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Glossary of Cardiac Terms

Atrium Is the upper chamber of the heart.
Ventricle Is the lower chamber of the heart.
Arrhythmia Is an abnormal heart rhythm, referring to a disruption of the regular rhythmic pattern of contraction of the heart chambers, causing a heart to beat too fast, too slow or irregularly. This can occur either when the pacemaker of the heart fails to provide an impulse at normal intervals, or when the conduction system of the heart fails to transmit an electrical impulse through the heart muscle in a normal manner.

Similar terms in the field are:

Ectopic Heartbeat Is an irregularity of the heart rate and heart rhythm involving extra or skipped heartbeats.
Palpitations Is a sudden pounding, fluttering, or racing sensation in one’s chest, which is sometimes classified as feeling like butterflies.
Bradycardia Is an abnormal heart rhythm that occurs when the heart beats too slowly. Usually bradycardia refers to a heart rate less than 60 beats a minute.
Tachycardia Is an abnormal heart rhythm that occurs when the hear beats too quickly. Usually tachycardia refers to a heart rate greater than 100 beats a minute.
Atrial Arrhythmia Is an abnormal rhythm that develops in the upper chambers (atria) of the heart. Some atrial arrhythmias may increase the risk of blood clot formation. This, in turn, can lead to an increased risk of stroke.
Atrial Fibrillation (“A fib”) Is an arrhythmia that occurs when the atria contract in a very rapid and irregular fashion. This rapid, disorderly contraction interferes with the ability of the atria to empty blood into the ventricles that pump blood to the body.
Ventricular Fibrillation (“V fib”) Is the most threatening arrhythmia, and is often the end rhythm before the asystole of death. The heart beats when electrical signals move through it. Ventricular fibrillation is a condition in which the heart's electrical activity becomes disordered. When this happens, the heart's lower (pumping) chambers contract in a rapid, unsynchronized way. (The ventricles "flutter" rather than beat.) The heart pumps little or no blood.
Ventricular Tachycardia (“V-tach”) Is a life threatening condition, in which a rapid heart rhythm originates in the ventricles. The hallmark of ventricular rhythms is the wide QRS complex.
Supraventricular Tachycardia (“SVT”) Is a broad burst of rapid heartbeats that begin suddenly and can last from seconds to days.
Premature Ventricular Complexes (“PVC’s”) & Premature Atrial Complexes (“PAC’s”) This abnormal heartbeat is a premature contraction, which is caused by an impulse that the heart releases too early. PVC’s begin in the ventricles and PAC’s begin in the atria. Many PVC’s and PAC’s don’t produce symptoms.
Paraoxysmal Supraventricular Tachycardia (“PSVT”) Is a series of rapid atrial contractions that can hike the heart rate up to 220 beats per minute.
Electrocardiogram (EKG or ECG) The heart contracts and relaxes to pump fuel to your body. The pumping action is possible because of electrical impulses that pass through the heart. The pace and pattern of the heart’s electrical impulses can be recorded on an ELECTROCARDIOGRAM. Basically, it’s a printed pattern of a heartbeat. This is usually the first test a doctor will perform on a patient that has a suspected arrhythmia. Quite often, an arrhythmia will not occur during this brief test, which records the heart’s electrical activity for about a minute. This test always takes place in a doctor’s office.
The QRS Wave (“the big spike”) Shows the electrical stimulation of the ventricles.

