Chapter 8- Cardiovascular System Flashcards
arteries
blood vessels that pump blood O2, nutrients, and other products to the heart and body
capillaries
smaller vessels off of the arteries that are microscopic
veins
combination of venules
venules
larger blood vessels that are formed by merge of capillaries
leaflets
flat, leaf-shaped structures that comprise the valves of the heart and prevent the backflow of blood
lumen
tubular space or channel within an organ or structure of the body; space within artery, vein, intestine
regurgitation
backflow or ejecting of contents through an opening
sphincters
circular muscles found in a tubular structure or hollow organ that constrict or dilate to regulate passage of substance
vasoconstriction
narrowing of the lumen of a blood vessel that limits blood flow; usually result of diseases and medications
vasodilation
widening of the lumen of a blood vessel caused by the relaxing of the muscles of vascular walls
viscosity
thickness or a measure of how resistant a liquid is to flowing
tunica externa
outer coat, composed of connective tissue that provides strength and flexibility
tunica media
middle layer, composed of smooth muscle; muscle can alter the size of the lumen of vessel and when it contracts it causes vasoconstriction (decrease blood flow); when it relaxes it causes vasodilation (increase in blood flow)
tunica intima
thin, inner lining of the lumen of the vessel, composed of epithelial cells that provide a smooth surface on inside of the vessel
pulse
surge of blood felt in the arteries when blood is pumped from the heart
oxygen
arterial blood (except pulmonary artery) contains high concentration
arterioles
smaller arteries where oxygenated blood travels
valves
small structures within veins that prevent backflow of blood
pericardium
enclosed sac around the heart
endocardium
serous membrane that lines the four chambers of the heart and its valves and is continuous with the endothelium or arteries and veins
myocardium
muscular layer of the heart
epicardium
outermost layer of the heart
right atrium
upper chamber; collect blood
left atrium
upper chamber; collect blood
right ventricle
lower chamber; pump blood
left ventricle
lower chamber; pump blood
RV pump blood
to the lungs (pulmonary circulation) for oxygenation
LV pumps oxygenated blood
to the entire body (systemic circulation)
superior vena cava
collects and carries blood from the upper body
inferior vena cava
collects and carries blood from the lower body
tricuspid valve
RA to this consists of 3 leaflets to RV
left and right pulmonary artery
blood leaves RV to these and travels to the lungs
pulmonic valve (pulmonary semilunar valve
prevents regurgitation of blood into RV from pulmonary artery
mitral (bicuspid) valve
structure consisting of two leaflets blood passes through LV to this
aorta
largest artery of the body; containing the aortic semilunar valve
aortic semilunar valve (aorta valve)
permits blood flow in only one direction-LV to aorta
right coronary artery
vascularize right side of heart
left coronary artery
vascularize left side of heart; divided into two branches: left anterior descending artery and circumflex artery
conduction tissue
specialized cardiac tissue
sinoatrial (SA) node
located in upper portion of RA and possesses own intrinsic rhytm
atrioventricular (AV) node
causes atria to contract
bundle of His (AV bundle)
conduction fibers, relays impulse to purkinje fibers
Purkinje fibers
extended up ventricle wall
pacemaker
aka SA node
electrocardiograph
impulses recorded on graph paper through this instrument
P wave
depolarization (contraction) of the atria
QRS complex
depolarization (contraction) of the ventricles
T wave
repolarization (recovery) of the ventricles
systole
contraction phase when blood is forced out of the heart
diastole
relaxation when ventricles fill up with blood
sphygmomanometer
measures BP
aneurysm/o
aneurysm (widening blood vessel)
angi/o
vessel (usually blood or lymph)
vascul/o
vessel (usually blood or lymph)
aort/o
aorta
arteri/o
artery
arteriol/o
arteriole
atri/o
atrium
ather/o
fatty plaque
cardi/o
heart
coron/o
heart
electr/o
electricy
embol/o
embolus (plug)
hemangi/o
blood vessel
my/o
muscle
phleb/o
vein
ven/o
vein
scler/o
hardening; sclera (white eye)
sept/o
septum
sphygm/o
pulse
sten/o
narrowing, stricture
thromb/o
blood clot
valv/o
valve
valvul/o
valve
ventricul/o
ventricle (of heart of brain)
-cardia
heart condition
-stenosis
narrowing stricture
brady-
slow
endo-
in, within
extra-
outside
peri-
around
trans-
across
cardiologist
diagnosis, treatment, and management of cardiovascular disorders
cardiology
medical specialty concerned with disorders of cardiovascular diseases
arteriosclerosis
progressive degenerative disease of arterial walls that cause them to become thickened and brittle restricting the flow of blood to tissues and organs
atheroma
plaque like substance composed of cholesterol, lipids, and cellular debris
thrombus
formation of a clot that travel though vascular system
infarction
localized tissue death
