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EKG and Cardiac Terms
EKG and Cardiac Terms
86
Health Care
Not Applicable
02/07/2017

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Term
endocardium
Definition
The innermost layer of the heart. It lines the inside of the heart muscle and covers the heart valves.
Term
myocardium
Definition
The middle and thickest layer of the heart.

Responsible for the contraction of the heart.
Term
epicardium
Definition
The outermost layer of the heart. Also known as the visceral pericardium.
Term
atria
Definition
The right and left upper chambers of the heart. Receive blood from the superior and inferior vena cavae.
Term
ventricles
Definition
The left and right lower chambers of the heart.
Term
atrioventricular valves
Definition
Valves situated between the atria and ventricles. Right - tricuspid; Left - bicuspid (mitral)
Term
semilunar valves
Definition
Valves situated between the ventricles and vessels taking blood away from the heart. Right - pulmonic; Left - aortic
Term
conduction system
Definition
Specialized pacemaker cells in the hear that are arranged in a system of pathways.
Term
Coronary arteries
Definition
Supply blood and oxygen to the myocardium. The coronary sinuses empty into the right atrium.
Term
pacemaker cells
Definition
"slow cells" whose depolarization is dependent on calcium entry into the cells through slow channels.
Term
myocardial cells
Definition
"fast cells" whose depolarization is depended on sodium entry into the cells through fast channels.
Term
limb lead
Definition
Six leads that directly monitor electrodes on the arms and legs. Three are standard and three are augmented. Also called bipolar leads.
Term
lead
Definition
An electrical connector between a specific combination of electrodes attached to the body.
Term
cardiac cycle
Definition
The contraction and relaxation phase of the heart.
Term
atrial kick
Definition
The surge of blood pushed into the ventricles as a result of atrial contraction.
Term
apex
Definition
The point of the left ventricle of the heart at the level of the fifth intercostal space.
Term
septum
Definition
Separates the left and right halves of the heart.
Term
conductivity
Definition
The ability of a cardiac cell to receive an electrical stimulus and conduct that impulse to an adjacent cell.
Term
contractility
Definition
The ability of a cell to shorten, causing muscle contraction in response to an electrical stimulus.
Term
automaticity
Definition
The ability of cardiac pacemaker cells to spontaneously initiate an electrical impulse without being stimulated from another source.
Term
excitability
Definition
The ability of cardiac muscle cells to respond to an outside stimulus.
Term
stylus
Definition
A pen-like instrument that moves on the ECG paper and uses heat instead of ink to record the impulses.
Term
telemetry
Definition
The transmission of ECG signals via radio waves.
Term
Oscilloscope
Definition
A monitor or TV-type device that shows the tracing of the electrical activity of the heart.
Term
standardization control
Definition
Moves the stylus up 10 mm.
Term
Speed selector
Definition
Allow you to adjust the speed to 50mm per second. ECG paper normally runs at 25 mm per second for adults.
Term
Einthoven's triangle
Definition
Electrodes placed on the right arm, left arm, and left leg. Leads I, II, III.
Term
electrode
Definition
A device that detects electrical charges.
Term
polarity
Definition
A positive or negative electrical state.
Term
polarization
Definition
The electrical state of the heart at rest.
Term
depolarization
Definition
A change of polarity. The electrical discharge that precedes contraction.
Term
baseline
Definition
An indication of no electrical charge or activity between cardiac cycles.
Term
repolarization
Definition
The restoration of a cell to its original pattern of charge.
Term
P wave
Definition
a small upward curve that represents the depolarization of the atria (and subsequent atrial contraction). It is the measure of the atrial rate.
Term
QRS complex
Definition
Correlates with the depolarization of the ventricles (and subsequent ventricular contraction). It is the measure of the ventricular rate.
Term
T wave
Definition
An upward curve that represents the recovery (repolarization ) of the ventricles.
Term
U wave
Definition
A small upward curve sometimes found after the T wave. Represents the slow recovery of Purkinje fibers.
Term
P-R interval
Definition
Represents the time it takes for the electrical impulse to travel from the sinoatrial (S-A) node to the A-V Node.
Term
Q-T interval
Definition
Represents the time it takes for the ventricles to contract and recover.
Term
S-T segment
Definition
Connect the end of the QRS complex with The beginning of the T wave. Represents the time between contraction of the ventricles and recovery.
Term
asystole
Definition
Absence of cardiac electrical activity. Also known as a "flatline".
Term
cardiac output
Definition
The amount of blood ejected by the left ventricle into the aorta in 1 minute.
Term
deflection
Definition
Deviation up or down from zero on the isoelectric line (baseline).
Term
amplitude
Definition
The height of a waveform on the CG, showing the degree of voltage variation from zero.
Term
artifacts
Definition
Deflections caused by electrical activity from sources other than the heart.
poor conduction, outside interference, Improper handling of tracing, a patient's movement/talking, or dirty sensors.
Causes:
Term
wandering baseline
Definition
A shift in the basdline from the center position for that lead.

