BIO 365S Lecture Notes - Lecture 19: Atrioventricular Node, Purkinje Fibers, Heart Block

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16 May 2018
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Specific pathologies to recognize:
IMC and ICU
1.Arrythmia irregular heart beat. See all the waves. (top left). Heart
still oks, ut just tells the heat ate is’t ostat/stale.
2.Heart block (bottom left), signal from atrium to ventricle is blocked.
Ca hae oplete = sigal does’t go though, pitue shos oplete
lok, still has P ae ut sie taffi is opletel loked, does’t go
to ventricles still depolarize because has AV nodes and purkinje
fies ut usuall do’t do the jo eause SA ode is the doiat
one, AV node takes over, see more P waves than QRS and T = complete
block; or partial heart block = see delay b/w P and QRS, signal delayed
much longer.
3.Fibrillation not working together, no firing together = no contracting
together; can happen in atrium and ventricle.
-Atrium fibrillation do’t eod a suatio of P ae, lost that.
Not the end of the world. AV node can still make sure ventricles fire
togethe. You do’t see P, ut see QRS. Patiet o’t die ut ot
pleasant. With blood in atrium, because atrium contraction happens,
blood starts to go (80%) without contraction because of pressure and
gravity. Atrium contraction plays a big role in eeise. Patiet o’t die
because you still have 80% of blood going to ventricles.
-Ventricle fibrillation Do’t see QRS, all ou see is oise otto
ight; thik usles do’t fie togethe, do’t otat togethe. The
got confused, so need to give them the BIG electrical signal a couple
times = usually they come back; body jumps because in your whole
body has skeletal muscles, and currents trigger contraction.
The heart cycles between contraction(systole) and
relaxation (diastole).
Every less than 1 second, finish 1 cycle. Your heart spend more time in
elaatio stat eause ou heat does’t take a eak, ad the ol
one they take is in b/w contraction (2/3 in relaxation, 1/3 in
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Document Summary

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