cardiovasular lab 2 Flashcards
what does the cardiovascular system consist of?
the heart and all blood vessels
what are the two receiving chambers of the heart?
atria
what are the two pumping chambers of the heart?
ventricles
What kind of blood does the left side of the heart pump?
oxygenated
what kind of blood does the right side of the heart pump?
deoxygenated
what is the pulmonary circuit?
Blood vessels that take deoxygenated blood from the right ventricle to the lungs and then return oxygenated blood to the left atrium, then to the left ventricle where it is pumped out to the rest of the body
where do all gas exchanges occur?
the capillaries
what are capillaries?
microscopic blood vessels only one layer thick
what is the capillary wall made of?
simple squamous epithelium
What do the capillary cells permit?
the diffusion of of carbon dioxide and oxygen
What is a normal by product of cellular respiration?
carbon dioxide
What are the two populations of cardiac myocytes?
nonpacemaker cells and pacemaker cells
What percentage of cardiac myocytes are nonpacemaker cells?
99%
What percentage of cardiac myocytes are pacemaker cells?
1%
what do pacemaker cells do?
spontaneously depolarize and generate action potentials
What does the action potentials from pacemaker cells trigger?
trigger action potentials of non pacemaker cells, causing them to contract
what is the cardiac conduction system made of?
clusters of pacemaker cells
where is the sinoatrial node located?
upper right atrium
what is the main pacemaker of the heart?
sinoatrial node
How often does the Sinoatrial node depolarize?
60 times per minute
where is the atrioventricular node located?
lower right atrium just medial to the tricuspid valve
What is considered the backup pace maker?
atrioventricular node
How often does the atrioventricular node have the heart beat?
40 beats per minute
what is the AV node delay?
the conduction through the AV node is slow, which allows the atria to depolarize and contract before the ventricles, which allows the ventricles to fill with blood
What is the purkinje system?
group of pacemaker cells that transmit impulses from AV node to ventricles
what are the 3 components of the purkinje system?
Atrioventricular bundle, right and left bundle branchess, purkinje fibers
Where is the atrioventricular bundle located?
lower interarterial septum and upper interventricular septum
what does the atrioventricular bundle do?
transmit impulses from the atrioventricular node to the ventricles
What do the right and left bundle branches do?
Bring impulses from the AV bundle down either side of the interventricular septum
What are purkinje fibers?
left and right branches that fan out through the myocardium (extend 1/3 of the way into the heart muscle)
what is an electrocardiogram? (ECG or EKG)
graph of the hearts electrical activity as expressed in millivolts (mV)
what is an electrocardiograph?
instrument used to obtain a ECG
Where are the electrodes placed for ECG’s/EKG’s?
arms, legs, along the chest
What does an ECG detect?
if the electrical conduction pathway within the heart is normal or if any damage has been done to the heart
What are the 3 different waves on an ECG/EKG?
P, QRS complex and T
what does the P wave represent?
atrial depolarization
What is atrial depolarization?
the atria to contract
What does the QRS complex represent?
ventricular depolarization
What is ventricular depolarization?
ventricles contract
what does the t wave represent?
ventricular repolarization
what is ventricular repolarization?
causes ventricles to relax
what are two types of variations that may signal abnormalities on an EKG/ECG?
variation in wave height, variation in normal time intervals
what can an elevated p wave indicate?
atrial enlargement
what can an elevated QRS complex indicate?
ventricular enlargement
what can a tall and pointed T wave indicate?
myocardial ischemia
P-R interval
time from beginning of P wave to start of QRS complex; 0.2 sec
S-T segment
time from end of S wave to beginning of T wave; 0.1 sec
Q-T segment
time from beginning of QRS complex to end of T wave; 0.4 sec
What can a longer P-Q interval signal?
blockage in normal conduction path
What can a longer Q-T segment signal?
myocardial damage
What is blood pressure?
pressure exerted by the blood on the walls of the blood vessels
What are the 3 factors blood pressure is determined by?
cardiac output, peripheral resistence, blood volume
what is cardiac output?
heart rate x stroke volume, amount of blood each ventricle pumps in one minute
What is peripheral resistance?
any impedance to blood flow encountered in the blood vessels
What does vasoconstriction do to peripheral resistance?
increases peripheral resistance
What does vasodilation do to peripheral resistance?
decreases peripheral resisance
what is blood volume?
amount of blood found in the blood vessels at any given time
What do you use to measure blood pressure?
sphygmomanometer and stethoscope
What is systolic pressure and its range?
pressure between arteries during ventricular systole, 100-120mmHg
What is diastolic pressure and its range?
pressure in the arteries during ventricular diastole, 60-80mmHg
What is sounds of Korotkoff?
blood flow through the brachial artery that becomes turbulent due to the cuff being released
what is a normal stroke volume?
70 ml/beat
What are the factors that affect stoke volume?
preload, contractility, afterload
what is preload?
amount of tension in the ventricular cardiac muscle cells prior to contracting
What is the Frank-Starling law of the heart?
the greater the tension on the cells, the more forcefully they contract
What is contractility?
degree to which cardiac muscle cells can shorten when stimulate by a specific chemical substance
What is afterload?
the amount of force needed from ventricular cardiac muscle cells to eject blood from the ventricles past the semilunar valves
what factors affect heart rate?
age, sex, state of activity, endurance training, stress/anxiety
What are two powerful cardiac stimulators (hormones)?
epinephrine and norepinephrine
What are the three distinct tissue layers making up the walls of arteries and veins?
tunica interna, tunica media, tunica externa
What is the tunica interna?
innermost lining of blood vessel
What is the tunica interna made of?
simple squamous epithelium (endothelium)
What is the tunica media?
middle layer of blood vessel
What is the tunica media made of?
smooth muscle and elastic fibers
What is the tunica medias role?
tissue perfusion and blood pressure , innervated by the sympathetic nervous system
what is the tunica externa?
outermost layer of the blood vessel wall
What is the tunica externa made of?
dense irregular collagenous connective tissue with abundant collagen fibers