CHAPTER 26 Electrocardiography

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89 Terms

1

Electrocardiogram (ECG, EKG)

A record of electrical impulses of the heart produced by an electrocardiograph.

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2

Tricuspid valve

The valve found between the right atrium and the right ventricle.

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3

Bicuspid valve (Mitral valve)

The valve located between the left atrium and the left ventricle.

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4

Echocardiography (ECHO)

The use of ultrasonic waves directed through the heart to study the structure and motion of the heart.

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5

Pulmonary vein

The vein that brings oxygenated blood back to the left atrium.

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6

Right atrium

The chamber of the heart that receives deoxygenated blood from the superior vena cava, inferior vena cava, and coronary sinus.

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7

Cardiac cycle

A complete heartbeat that can be divided into diastole and systole phases.

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8

Sinoatrial (SA) node

The pacemaker of the heart.

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9

Bundle of His

The part of the conduction system located in the upper interventricular septum.

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10

Purkinje fibers

Fibers that transmit the electrical impulse quickly and efficiently to the ventricular cardiac cells.

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11

Polarized state

The resting state of a cardiac cell before an impulse hits it.

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12

Repolarized state

The recovery phase after an impulse passes over the cardiac cell.

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13

Deflection

Movement away from the baseline in a tracing, indicating electrical flow of the heart.

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14

Interval

A period of time between two points or events during which waves can occur.

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15

P wave

The first deflection in the ECG tracing, representing atrial depolarization.

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16

PR segment

The isoelectric line following the P wave, indicating the period between atrial depolarization and ventricular depolarization.

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17

QRS complex

Summarizes ventricular depolarization and atrial repolarization in the ECG.

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18

T wave

The wave that follows the ST segment, reflecting electrical activity from ventricular repolarization.

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19

Electrode

A single-use disposable adhesive tab placed on the skin to conduct electrical impulses.

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20

Bipolar leads

Leads created from a measurement of current traveling between two points: Lead I, II, and III.

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21

Augmented leads

Unipolar leads that provide information on the vertical or frontal plane of the heart.

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22

ECG paper

Special paper used by ECG machines to record electrical activity; can be either Z-folded or standard size.

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23

Chart speed

Regulates the speed of the paper during ECG recording; default is set at 25 mm/s.

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24

Somatic tremor artifact

Appears as jagged peaks on the ECG tracing, caused by involuntary or voluntary movement.

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25

AC interference artifact

Appears as a series of small spikes on an ECG tracing due to electrical interference.

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26

Wandering baseline artifact

An upward and downward movement of the waveform due to poor skin preparation or electrode issues.

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27

Interrupted baseline artifact

Occurs when the tracing looks normal initially but then fluctuates due to interrupted electrical connections.

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28

Premature atrial contraction (PAC)

A condition where the atria contract sooner than they should.

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29

Heart block

A disruption or slowing of the electrical impulse through the heart.

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30

Ventricular fibrillation (V-fib)

A life-threatening condition where the ventricles quiver uncontrollably.

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31

Holter monitor

A device used to monitor the heart over a 24 to 48-hour period during normal activities.

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32

Cardiac event recorder

A portable ECG device activated by the patient when symptoms occur.

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33

Diastole phase

The phase of the cardiac cycle when the heart is at rest and the atria fill with blood.

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34

Bachmann’s bundle

A specialized intermodal tract that takes the impulse to the left atrium.

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35

Isoelectric line

A straight line in an ECG tracing indicating a period of no electrical activity.

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36

Complex

A waveform made up of multiple waves, such as the QRS complex.

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37

Chest electrodes (V leads)

Unipolar leads placed on the chest to capture electrical activity of the heart.

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38

Electrode application

Placement of electrodes on the patient's body to ensure an accurate ECG reading.

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39

Gain or sensitivity

Regulates the height or amplitude of the ECG tracing.

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40

Sinus rhythm

A normal heart rhythm originating from the SA node.

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41

Sinus bradycardia

A slower than normal heart rate, typically below 60 beats per minute.

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42

Sinus tachycardia

A faster than normal heart rate, typically above 100 beats per minute.

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43

Exercise stress test preparation

Instructions for patients on dress, medication use, and pre-test restrictions before an exercise stress test.

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44

Nuclear stress test

A test showing blood flow to the heart muscle during rest and activity through radioactive substances.

