Cardiac Flashcards

(67 cards)

1
Q

three objectives of a multicellular organism

A
  1. deliver glucose
  2. deliver O2
  3. remove waste
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2
Q

three primary roles of the human circulatory system

A
  1. transportations
    • respiratory, nutritive, excretory
  2. regulation
    • hormones, regulatory molecules
  3. protection
    • immunity, clotting
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3
Q

SVC

A

superior vena cava

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4
Q

RV

A

right ventricle

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5
Q

RA

A

right atria

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6
Q

PA

A

pulmonary artery

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7
Q

IVC

A

inferior vena cava

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8
Q

LV

A

left ventricle

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9
Q

LA

A

left atria

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10
Q

tricuspid

A

RA/RV valve
- opens when ventricle is relaxing

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11
Q

pulmonary semilunar

A

RV/PA
- open when ventricle is contracting

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12
Q

mitral

A

LA/LV
- open when ventricle is relaxing

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13
Q

aortic semilunar

A

LV/AO
- open when ventricle is contracting

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14
Q

stroke volume

A

volume of blood dispelled from heart every beat

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15
Q

cardiac output equation

A

cardiac output = (stroke volume)(cardiac rate)

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16
Q

what are the tendons holding valves to muscles called?

A

chordae tendineae

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17
Q

what are the muscles that open and close valves called?

A

papillary muscles

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18
Q

valves provide two main things

A
  1. one way blood flow
  2. regulated/controlled blood flow
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19
Q

what are the two holes in a fetal heart?

A
  1. foramen ovale
  2. ductus arteriosus
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20
Q

foramen ovale

A

between two atrium, but has also been observed between two ventria

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21
Q

ductus arteriosus

A

connection between the PA and aortic arches
- with the first breath, the increase of O2 stimulates the aortic arch to contract, pulling away from the PA and seals shut

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22
Q

cyanosis

A

septum defect between chambers
- right to left shunt
- deO2 move to O2

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23
Q

distribution of blood flow

A

veins: 67%
arteries: 11%
capillaries: 5%
heart: 5%
pulmonary circulation: 12%

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24
Q

blood movement through the heart

A
  1. enters from the SCV/IVC
  2. enters into the RA
  3. moves from the RA into the RV
  4. goes into the PA
  5. goes into the lungs for gas exchange
  6. moves into the PV
  7. enters the LA
  8. enters the LV
  9. moves to the aortic arch into the body
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25
two types of nerves innervate the heart
1. parasympathetic: vegas, conserves the energy of the body system, slows bpm 2. sympathetic: sympathetic ganglion, prepares body for an emergency, flight/fight response, accelerates bpm
26
signal movement in the heart
1. sympathetic/parasympathetic nerves send signals to the sinoatrial node 2. sinoatrial node sends signals to the atrioventricular node via accelerator nerves 3. the atrioventricular node sends signals through the bundles of His to, purkinje fibers to the rest of the heart
27
systole
orderly contraction of the heart
28
diastole
relaxation phase of the heart cycle
29
maintenance of the action potentials is drive by _____.
Ca2+, calcium
30
what does calcium do to an action potential?
- extends the top plateau - extends the absolute refractory period
31
fast response AP
- atria, ventricles, purkinje fibers - steep upsweep and large amplitude - L type Ca2+ channels, long lasting - cannot spontaneously depolarize
32
slow response AP
- SA and VA nodes - T type Ca2+ channels, transient, responsible for upsweep - resting action potential is not stable - spontaneous depolarization ACTIVATED FIRST
33
S1 heart sound
- in line with 3 on graph of heartbeat - closure of tricuspid and mitral valves
34
S2 heart sound
- in line with 5 on the graph of heartbeat - closure of pulmonary semilunar and aortic semilunar
35
where can you listen to the S1 heart sound?
- 5th intercostal space, left of sternum - left 5th intercostal space, at heart apex
36
S3 heart sound
- ventricle is vibrating in child - heart disease in adults
37
S4 heart sound
normal, atria contraction
38
P wave
atria depolarizing
39
Q, R, S, waves
two events - ventricular depolarization - repolarization of atria
40
T wave
repolarization of ventricles
41
what is a heart murmmur?
blood regurgitates back through valves - defective heart valves - rheumatic fever endocarditis - mitral stenosis aka calcification of bicuspids
42
bradycardia
less than 60 bpm
43
tachycardia
greater than 100 bpm
44
ectopic pacemakers
cells outside the SA node assume pacemaker activity
45
ventricular tachycardia
ectopic pacemaker activity explicitly in the ventricles causing them to beat separately from the atria
46
flutter
200-300 bpm - regular rhythm but generally leads to fibrillation
47
atrial fibrillation
the pumping action of the atria stops, but the ventricles still pump 80% of the blood - can live for years without knowing - reestablishment can be done via drug therapy
48
ventricular fibrillation
the pumping action of the ventricles stop, only 20% of blood is pumping - only live minutes - must be shocked and hope the proper rhythm restores - 10-15% recover, need a pacemaker
49
a normal P-R rhythm takes...
0.12 to 0.2 seconds
50
atrioventricular block (AV)
changes in the P-R period
51
1st degree AV block
greater than 0.20 seconds between P and R, too long
52
2nd degree AV block
AV node becomes damaged and only 2/3 of the action potentials make it to the ventricle - multiple P waves without an associated QRS spectra
53
3rd degree AV block
no action potentials reach the ventricles from the atria, so the atria are beating by the SA node and the ventricles are beating via ectopic pacemaker activity (irregular) - only answer is an artificial pacemaker
54
myocardial infraction
heart attack - suppressed/irregular QRS accompanied by reduced O2
55
ischemia
low O2 environment - ST depression
56
formation of plaque is driven by...
cholesterol
57
HDL
high density lipoprotein - carries to the liver or degrade it GOOD
58
LDL
low density lipoprotein - carries cholesterol to all cells BAD
59
chances of coronary heart disease is inversely related to...
the concentration of HDL
60
when does HDL increase?
in pregnancy and breastfeeding, estrogen, exercise
61
when does HDL decrease?
smoking (nicotine)
62
thrombosis
accumulation of a lipid plaque
63
embolism
moving thrombosis
64
embolisms clogging a coronary vessel in the heart cause...
myocardial infarction
65
embolisms clogging vessels in the brain can cause...
cerebral thrombosis/embolism - cerebral vascular accident or stroke
66
treatments for a thrombosis/embolism
1. bypass 2. angioplasty 3. scape out plaque (don't do this lol) 4. blood thinners 5. intravessel cementation 6. stints
67
angioplasty
using a balloon to compact plaque to allow blood flow to be restored