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Electrocardiogram
The rhythmic sounds of "beep... beep... beep..." signify the measurement of the heart muscle's strength. This rhythmic signal varies from person to person and is recorded as an electrocardiogram (ECG). Within the body, a complex array of systemic neural responses generates electric currents that can be detected on the skin's surface. When a person is connected to an amplifier, these impulses are captured by an electrocardiograph. Most of the information gathered pertains to the heart, as it emits electric currents in waves. This "wave of excitation" propagates through the heart wall and is associated with electrical changes. The process occurs in three distinct phases. First, the "wave of excitation," accompanied by an electrical change, lasts for about 1 to 2 seconds following the contraction of the cardiac muscle. These electrical impulses are rhythmically discharged from the sinoatrial (SA) node, which acts as the heart's natural pacemaker, signaling the atrium to contract. The peak of the ECG reading is attributed to the atrioventricular (AV) node, which triggers the excitation of the ventricles. Finally, as the ventricles relax, any changes in the wave pattern can alert trained medical personnel to potential abnormalities within the heart.

What are the three phases of the "wave of excitation"?

  • A. The discharge from the SA node, the peak ECG, and the excitement of the ventricle.
  • B. The excitement of the ventricle, the relaxing of the ventricle, and the systemic neural response.
  • C. The contraction of the atrium, the relaxation of the atrium, and the contraction of the ventricle.
  • D. The excitation of the atrium, the excitement of the ventricle, and the relaxing of the ventricle.
Correct Answer: D

Rationale: The correct answer is D: 'The excitation of the atrium, the excitement of the ventricle, and the relaxing of the ventricle.' The 'wave of excitation' in the heart occurs in three main steps. Firstly, the excitation starts with the discharge from the SA node, indicating the contraction of the atrium. Secondly, the peak ECG reading is caused by the excitement of the ventricle. Lastly, the wave ends with the relaxing of the ventricle. Understanding these steps is crucial for interpreting electrocardiograms and identifying any abnormalities in the heart's electrical activity.