Cardiac Rhythms: Sinus, Bradycardia, and Tachycardia
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Questions and Answers

What is the typical heart rate range for Sinus Tachycardia?

  • 60-100 bpm
  • 100-160 bpm (correct)
  • Below 40 bpm
  • 40-60 bpm

In a normal heart rhythm, which node initiates the electrical impulse?

  • Purkinje Fibers
  • Sinus Node (correct)
  • AV Node
  • Bundle of His

Which part of the heart is responsible for the QRS complex?

  • Atria
  • AV Node
  • Sinus Node
  • Ventricle (correct)

What is the correct sequence of the electrical impulse in Sinu rhythm?

<p>Sinus node -&gt; Atrium -&gt; AV Node -&gt; Ventricle (C)</p> Signup and view all the answers

During sinus tachycardia, what is the typical appearance of the P waves in relation to the QRS complexes?

<p>Upright and married to QRS (D)</p> Signup and view all the answers

Following the normal sequence, after the AV node, where does the electrical impulse travel?

<p>Bundle of His (A)</p> Signup and view all the answers

In the sequence of sinus rhythm, which comes first?

<p>Sinus node (A)</p> Signup and view all the answers

Where does the electrical impulse originate in atrial rhythms?

<p>Atrium (B)</p> Signup and view all the answers

During sinus tachycardia, what is the appearance of the P waves?

<p>Upright (C)</p> Signup and view all the answers

During sinus tachycardia, what is the range for the PR interval?

<p>0.12 - 0.20 seconds (D)</p> Signup and view all the answers

Which structure is located between the right and left atria?

<p>Interatrial tracts (C)</p> Signup and view all the answers

Following the AV node in normal sinus rhythm, where does the electrical impulse travel next?

<p>Bundle of His (D)</p> Signup and view all the answers

In atrial rhythms, where does the electrical impulse originate?

<p>Atrium (A)</p> Signup and view all the answers

In the heart's electrical conduction system, what follows the bundle branches?

<p>Purkinje Fibers (A)</p> Signup and view all the answers

Which node is the natural pacemaker of the heart?

<p>Sinus Node (B)</p> Signup and view all the answers

What part of the heart is activated immediately after the atria in sinus rhythm?

<p>AV Node (A)</p> Signup and view all the answers

In atrial rhythms, where does the electrical impulse travel after the atrium?

<p>AV Node (A)</p> Signup and view all the answers

What is the normal appearance of P waves during Sinus Tachycardia?

<p>Upright (C)</p> Signup and view all the answers

What does 'HR' stand for?

<p>Heart Rate (C)</p> Signup and view all the answers

What part of the heart does the electrical impulse reach after the Bundle of His?

<p>Bundle Branches (B)</p> Signup and view all the answers

Which heart structure comes immediately before the ventricle in sinus rhythm?

<p>AV Node (A)</p> Signup and view all the answers

What heart rate defines sinus tachycardia?

<p>100-160 bpm (B)</p> Signup and view all the answers

Which of these is true regarding sinus tachycardia?

<p>Rhythm is regular. (A)</p> Signup and view all the answers

In atrial rhythms, where does the electrical impulse travel immediately after the atrium?

<p>AV Node (C)</p> Signup and view all the answers

What part of the heart is activated directly by the Sinus Node in Sinus Rhythm?

<p>Atrium (A)</p> Signup and view all the answers

Which of the following is the correct flow of electrical activity in Atrial Rhythms?

<p>Atrium -&gt; AV Node -&gt; Ventricle (B)</p> Signup and view all the answers

In Sinus Tachycardia, what is the typical heart rate range?

<p>100-160 bpm (D)</p> Signup and view all the answers

What does 'R' stand for in the context of Sinus Tachycardia characteristics?

<p>Rhythm (C)</p> Signup and view all the answers

Which of the following directly follows the AV node in both Sinus and Atrial Rhythms?

