RELIAS DYSRHYTHMIA BASIC A& B Course Relias dysrhythmia Institution Relias Dysrhythmia Document includes name of rhythm and picture of EKG strip from Relias NOTES ALREADY GRADEDA+

RELIAS
exam DYSRHYTHMIA
Institution Relias
* note: not ALL BASIC
Dysrhythmia
answers B 35 QUESTIONS
Document
provided, includes
only WITH
of 35of-ANSWERS
name
32 out rhythm and Course Relias
picture of
see description EKGdysrhythmia
strip from Relias
1




TOPIC PAGE




notes
C1: ANATOMY and PHYSIOLOGY...……………………. 2

C2: ELECTROCARDIOLOGY

The Heart’s Conduction System ………………. 3

ECG Recording ………….……………………………. 4

ECG Waveforms ………………………………………. 5

10-Step Rhythm Analysis/Interpretation …. 6

C3: SINUS RHYTHMS …………..……………………………. 7

C3: ATRIAL RHYTHMS ………….……...………………….. 8

C4: JUNCTIONAL RHYTHMS …………………………….. 9

C5: ATRIOVENTRICULAR BLOCKS …………………….. 10

C6: VENTRICULAR RHYTHMS ……………………………. 11

C7: PACEMAKERS/OTHERS ....………………………….. 12

CX: ACUTE MYOCARDIAL INFARCTION……………… 13

CXX: RESUSCITATION/TREATMENT………………….. 14

CXXX: SUMMARY of DYSRHYTHMIA RECOGNITION 15




BY: AUGUSTO TEODORO, JR., MD, FPCEM

REFERENCE:

 AHA Advanced Cardiovascular Life Support Pro-
vider Manual, 2011
 2010 American Heart Association Guidelines for
Cardiopulmonary Resuscitation and Emergency
Cardiovascular Care Science

 Dysrhythmia for Monitor Technicians, Flexed
 Lewis, KM, Sensible Analysis of the 12-Lead
ECG. Delmar Thomson Learning. 2000

 Atwood, et al. Introduction to Basic Cardiac
RELIAS DYSRHYTHMIA BASIC A& B Course Relias dysrhythmia Institution Relias Dysrhythmia
Document includes name of rhythm and picture of EKG strip from Relias NOTES ALREADY
GRADEDA+

,RELIAS
exam DYSRHYTHMIA
Institution Relias
* note: not ALL BASIC
Dysrhythmia
answers B 35 QUESTIONS
Document
provided, includes
only WITH
of 35of-ANSWERS
name
32 out rhythm and Course Relias
picture of
see description EKGdysrhythmia
strip from Relias
2
Dysrhythmias 4th Ed. Jones and Bartlett Learn-
ing. 2011

(REVISED APRIL 2014)




RELIAS DYSRHYTHMIA BASIC A& B Course Relias dysrhythmia Institution Relias Dysrhythmia
Document includes name of rhythm and picture of EKG strip from Relias NOTES ALREADY
GRADEDA+

, RELIAS
exam DYSRHYTHMIA
Institution Relias
* note: not ALL BASIC
Dysrhythmia
answers B 35 QUESTIONS
Document
provided, includes
only WITH
of 35of-ANSWERS
name
32 out rhythm and Course Relias
picture of
see description EKGdysrhythmia
strip from Relias
3

CHAMBERS ABBREVIATION VALVES CONNECTS
ANATOMY of the right atrium RA Tricuspid RA and RV
right ventricle RV Pulmonary RV and Pulmonary
HEART left atrium LA artery

left ventricle LV Mitral(Bicuspid) LA and LV
Aortic LV and Aorta
FLOW OF BLOOD
CHAMBERS and VALVES
From the body (DEOXYGENATED BLOOD)
of the HEART
Inferior and superior vena cava
Right atrium (RA)
Right atrium
Left atrium (LA)
Tricuspid valve
Mitral valve (MV) aka Bicuspid valve
Right ventricle
Tricuspid valve (TV)
Pulmonary valve
Left ventricle (LV)
Pulmonary arteries (DEOXYGENATED BLOOD)
Right ventricle (RV)
Lungs (gas exchange)
Interventricular septum
Pulmonary veins (OXYGENATED BLOOD)
Pulmonary Valve (PV) (not shown)
Left atrium
Aortic Valve (AV) (not shown)
Mitral valve (aka bicuspid valve)
ELECTRICAL CONDUCTION Left ventricle
SYSTEM
Aortic valve
Sino-atrial node (SA node)
Aorta
Internodal and interatrial tracts
Systemic circulation (OXYGENATED BLOOD)
Atrioventricular node (AV node) Heart rate X stroke volume = cardiac output
Bundle of His
70beats X 70mL = 4900 mL = _5L
Left and right bundle branches minute beat minute minute

Purkinje fibers REMEMBER:
4 CHAMBERS —RA, LA, RV, LV
CIRCULATION 4 VALVES —T.P.M.A.
 PULMONARY CIRCULATION: When the RIGHT VENTRICLE pumps DEOXYGENATED 4 VESSELS —SVC/IVC,
BLOOD into the PULMONARY ARTERY (via pulmonary valve) and back to the heart —Pulmonary artery
 SYSTEMIC CIRCULATION: When the LEFT VENTRICLE pumps OXYGENATED BLOOD —Pulmonary vein
into the AORTA (via aortic valve) and back to the heart —Aorta
HEMODYNAMIC PARAMETERS Phases of Normal Electrical Activity:
 Heart rate—number of beats per minute POLARIZATION: Phase of readiness
 Stroke volume—amount of blood ejected from LV with every contraction (70mL) DEPOLARIZATION: Phase of contraction
PRELOAD— volume of blood present in the ventricles after passive and active filling
(stimulation, excitation)
prior to contraction
AFTERLOAD—resistance against which the ventricles must pump to eject blood REPOLARIZATION: Phase of relaxation
 Cardiac output—amount of blood ejected from LV in one minute
STARLING’s LAW OF THE HEART
When the diastolic filling of the heart (EDV) is increased or decreased with a given vol-
ume; the force of contraction increases or decreases with this volume
RELIAS DYSRHYTHMIA BASIC A& B Course Relias dysrhythmia Institution Relias Dysrhythmia
Document includes name of rhythm and picture of EKG strip from Relias NOTES ALREADY
GRADEDA+