cardiovascular Flashcards
a single contraction of the heart
heartbeat
Create and propagate electrical
signals; “pacemaker cell”
specialized conducting cells
99% of all cardiocytes, Perform contractions
Cardiac Muscle and the Heartbeat
contractile cells
Allows the heart to maintain a regular rhythm
cardiac conduction system
“pacemaker” electrical sygnal that causes heartbeat originates within heart
myogenic
regular, spontaneous, depolarization
autorhythmic
modify heart beat
extrinsic nerves
cardiac nerves, directly to ventricular myocardium, spinal cord to cardiac nerves
sympathetic nerves
vagus nerve, slows heart rate to 70-80bpm
parasympathetic nerves
right vagal nerve to SA node, left vagal nerve to AV node
parasympathetic nerves
initiates heartbeat, sets heart rate
SA node
receives signals from SA, electrical gateway to ventricles
AV node
pathway for signals from AV node
AV bundle
divisions of AV bundle that enter inter ventricular septum
Bundle branches
spread signals throughout ventricles
purkinje fibers
travels at 1m/ sec through atria; reaches AV node
SA node
slows signals to 0.05 m/sec
AV node
-90 mv
resting potential
electrical signal causes NA+ to enter cardiocyte, voltage becomes more positive
depolarization
+30 mV
voltage peak
causes a more sustained, longer contraction in heart muscle, allows heart to fully expel blood
plateau phase
k+ exits cell, voltage becomes more negative
depolarization
cause contraction of heart, stimulated by electrical signals from conduction system, different from AP’s in skeletal muscle
action potential in cardiocytes
heart contraction
systole
heart relaxation
diastole
abnormally slow heart rate
bradycardia
abnormally fast heart rate
tachycardia
abnormal cardiac rhythm due to heart block, bundle block or total blockage
arrhythmia
caused by hypoxia, electrolyte imbalance, stimulants, stress
premature ventricular contraction
region of spontaneous firing
ectopic foci
measures electrical activity of the heart
ECG
SA node fires (atrial depolarization)
P wave
delay at AV node
PR segment
ventricular depolarization, also atrial depolarization but signal is obscured
QRS complex
ventricular systole
ST segment
ventricular repolarization
T wave
from start of atrial depolarization to start of QRS complex
P-R interval
from ventricular depolarization to ventricular repolarization
Q-T interval
SA node fires; atrial depolarization begins
P wave
delay at AV node, allows ventricles to fill with blood
P-R segment
beginning of atrial depolarization to beginning of ventricle depolarization
P-R interval
ventricular depolarization
QRS wave
ventricular systole
S-T segment
rapid, fluttering, contractions, no pumping
fibrillation
period between the start of one heartbeat and the beginning of the next
cardiac cycle
pressure of the blood against walls of blood vessels
blood pressure
BP rises
systole
BP falls
diastole
AV valves open, blood flows from a triangle to ventricles (passively fill with blood)
rapid ventricular filling and diastasis
contraction of atria, remains blood in atria is ejected into ventricles (active filling)
atrial systole
atrial systole ends, pressure in ventricles rise, AV valves close (Lub)
isovolumetric ventricular contraction
ventricular systole ends, blood is ejected from ventricles
ventricular ejection
valves close (dup)
ventricular relaxation
total volume of blood in one ventricle following relaxation
end-diastolic volume (EDV)
volume of blood ejected from ventricle
stroke volume (SV)
amount of blood remaining in one ventricle flowing ejection
end-systolic volume (ESV)
EDV (130) - ESV (60) =?
SV (70 ml)
70ml
SV
30 ml
passive filling
40ml
atrial systole
60 ml
ESV
listening to heart sounds via stethoscope
auscultation
sound caused by closing of the AV valves
S1
sounds caused by the closing of the semilunar valves
S2
faint sound associated with blood flowing into the ventricles
S3
faint sound associated with atrial contraction
S4