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CRAT(Certified Rhythm Analysis Technician Prep Exam Study Guide.pdf
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Pericardium - ✔Outer protective double-layered sac surrounding the heart. Epicardium - ✔Thin outermost layer of the heart, contains coronary arteries. Myocardium - ✔Middle muscular layer of the heart, contains electrical system. Endocardium - ✔Inner most layer of the heart, lines chambers and valves. Blood flow through the heart - ✔Venules --> Veins --> Superior/Inferior VC --> Rt atria --> Tricuspid Valve --> Rt ventricle --> Pulmonary valve --> Pulmonary Artery --> Lungs --> Pulmonary Veins --> Lt atria --> Bicuspid/Mitral valve --> Lt ventricle --> Aortic Valve --> Aorta --> Arteries --> Arterioles --> Capillaries --> Body Deoxygenated blood(left side of heart) - ✔Venules --> Veins --> Superior/Inferior VC --> Rt atria --> Tricuspid Valve --> Rt ventricle --> Pulmonary valve --> Pulmonary Artery Oxygenated blood(right side of heart) - ✔Pulmonary Veins --> Lt atria --> Bicuspid/Mitral valve --> Lt ventricle --> Aortic Valve --> Aorta --> Arteries --> Arterioles --> Capillaries Atrioventricular Valves(diastole) - ✔Valves between the atria and ventricles. Tricuspid, Bicuspid/Mitral. Regulates blood flow IN the heart. Semilunar Valves(systole) - ✔Pulmonary and Aortic valves separates Ventricles from corresponding artery. Regulates blood flow OUT of the heart. sinoatrial node (SA node) - ✔Primary pacemaker, 60-100bpm intrinsic rate atrioventricular node (AV) node - ✔2nd pacemaker, 40-60bpm intrinsic rate
Bundle of His - ✔normal connection between atria and ventricles bundle branches - ✔Branches off the Bundle of His that conduct impulses to the left and right ventricles Purkinje fibers - ✔conduction system terminates Automaticity - ✔The ability of the heart to generate and conduct electrical impulses on its own. Excitability - ✔ability of cardiac cell to respond to an impulse Conductivity - ✔The ability of cardiac cell to conduct/transmit an impulse. Contractility - ✔ability of cardiac cell to contract/pump in response to an electrical impulse. Depolarization - ✔contraction Repolarization - ✔relaxation Waveform - ✔P wave --> PR Interval --> QRS Complex --> J Joint --> ST Segment --> T wave P wave - ✔atrial depolarization PR interval - ✔Period of time from beginning of atrial depolarization to the beginning of ventricular depolarization. Delay of AV node to allow filling of ventricles. 0.12-0.20sec. QRS complex - ✔ventricular depolarization J joint - ✔the point where the QRS meets the ST segment. ST segment -