Chapter 9: Cardiac Physiology Flashcards

1
Q

What are the layers of the heart?

A

Endocardium, Myocardium, Epicardium, Pericardium

The heart consists of four main layers, each with specific functions.

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2
Q

What is the function of the myocardium?

A

Thick for contractions

The myocardium is responsible for the heart’s pumping action due to its muscular structure.

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3
Q

Which layer of the heart has large T-tubules?

A

Myocardium

The presence of large T-tubules facilitates rapid depolarization and contraction.

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4
Q

What structures are found in the endocardium?

A

No intermediate filaments, Troponin, Tropomyosin

These proteins play crucial roles in muscle contraction.

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5
Q

What is the purpose of the pericardium?

A

Attaches heart to sternum and keeps it in place

The pericardium protects the heart and anchors it within the thoracic cavity.

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6
Q

What are intercalated disks?

A

Desmosomes and gap junctions

These structures facilitate communication and mechanical attachment between cardiac muscle cells.

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7
Q

What are chordae tendineae?

A

Projections called papillary muscles

Chordae tendineae connect the papillary muscles to the heart valves, preventing valve inversion.

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8
Q

Fill in the blank: The _______ layer of the heart is responsible for the pumping action.

A

Myocardium

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9
Q

True or False: The epicardium is the outermost layer of the heart.

A

True

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10
Q

What are the two main functions of the epicardium?

A

Protects the heart, provides a smooth surface for the heart

The epicardium is also involved in the formation of the pericardial cavity.

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11
Q

What is the role of the endocardium?

A

Lines the heart chambers and covers the heart valves

It helps to prevent blood from clotting and reduces friction during heartbeats.

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12
Q

What does the SA Node set in cardiac physiology?

A

BIM

BIM stands for Basic Intrinsic Mechanism.

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13
Q

What is the intrinsic rate of the SA Node?

A

60-100 bpm

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14
Q

What is the intrinsic rate of the AV Node?

A

40-60 bpm

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15
Q

What is the intrinsic rate of the Bundle of His?

A

20-40 bpm

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16
Q

What happens when the SA Node fails?

A

AV Node takes over at 40-60 bpm

17
Q

Fill in the blank: The SA Node sets the _______ of the heart.

A

rhythm

18
Q

True or False: The SA Node is the primary pacemaker of the heart.

A

True

19
Q

What does the term ‘ectopic focus’ refer to?

A

Abnormal pacemaker activity outside the SA Node

20
Q

What are the two main types of conduction pathways in the heart?

A

Internodal pathways and interatrial pathways

21
Q

What is the normal heart rate range set by the SA Node?

A

60-100 bpm

22
Q

What happens to the heart rate if both the SA Node and AV Node fail?

A

Ventricles may take over at 20-40 bpm

23
Q

Fill in the blank: The Bundle of His connects the _______ to the ventricles.

A

atria

24
Q

What is the significance of latent pacemakers?

A

They can take over pacing if the primary pacemaker fails

25
Q

What is the term for the heart’s ability to generate its own rhythm?

A

Automaticity

26
Q

How does the heart rate change in response to increased vagal tone?

A

Decreases