purposeful destruction of heart muscle cells, usually inan attempt to control a dysrhythmia
antiarrhythmic
a medication that suppresses or prevents a dysrhythmia
automaticity
ability of the cardiac cells to initiate an electricalimpulse
cardioversion
electrical current administered in synchrony withthe patient’s own QRS complex to stop a dysrhythmia
chronotropy
rate of impulse formation
conduction
transmission of electrical impulses from one cell toanother
defibrillation
electrical current administered to stop a dys-rhythmia, not synchronized with the patient’s QRS complex
depolarization
process by which cardiac muscle cells changefrom a more negatively charged to a more positively chargedintracellular state
dromotropy
conduction velocity
dysrhythmia (also referred to as arrhythmia)
disorder of theformation or conduction (or both) of the electrical impulsewithin the heart, altering the heart rate, heart rhythm, or bothand potentially causing altered blood flow
implantable cardioverter defibrillator (ICD)
a device implantedinto the chest to treat dysrhythmias
inhibited
in reference to pacemakers, term used to describe thepacemaker withholding an impulse (not firing)
inotropy
force of myocardial contraction
P wave
the part of an electrocardiogram (ECG) that reflectsconduction of an electrical impulse through the atrium; atrialdepolarization
paroxysmal
a dysrhythmia that has a sudden onset and/or termination and is usually of short duration
PP interval
the duration between the beginning of one P waveand the beginning of the next P wave; used to calculate atrialrate and rhythm
PR interval
the part of an ECG that reflects conduction of anelectrical impulse from the sinoatrial (SA) node through theatrioventricular (AV) node
proarrhythmic
an agent (eg, a medication) that causes or exacerbates a dysrhythmia
QRS complex
the part of an ECG that reflects conduction of an elec-trical impulse through the ventricles; ventricular depolarization
QT interval
the part of an ECG that reflects the time from ven-tricular depolarization through repolarization
repolarization
process by which cardiac muscle cells return to a more negatively charged intracellular condition, their resting state
sinus rhythm
electrical activity of the heart initiated by thesinoatrial (SA) node
ST segment
the part of an ECG that reflects the end of the QRScomplex to the beginning of the Twave
supraventricular tachycardia (SVT)
a rhythm that originates inthe conduction system above the ventricles
TP interval
the part of an ECG that reflects the time between theend of the T wave and the beginning of the next P wave; usedto identify the isoelectric line
T wave
the part of an ECG that reflects repolarization of theventricles
triggered
in reference to pacemakers, term used to describe therelease of an impulse in response to some stimulus
U wave
the part of an ECG that may reflect Purkinje fiber repolarization; usually it is not seen unless a patient’s serumpotassium level is low