Advanced Cardiac Care in the Streets - Valencia College.pptVIP

Advanced Cardiac Care in the StreetsUnderstanding EKGs Ray Taylor Valencia Community College Electrophysiology Notice All rights reserved. Slide show used with permission only for the purposes of educating emergency medical providers (EMTs and Paramedics) No portion of this presentation may be reproduced, stored in a retrieval system in any form or by any means (including but not limited to electronic, mechanical, photocopying etc.) without prior written permission from the author Basic Electrophysiology Objectives State the two basic myocardial cell groups Describe the function of each myocardial cell group Discuss the four primary properties of cardiac cells List the three major electrolytes that affect cardiac function Basic Electrophysiology Objectives [ continued ] Describe the movement of ions Describe cardiac depolarization Describe cardiac repolarization Define refractory period Describe the absolute refractory period Describe the relative refractory period Cardiac Physiology Electrophysiology Cardiac Muscle Atrial Ventricular Excitatory and Conductive Fibers Intercalated discs Syncytium Atrioventricular Bundle Depolarization Basic Cell Groups Specialized Pacemaker Cells do not have the ability to contract responsible for controlling rate and rhythm by coordinating regular depolarization found in electrical conduction system of the heart primary function is generation and conduction of electrical impulses Basic Cell Groups The Myocardial Working Cells responsible for generating the physical contraction of heart cells muscular layer of atrial walls and thicker muscular layer of ventricular walls primary functions are both contraction and relaxation physical contraction of myocardial tissue actually generates blood flow Basic Cell Groups Threshold - point at which a stimulus will produce a cell response “All or None” phenomenon - stimulus is strong enough for cardiac cells to reach threshold, ALL cells will respond to this stimulus or none will respon