By Aggarwal, Rishi; Muirhead, Nina; Ferenczi, Emily

A name within the One cease document revision sequence that covers key proof for the cardiology module within the type of brief resolution Questions, a number of selection Questions, prolonged Matching Questions and Problem-based Questions, with unique explanations.

summary: A identify within the One cease document revision sequence that covers key proof for the cardiology module within the type of brief resolution Questions, a number of selection Questions, prolonged Matching Questions and Problem-based Questions, with distinctive factors

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Any electrolyte disturbances found on blood tests should be corrected d. He should be informed that the prognosis associated with this abnormality is relatively good e. qxd 27/7/07 8:09 AM Page 45 Gary Gary's G4:Users:Gary:Public:Gary's Jobs:10521 – HA – The electrocardiogram 45 EXPLANATION: FIRST-DEGREE ATRIOVENTRICULAR BLOCK Normally, waves of depolarization spread through the heart’s internal conduction system in the following manner: SA node (atria) → AV node (beginning of ventricles) → His bundle (middle of ventricles) → bundle branches (middle of ventricles) → Purkinje fibres.

Describe the paper used for ECG tracings. What do the squares represent? 9. What is a calibration signal? qxd 27/7/07 8:09 AM Page 37 Gary Gary's G4:Users:Gary:Public:Gary's Jobs:10521 – HA – The electrocardiogram 37 EXPLANATION: LEADS AND PAPER The hexaxial wheel depicts each limb lead as an imaginary line between a negative pole (the centre of the hexaxial wheel) and a positive pole (a point towards the periphery of the wheel). Electrical activity is said to be moving towards a particular lead when it travels from the negative to the positive pole, which is seen as an upward deflection in the lead on the final ECG tracing.

This has intrinsic pacemaker activity (in the region of 40–60 bpm), allowing it to take over the heart’s rhythm when the functioning of the SA node is impaired. 2 seconds (5 small squares); any longer than this is termed first-degree AV block. In such cases, impulses from the atria are consistently delayed as they pass through the AV node, but eventually get through. Electrophysiological studies have shown that first-degree block may be due to conduction delay in the AV node, in the His-Purkinje system, or in a combination of the two.

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