ECG and Cardiac Cycle Quiz

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Questions and Answers

What is the main physiological event represented by the QRS complex?

  • Ventricular repolarization
  • Atrial contraction
  • Ventricular depolarization (correct)
  • Atrial depolarization

What triggers the formation of the QRS complex?

  • Ventricular repolarization
  • Atrial contraction
  • Blood flow into the atria
  • Depolarization wave spreading through the ventricles (correct)

Which of the following statements is true regarding the QRS complex?

  • It reflects the electrical activity of the ventricles. (correct)
  • It is solely caused by atrial activity.
  • It occurs after the ventricles contract.
  • It is linked to the heart's pacemaker function.

During which phase of the cardiac cycle does the QRS complex occur?

<p>During ventricular systole (A)</p> Signup and view all the answers

What does the depolarization wave in the ventricles lead to?

<p>Contraction of ventricular muscle (A)</p> Signup and view all the answers

What is the T wave in an ECG primarily identified as?

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

How long after depolarization does the repolarization process typically occur in ventricular muscle?

<p>0.25 to 0.35 seconds (B)</p> Signup and view all the answers

What type of wave does the T wave represent on an ECG?

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

In which part of the heart does the T wave predominantly occur?

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

What physiological event is associated with the T wave in an ECG reading?

<p>Repolarization of the ventricles (A)</p> Signup and view all the answers

What physiological process primarily generates the T wave in an electrocardiogram?

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

Which phase of the cardiac cycle is represented by the T wave?

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

What happens in the heart during the T wave event?

<p>Ventricles are repolarizing (D)</p> Signup and view all the answers

The T wave indicates the electrical activity associated with which phase of heart function?

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

Which of the following correctly describes the significance of the T wave in cardiac physiology?

<p>It reflects the recovery of ventricular muscle cells after activation (C)</p> Signup and view all the answers

What does an ECG primarily help us measure?

<p>Electrical activity of the heart (B)</p> Signup and view all the answers

What is considered a segment in an ECG?

<p>The region between two waves (A)</p> Signup and view all the answers

In what way is the P-Q or P-R interval significant in an ECG?

<p>It indicates the duration between atrial and ventricular depolarization (A)</p> Signup and view all the answers

What defines the beginning and end of a segment in an ECG?

<p>The end of a wave and the beginning of the next wave (B)</p> Signup and view all the answers

Which of the following best describes the significance of the electrical activity recorded by an ECG?

<p>It allows assessment of heart rate and rhythm (C)</p> Signup and view all the answers

What does the ECG help identify when there is an infarction in a specific area of the heart?

<p>The location of the affected area (D)</p> Signup and view all the answers

What condition is indicated when the heart rate is more than 100 beats per minute?

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

Which of the following is NOT a purpose of analyzing an ECG in cases of infarction?

<p>Pinpointing the exact timeframe of the infarction (A)</p> Signup and view all the answers

Why is it important to use an ECG when heart conditions are suspected?

<p>To detect specific electrical abnormalities (C)</p> Signup and view all the answers

In the context of heart conditions, what is the consequence of experiencing tachycardia?

<p>Increased heart muscle strain (B)</p> Signup and view all the answers

What does the P-Q interval represent in the cardiac cycle?

<p>The duration from the beginning of atrial electrical excitation to ventricular excitation (C)</p> Signup and view all the answers

What occurs at the beginning of the QRS complex?

<p>Ventricular contraction initiated (A)</p> Signup and view all the answers

Which of the following best describes the relationship between the P wave and QRS complex?

<p>The P wave represents atrial excitation followed by the QRS complex for ventricular excitation (B)</p> Signup and view all the answers

How is the P-Q interval measured?

<p>From the beginning of the P wave to the beginning of the QRS complex (C)</p> Signup and view all the answers

Which function does the P-Q interval serve in the context of heart activity?

<p>It shows the timing of atrial excitation preceding ventricular excitation (A)</p> Signup and view all the answers

Flashcards

What is the QRS complex?

The QRS complex represents the electrical activity of the ventricles as they prepare to contract.

What does the electrical activity during the QRS complex represent?

The QRS complex reflects the depolarization of the ventricles. This means the electrical signal is spreading across the ventricles, preparing them to contract.

How is the QRS complex seen?

The QRS complex appears on an electrocardiogram (ECG) as a series of spikes and dips, representing the electrical changes in the ventricles.

What are the ventricles in the heart?

The ventricles are the main chambers of the heart responsible for pumping blood out to the body.

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Why is the QRS complex important?

The QRS complex is essential for the heart's normal functioning because it ensures the ventricles contract in a coordinated way, pumping blood efficiently.

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T wave

The electrical event that happens when the heart's ventricles relax after contracting.

