depolarization is | charged particles move into the cell causing contraction |
repolarization does? | allows the heart to rest |
atrial repolarization | not ekg detectable |
atrial depolarization | detectable on ekg |
working cells of the heart | myocardial cells |
cells what generate and conduct electrical impulses | pacemaker cells |
describe automaticity | ability of the pacemaker cells to initiate an electrical impulse without being stimulated from another source |
describe excitability | ability of the cardiac muscle cells to respond to an outside stimulus |
describe conductivity | ability of a cardiac cell to receive an electrical stimulus and conduct that stimulus to an adjacent cardiac cell |
describe contractility | ability of the cardiac cells to shorten, causing cardiac muscle contraction in response to an electrical stimulus |
describe refractoriness | the period of recovery that cells need after being discharged before they are able to respond to a stimulus |
where on the ekg is the refractory period? | T wave |
absolute refractory period | cells can not respond to any electrical impulse |
relative refractory period | cells can depolarize if impulse is strong enough |
what is the primary pacemaker | sinoatrial node |
what stimulates the left atrium | Bachman's bundle |
how does the impulse get to the AV node from the SA node? | internodal pathways |
what does the av node do? | delays the impulse so the ventricles have time to fill with blood |
what ventricle are the purkinjie fibers at? | left ventricle |
what is between the av node and the bundle branches | bundle of HIS |
if the bundle of his has to pace the heart what is the rate and sections below it is pacing? | 40-60bpm for the left and right bundle branches |
list 3 sections of the left bundle brach | anterior fascicle, posterior fascicle, septal fascicle |
if the purkinjie fibers have to pace what is the rate? | 20-40bpm |
dysrhythmias | result from impulse formation or impulse conduction disorders |
partial conduction block | slow but all impulses are conducted |
complete conduction blocks | no impulses are conducted |
what does reentry do? | creates a loop that stimulates tissue that was already depolarized |
how is the PR segment measured? | end of p to start of qrs |
how is st segment measured | end of s to end of t |
how long is a QRS | .11 seconds or less |
what is the T wave | the repolarization of ventricles |
how is the pr interval measured | start of p to start of qrs |
how long should a pr interval be? | .12-.2 |
what are the numbers to label for the sequence method | 300 150 100 75 60 50 |
what do you divide by for small box method | 1500 |