Chapter 2 Cardio Flashcards

1
Q

Medulla monitors monitors what in the heart?

A

Monitors blood pressure and send neuro impulses via the autonomic nervous system to heart and blood vessels

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2
Q

Core components of the Heart?

A

controller, pump, and the exchanger

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3
Q

where are baroreceptors located?

A

Aorta and the carotid arteries

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4
Q

describe physiology of baroreceptors response to increase in BP?

A

If BP goes up acutely the stretch signals baroreceptors to to alert brain to bring down bp. It signals to parasympathetic or sympathetic system to either increase or decrease. Heart rate will then go down and vasodialation will take place thus bringing the BP down SVR is then decreased.

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5
Q

Baroreceptors vs. Chemoreceptors

A

Baroreceptors monitor blood pressure and trigger changes in cardiovascular system

Chemoreceptors monitor ph changes, PaO2, and PaCO2.

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6
Q

what are the nodes in the heart made up of?

A

they are NOT nerves. they are cardiac muscles connected end to end . Structural difference for electrical conduction and speed of electrical signal.

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7
Q

Cardiac Cells have what type of Gap Junctions?

A

Gap junctions allow the action potential to pass from cell to cell.

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8
Q

Conduction pathway cells?

A

cells larger in diameter, the diameter of the cell allows for faster conduction. its role is to distribute electrical signal quickly around inner surface of heart.

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9
Q

What happens when valves become dysfunctional? What sound can one hear?

A

The valves can become narrow, stiff, or floppy. In this event the blood flow becomes very turbulent. This produces a vibration thus leading to a murmur sound.

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10
Q

turbulent flow in the lungs is when the pipes become narrow thus increasing velocity of the air causing for vibration and when we listen you hear?

A

wheezing

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11
Q

What protective layer is heart surrounded by? What disease processes can damage the sac?

A

Pericardial Sac (PArietal pericardium, and visceral pericardium.

Pericarditis and Pericardial effusion

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12
Q

What happens when intrathoracic pressure increases and becomes more negative during inspiration?

A

Venous blood to the right side of the heart increases.. The increased venous return stimulates stretch Baro-receptors thus increasing Heart rate.

Negative intra-thoracic pressures relative to the positive abdominal pressure. all fluids move from lower pressures to higher pressures. thus increasing venous return.

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13
Q

what are Arterioles called?

A

They are called resistant vessels because they do the bulk of resistance in our circulatory system.

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14
Q

What are Arterioles surrounded with?

A

Smooth muscle fibers, which around the walls. When the muscle fibers contract it cause VASOCONSTRICTION, and the opposite occurs as well causing VASODILATION.

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15
Q

Coronary Circulation?

A

Right Coronary Artery, Left Coronary Artery splits into left anterior descending LAD and left circumflex LC.

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16
Q

difference between semilunar valve and antrioventricular valve?

A

Semilunar valve have no subvalvular apparatus and the antrioventricular valve present with subvalvular apparatus chordae tendinae and papillary muscles.

17
Q

Sympathetics and parasympathetic nerves innervate in the?

A

SA node, AV node
Sympathetic nerve innervates in ventricular myocardium
Parasympathetic nerve innervates in artrial myocardium

18
Q

TTE Transthoracic Echocardiography?

A

Ultrasound beams to direct images of the heart.

indicated for LVEF,MI, Wall thickness etc.

19
Q

What happens when there is a disease that effects the pressure within the left atrium which has a direct correlation to pulmonary vein?

A

As pressure increases in the Left atrium it directly affects the pressure within the pulmonary veins and pulmonary capillaries. Under such conditions the pressure will cause fluid to leave the capillaries and enter the air sac. Hence we have PULMONARY EDEMA.

20
Q

Pulmonary circulation is what type of pressure and resistance?

A

Low pressure, low resistance

21
Q

how does the body compensate for higher metabolic demands?

A

It will vasodilate arterioles in the areas that need more oxygen supply and vasoconstrict other vascular beds to meet metabolic needs.

22
Q

What do lymph vessels do?

A

They sponges for circulatory system they collect the fluid that leaks into the interstitial space and bring it back into the venous circulation.

23
Q

Lymph vessels conjoin into what vein?

A

Azygos vein in the neck which conjoins the superior vena cava. Returns fluid into circulation.

24
Q

What happens when lymph vessels are blocked?

A

They are unable to pick up excess fluid in the interstitial space. Causing Edema.

25
Q

Lymph nodes part in the system?

A

Mounts and organizes our immune response. Lymphocytes (t cells, B cells, and natural killer cells)

26
Q

Capillary job?

A

exchange of O2 and nutrients.

27
Q

Continuous Fenestrated Capillaries?

A

Large holes between cells allowing for it to moderately leak. Found in the brain, small intestine and exocrine gland.

28
Q

Discontinuous Capillaries?

A

Fenestrated capillaries with large gaps between cells. Found in the liver very porous.

29
Q

During increased myocardial demand the heart will produce what substances to help demands?

A

bradykinin, adenosine, and potassium. They dilate the coronary arteries .Decreasing resistance resulting in greater coronary perfusion.