Causes: muscle tremors and mechanical problems.
Term
extraneous marks
Definition
Any marks on the paper that are not part of the tracing.
Term
Types of interference
Definition
1. Alternating current (AC) caused by other types of interference.
2. AC interference due to ground circuits or incorrect grounding.
3. AC interference due to differences in electrical potential.
4. Shaking.
5. Zero-line fluctuations.
Term
Determining heart rate of a strip
Definition
Counting the number of QRS complexes in a 6-second strip and multiplying by 10.
Term
arrythmia
Definition
an irregularity, disturbance, or abnormality in heart rhythm.
Term
ectopy
Definition
Placement outside the usual location.
Term
ectopic beat
Definition
A beat having an ectopic focus.
Term
Ectopic focus
Definition
A site of impulse formation located somewhere other than the SA node.
Term
Bigeminy
Definition
A type of arrhythmia in which every other beat is a ectopic or premature (or both).
Term
Premature beat/contraction
Definition
A contraction that occurs early.

Three types: premature atrial contractions (PACs); premature junctional contractions (PJCs), and premature ventricular contractions (PVCs)
Term
acardia
Definition
Absence of a heart
Term
bradyarrythmia
Definition
An abnormally slow and irregular cardiac rhythm.
Term
bradycardia
Definition
A heart rate slower than 60 beats per minute.
Term
tacharrythmia
Definition
An abnormally fast and irregular cardiac rhythm.
Term
tachycardia
Definition
A heart rate faster than 100 beats per minute.
Term
atrial fibrillation
Definition
Incomplete, irregular, and rapid contraction of the atria between 350 to 500 times per minute.
Term
atrial flutter
Definition
Contraction of the atria between 250 and 350 beats per minute. The P waves have a "sawtooth" appearance on the ECG.
Term
ventricular fibrillation
Definition
Cessation of coordinate ventricular contraction. On an ECG, it appears as a "sawtooth" image lacking P waves.
Term
Ventricular flutter
Definition
Contraction of the ventricles between 150 to 300 times per minute.
Term
sinus rhythm
Definition
A heart rhythm established by impulses from the SA node.
Term
sinus arrest
Definition
The failure of the SA node to function. It is also called sinus pause. The complete cardiac complex is absent from the ECG tracing.
Term
Sinus arrhythmia
Definition
A usually benign fluctuation of the heart rate distinguished by a vagally influenced slowing of the cardiac rate during respiratory expiration and an increase during inspiration.
Term
agonal rhythm
Definition
They rhythm of a dying heart. Extremely slow and irregular and becoming slower to the point of asystole.
Term
defibrillator
Definition
A machine that produces and sends an electrical shock to the heart, intended to correct the electrical pattern of the heart.
Term
pacemaker (electronic)
Definition
A device that delivers a small measure amount of electrical energy to cause myocardial depolarization.
Term
Holter monitor
Definition
A portable ECG device that includes a small cassette recorder worn around a patient's waist to record the heart's electrical activity during normal daily activities. The test is given over a 24-hour period.
Term
Exercise ECG
Definition
Assessment of the heart's conduction system during physical exertion such as exercise.
Term
Echocardiography
Definition
Tests the structure and function of the heart through the use of reflected sound waves.
Term
cardiodynia
Definition
pain in the heart
Term
cardiomegaly
Definition
enlargement of the heart
Term
cardiorrhexis
Definition
rupture of the heart wall
Term
dextrocardia
Definition
location of the heart on the right side of the thorax
Term
carioptosis
Definition
drooping or falling of the heart at the normal location
Term
hypertrophy of heart
Definition
an increase in the size of the heart due to growth of the heart muscle tissue without an increase in the size of the heart chambers.
Term
heart blocks
Definition
Damage to the conduction system of the heart resulting in abnormal conduction patterns.

Four types: first-degree; second-degree Type I (Mobitz I); Second-degree Type II (Mobitz II or Wenkebach); and Complete.
Term
aortic aneurysm
Definition
Ballooning of the aorta caused by a weakened area of the vessel wall.
Term
capture
Definition
The successful depolarization of an atrium or ventricle by an artificial pacemaker
Term
cardioversion
Definition
The administration of times electrical shocks for the purpose of correcting certain arrhythmias or restoring normal rhythm.
Term
cardioplasty
Definition
surgical repair of the heart
Term
cardiorrhaphy
Definition
the suturing of the heart muscle
Term
cardiomyopexy
Definition
A surgical procedure in which the blood supply from the nearby pectoral muscles of the chest is diverted directly to the coronary arteries.
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