Cardio3 Flashcards
Coronary artery anatomy Cardiac Output
What supplies the SA and AV nodes?
Right Coronary Artery (RCA)
The artery that supplies the ____________ determines the coronary dominance.
Posterior Descending/Interventricular Artery (PD)
Right-dominant circulation.
85%
PD arises from the RCA
Left-dominant circulation.
8%
PD arises from Left Circumflex artery (LCX)
Codominant circulation.
7%
PD arises from both LCX & RCA
Coronary artery occlusion most commonly occurs in the __________.
Left Anterior Descending artery (LAD)
Coronary arteries fill during _________.
Diastole
What is the most Posterior part of heart?
Left Atrium
Signs and symptoms of an enlarged Left Atrium.
Dysphagia (compression of esophagus)
Hoarseness (compression of left recurrent laryngeal n., a branch of Vagus.
What technique is used for diagnosing a left atrial enlargment?
Transesophageal echocardiogram
*also for aortic dissection, thoracic aortic aneurysm
What supplies the Right ventricle?
Acute marginal artery
What supplies the lateral and posterior walls of the left ventricle?
Left circumflex coronary artery (LCX)
What does the Left Anterior Descending (LAD) artery supply?
Anterior 2/3 of Interventricular septum
Anterior papillary muscle
Anterior surface of Left ventricle
What does the Posterior Descending/Interventricular artery (PD) supply?
Posterior 1/3 of Interventricular septum
Posterior walls of ventricles
Equation for Cardiac Output (CO).
CO = Stroke volume x Heart rate
CO = SV x HR
What is the Fick principle?
CO = rate of O2 consumption / (arterial O2 content - venous O2 content)
How do you calculate Mean Arterial Pressure (MAP).
MAP = CO x Total Peripheral Resistance (TPR)
MAP = ___ diastolic pressure + ___ systolic pressure
MAP = 2/3 diastolic + 1/3 systolic
Pulse pressure =
Pulse pressure = systolic - diastolic
Pulse pressure is proportional to what?
Stroke volume
Stroke Volume (SV) =
SV = CO/HR = End Diastolic Vol - End Systolic Vol
SV = CO/HR = EDV - ESV
How is CO maintained during the Early stages of exercise?
INcreased HR & INcreased SV
How is CO maintained during Late stages of exercise?
INcreased HR only (SV plateaus)
What happens if HR is too high?
Diastolic filling is incomplete
CO DEcreases