Chapter 11 Cardio Flashcards
3 types of blood vessels in the body
arteries
veins
capillaries
arteries
large blood vessels that carry blood away from the heart to all body parts
endothelium
inner most cells that secrete factors that affect the size of blood vessels, reduce blood clotting, and promote growth of blood vessels
arterioles
carries blood to the capillaries
- smaller than arteries
venules
carries waste filled blood to the heart
veins
thin wall vessel that carries blood from body tissues and lungs back to the heart
valves
temporarily closes an opening to prevent the backflow of blood and keep it moving in one direction
what color is blood?
bright red in the arteries
dark red in the veins
- veins on the outside- blue
How much blood is in the body?
5 quarts (4.7 liters)
Total length of all blood vessels?
60,000 miles
venae cavae
where oxygen poor blood enters the heart through 2 largest veins
right side of the heart
oxygen poor blood
pulmonary artery
artery carrying oxygen poor blood form the heart to the lungs
capillaries
smallest type of blood vessel.
- material pass to and from the blood stream through thin capillary walls
pulmonary veins
one of two pairs of vessels carrying oxygenated blood from the lungs to the left atrium of the heart
pulmonary circulation
circulation of blood through the vessels from heart to the lungs and then back to the heart
left side of the heart
oxygen rich blood enters
aorta
largest artery in the body
carotid arteries
blood vessels that branch from aorta and carry oxygen rich blood to the heart
arterioles
small artery
venules
small vein
oxygen
gas carried by the blood from lungs to the heart to be pumped via arteries to all body cells
systemic circulation
flow of blood from the body tissue to heart and back
pulse
beat of the heart as felt through the walls of arteries
atria
atrium
2 upper chambers of the heart
ventricles
2 lower chambers of the heart
superior venae cava
drains blood from the upper portion of the body
inferior vena cava
carries blood from the lowest part of the body
right atrium
thin walled upper right chamber of the heart
- receives oxygen poor blood
tricuspid valve
located between the right atrium and the right ventricle
- three leaflets
pulmonary vein
carries oxygenated blood from lungs to left atrium
pulmonary valve
valve positioned between right ventricle and pulmonary artery
left atrium
mitral valave
valve between the left atrium and the left ventricle; bicuspid valve
left ventricle
aortic valve
aorta
largest artery in the body
septa
septum
partition or wall dividing a cavity
- ex: right and left atria or right and ledt ventricle
3 layers of the heart
endocardium
myocardium
pericardium
endocardium
inner lining of the heart
myocardium
muscular middle layer of the heart
pericardium
double layered membrane surrounding the heart
diastole
relaxation
systole
contraction
dubb
closure of the aortic and pulmonary valves at the end of systole
lubb
closure of the tricuspid and mitral valves at the beginning of the systole
murmur
abnormal swishing sound
pacemaker
origin of electrical impulse causing walls of the atria to contract and force blood into ventricles
- ending diastole
sinoatrial node (SA node)
pacemaker of the heart
- right atrium
atrioventricular bundle
bundle of HIS
helps conduction myofibers that extend to ventricle walls and stimulate them to contract, beginning systole
electrocardiogram
ECG
EKG
record used to detect these electrical changes in the heart muscle as the heart beats
P wave
spread of excitation wave over atria just before contraction
QRS wave
spread of excitation wave over the ventricles
- as ventricles contract
normal sinus rhythm
heart rhythm originating in the sinoatrial node with a rate in patients at rest of 60 to 100 beats per minute
blood pressure
force that the blood exerts on the arterial walls
sphygmomanometer
used to measure blood pressure
apex of the heart
lower tip of the heart
coronary arteries
blood vessels that branch from the aorta and carry oxygen rich blood to the heart muscle
deoxygenated blood
blood that is oxygen poor
arrhythmias
abnormal heart rhythms
heart block
atrioventricular block
condition where there is a delay or interruption in the transmission of electrical impulses between the atria and ventricles
bradycardia
failure of proper conduction of impulses from SA node through the AV node to atrioventricular bundle
flutter
rapid but regular contractions, usually of atria
fibrillation
very rapid, random, inefficient and irregular contractions of the heart
- 350 beats + per min
atrial fibrillation
most common cardiac arrhythmia
paroxysmal AF
irregular heartbeats occur periodically and episodically
persistent AF
irregular heartbeats continue indefinitely
ventricular fibrillation
electrical impulses move randomly throughout the ventricles
cardiac arrest
sudden stoppage of heart movement
defibrillation
stops electrical activity in the heart for a brief moment so that normal rhythm takes over
implantable cardioverter- defibrillation (ICD)
small electrical device that is implanted inside the chest to sense arrhythmias and terminate them with an electric shock
coarctation of the aorta
narrowing of aorta
patent ductus arteriosus
passageway between the aorta and the pulmonary artery remains open after birth
septal defects
small holes in the wall between the atria or the ventricles
tetralogy of Fallot
congenital malformation involving four distinct heart defects
ventricular septal defect
large hole between two ventricles let venous blood pass from right to left ventricle and out to the aorta without oxygenation
shift of the aorta to the right
aorta overrides the interventricular septum
- oxygen poor blood passes from the right ventricle to the aorta
hypertrophy of the right ventricle
myocardium works harder to pump blood through a narrowed pulmonary artery
transposition of great arteries
pulmonary artery arises from the left ventricle and the aorta from the right ventricle
congestive heart failure
heart is unable to pump its required amount of blood
systolic CHF
reduced ejection fraction ( the amount of blood that leaves the left ventricle)
diastolic CHF
fluids back up in the lungs and other body parts
pulmonary edema
fluid accumulation in the lungs
