Cards in this set:
Term Definition
if the beat originates in the Atria or AV node then narrow, if it originates in the ventricals then it is the QRS is usually: wide and bizarre
Term Definition
4 general groups of arhythmias
1. irregular rhythms 2. escape/premature beats 3. rapid ectopic rhythms 4. atrioventricular heart blocks
Definition
Term
p waves and p-r intervals are identical but rate varies:
Term Definition
sinus arrhythmia
p waves of varying shape and different p-rwandering atrial pacemaker OR if rate >100 then intervals its multifocal atrial tachycardia
Term Definition
no p waves; irregular/wavy baseline and QRS is irregularly spaced:
Term Definition
atrial fibrillation
usual pacemaker fails so a slower pacemaker fires escape beat: could be atrial, junctional or at its inherent rate: ventricular
Term Definition
escape beat: different appearing and late p waves
Term Definition
atrial escape beat junctional escape beat ventricular escape beat premature beat
escape beat: no p waves normal narrow QRS
Term Definition
escape beat: no p wave and wide bizarre QRS
Term Definition
ectopic pacemaker fires early before the next scheduled beat:
Term Definition
pwave may run into previous T wave; caused by adrenergics
Term Definition
premature atrial contraction
early beat with no p wave and normal narrow QRS:
premature junctional beat
Term
Definition
early beath with no p wave and wide QRS; caused premature ventricular contraction by (3): caused by: hypoxia, hypokalemia, mitral valve prolapse
Term Definition
accelerated rate (150) and narrow QRS:
Term
paroxysmal supraventricular tachycardia
Definition
accelerated rate and wide QRS:
Term Definition
ventricular tachy ventricular fibrillation
Definition
large eratic and wavy baseline:
Term
PR interval >0.2:
Term Definition
1st degree AV heart block
PR interval gets progressively longer until a QRS 2nd degree AV heart block = Wenkebach is dropped:
Term Definition
PR intervals are constant and QRS is dropped intermittently:
Term Definition
Mobitz; 2nd degree AV heart block
PR interval is constantly changing and QRS is wide:
Term Definition
3rd degree AV block (most serious)
QRS interval should be less than:
Term Definition
<.12 bundle branch block
Definition
QRS >.12 =
Term
QRS >.12 and RR in V1-V2 =
Term Definition
Right BBB Left BBB
Definition
QRS >.12 and RR in V5-V6 =
Term
VERY IMPORTANT: The EKG is often unreliable in detecting ________ during LBBB.
Term Definition
infarct
QT should be less than :
Term Definition
1/2 R to R interval
Junctional Rhythm: no p waves, relatively narrow QRS
Term Definition
First Degree Block
PR interval is greater than .2 seconds (one large box). Note that there is a P wave before each QRS and a QRS after each P wave
Term Definition
paroxysmal supraventricular tachycardia
Regular narrow QRS. Often it's hard to determine whether it's atrial or junctional as it is going too fast to see P waves. Clinically it doesn't matter since they are treated the same
Term
Definition
Normal Sinus Rhythm
Term Definition
LBBB Left Bundle Branch Block
The wide QRS in V5 and V6; the RR' is present but not as distinct as in right bundle branch block. With left bundle branch block the signs of infarction are unreliable
Term
Definition
junctional rhythm
Term Definition
Atrial fibrillation
Term Definition
Third Degree Block
The atrial rate is independent of the ventricular rate so the P waves are independent of the QRS's. The P waves are regular and can be marched out with calipers. The same can be done with the QRS complexes
Term Definition
Second Degree Block Type 2
PR intervals are the same, but every other beat is dropped
Term
Definition
Ventricular tachycardia
Term Definition
Second Degree Block Type 1 (Wenckebach)
The PR gets progressively longer until a beat is dropped
Term Definition
Wandering Atrial Pacemaker
(It's called Multi focal Atrial Tachycardia if the rate is >100). Strict definition is 3 different P wave morphologies and 3 different PR intervals
Term Definition
PAC
Premature Atrial Contraction The third beat is premature. It has a P wave of different morphology than the sinus beats. This defines it as a premature atrial contraction
Term
Definition
RBBB
Term Definition
sinus arrhythmia
Irregular, but note P wave morphology and PR intervals are identical, this identiies it as a sinus rhythm.
Term
Definition
atrial rate >100, assoc w COPD and sometimes Digoxin toxicity
Term Definition
multifocal atrial tachycardia
what are the rates assoc with ea rhythm? paroxysmal tachy, flutter, fibrilation
Term Definition
paroxysmal tachy:150-250 flutter:250-350 fibrilation:350-450 - Torsades de Pointes
o Very rapid ventricular rhythm caused by hypokalemia or congenital d/o o 250-350 bpm o Looks like twisted ribbon, get progressively larger than smaller o Usually brief self-terminating bursts, but if
unresolved can lead to deadly arrhythmia
Term Definition
o AKA Barlows syndrome, benign condition, more common in women
Term Definition
Mitral Valve Prolapse
PAC w widened QRS:
Term
PAC w aberrant ventricular conduction
Definition
atrial bigeminy:
Term
irritable atrial focus repeatedly couples a PAC to the end of each normal cycle
Definition
atrial trigeminy:
Term Definition
2 normal cycles followed by a PAC an extra or accessory conduction pathway between the atria and ventricles in the heart assoc w Wolfe-Parkinson-White syndrome
Definition
bundle of kent:
Term
Wolfe-Parkinson-White Syndrome:
Term
premature ventricular contraction caused by short circuiting from the bundle of Kent
Definition
conduction tract in left atrium. Originates in the SA node and distributes depolarization.
