heart
conditions
• ISCHEMIA
o Inadequate blood supply to the heart
• ANGINA PECTORIS
o Chest pain caused by myocardial ischemia
• INFARCTION
o Death of tissue or necrosis
• MYOCARDIUM
o Muscle of the heart

II. CLASSIFICATIONS
• UNSTABLE ANGINA
o Pre-infarction angina
o Patient has clinical manifestations of coronary
ischemia but ECG and cardiac biomarkers
show no evidence of acute MI
• STEMI
o Patient has ECG evidence of acute MI with
characteristic changes in two contiguous leads
on a 12-lead ECG
• NSTEMI
o Patient has elevated cardiac biomarkers but
no definite ECG evidence of acute MI

III. ECG/EKG WAVEFORMS

• P - atrial contraction/depolarization
o Depolarization = Contraction
• Q – start of ventricular contraction
• R – largest wave in the QRS complex
• S – start of ventricular relaxation
• T – ventricular repolarizing
o Repolarization = Relaxation
• PR INTERVAL – movement of electrical activity from
atria to ventricles

Prepared by: GWYN OONA FLORENCE L. FORRO | 1

A. ECG CHANGES DURING ACS

Prepared by: GWYN OONA FLORENCE L. FORRO | 2

IV. CONCEPT MAP

Prepared by: GWYN OONA FLORENCE L. FORRO | 3

V. COMPARE AND CONTRAST

Prepared by: GWYN OONA FLORENCE L. FORRO | 4