Fluke Biomedical ProSim 4 User Manual

Page 43

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Glossary

Introduction

A

A-3

Bundle Of HIS

A collection of nerves (about 1 cm in length) that lies just below the AV node in

the heart. Part of the heart’s electrical conduction system. With the AV node,

forms the AV junction. Below the bundle, the nerves divide into left and right

branches.

Computational Constant

Pertaining to cardiac output. Sometimes called calibration coefficient.

Cardiac

Of, near, or pertaining to the heart.

Cardiovascular

Of, pertaining to, or involving the heart and the blood vessels.

Capillary

One of the minute blood vessels that connect the arteries and veins.

DC component

See R-Value

ECG

An electrocardiogram (ECG) records the electrical signals of the muscles of the

heart—the depolarization and repolarization of the myocardium. Wires from an

ECG machine are connected to small plastic or metal disks called leads, or

electrodes. Put on the chest, the wrists of the right and left arms, and the left leg

at the ankle, these electrodes transmit signals to a recorder. The recorder makes

lines in the shape of waves on graph paper in the ECG machine, follow the

heart's electrical activity (rate) and its rhythm (beat). Each contraction of a normal

heart causes a normal sinus rhythm (NSR) waveform, also referred to as the P

QRS T waveform.

Frequent Multifocal PVCS

A sequence that includes a left-focus PVC followed by normal beats, alternating

with a right-focus PVC followed by normal beats. Frequent multifocal PVCs are

initiated by a number of different ectopic pacemakers in the ventricles, with

events occurring at least five times per minute, and usually more often.

Gram

A metric unit of mass and weight, equal to one-thousandth of a kilogram, about

0.035 ounces.

Heart Block: First, Second, and Third Degree

Three heart-block simulations, running as repeating sequences. A heart block is

a condition wherein the signal generated by the SA node is delayed or is blocked

(partially or completely) in its journey to the ventricles. Because this condition

typically occurs at the AV (atrioventicular) junction, a more precise term for heart

block is atrioventricular block. When the conduction time from the atria to the

ventricles becomes delayed (usually resulting in a P-R interval greater than 0.20

seconds), it is referred to as a first-degree block. When impulses from the atria

occasionally do not reach the ventricles, the block is considered partial or

incomplete and is referred to as a second-degree block. Finally, when no

impulses whatsoever are able to enter the ventricles from the atria, the heart

block is complete and is referred to as a third-degree block. As a consequence of

a third-degree block, the atria and the ventricles beat at their own separate rates.

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