Cardiac Arrhythmias and Their Electrocardiographic Interpretation

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Questions

Question 1

What heart rate is generally defined as tachycardia in an adult?

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Question 2

What is the term for a slow heart rate, usually defined as fewer than 60 beats/min?

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Question 3

The respiratory type of sinus arrhythmia is primarily caused by a spillover of signals from the medullary respiratory center into which adjacent center?

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Question 4

In a sinoatrial (SA) block, what happens to the P waves and what part of the heart typically picks up a new rhythm?

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Question 5

What is the threshold for a P-R interval to be considered prolonged, diagnosing a first-degree incomplete heart block?

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Question 6

Which type of second-degree A-V block is characterized by a progressive prolongation of the P-R interval until a ventricular beat is dropped?

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Question 7

In complete A-V block (third-degree block), what is the relationship between the P waves and the QRS-T complexes?

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Question 8

In Stokes-Adams syndrome, what is the typical rate of the ventricular pacemaker that emerges after overdrive suppression?

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Question 9

What is the condition known as electrical alternans, which results from partial intraventricular block every other heartbeat?

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Question 10

What is the term for a contraction of the heart that occurs before the time that a normal contraction would have been expected?

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Question 11

Which of the following is NOT listed as a possible cause of ectopic foci leading to premature contractions?

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Question 12

What is a 'pulse deficit' in the context of premature contractions?

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Question 13

In an A-V nodal premature contraction, why is the P wave often missing from the electrocardiogram?

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Question 14

What are two characteristic ECG effects of premature ventricular contractions (PVCs)?

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Question 15

Delayed repolarization of ventricular muscle, leading to a long Q-T interval, increases a person's susceptibility to developing which specific type of ventricular arrhythmia?

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Question 16

What is the most frequent underlying cause of paroxysmal tachycardia, according to the text?

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Question 17

In 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?

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Question 18

What are the two primary reasons ventricular tachycardia is considered a serious condition?

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Question 19

If not stopped, how long does it typically take for ventricular fibrillation to become fatal?

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Question 20

What are the three conditions listed that can cause an impulse to continue to travel around a circular pathway (circus movement)?

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Question 21

What happens to the ECG during the first few seconds of ventricular fibrillation, and how does it change afterward?

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Question 22

What is the primary purpose of ventricular defibrillation using a strong electrical current?

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Question 23

Why is atrial fibrillation generally not as immediately lethal as ventricular fibrillation?

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Question 24

During atrial fibrillation, what causes the ventricular rhythm to be very irregular?

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Question 25

How is atrial flutter different from atrial fibrillation in terms of the electrical signal's movement?

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Question 26

What is the typical atrial contraction rate during atrial flutter?

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Question 27

What is cardiac arrest defined as in the text?

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Question 28

Fever causes tachycardia because an increased temperature increases the rate of metabolism of what specific part of the heart's conduction system?

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Question 29

In patients with carotid sinus syndrome, even mild external pressure on the neck can cause extreme bradycardia due to what effect?

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Question 30

In third-degree (complete) A-V block, the ventricular rate is typically less than how many beats per minute?

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Question 31

The 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:

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Question 32

In a premature ventricular contraction (PVC), why is the QRS complex considerably prolonged?

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Question 33

What is the term for the pattern of a premature ventricular contraction (PVC) alternating with a normal contraction?

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Question 34

Which of the following is NOT listed as an acquired cause of Long QT Syndrome (LQTS)?

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Question 35

In a normal heart, when the cardiac impulse has traveled through the ventricles, why does it die out instead of continuing in a circus movement?

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Question 36

What are the two changes in cardiac muscle that rapid stimulation, such as with a 60-cycle current, causes that predispose to circus movement?

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Question 37

After successful defibrillation, the heart remains quiescent for 3 to 5 seconds before it begins to beat again. Why does this pause occur?

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Question 38

What is a major risk for patients with atrial fibrillation due to the reduced atrial contractile function?

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Question 39

In 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?

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Question 40

What is the typical ventricular rate driven by the fibrillatory impulses in atrial fibrillation?

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Question 41

In Mobitz type II second-degree block, what is a key feature that distinguishes it from type I?

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Question 42

In a person fainting from vasovagal syncope, what two primary nervous system actions cause the rapid fall in arterial pressure?

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Question 43

What is the typical Q-T interval in a normal ECG?

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Question 44

What is the primary mechanism by which the drug lidocaine can treat ventricular tachycardia?

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Question 45

What does a 2:1 block imply in the context of Mobitz type II second-degree A-V block?

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Question 46

How long can a person typically live with atrial fibrillation, in contrast to the lethality of ventricular fibrillation?

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Question 47

During hand pumping of the heart (CPR), how long have fibrillating hearts been successfully pumped by hand followed by successful defibrillation?

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Question 48

What is the typical voltage of the ECG waves when ventricular fibrillation first begins?

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Question 49

What is the primary reason that a long conductive pathway, such as in a dilated heart, can cause re-entry?

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Question 50

Unconsciousness occurs within how many seconds after the beginning of ventricular fibrillation due to lack of blood flow to the brain?

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