Podcast
Questions and Answers
What is Atrial Flutter?
What is Atrial Flutter?
- A rapid heart rhythm (correct)
- A type of sinus rhythm
- Normal heart rhythm
- A type of heart block
What is Bundle Branch Block?
What is Bundle Branch Block?
- A disruption in the heart's electrical conduction (correct)
- A normal variation
- A rapid heart rate
- A type of arrhythmia
What is a First Degree AV Block?
What is a First Degree AV Block?
- A complete blockage of electrical signals
- A delay in the conduction through the AV node (correct)
- A normal sinus rhythm
- A rapid atrial rhythm
What is Junctional Rhythm?
What is Junctional Rhythm?
What describes Normal Sinus Rhythm?
What describes Normal Sinus Rhythm?
What is Second Degree AV Block, Type 2?
What is Second Degree AV Block, Type 2?
What does Sinus Arrhythmia refer to?
What does Sinus Arrhythmia refer to?
What characterizes Sinus Tach?
What characterizes Sinus Tach?
What describes Sinus Brady?
What describes Sinus Brady?
What is SVT?
What is SVT?
What is Torsades de Pointes?
What is Torsades de Pointes?
What is Third Degree Heart Block?
What is Third Degree Heart Block?
What is V-Fib?
What is V-Fib?
What is A-Fib?
What is A-Fib?
What describes Asystole?
What describes Asystole?
What is PACs?
What is PACs?
What does PVC stand for?
What does PVC stand for?
What is V-Tach?
What is V-Tach?
What characterizes Sick Sinus Syndrome?
What characterizes Sick Sinus Syndrome?
What is STEMI?
What is STEMI?
What describes Second Degree AV Block Type 2?
What describes Second Degree AV Block Type 2?
What is R-on-T phenomenon?
What is R-on-T phenomenon?
What is the significance of multiple definitions for V-Fib?
What is the significance of multiple definitions for V-Fib?
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Study Notes
Atrial Flutter
- A type of supraventricular tachycardia characterized by rapid reentrant circuits in the atria.
- Often presents with a "sawtooth" pattern on EKG, typically in the inferior leads (II, III, aVF).
Bundle Branch Block
- A block in the electrical conduction of the heart, often affecting either the left or right bundle branch.
- Results in a widened QRS complex on EKG, indicating a delay in ventricular depolarization.
First Degree AV Block
- Characterized by a prolonged PR interval (>200 ms) on EKG.
- Generally benign and often requires no treatment.
Junctional Rhythm
- Occurs when the AV node or junctional tissue acts as a pacemaker due to failure of the SA node.
- Resulting rhythms are typically characterized by a lack of a P wave or an inverted P wave.
Normal Sinus Rhythm
- Reflects a healthy heart rhythm where impulses originate from the SA node.
- EKG shows a consistent rate of 60-100 beats per minute with a regular rhythm.
Second Degree AV Block, Type 2
- Intermittent failure of conduction through the AV node leading to dropped QRS complexes.
- PR intervals remain constant prior to the dropped beat and may indicate the need for a pacemaker.
Sinus Arrhythmia
- A normal variation in heart rate that occurs with respiration; increases during inhalation and decreases during exhalation.
- Can be easily identified on EKG as a regular variation in heart rate.
Sinus Tachy
- Defined as a sinus rhythm with a heart rate exceeding 100 beats per minute.
- Potential causes include anxiety, fever, or other physiological stressors.
Sinus Brady
- Defined as a sinus rhythm with a heart rate below 60 beats per minute.
- May be normal in athletes or a response to certain medications, but can signify underlying pathology.
SVT (Supraventricular Tachycardia)
- An umbrella term for various rapid heart rhythms originating above the ventricles.
- Typically presents with rapid, regular heart rates visible on EKG, often requiring intervention.
Torsades de Pointes
- A specific type of polymorphic ventricular tachycardia associated with a prolonged QT interval.
- Characterized by a "twisting" pattern of the QRS complexes on EKG.
Third Degree Heart Block (Complete Heart Block)
- Characterized by complete dissociation between atrial and ventricular activities.
- EKG shows independent atrial and ventricular rates, often leading to pacemaker insertion.
V-Fib (Ventricular Fibrillation)
- A lethal arrhythmia characterized by chaotic electrical activity in the ventricles.
- Results in ineffective contractions and requires immediate defibrillation for survival.
A-Fib (Atrial Fibrillation)
- The most common significant arrhythmia leading to an irregularly irregular heart rhythm.
- Increased risk of stroke due to blood stasis in the atria, necessitating anticoagulation therapy.
PACs (Premature Atrial Contractions)
- Early heartbeats originating from the atria, usually benign.
- EKG shows an early P wave that differs in shape from the normal sinus P wave.
PJCs (Premature Junctional Contractions)
- Early contractions that originate in the AV junction, often resulting in a missing or inverted P wave.
- Generally consider benign unless they are frequent.
PVC (Premature Ventricular Contractions)
- Early depolarizations arising from the ventricles, leading to a wide and bizarre QRS complex.
- Frequent PVCs can be indicative of underlying heart disease or irritation.
R-on-T Phenomenon
- A dangerous occurrence where a PVC falls on the T wave of the previous beat, potentially leading to V-Fib.
- Reflects increased myocardial irritability and can be life-threatening.
Sick Sinus Syndrome
- A group of disorders characterized by inappropriate sinus node function, leading to various arrhythmias.
- Symptoms often include bradycardia, tachycardia, or pauses, requiring possible pacemaker intervention.
STEMI (ST-Elevation Myocardial Infarction)
- A critical condition characterized by ST-segment elevation on EKG due to significant coronary artery occlusion.
- Requires immediate medical intervention to restore blood flow and minimize heart damage.
V-Tach (Ventricular Tachycardia)
- A rapid heart rate originating from the ventricles, defined as three or more consecutive PVCs.
- Can be life-threatening and may require urgent treatment, such as electrical cardioversion.
Sinus Tachycardia
- Similar to Sinus Tach, it indicates a faster-than-normal heart rate due to physiological factors.
- Can be a response to exercise, anxiety, or metabolic demands on the body.
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