Exam 1 Review: Chapter 18: Pathology of the Heart Beat-Rate
ectopic pacemaker - Any other portion of the conduction system of the heart which develops an abnormal self-excitability; such abnormal self-excitability may occasionally trigger extra beats; causes include caffeine, nicotine, electrolyte imbalances, hypoxia, and toxic drug reactions, e.g., to digitalis.
ectopic focus - The situation in which the most rapid diastolic depolarization rate originates outside the SA node (sinus rhythm) or the AV node (nodal rhythm); it can arise anywhere in the heart where the tissue has become hyperexcitable due to hypoxia, drugs, etc. (It is a severe form of an ectopic pacemaker.)
arrhythmia - Any variation from the normal (sinus) rhythm of the heart beat; including sinus arrhythmia, premature beat, heart block, atrial fibrillation, atrial flutter, pulsus alternans and paroxysmal tachycardia.
heart block - A condition in which faulty transmission of the impulses that control the heartbeat results in a lack of coordination in the contraction of the atria and ventricles of the heart; symptoms include palpitations, exercise intolerance, congestive heart failure (CHF), lightheadedness or syncope (recurrent sudden attacks of unconsciousness, i.e., fainting) due to the excessively slow heart rate. [Not to be confused with Heart Break.]
tachycardia - A rapid heart rate, especially one above 100 beats per minute in an adult; it may be qualified as atrial, junctional (nodal), or ventricular and as paroxysmal.
bradycardia - Slowness of the heart rate, usually fewer than 60 beats per minute in an adult human.
fibrillation - (1) Rapid uncoordinated twitching movements that replace the normal rhythmic contraction of the heart and may cause a lack of circulation and pulse; it may be qualified as atrial fibrillation which causes the ventricles to beat rapidly and irregulalry, or ventricular fibrillation, which causes life-threatening myocardial quivering at 350 times a minute or more (a person must receive defibrillation within minutes to avoid sudden cardiac arrest and death); (2) Fine, rapid twitching of individual skeletal muscle fibers with little or no movement of the muscle as a whole.
Describe:
10. the various arrhythmias of the heart.
| Arrhythmia | Description |
| ectopic pacemaker | Any other portion of the conduction system of the heart which develops an abnormal self-excitability; such abnormal self-excitability may occasionally trigger extra beats; causes include caffeine, nicotine, electrolyte imbalances, hypoxia, and toxic drug reactions, e.g., to digitalis. |
| ectopic focus | The situation in which the most rapid diastolic depolarization rate originates outside the SA node (sinus rhythm) or the AV node (nodal rhythm); it can arise anywhere in the heart where the tissue has become hyperexcitable due to hypoxia, drugs, etc. (It is a severe form of an ectopic pacemaker.) |
| heart block | A condition in which faulty transmission of the impulses that control the heartbeat results in a lack of coordination in the contraction of the atria and ventricles of the heart; symptoms include palpitations, exercise intolerance, congestive heart failure (CHF), lightheadedness or syncope (recurrent sudden attacks of unconsciousness, i.e., fainting) due to the excessively slow heart rate. |
| tachycardia | A rapid heart rate, especially one above 100 beats per minute in an adult; it may be qualified as atrial, junctional (nodal), or ventricular and as paroxysmal. |
| bradycardia | Slowness of the heart rate, usually fewer than 60 beats per minute in an adult human. |
| fibrillation | Rapid uncoordinated twitching movements that replace the normal rhythmic contraction of the heart and may cause a lack of circulation and pulse; it may be qualified as atrial fibrillation which causes the ventricles to beat rapidly and irregulalry, or ventricular fibrillation, which causes life-threatening myocardial quivering at 350 times a minute or more (a person must receive defibrillation within minutes to avoid sudden cardiac arrest and death). |