ischemia
localized tissue anemia
angina
chest pain and tightness
diaphoresis
excessive sweating
hemiplegia
paralysis of one side of body
myalgia
muscle pain
hyperlipidemia
elevated level of fatty substances in the blood
statins
slow down and reverse fat build up
antihypertensives
control blood pressure
anticoagulants
reduce thrombus formation
angioplasty
repairing affected vessels
endarterectomy
surgical removal of fatty deposits from inside artery
coronary artery disease (CAD)
interferes with the ability of the coronary arteries to supply blood to myocardium
ischemia
inadequate blood supply to myocardium
necrosis
death of tissue or muscle
myocardial infarction
is combined of muscle and myocardium
endocarditis
inflammation of inner lining of the heart and valves
infective endocarditis
caused by bacteria
mitral valve stenosis
narrowing of mitral valve
vegetations
valves
mitral valve insufficiency
mitral valve does not close properly
regurgitation
backflow into the atrium
valvuloplasty
surgery to correct damaged valves
bioprosthetic
mechanical device
prophylactic treatment
antibiotic treatment to protect against infection
varicose veins
enlarged, engorged, twisted, superficial veins
incompetent
do not function properly
varices
esophagus
hemorrhoids
rectum
phlebitis
inflammation of the vein
endovenous ablation
destroying tissue within the vein
radiofrequency ablation
treatment that employ lasers, heat
cryoalbation
extreme cold treatment
sclerotherapy
chemical treatment
myxoma
mucous connective tissue
pulmonary edema
fluid in the lungs
arthralgia
joint pain
primary tumor
malignancy originating in another area of the body
metastasizes
spreading
malignant melanoma
darkly pigmented mole or tumor
aneurysm
localized abnormal diffusion of a vessel, usually an artery
angina
chest pain caused by obstructions or spasms of the coronary arteries that decrease blood flow to myocaridum
arrhythmia
irregularity in the rate or rhythm of the heart; aka dysrhythmia
bradycardia
abnormally slow heart rate, usually <60 BPM
fibrillation
abnormally rapid, uncoordinated quivering of myocardium that can affect the atria or ventricles
heart block
interference with the normal transmission of electrical impulses from the SA node to Purkinje fibers
tachycardia
abnormally fast but regular rhythm up to <200 BPM
bruit
soft, blowing sound heart on auscultation and associated valvular action, movement of blood as it pass obstruction
cardiomyopathy
disease or weakening of heart muscle that diminishes cardial function
coarction
narrowing of a vessel, especially the aorta
embolism
intravascular mass that dislodges from one part of body and causes a blockage in another area
heart failure
disorder that occurs when the heart is unable to effectively pump the quantity of blood required by the body
hyperlipidemia
excessive amounts of lipids (cholesterol, phospholipids, and triglycerides) in the blood
hypertension
elevated BP persistently higher than 140/90 mmHg
hypotension
low blood pressure persistently lower than 90/60 mmHg
mitral valve prolapse (MVP)
structural defect in which mitral valve leaflets prolapse in LA during ventricular constraction
palpation
sensation of an irregular heartbeat, commonly described as pounding, racing, skipping a beat, or flutter
peripheral artery disease (PAD)
common circulatory disorder characterized by reduced flow of blood to extremeties
phlebitis
inflammation of a deep or superficial vein of the arms or legs; most commonly legs
rheumatic heart disease (RHD)
serious pathological condition resulting from rheumatic fever; causing permanent scarring on heart valves
syncope
partial or complete loss of consciousness usually caused by a decreased supply of blood to brain; aka fainting
thrombosis
abnormal condition in which a blood clot develops in a vessel and obstructs it at the site of its formation
deep vein thrombosis (DVT)
blood clot that forms in the deep veins of the body, especially in legs or thighs; aka deep venous thrombosis
electrocardiography
procedure that graphically records the spread of electrical excitation to different parts of the heart using small electrodes
holter monitor test
procedure that uses small portable system to record and store the electrical activity of heart over 24-48 hours
stress test
ECG taken under controlled exercise stress conditions
cardiac biomarkers
blood test that measures presence and amount of several substances released by heart when damaged or under stress
lipid panel
series of blood tests used to assess RF of ischemic heart disease
angiography
procedure that records a radiographic image of the inside of a blood vessel after injection of a constrast medium
aortography
angiography of the aorta and its branches after injection of contrast medium
coronary angiography
specialized type of angiography that helps diagnose stenosis or obstruction of the arteries that supply blood to the heart
doppler US
ultrasonography used to assess the direction and speed of blood flow through blood vessels by reflecting sound waves
