ASPT EKG Certification Practice Exam 2025 – All-in-One Guide to Master Your Certification!

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What is a non-synchronous contraction of the muscle tissue that makes the heart appear like a "bag of worms"?

Flutter

Fibrillation

The term that describes a non-synchronous contraction of the muscle tissue, which gives the heart the appearance of a "bag of worms," is fibrillation. In this condition, the heart muscle fibers contract independently and asynchronously instead of in a coordinated manner. This disorganized electrical activity in the heart leads to ineffective pumping and can be life-threatening if not addressed promptly.

Fibrillation can occur in the atria (atrial fibrillation) or ventricles (ventricular fibrillation), with ventricular fibrillation being particularly critical as it can result in sudden cardiac arrest. The chaotic, irregular rhythm observed during fibrillation means that the heart loses its ability to generate an effective heartbeat, leading to a lack of blood flow to vital organs.

The other options present different cardiac conditions: flutter refers to rapid, but coordinated contractions usually seen in atrial flutter, bradycardia is a condition where the heart beats slower than normal, and asystole, often referred to as "flatline," indicates no electrical activity in the heart. Each of these conditions has distinct characteristics and implications for patient care, but it is fibrillation that specifically presents the described non-synchronous muscle contraction resembling a "bag of worms."

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Bradycardia

Asystole

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