left ventricular assist device
pumps blood out of the heart
- pump inserted in left ventricle
atherosclerosis
buildup of plaque that leads to restricted blood flow to the heart
thrombotic occlusion
blocking of the coronary artery by a clot
ischemia
decreased blood flow
myocardial infarction
heart attack
acute coronary syndromes
unstable angina and myocardial infarction (heart attack)
- plaque rupture in coronary arteries
unstable angina
chest pain at rest or chest pain of increasing frequency
nitroglycerin
vasodilator that increases coronary blood flow and lowers BP
aspirin
prevents clumping of platelets
beta blockers
reduce the force and speed of the heartbeat and lower BP
- treats angina, hypertension, and arrhythmias
ACE inhibitors
blocks conversion of angiotensin
reduce high BP
causes blood vessels to dilate
lowers risk of future heart attack
calcium channel blockers
drug used to treat angina and hypertension
- dilates blood vessels by blocking influx of calcium
statin
lower cholesterol levels
coronary artery bypass grafting
open heart operation that replaces clogged vessels
percutaneous coronary intervention
catheterization with balloons and stents opens clogged coronary arteries
endocarditis
inflammation of the inner lining of the heart
hypertensive heart disease
high blood pressure affecting the heat
mitral valve prolapse
improper closure of the mitral valve
murmur
extra heart sound, heard between normal beats
pericarditis
inflammation of the membrane surrounding the heart
pericardial friction rub
scraping or grating sound
cardiac tamponade
pressure on the heart caused by collection of fluid in pericardial cavity
rheumatic heart disease
heart disease caused by rheumatic fever
aneurysm
local widening (dilation) of an arterial wall
deep vein thrombosus
blood clot forms in a large vein, usually a lower limb
peripheral vascular disease (PVD)
group of circulatory disorders that affect blood vessels outside of the heart and brain
hypertension
high blood pressure
essential hypertension
high blood pressure without a identifiable cause
secondary hypertension
increase in pressure is caused by another associated lesion
peripheral arterial disease
blockage of arteries carrying blood to the legs, arms, kidneys, and other organs
warfarin
oral anticoagulant used to prevent or treat thromboembolic diseases
raynaud disease
recurrent episodes of pallor and cyanosis primarily in fingers and toes
varicose veins
abnormally swollen and twisted veins
- usually in the legs
hemorrhoids
varicose veins near the anus
auscultation
listening for sounds in blood vessels or other body structures
biventricular pacemake
device enabling ventricles to beat together (in synchrony) so that more blood is pumped out the heart
bruit
abnormal blowing or swishing sound heard during auscultation of an artery or organ
cardiac arrest
sudden, unexpected stoppage of heart action
- often leading to sudden cardiac death
claudication
pain, tension, and weakness in a leg after walking has begun
- no pain at rest
digoxin
drug that treats arrhythmias and strengthens heartbeat
embolus
clot or other substance that travels to a distant location and suddenly blocks a blood vessel
infarction
area of dead tissue
nitrates
drugs used in the treatment of angina
- dilates blood vessels, increases blood flow and oxygen to myocardial tissue
occlusion
closure of a blood vessel due to blockage
palpitations
uncomfortable sensations in the chest related to cardiac arrhythmias
patent
open
petechiae
small pinpoint hemorrhages
statins
drugs used to lower cholesterol in the blood stream
thrill
vibration felt over an area of turmoil in blood flow
vegetations
clumps of platelets, clotting proteins, microorganisms, and red blood cells on diseased heart valves
BNP test
measurement of brain natriuretic peptide in blood
cardiac biomarkers
chemicals are measured in the blood evidence of a heart attack
lipid tests
measurement of cholesterol and triglycerides in a blood sample
saturated fats
animal origin
- milk, butter, meats
polyunsaturated fats
vegetable origins
lipoprotein electrophoresis
lipoproteins are physically separated and measured in a blood sample
angiography
x-ray of blood vessels after injection of contrast
digital subtraction angio
video equipment and a computer produce x-ray images of blood vessels
electron beam CT
electron beams and CT identify calcium deposits and around coronary arteries to diagnose coronary artery disease
Doppler US
sounds waves measure blood flow within blood vessels
echocardiography
echoes generated by high frequency sound waves produce images of the heart
positron mission tomo
images show blood flow and myocardial function following uptake of radioactive glucose
technetium Tc 99m sestamibi
injected intravenously is taken up in cardiac tissue
thallium 201 scan
concentration of radioactive thallium is measured to give info about blood supply to the heart muscle
cardiac catheterization
thin, flexible tube is guided into the heart via vein or artery
electrocardiography
recording of electricity flowing though the heart
Holter monitoring
an ECG device is worn during a prolonged period to detect cardiac arrhythmia
stress test
exercise tolerance test determines the heart’s response to physical exertion
catheter ablation
brief delivery of radio frequency energy to ablate (remove) areas of heart tissue that may be causing arrhythmias
endarterectomy
surgical removal of plaque from the inner layer of the artery
extracorporeal circulation
heart lung machine diverts blood from the heart and lungs while the heart is repaired
heart transplant
donor heart is transferred to a recipient
percutaneous coronary intervention
balloon tipped catheter is inserted into a coronary artery to open the artery
- stents are put in place
stent
expandable slotted metal tubes that serve as permanent scaffolding devices
drug eluting stents
coated polymers that release anti-inflammatory and antiproliferative drugs to prevent scar tissue from forming
thrombolytic therapy
drugs to dissolve clots are injected into the bloodstream of patients with coronary thrombosis
transcatheter aortic valve replacement
placement of a balloon expandable aortic heart valve into the body via catheter
pulse
beat of the heart as felt through the walls of arteries