Final Heart sounds Flashcards
Abnormal heart sound
murmur
Sounds are result of
closure of valves
1st sound
closure of the AV valves at the beginning of ventricular contraction
2nd sound
closure of the semilunar valves at the beginning of ventricular relaxation
Circulation
R atrium > tricuspid valve > Right ventricle > Pulmonic Semilunar valve > Pulmonary arteries (R/L) > Pulmonary capillaries (in lungs) > 4 pulmonary veins > L atrium > bicuspid valve > aortic semilunar valve> aorta
Ventricular septal defect
L>R ventricle bc of hole in septum (acyanotic)
Shunt w/ cyanosis
caused by VSD and pulmonary valve stenosis(narrowed)> increased pressure in R ventricle = R>L flow = unoxygenated blood in circulation
SA
electrical signal starts in r atrium; pacemaker; cardiac impulse
AV node ->
slows as it moves through bundle of his (conduction tissue)
Bundle of his divides into L and R branches
that send out Purkinje fibers