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26 Cards in this Set

  • Front
  • Back

impulse abnormalities

1-irregular sinus rhythms


2- ectopic rhythms

irregular sinus rhythms

1-sinus tackycardia


2-sinus bradycardia


3- respiratory sinus arrhythmia

sinus tachycardia

normal impulses with fast pace


due to:sympathytic stimulation, hyperthyroidism, emotion, feve, exercise

sinus bradycardia

normal impulses but slow pace


due to:hypothyroidism, beta blockers, digitalis,


vegal tone

respiratory sinus arrhythmia

inhalation increases HR


pr interval: 0.12 sec




exhalation: decreases HR


pr interval: 0.2 sec

ectopic rhythms

1-atrial extra systole


2- ventricular extrasystole


3- atrial flatter


4- atrial fibrillation

atrial extra systole

premature atrial beat




ectopic foci on the atrium which acts as a pace maker for one beat

atrial extrasystole ecg

1-p wave maybe inverted or different


2- followed by qrs



ventricular extrasystole and causes

it is an ectopic focus in the ventricle, which stimulates the vent prematurely




due to: smoking, emotions, caffeine

ventricular extrasystole ecg

1-qrs is not preceded by p wave


2- qrs has weird shape


3- qrs is is inverted


4- qrs has a high voltage


5- qrs is followe by a compensatory pause



atrial flatter

the atrial rate is 250-300 beats/min


cause: single ectopic foci in the atrium that discharge in regular rhythm



atrial flatter ecg

1- not every p wave is followed by qrs


2- ecg baseline has saw tooth appearance


3- qrs normal shape with normal intervals

atrial fibrillation

1- the atrial rate is 400-600


2- cause: multiple focuses in the atrium which discharge rapidly but irregularly



atrial fibrillation ecg

1- p wave is absent


2- it is replaced by f wave


3- qrs normal with irregular intervals

SA nodal block

there is normal formation of impulses inside the node but no conduction to atria




one beat/dropped beat: if more than one beat causes asystole --------> fainting

heart block

1st degree


2nd degree


3rd degree



1st degree heart block

all atrial impulses reach ventricle but is retarded in av node


this will cause the pr interval to be more than 0.2 seconds

2nd degree heart block

2 type: mobitz type 1


mobitz type 2

mobitz type 1and what is it also called

venckback phenomena




pr intervals are extended to the point that no conduction will occur e.g.. drop beat


the next pr interval will be normal



mobitz type 2

some (not all) atrial impulses will reach the ventricle




not all p waves will be followed by qrs

3rd degree and what is it also called

complete heart block stock adam syndrome




no impulses would be conducted from atrium to ventricle so the ventricle would undergo idioventicular rhythms of 20-40 beats/min

bundle branch block

if one of the bundles is not working for ex. the right bundle is not working so depolarization won't occur together, rather depolarization will occur from left to right.

ecg of bundle branch block

widened qrs wave

wolf parkinson white

the conduction from atria to vent. would be really fast there will be no delay by the av node

name of bundle in this syndrome

kent bundle

ecg in wolf parkinson white syndrome

pr interval is short (0.8) because the pr segment is very short