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45

ECG machine maintenance

Guidelines for maintaining ECG machines and ensuring accurate readings.

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46

Electrolyte gel

Substance in electrodes that helps improve conductivity of electrical impulses to the ECG machine.

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47

Lead wires

Wires that connect electrodes to the ECG machine to transmit electrical impulses.

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48

Artifact

Any distortion in an ECG tracing that does not reflect the true electrical activity of the heart.

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49

Patient positioning for ECG

Instructions for the patient's positioning during an ECG recording to avoid artifacts.

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50

ECG lead configuration

Specific arrangement of leads on the patient's body to record a 12-lead ECG.

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51

Baseline filter

A feature of an ECG machine that helps filter out low-frequency noise from the tracing.

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52

Intercostal space

The space between ribs where chest electrodes are placed.

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53

Ventricular repolarization

The process where the ventricles reset electrically after contraction, represented in the T wave.

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54

ECG waveforms

Shapes produced by the electrical activity of the heart, including P wave, QRS complex, and T wave.

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55

Lead II configuration

Bipolar lead measuring current from the right arm to the left leg.

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56

Lead III configuration

Bipolar lead measuring current from the left leg to left arm.

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57

Lead I configuration

Bipolar lead measuring current from the right arm to the left arm.

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58

الزمن

Period of time between two events, as demonstrated by intervals in the ECG.

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59

Basal heart rate

The resting heart rate when the body is at rest.

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60

Pacemaker management

Oversight of devices or biological structures that regulate heartbeat.

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61

Sonogram interpretation

Understanding of images produced by ultrasound, often linked to echocardiography.

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62

Lead placement removal

Actions taken to accurately remove and replace electrodes for ECG testing.

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63

Patient consent form

Document signed by the patient agreeing to the procedure.

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64

V4 electrode placement

Located at the fifth intercostal space on the mid-clavicular line.

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65

V5 electrode placement

Located on the left anterior axillary line.

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66

Cardiac output measurement

Calculation of blood volume pumped by the heart per minute.

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67

Blood flow observations

Monitoring the movement of blood through the heart and its chambers.

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68

Heart condition assessment

Evaluation of heart health including rhythm, valve function, and overall performance.

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69

Respiratory influences on ECG

How a patient's breathing can affect ECG readings and tracings.

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70

Trace quality assessment

Review of ECG accuracy by analyzing waveforms for artifacts or discrepancies.

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71

Electrode application technique

Method for properly placing electrodes for effective ECG readings.

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72

Chart speed settings

Adjustable parameter affecting the speed of ECG paper movement during recordings.

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73

Diagnostic ECG capabilities

The ability of an ECG to reveal heart conditions based on electrical recording.

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74

Testing artifacts identification

Recognition of artifacts during ECG to ensure accurate results.

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75

Advanced signal characteristics

Analyzing unique properties of ECG signals for specialized diagnostic insights.

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76

Inotropes effects

Medications that affect the force of cardiac contraction.

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77

Ventricular hypertrophy criteria

Indicators on ECG that suggest thickening of ventricular walls.

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78

Heart rhythm assessment implications

Understanding the significance of identified rhythms during evaluation.

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79

Long-term cardiac monitoring functions

Purpose and methodology of ongoing heart activity observation, like with Holter monitors.

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80

Optimal lead configurations

Best practices for arranging leads based on patient anatomy.

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81

ECG technician responsibilities

Duties of the medical staff conducting ECG tests and interpreting results.

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82

Stakeholder engagement in ECG practices

Involvement of healthcare teams in improving ECG procedures and outcomes.

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83

Patient feedback protocols

Methods to gather patient impressions regarding their ECG experience.

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84

Technology upgrades in ECG systems

Implementing new advancements in equipment for better cardiovascular diagnostics.

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85

Clinical education for ECG technicians

Training programs aimed at enhancing ECG skills among healthcare workers.

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86

Data security in ECG transport

Measures to protect sensitive patient information during ECG data handling.

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87

Cross-disciplinary collaboration in heart health

Partnerships between various medical specialties to improve heart care.

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88

Public awareness about ECG significance

Community education initiatives on the importance of ECG testing in overall health.

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89

Research developments in electrocardiography

Emerging trends and studies focused on enhancing ECG methodologies.

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