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• What does the P wave represent? -✓✓Atrial depolarization
• What does the QRS complex represent? -✓✓Atrial repolarization and ventricular
depolarization
• Q wave indicates what? -✓✓Dead myocardial tissue. Always a negative deflection
• What is the natural pacemaker of the heart? -✓✓SA node
• 3 types of pacemakers -✓✓1) single (either RA or RV)
2) dual chamber (RA and LV)
3) bi-ventricular (RV and LV --> Congestive Heart Failure)
• Which HB would you NOT need a pacemaker for? -✓✓First-degree AV block
(prolonged PRI >0.20 seconds)
• Define intrinsic beats -✓✓The patient's own heart beat
• What is sensing? -✓✓The ability for the heart to sense and respond to the electrical
activity of the heart
• What is capture? -✓✓The pacemaker sends a stimulus to the heart which causes the
heart to depolarize
• Failure to sense -✓✓Lack of pacemaker spikes where they should have been. Battery
can be dead.
• Failure to capture (loss of capture) -✓✓No P or QRS after the pacemaker spike
• Undersensing -✓✓Pacemaker spikes in areas where they should not be (i.e. in the T
wave, an ST segment, or on top of another QRS)
• Cardioversion vs. Defibrillation -✓✓Cardioversion: to change the heart rhythm (usually
from SVT to sinus)
Defibrillation: only used for pulseless VT and v-fib