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Questions and Answers

What is the term for a normal heart rhythm?

  • Ventricular Tachycardia
  • Atrial Fibrillation
  • Sinus Rhythm (correct)
  • Sinus Bradycardia
  • What term describes a slower than normal heart rate?

  • Ventricular Fibrillation
  • Sinus Bradycardia (correct)
  • Sinus Tachycardia
  • Atrial Flutter
  • What term describes a faster than normal heart rate?

  • Sinus Rhythm
  • Junctional Rhythm
  • Sinus Tachycardia (correct)
  • Sinus Bradycardia
  • Which term refers to a rhythmic variation in heartbeats that occurs with breathing?

    <p>Sinus Arrhythmia</p> Signup and view all the answers

    What does the term Sinus Exit Block refer to?

    <p>Failure of the electrical impulse to exit the sinus node</p> Signup and view all the answers

    What is Atrial Fibrillation?

    <p>A condition with rapid, chaotic electrical signals in the atria</p> Signup and view all the answers

    What is Junctional Rhythm?

    <p>Rhythm originating from the junction of the atria and ventricles</p> Signup and view all the answers

    What is Ventricular Tachycardia?

    <p>A rapid heartbeat originating from the ventricles</p> Signup and view all the answers

    What is the definition of 3rd Degree AV Block?

    <p>Complete heart block where electrical signals do not reach the ventricles</p> Signup and view all the answers

    Study Notes

    Sinus Rhythm

    • Represents the normal heart rhythm originating from the sinoatrial (SA) node.
    • Characterized by a consistent rate of 60-100 beats per minute.

    Sinus Bradycardia

    • Defined as a heart rate of fewer than 60 beats per minute.
    • Can be normal in athletes or indicate underlying issues in other individuals.

    Sinus Tachycardia

    • Characterized by a heart rate exceeding 100 beats per minute.
    • Often a response to stress, exercise, or medical conditions.

    Sinus Arrhythmia

    • A variation in heart rate that corresponds with breathing cycles.
    • Common and usually considered benign; seen frequently in younger individuals.

    Sinus Exit Block

    • Occurs when the impulse generated in the SA node does not get transmitted to the atria.
    • Can lead to missed beats and irregular heart rhythm.

    Sinus Arrest

    • A temporary cessation of impulse generation in the SA node.
    • Results in a pause in the heart rhythm, potentially leading to symptoms.

    NSR with PAC (Normal Sinus Rhythm with Premature Atrial Contraction)

    • The presence of normal rhythmic heartbeats interrupted by premature beats.
    • PACs may be common and usually do not signify serious problems.

    SVT (Supraventricular Tachycardia)

    • A rapid heart rate originating above the ventricles, typically exceeding 150 beats per minute.
    • Can lead to palpitations, shortness of breath, or chest pain.

    Atrial Fibrillation

    • An irregular and often rapid heart rhythm leading to poor blood flow.
    • Characterized by chaotic electrical activity in the atria.

    Atrial Flutter

    • A condition resulting in a fast but regular rhythm due to a circuit of electrical impulses in the atrium.
    • Often described as a “sawtooth” pattern seen on an ECG.

    Paced Atrial

    • Refers to atrial depolarization initiated by an implanted pacemaker.
    • Seen in patients requiring pacing support due to arrhythmias.

    NSR with 1st Degree AVB (Normal Sinus Rhythm with First Degree Atrioventricular Block)

    • Indicates a delay in conduction through the AV node, without missed beats.
    • Typically benign and doesn’t usually require treatment.

    2nd Degree AVB Type I (Wenckebach)

    • Progressive lengthening of the PR interval until a beat is dropped.
    • Often benign but may require monitoring for progression.

    2nd Degree AVB Type II

    • Characterized by dropped beats with a consistent PR interval.
    • More serious than Type I; may require pacing due to risk of progression.

    2nd Degree AVB 2:1

    • A specific pattern where every second atrial impulse is blocked.
    • Can indicate severe underlying conduction issues.

    3rd Degree AV Block (Complete Heart Block)

    • A total dissociation between atrial and ventricular activity.
    • Often requires pacemaker insertion due to loss of synchronized heart function.

    NSR with PJC (Normal Sinus Rhythm with Premature Junctional Contraction)

    • Normal heart rhythm interrupted by early QRS complex of junctional origin.
    • Generally considered benign unless symptomatic.

    Junctional Rhythm

    • Characterized by an escape rhythm originating from the AV junction.
    • Typically results in a slower heart rate than normal.

    Accelerated Junctional

    • A faster-than-normal junctional rhythm, with a heart rate between 60-100 beats per minute.
    • Often seen in various clinical settings.

    Junctional Tachycardia

    • A rapid junctional rhythm typically exceeding 100 beats per minute.
    • Can result from increased automaticity or re-entry mechanisms.

    Wandering Pacemaker

    • A condition where the pacemaker site shifts between the SA node and the atria.
    • Results in variability in heart rate and P-wave morphology.

    NSR with PVC (Normal Sinus Rhythm with Premature Ventricular Contraction)

    • A normal rhythm disrupted by premature beats originating from the ventricles.
    • Common in healthy individuals but may require evaluation if frequent.

    Idioventricular

    • A slow heart rhythm originating from the ventricles, typically around 20-40 beats per minute.
    • Often seen as a protective mechanism when higher pacing fails.

    Accelerated IVR (Accelerated Idioventricular Rhythm)

    • A ventricular rhythm that is faster than idioventricular but slower than ventricular tachycardia, typically 41-100 beats per minute.
    • Frequently occurs after myocardial infarction.

    Ventricular Tachycardia

    • Characterized by a fast heart rate (over 100 beats per minute) originating from the ventricles.
    • Can be life-threatening and lead to ventricular fibrillation.

    Ventricular Fibrillation

    • A chaotic, ineffective heart rhythm resulting in the heart's inability to pump blood.
    • Requires immediate defibrillation to restore normal rhythm.

    Paced Ventricular

    • Refers to ventricular depolarization initiated by an external pacemaker.
    • Often used in patients with severe conduction abnormalities.

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