<p>Ventricle (C)</p> Signup and view all the answers

What is the typical heart rate range for someone experiencing Sinus Tachycardia?

<p>100-160 bpm (D)</p> Signup and view all the answers

During Sinus Tachycardia, what is the typical appearance of the P waves?

<p>Upright (C)</p> Signup and view all the answers

Where does the electrical impulse travel immediately after the Atrium in Atrial Rhythms?

<p>AV Node (B)</p> Signup and view all the answers

In the heart, what is the function of the Bundle Branches?

<p>To conduct electrical impulses to the ventricles (B)</p> Signup and view all the answers

What is the next step in Atrial Rhythms after the Atrium?

<p>AV Node (C)</p> Signup and view all the answers

What is the heart rate range that defines sinus tachycardia?

<p>100-160 bpm (C)</p> Signup and view all the answers

In sinus rhythm, which structure is activated directly by the Sinus Node?

<p>Atrium (B)</p> Signup and view all the answers

In the heart's electrical conduction sequence during sinus rhythm, what follows the AV node?

<p>Bundle of His (C)</p> Signup and view all the answers

Where does the electrical impulse originate in sinus rhythm?

<p>Sinus node (C)</p> Signup and view all the answers

What is the first location the electrical impulse reaches after the Sinus Node in Sinus Rhythm?

<p>Atrium (D)</p> Signup and view all the answers

Which range defines the heart rate during Sinus Tachycardia?

<p>100-160 bpm (C)</p> Signup and view all the answers

What is the normal appearance of the P waves in Sinus Tachycardia?

<p>Upright (B)</p> Signup and view all the answers

What is the regular PR interval duration during Sinus Tachycardia?

<p>0.12-0.20 seconds (B)</p> Signup and view all the answers

Flashcards

Atria

Upper chambers of the heart that receive blood.

Sinus Node

The heart's natural pacemaker, initiating electrical impulses.

AV Node

Relays electrical signals from the atria to the ventricles.

Purkinje Fibers

Rapidly conduct electrical impulses throughout the ventricles.

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Sinus Tachycardia

Heart rate between 100-160 bpm, regular rhythm.

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Sinus Rhythm Pathway

Electrical pathway: starts in the sinus node, goes to the atria, then the AV node, and finally to the ventricles.

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Atrial Rhythm Pathway

Electrical pathway that originates in the atria, goes to the AV node, and then to the ventricles.

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Interatrial Tracts

Specialized tracts that conduct electrical impulses between the atria.

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Bundle Branches

Fibers that rapidly spread electrical impulses throughout the ventricles, causing them to contract.

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Bundle of His

Relays electrical signals from the AV node to the bundle branches.

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QRS Complex

Rapid ventricular contraction indicated on an ECG.

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Sinus Rhythm

A heart rhythm originating in the sinus node.

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Atrial Rhythm

Heart rhythm originating in the atria, but not the sinus node.

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P Waves (in Sinus Tachycardia)

Upright and regular atrial depolarization waves.

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PR Interval

Time from the start of the P wave to the start of the QRS complex representing the time it takes for the electrical impulse to travel from the atria to the ventricles.

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Heart Rate in Sinus Tachycardia

Heart rate between 100-160 bpm.

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Rhythm in Sinus Tachycardia

Regular spacing between heartbeats.

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P Wave Appearance (Sinus Tachycardia)

Upright and preceding each QRS complex.

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PR Interval (Sinus Tachycardia)

Between 0.12 and 0.20 seconds and consistent.

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Ventricular Activity (QRS)

Electrical signals spread throughout the ventricles, causing them to contract.

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Purkinje Fibers Function

Specialized fibers that conduct electrical signals rapidly to cause ventricular contraction.

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Sinus Tachycardia Characteristics

HR: 100-160 bpm; Rhythm: regular; P waves: upright, married to QRS; PR Interval: 0.12-0.20, constant.

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Interatrial Tract Function

Structures that conduct electrical impulses from the atria to the AV node.