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Repolarization

The process of returning to a resting state after electrical activation.

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Depolarization

The electrical activation of the heart muscle cells.

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Ventricles

The two lower chambers of the heart, responsible for pumping blood to the lungs and the rest of the body.

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Electrocardiogram (ECG) waves

The electrical activity of the heart, represented as waves on an electrocardiogram (ECG).

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What does the T wave represent on an ECG?

The T wave on an electrocardiogram (ECG) represents the electrical activity of the ventricles as they return to their resting state after contraction.

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When does the repolarization wave (T wave) occur?

The repolarization wave, also known as the T wave, occurs approximately 0.25 to 0.35 seconds after the depolarization of the ventricles.

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What is an electrocardiogram (ECG)?

An electrocardiogram (ECG) is a medical test that records the electrical activity of the heart over time.

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What does the T wave represent in terms of the heart's function?

The T wave reflects the repolarization of the ventricles, which is the process where the heart muscle cells return to their resting state.

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What is the T wave?

The T wave is a specific feature on an electrocardiogram (ECG) recording, representing the repolarization of the ventricles.

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What is the electrical activity of the heart?

The electrical activity of the heart, which can be measured and recorded on an electrocardiogram (ECG).

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What is the ECG used for?

The ECG helps us understand the heart's rhythm and rate, which are important for diagnosing heart problems.

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What is a segment on an ECG?

A specific section or interval on an ECG, marked by the beginning and ending of waves, reflecting different stages of the heart's electrical activity.

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What is the P-Q or P-R interval?

A type of segment on the ECG, measuring the time between the start of the P wave (atrial depolarization) and the start of the QRS complex (ventricular depolarization).

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What is an interval on an ECG?

The measurement of the duration between two particular waves on the ECG, reflecting the time it takes for the electrical activity to occur in the heart.

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Tachycardia

A heart rate exceeding 100 beats per minute.

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QRS complex

The electrical activity of the ventricles as they prepare to contract, seen on an electrocardiogram (ECG).

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Electrocardiogram (ECG)

A graphic representation of the electrical activity of the heart, used to diagnose heart conditions.

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P-Q Interval

The time period between the start of the P wave and the start of the QRS complex on an electrocardiogram (ECG).

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Atria

The two upper chambers of the heart responsible for collecting blood and passing it down to the ventricles.

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Study Notes

Electrocardiography

  • Electrocardiogram (ECG) is a recording of the heart's electrical activity, measured by electrodes on the chest
  • The ECG represents the electrical activation of the heart muscle
  • The ECG shows depolarization and repolarization of the heart chambers (atria and ventricles).

ECG Waves and Intervals

  • P wave: Atrial depolarization

  • QRS complex: Ventricular depolarization

  • T wave: Ventricular repolarization

  • PR interval: Time from the start of the P wave to the start of the QRS complex. Represents atrial depolarization and conduction through the AV node

  • Normal PR interval is 0.12-0.20 seconds

  • QT interval: Time from beginning of the Q wave(or R wave) to the end of the T wave .

    • Reflects the time it takes for the ventricles to depolarize and repolarize
  • R-R interval: Time from the beginning of one R wave to the start of the next R wave. Calculates heart rate (e.g., 1500 / # of small squares between R waves)

    • Normal heart rate is about 60-100 beats/min

ECG Leads

  • 12 leads are used to get a comprehensive view of the heart's electrical activity from multiple angles.
  • Leads are placed on specific locations of the body (arms and legs and chest).
  • Bipolar leads (I, II, III) measure the electrical difference between two limb electrodes (Right arm, Left arm, Left leg)
  • Augmented unipolar leads (aVR, aVL, aVF) measure the electrical activity at each limb electrode.
  • They enhance the voltage detected compared with standard bipolar limb leads.
  • Precordial leads (V1-V6) are placed on the chest to record the electrical activity of the heart from different locations on the anterior, lateral, and inferior surfaces.

Heart Rate Interpretation

  • Heart rate is calculated by looking at R wave intervals on an ECG and calculating the number of small boxes between each wave.
  • Heart rate is considered tachycardia if the rate is over 100 beats/minute.
  • Heart rate is considered bradycardia if the rate is below 60 beats/minute.

Arrhythmias (irregular Heartbeat)

  • Sinus Tachycardia: Heart rate over 100 beats/minute.
  • Sinus Bradycardia: Heart rate less than 60 beats/minute.
  • Sinus Arrhythmia: Heart rate varies with breathing.

Relationship Between ECG and Cardiac Cycle

  • The ECG waveforms correspond to electrical activity occurring during the cardiac cycle's phases.
  • Depolarization precedes contraction and repolarization precedes relaxation.

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