Cardio 3 Flashcards

1
Q

tachycardia

A

fast >70/72 bpm

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2
Q

bradycardia

A

slow <70/72 bpm

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3
Q

What is the heart rate?

A

P to P or R to R

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4
Q

arrhythmia

A

abnormal rhythm; can appear as longated segments or intervals, altered, missing or additional waves.

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5
Q

premature ventricular contractions

A

-purkinje fibres kick in as pacemaker due to insufficient oxygen to myocardium; perceived as skipped beat or palpitation

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6
Q

long QT syndrome

A
  • inherited

- delayed repolarization of ventricles

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7
Q

cardiac cycle

A

one complete contraction and relaxation

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8
Q

diastole

A

when cardiac muscle relaxes

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9
Q

systole

A

when cardiac muscle contracts

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10
Q

5 phases of a single cardiac cycle

A

-The heart at rest: atrial and ventricular diastole (late diastole)
-completion of ventricular filling (atrial systole)
-Early ventricular contraction (isovolumetric ventricular contraction)
-The heart pumps (ventricular ejection)
-Ventricular relaxation (isovolumetric ventricular relaxation, early
diastole)

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11
Q

late diastole

A

both sets of chambers are relaxed and ventricles fill passively

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12
Q

atrial systole

A

atrial contraction forces a small amount of additional blood into ventricles

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13
Q

isovolumetric ventricular contraction

A

first phase of ventricular contraction pushes AV value closed, but does not create enough pressure to open semilunar valves - LUB

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14
Q

ventricular ejection

A

as ventricular pressure rises and exceeds pressure in arteries, the semilunar valves open and blood is ejected

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15
Q

isovolumetric ventricular relaxation

A

-as ventricles relax; pressure in ventricle falls, blood falls back into cusps of semilunar valves and snaps them close

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16
Q

EDV

A

end diastolic volume; maximal amount of blood in the ventricles after filling; ~ 135mL

17
Q

ESV

A

the volume of blood left over after contraction; ~65mL

18
Q

A-A’ segment of pressure volume loop

A

starts at ESV
-(late diastole) pressure in ventricle is lower than atria and the AV valve opens causing the ventricle to passively fill with blood

19
Q

A’-B segment of pressure volume loop

A
  • (atrial systole) atria contracts forcing more blood into the ventricle slightly increasing volume and pressure
  • EDV
20
Q

B-C segment of pressure volume loop

A

(isovolumetric contraction) the ventricle begins contracting closing AV valve, continued contraction causes a large increase in pressure within the ventricle

21
Q

C-D segment of pressure volume loop

A

(ventricular ejection) Once pressure in ventricle rises above ~80mm Hg, it exceeds the aorta and the aortic valve opens causing a rapid ejection of blood

22
Q

D-A segment

A

isovolumetric relaxation; pressure in aorta begins to exceed ventricle causing semi-lunar valve to close, ventricle continues to relax

23
Q

D - Wiggers Diagram

A

ventricle relaxes, pressure in atria begins to exceed ventricle -AV valve opens and you get the passive filling of the ventricle
-Atria then contracts increasing the volume and pressure slightly

24
Q

C - wiggers diagram

A

ventricle beings to contract, increasing pressure within ventricle causing the AV valves to snap shut (LUB)

25
Q

E - wiggers diagram

A

EDV

26
Q

A - wiggers diagram

A

ventricle contracts until it exceeds pressure in aorta

27
Q

E to F - wiggers diagram

A

aortic valve opens and yogurt rapid ejection of blood

28
Q

B - wiggers diagram

A

pressure in aorta starts to exceed ventricle causing semilunar valve to shut
-DUB

29
Q

SV

A

stroke volume; amount of blood ejected during contraction; ~70mL

30
Q

SV=

A

EDV-ESV

31
Q

total blood flow (cardiac output) =

A

heart rate x stroke volume in L/min