Cardiac Arrhythmias and Their Electrocardiographic Interpretation
50 questions available
Questions
What heart rate is generally defined as tachycardia in an adult?
View answer and explanationWhat is the term for a slow heart rate, usually defined as fewer than 60 beats/min?
View answer and explanationThe respiratory type of sinus arrhythmia is primarily caused by a spillover of signals from the medullary respiratory center into which adjacent center?
View answer and explanationIn a sinoatrial (SA) block, what happens to the P waves and what part of the heart typically picks up a new rhythm?
View answer and explanationWhat is the threshold for a P-R interval to be considered prolonged, diagnosing a first-degree incomplete heart block?
View answer and explanationWhich type of second-degree A-V block is characterized by a progressive prolongation of the P-R interval until a ventricular beat is dropped?
View answer and explanationIn complete A-V block (third-degree block), what is the relationship between the P waves and the QRS-T complexes?
View answer and explanationIn Stokes-Adams syndrome, what is the typical rate of the ventricular pacemaker that emerges after overdrive suppression?
View answer and explanationWhat is the condition known as electrical alternans, which results from partial intraventricular block every other heartbeat?
View answer and explanationWhat is the term for a contraction of the heart that occurs before the time that a normal contraction would have been expected?
View answer and explanationWhich of the following is NOT listed as a possible cause of ectopic foci leading to premature contractions?
View answer and explanationWhat is a 'pulse deficit' in the context of premature contractions?
View answer and explanationIn an A-V nodal premature contraction, why is the P wave often missing from the electrocardiogram?
View answer and explanationWhat are two characteristic ECG effects of premature ventricular contractions (PVCs)?
View answer and explanationDelayed repolarization of ventricular muscle, leading to a long Q-T interval, increases a person's susceptibility to developing which specific type of ventricular arrhythmia?
View answer and explanationWhat is the most frequent underlying cause of paroxysmal tachycardia, according to the text?
View answer and explanationIn the example of paroxysmal atrial tachycardia shown in Figure 13-13, what feature of the P wave indicates the origin is in the atrium but not near the sinus node?
View answer and explanationWhat are the two primary reasons ventricular tachycardia is considered a serious condition?
View answer and explanationIf not stopped, how long does it typically take for ventricular fibrillation to become fatal?
View answer and explanationWhat are the three conditions listed that can cause an impulse to continue to travel around a circular pathway (circus movement)?
View answer and explanationWhat happens to the ECG during the first few seconds of ventricular fibrillation, and how does it change afterward?
View answer and explanationWhat is the primary purpose of ventricular defibrillation using a strong electrical current?
View answer and explanationWhy is atrial fibrillation generally not as immediately lethal as ventricular fibrillation?
View answer and explanationDuring atrial fibrillation, what causes the ventricular rhythm to be very irregular?
View answer and explanationHow is atrial flutter different from atrial fibrillation in terms of the electrical signal's movement?
View answer and explanationWhat is the typical atrial contraction rate during atrial flutter?
View answer and explanationWhat is cardiac arrest defined as in the text?
View answer and explanationFever causes tachycardia because an increased temperature increases the rate of metabolism of what specific part of the heart's conduction system?
View answer and explanationIn patients with carotid sinus syndrome, even mild external pressure on the neck can cause extreme bradycardia due to what effect?
View answer and explanationIn third-degree (complete) A-V block, the ventricular rate is typically less than how many beats per minute?
View answer and explanationThe delay in the ventricles starting their own beat during Stokes-Adams syndrome, which can last 5 to 30 seconds, is due to a phenomenon called:
View answer and explanationIn a premature ventricular contraction (PVC), why is the QRS complex considerably prolonged?
View answer and explanationWhat is the term for the pattern of a premature ventricular contraction (PVC) alternating with a normal contraction?
View answer and explanationWhich of the following is NOT listed as an acquired cause of Long QT Syndrome (LQTS)?
View answer and explanationIn a normal heart, when the cardiac impulse has traveled through the ventricles, why does it die out instead of continuing in a circus movement?
View answer and explanationWhat are the two changes in cardiac muscle that rapid stimulation, such as with a 60-cycle current, causes that predispose to circus movement?
View answer and explanationAfter successful defibrillation, the heart remains quiescent for 3 to 5 seconds before it begins to beat again. Why does this pause occur?
View answer and explanationWhat is a major risk for patients with atrial fibrillation due to the reduced atrial contractile function?
View answer and explanationIn atrial fibrillation, what is the minimum time that must typically elapse between one ventricular contraction and the next, due to the properties of the A-V node?
View answer and explanationWhat is the typical ventricular rate driven by the fibrillatory impulses in atrial fibrillation?
View answer and explanationIn Mobitz type II second-degree block, what is a key feature that distinguishes it from type I?
View answer and explanationIn a person fainting from vasovagal syncope, what two primary nervous system actions cause the rapid fall in arterial pressure?
View answer and explanationWhat is the typical Q-T interval in a normal ECG?
View answer and explanationWhat is the primary mechanism by which the drug lidocaine can treat ventricular tachycardia?
View answer and explanationWhat does a 2:1 block imply in the context of Mobitz type II second-degree A-V block?
View answer and explanationHow long can a person typically live with atrial fibrillation, in contrast to the lethality of ventricular fibrillation?
View answer and explanationDuring hand pumping of the heart (CPR), how long have fibrillating hearts been successfully pumped by hand followed by successful defibrillation?
View answer and explanationWhat is the typical voltage of the ECG waves when ventricular fibrillation first begins?
View answer and explanationWhat is the primary reason that a long conductive pathway, such as in a dilated heart, can cause re-entry?
View answer and explanationUnconsciousness occurs within how many seconds after the beginning of ventricular fibrillation due to lack of blood flow to the brain?
View answer and explanation