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Bundle Branch Function

Fibers that conduct electrical impulses through the ventricles.

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Bundle of His Function

Relays electrical signals from the AV node to the bundle branches.

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Atria Definition

The upper chambers of the heart.

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Sinus Node Function

The heart's natural pacemaker, initiating electrical impulses.

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AV Node Function

Relays electrical signals from the atria to the ventricles.

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Sinus Tachycardia HR

HR between 100 and 160 bpm.

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What are Atria?

Upper chambers of the heart.

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What is the Sinus Node?

The heart's natural pacemaker.

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What is the AV Node?

Relays signals from atria to ventricles.

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What are Purkinje Fibers?

Rapidly conduct impulses in ventricles.

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What is the Bundle of His?

Carries signals to the ventricles.

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Study Notes

Heart Anatomy and Electrical Pathway:

  • The sinus node is in the heart
  • Electrical impulses go from the sinus node to the atrium
  • Impulses then move to the AV node, and further to the ventricle (QRS complex)
  • The interatrial tracts, bundle of His, bundle branches, and purkinje fibers contribute to this process

Sinus Rhythms Overview:

  • Normal sinus rhythm starts at the sinus node, goes to the atrium, then the AV node, and finally to the ventricle
  • Atrial rhythms start in the atrium and go to the AV node before reaching the ventricle

Sinus Rhythm:

  • A normal heart rate is between 60-100 bpm
  • The rhythm is regular
  • P-waves are upright, matching, and married to the QRS complex
  • The PR interval is constant and measures between 0.12-0.20 seconds
  • The QRS interval is less than 0.12 seconds

Sinus Bradycardia:

  • The heart rate is less than 60 bpm
  • The rhythm is regular
  • P-waves are upright, matching, and married to the QRS complex
  • The PR interval is constant and spans 0.12-0.20 seconds
  • The QRS interval is less than 0.12 seconds

Sinus Tachycardia:

  • The heart rate ranges from 100-160 bpm
  • The rhythm is regular
  • P-waves are upright and married to the QRS complex
  • The PR interval is constant and measures 0.12-0.20 seconds
  • The QRS interval is less than 0.12 seconds

Premature Atrial Complex (PAC):

  • The heart rate can be any rate
  • The rhythm is generally regular but interrupted by the premature beat
  • P-waves are shaped differently compared to those from the sinus node and are premature
  • The PR interval measures between 0.12-0.20 seconds
  • The QRS interval is less than 0.12 seconds

Paroxysmal Atrial Tachycardia (PAT):

  • The heart rate is between 160-250 bpm
  • The rhythm is regular
  • P-waves are different from sinus P waves
  • The PR interval spans 0.12-0.20 seconds
  • The QRS interval is less than 0.12 seconds

Atrial Flutter:

  • The atrial heart rate is rapid, ranging from 250-350 bpm
  • The rhythm can be either regular or irregular
  • P-waves are absent; instead, flutter waves are present
  • The PR interval is not applicable
  • The QRS interval is less than 0.12 seconds, with common ratios like 4:1, 3:1, or 2:1

Atrial Fibrillation:

  • The atrial heart rate is rapid, varying from 350-700 bpm
  • The rhythm is irregularly irregular
  • P-waves are absent, showing a baseline or flat line (wavy)
  • The PR interval is not applicable
  • The QRS interval is less than 0.12 seconds

Supraventricular Tachycardia (SVT):

  • The heart rate is 130 bpm or higher
  • The rhythm is regular
  • P-waves are not visible
  • The PR interval is not measurable
  • The QRS interval is very narrow, less than 0.12 seconds

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Description

This lesson explains different cardiac rhythms including sinus rhythm, sinus bradycardia, sinus tachycardia, premature atrial complex and paroxysmal atrial tachycardia. Each rhythm is defined by heart rate, regularity, P waves, PR interval, and QRS duration. It also includes information about the characteristics of each.

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