Cardio Flashcards

1
Q

What is plasma composed of?

A

Mostly water, dissolved proteins, hormones, and ions

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2
Q

What is hematocrit?

A

% of blood volume that is red blood cells

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3
Q

What is hematocrit usually?

A

45%

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4
Q

What proteins are in plasma?

A

Albumin, globulin, and fibrinogen

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5
Q

What are the 4 great arteries?

A

Vena cava, pulmonary trunk, pulmonary veins, and aorta

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6
Q

Which valves are semilunars?

A

aortic and pulmonary

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7
Q

Which valves are AVs?

A

tricuspid and bicuspid

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8
Q

What valves are associated with the right side of the heart?

A

Tricuspid valve and pulmonary valve

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9
Q

What are the 4 valves?

A

Bicuspid, tricuspid, pulmonary and aortic

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10
Q

Which valves are associated with the left side of the heart?

A

Bicuspid valve and aortic valve

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11
Q

Which side of the heart is the pulmonary side?

A

Right side

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12
Q

Which side of the heart is the systemic side?

A

The left side

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13
Q

What is the vena cava connected to?

A

Right side of the heart

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14
Q

What causes the valves to open and close?

A

Pressure

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15
Q

What makes the AV valves open?

A

When atrial pessure>ventricular pressure

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16
Q

What makes the semilunars open?

A

Ventricular pressure>pressure in aorta or pulmonary trunk

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17
Q

What is stenosis?

A

Abnormally narrowed valve

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18
Q

What causes stenosis?

A

Can be congenital or due to calcium buildup

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19
Q

When is turbulent flow seen?

A

During stenosis

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20
Q

What happens in a leaky valve?

A

Flow goes backwards

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21
Q

What happens when the AVs are leaky?

A

Blood backs up into the atria or the great vessels

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22
Q

What happens when the semilunars are leaky?

A

Blood flow returns to the ventricles

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23
Q

What factors play into resistance?

A

Viscosity, length and radius

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24
Q

What is poiseuilles law?

A

Associated with resistance, equation is R=1/r^4

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25
What is the flow rate law?
Difference in pressure/Resistance
26
What are the two types of heart cells?
Electrically conducting and cardiomyocytes
27
The SA node and AV nodes are what type of cell?
Electrically conducting cell
28
What is the function of cardiomyocytes?
Contractile, produce force
29
What is released during sympathetic drive?
Epinephrine and norephrine
30
Which receptors do epi and norepi bind to?
Beta-adrenergic receptors
31
Are beta-adrenergic receptors metabotropic or ionotropic?
Metabotropic
32
What is vasodilation?
Occurs in sympathetic drive, smooth muscle in arteries relax
33
How does sympathetic drive affect cardiomyocytes?
Increased contractility
34
When does the vagus nerve release acetylcholine?
Parasympathetic drive
35
Where is acetylcholine released into?
The nodal cells in the atria
36
Is parasympathetic drive associated with hyperpolarization or depolarization?
Hyperpolarization, K+ channels open
37
What does the SA node do?
Depolarizes the atria
38
What happens when the atria depolarize?
They contract
39
What does the AV node do?
Allows for delay while the atria depolarize
40
How does the signal spread to the ventricles?
Through the AV bundle
41
What do the bundle branches do?
Finish conduction through the ventricles
42
How do signals spread so quickly through the heart?
Gap junctions
43
The cardiac action potential is also known as
The ventricular action potential
44
Why is the cardiac stable resting potential slightly more negative than the nerve RMP?
Leak K+ current
45
What happens during the upstroke of the cardiac action potential?
Rapid depolarization from voltage gated Na+ channels opening
46
What happens during the notch phase of the cardiac action potential?
VG Na+ channels close, K+ channels open
47
What is the Kto or Ito?
Current due to K+ channel
48
What happens during the plateau of the cardiac action potential?
L type Ca2+ channels open, begins to open K+ channels. Keeps the potential steady
49
What happens during the repolarization phase of the cardiac action potential?
Efflux through rectifying K+ channels
50
What are the Kr/Ks channels?
Delayed rectifiers, responsible for final repolarization of the cardiac action potential
51
What makes the AVs close?
Atrial pressure is less than ventricular pressure
52
What makes the semilunars close?
Ventricular pressure less than the aortic/pulmonary trunk pressure
53
Why is the resting potential of the nodal action potential unsteady?
If - funny Na+ current
54
Whats different about the funny Na+ current?
Peak opening during the hyperpolarized current, and it has slower kinetics
55
What happens during the depolarization phase of the nodal cell action potential?
Ca2+ channels are open, both T-type and L-type
56
What happens during the repolarization phase of the nodal cell action potential?
K+ efflux from rectifying K+ channels
57
What is associated with the P wave?
Atrial depolarization
58
What is associated with the QRS wave?
Vetricular depolarization
59
What is associated with the T wave?
Ventricular repolarization
60
Why does the heart have such a long refractory period?
It has to completely relax to fill with blood