Cardiovascular Physiology EKG Quiz
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Questions and Answers

Which statement accurately describes the effect of ischemia on the heart's electrical activity?

  • Ischemia enhances depolarization across myocardial cells.
  • Ischemia causes no change in repolarization patterns.
  • Ischemia negatively impacts the repolarization process. (correct)
  • Ischemia is solely a blockage issue with no effect on depolarization.
  • What is observed in the st segment during myocardial injury?

  • Flat st segment shows healthy myocardial activity.
  • Depressed st segment indicates ischemia. (correct)
  • Elevated st segment indicates reperfusion.
  • Normal st segment signifies complete restoration.
  • Which lead primarily monitors the electrical activity of the anterior heart wall?

  • Lead V3 (correct)
  • Lead V2
  • Lead I
  • Lead V1
  • In myocardial infarction, what is a key characteristic noted on the ECG?

    <p>Elevated Q waves</p> Signup and view all the answers

    How does the heart muscle behave during total loss of electrical activity?

    <p>No repolarization takes place.</p> Signup and view all the answers

    Which leads provides a view of the left lateral wall of the heart?

    <p>Leads I and AVL</p> Signup and view all the answers

    What indicates that a myocardial infarcted tissue is nonviable?

    <p>Absence of electrical activity in the infarcted area</p> Signup and view all the answers

    Which leads are most relevant when assessing the inferior aspect of the heart?

    <p>Leads II, III, and AVF</p> Signup and view all the answers

    Study Notes

    Depolarization and Repolarization

    • Depolarization is not ATP driven, it is voltage gated
    • Repolarization is affected by the flow of blood to the head
    • Less blood flow to the head means less repolarization

    ST Segment

    • The ST segment is the most explored part of repolarization
    • Ischemia affects repolarization
    • Injury affects repolarization
    • Infarction affects repolarization

    EKG Readings

    • Tissue with no depolarization is dead
    • Tissue that does not depolarize at all is infarcted
    • A big dip in the ST segment indicates a myocardial infarction (MI)

    EKG Leads and Locations

    • Left leg up, 2,3, aVF leads focus on the left lateral wall
    • Leads I and aVL look at the left lateral wall
    • Lead1, aVF, and V6 allow for a view of the whole lateral wall
    • Lead V6 can also show the apical view of the heart
    • Leads V3 and V4 show the anterior heart wall
    • Leads V1 and V2 show the inferior aspect of the heart
    • Leads V1 and V2 can also show the septal wall and sternal border
    • Leads V1 and V2 look at the septum of the heart from a sternal view
    • Lead 1, aVL, and I look at the left, lateral, and inferior wall of the heart

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    Description

    Test your knowledge on depolarization, repolarization, and EKG interpretations. This quiz covers important concepts such as ST segment analysis, myocardium health indicators, and lead placements for heart assessments. Enhance your understanding of how blood flow affects heart activity.

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