carotid artery US
ultrasound procedure that determines blood flow problems caused by blood clots, plaque, or tears on wall of carotid arteries
echocardiography (ECHO)
ultrasound test that produces moving images of blood passing through heart, valves, chambers, and assess cardiac output
myocardial perfusion imaging (MPI)
noninvasive imaging test using a radioactive tracer in conjunction with a stress test to show how well blood flows through the heart
single-photon emission computed tomography
myocardial perfusion test that involves injection of radioactive tracer into blood while gamma camera moves in circle
cardiac magnetic resonance imaging (MRI)
specialized MRI procedure that provides images of the heart chambers, valves, major vessels, and pericardium
magnetic resonance angiography (MRA)
type of MRI that provides highly detailed images of blood vessels
multiple-gated acquisition (MUGA)
nuclear procedure that uses radioactive tracers to detect how effectively heart walls move as they contract
cardiac catherization (CC)
passage of a catheter into heart though a vein or artery to provide a comprehensive evaluation of the heart
electrophysiology study (EPS)
special catheterization test that involves insertion of electrode catheters into heart to study and map conduction system
angioplasty
endovascular procedure that reopens narrowed blood vessels to restore forward blood flow
PTCA
angioplasty of coronary arteries that involves insertion of balloon catheter to R. femoral artery
cardiac albatation
catheter inserted though vein in the groin and threaded to heart to correct structural problems in heart that cause arrhythmia
coronary artery bypass graft (CABG)
placement of a vessel graft from another part of the body to bypass the blocked area of a coronary artery and restore blood supply to the heart muscle
implantable cardioverter-defibrillator (ICD)
small-battery powered device inserted in chest who is at high risk for developing arrhythmia; aka AICD
open heart-surgery
surgical procedure in which the sternum is cut in half vertically to open the chest and expose heart, valves, or arteries
pacemaker insertion
implantation of a battery-powered device inside the chest to control the HR and rhythm
defibrillation
lifesaving emergency treatment to restart the heart in cardiorespiratory arrest by delivering increase voltage
cardioversion
defibrillation technique using low-energy shocks to reset hearts rhythm back to its normal pattern
angiotensin-converting enzyme (ACE)
lower blood pressure by inhibiting the conversion of angiotensin 1 (an inactive enzyme) to angiotensin II (a potent vasoconstrictor)
angiotensin II receptor blockers (ARBS)
lower blood pressure by blocking the angiotensin II enzyme from causing vasoconstriction
antiarrhythmics
prevent, alleviate, or correct cardiac arrhythmias (dysrhythmias) by stabilizing the electrical conduction of the heart
anticoagulants
inhibit the body’s natural coagulation response to prevent the formation of clots in blood vessels
beta blockers
block the effect of adrenaline, which slows nerve pulses through the heart, causing a decrease in heart rate
calcium channel blockers
block movement of calcium (required for blood vessel contraction) into myocardial cells and arterial walls, causing heart rate and blood pressure to decrease
diurectics
act on kidneys to increase excretion of water and sodium
nitrates
dilate blood vessels of the heart, causing an increase in the amount of oxygen delivered to myocardium and widen blood vessels of the body, allowing more blood flow to the heart
statins
lower cholesterol in the blood and reduce its production in the liver by blocking the enzyme that produces it
AAA
abdominal aortic aneurysm
ACE
angiotensin-converting enzyme (inhibitor)
AED
automated external defibrillator
AICD
automatic implantable cardioverter-defibrillator
ARB
angiotensin receptor blocker
AV
atrioventricular, arteriovenous
BP, B/P
blood pressure
CA
cancer, cardiac arrest, chronological age
CABG
coronary artery bypass graft
CAD
coronary artery disease
CC
cardiac catheterization
CHF
congestive heart failure
CK
creatine kinase (cardiac enzyme), conductive keratoplasty
CO2
carbon dioxide
CV
cardiovascular
DVT
deep vein thrombosis; deep venous thrombosis
ECG, EKG
electrocardiogram, electrocardiography
ECHO
echocardiogram, echocardiography, echoencephalogram, echoencephalography
EPS
electrophysiology studies
HTN
hypertension
ICD
implantable cardioverter-defibrillator
LA
left atrium
LV
left ventricle
MI
myocardial infarction
MPI
myocardial perfusion imaging
MRA
magnetic resonance angiogram, magnetic resonance angiography
MRI
magnetic resonance imaging
MUGA scan
multiple-gated acquisition scan
MVP
mitral valve prolapse
O2
oxygen
PAD
peripheral artery disease
PTCA
percutaneous transluminal coronary angioplasty
RA
right atrium
RHD
rheumatic heart disease
RV
residual volume; right ventricle
SA, S-A
sinoatrial
HF
heart failure
Hg
mercury
SPECT
single photon emission computed tomography
US
ultrasound