Sinus Rythm Is a normal EKG/ECG rhythm. In terms of a QRS wave, it’s when the P-wave before each QRS is in the same direction as the QRS wave in an EKG/ECG segment.
Asystole (flatline) Failure of the ventricles of the heart to contract (usually caused by ventricular fibrillation) with consequent absence of the heart beat leading to oxygen lack and eventually to death.
Angina Is a medical name for a type of chest pain caused by the heart. It happens when the heart muscle is not getting enough blood for a short period of time. Unlike a heart attack, in which a part of the hear muscle goes without blood for a long period of time.
Myocardial Infarction Is a heart attack. This occurs when an artery that feeds the heart becomes blocked. This is a plumbing problem, in which blood flow to the heart is blocked. This blocked blood flow causes damage or death in the heart muscle, often giving the person warning signs, such as pain in the chest and arm.
CABG (Coronary, Artery, Bypass, Graph) Open heart surgery.
Hypertension Is high blood pressure. It occurs when the blood flows through the vessels at a greater than normal force. High blood pressure strains the heart; harms the arteries; and increases the risk of heart attack, stroke, and kidney problems.
Systolic Occurs during the contraction of the heart. When reading blood pressure systolic is the top number – Systolic/Diastolic.
Diastolic Occurs during the relaxation and filling of the heart.
White Coat Hypertension Is exhibited by patients who have elevated blood pressure measurements only when they are in the physician’s office. Upon their return to a normal environment their pressure returns to normal.
Syncope Syncope is the sudden but temporary loss of consciousness because of insufficient blood supply to the brain. Simply put its light-headedness or fainting.
Echocardiogram Sound waves are bounced off the heart, then beamed back and converted to images on a screen. These images are used to see the structures and movement of the heart’s valves and chambers.
Pacemaker When there’s a problem with a heart’s electrical system, a pacemaker keeps track of a heartbeat and, when necessary, it generates electrical signals similar to the heart’s natural signals. These signals keep the heart beating at the right pace. A pacemaker with one lead is called a single-chamber and a pacemaker with two leads is called a dual chamber pacemaker.
Sino-Atrial Node (SA Node) Is the heart’s natural pacemaker. It sends out an electrical signal that starts each heartbeat. The impulse spreads throughout the aria telling it to contract. Basically it causes the heart to beat.
Stress Test A patient walks on a treadmill or pedals a stationary bicycle while the heart rate, blood pressure and EKG/ECG are monitored.
Implantable Cardioverter Defibrillator (“ICD”) An ICD is a small, lightweight electronic device that is placed inside a patient. It keeps track of a patient’s heart rhythm. When one has an arrhythmia, the ICD helps the heart return to its normal rhythm.
Automated External Defibrillator (“AED”) Is a non-invasive tool that delivers a high-energy electrical shock that restores the heart to a normal rhythm.
Sudden Cardiac Death (“SCD”) Is a death due to electrical problems in the heart. It is different from a heart attack, which is heart muscle damage from blockage of blood flow rather than an electrical problem. SCD is usually caused by V-Tach. Or V-Fib.
Electrophysiologist is a cardiologist who has had additional training. They specialize in the electrical function of the heart and study arrhythmias. They specialize in diagnostic equipment and heart monitoring devices.
ACLS Advanced Cardiac Life Support.
Algorithm Any mechanical or repetitive computational procedure.
NASPE North American Society for Pacing and Electrophysiology.
ACC American College of Cardiology.
AHA American Heart Association.
Ejection Fraction (EF) The amount of blood pumped out of a ventricle during each heartbeat. The ejection fraction evaluates how well the heart is pumping.
Target Organ Damage (TOD) Patients with recent diagnosis of hypertension contributed with a nocturnal fall in BP confirmed by two 24hr ABPM sessions is possibly linked with prominent Target Organ Damage (TOD)

Glossary of Clinical Cardiology Terms/Diagrams

Arrhythmia An irregularity in the rhythm of the heartbeat
Dysrhythmia An abnormality in the cardiac rhythm
ECG/EKG A test that records the electrical activity of the heart
Asymptomatic No symptoms
SVT Supraventricular Tachycardia
PSVT Paroxysmal Supraventricular Tachycardia
PAT Paroxysmal Atrial Tachycardia
NCT Narrow Complex Tachycardia
VT Ventricular Tachycardia
Torsades de Pointes A ventricular tachyarrhythmia
VF Ventricular Fibrillation
PVC Premature Ventricular Contraction
PAC Premature Atrial Contraction
AF Atrial Fibrillation
AVB Atrioventricular Block
MI Myocardial Infarction
SCA Sudden Cardiac Arrest
SCD Sudden Cardiac Death
Syncope Temporary loss of consciousness
ICD Implantable cardiac defibrillator
CRT Cardiac Resynchronization Therapy (bi-ventricular pacing)
CHF Congestive Heart Failure
Cardiomyopathy Disease of the heart (many kinds; dilated, hypertrophic, restrictive)

Heartbeat/Complex Detail

P-Wave Atrial Depolarization
PR Interval Duration between atrial depolarization and ventricular depolarization
QRS Ventricular Depolarization
S-T segment Plateau phase and initiation of ventricular repolarization
T-Wave Ventricular Repolarization
QT Interval Duration of ventricular systole (rest).
QTc Corrected QT interval (assessment of QT independent of HR)
Na+ Sodium
Ca+ Calcium
K+ Potassium

Electrophysiology Detail

SA Node Sinoatrial Node (natural pacemaker of the heart 60-100bpm)
AV Node Atrioventricular Node (intrinsic rate of 40-60bpm).
AV Junction The combination of the AV Node and the Bundle of His
Bundle of His Bifurcation point of the three bundle branches.
RBB Right Bundle Branch
LBB Left Bundle Branch
Purkinje Fibers Conductive fibers within the walls of the ventricles.
*Ventricular, intrinsic rate is 20-40bpm.

Anatomy and Physiology

*Blue defines deoxygenated blood (venous return) and Red/Pink defines oxygenated blood (arterial flow).

BP Blood Pressure
Systole Pressure within the aorta and peripheral branches during ventricular contraction.
Diastole Pressure within the closed arterial system when ventricles are at rest.
Artery Carries oxygenated blood to the body
Vein Carries deoxygenated blood back to the heart

ECG Leads

Leads 1, 2, 3, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6
Leads 1-3 bipolar leads
Leads aVR, aVL and aVF unipolar leads
Leads V1-V6 augmented leads
A twelve lead looks at three views of the heart; superior to inferior, anterior to posterior and right to left.
The majority of our devices look at lead 2. Multi-lead devices such as dual channel event recorders and holters look at various leads as defined by the manufacturer.



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