Heart Activity Flashcards

1
Q

What is the dicrotic notch?

A

Force of aortic valve snapping shut (pressure decreases blood flow/stops back flow)

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2
Q

What is the Pericardium?

A

Layer filled with fluid to let heart slip around

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3
Q

Why is the heart described as a double-pump?

A

4 chambered double pump
2x atrium/2x ventricle
Double circulation: from heart to lungs and from heart to tissues

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4
Q

Where does the hearts internal innervation come from?

A

Sinoatrial node: rear wall of atrium

  • Pacemaker: regular discharge begins firing pattern of whole heart. Maintains about 120bpm, firing spreads excitation over atria
  • Shown in P wave of ECG, begins contracting pushing blood to ventricles

Atrioventricular node: wall between atrium & ventricle

  • discharge passes via AV bundle to ventricles
  • Begins QRS complex
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5
Q

How is the heart externally innervated?

A

Parasympathetic: acetylcholine as transmitter
Creates vagal inhibition of SA node (reduces HR)
Vagal withdrawal may increase HR (when BP drops)

Sympathetic: norepinephrine transmitter
-HR increase via increasing rate of SA node discharge

Baroreceptor Reflex: controls HR and BP links
Low BP to change firing rate -> info to 9th cranial nerve-> caria -> makes SNS increase cardiac output

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6
Q

What is Respiratory Sinus Arrhythmia?

A

Natural cycle of arrhythmia from influence of breathing on flow of sympathetic and vagal impulses -> SA node
HR variability in synchrony with restoration
R-R interval shortened during inspiration and prolonged with expiration

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7
Q

How do you measure heart rate?

A

Electrocardiogram: Waller and then Einthoven
Standard= 12 ECG leads, Use Ag/AgCl electrodes to measure R-R in mV range
Prone to movement artefact

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8
Q

What is directional fractionation?

A

John Lacey: diff physical variables show difference directions of response in particular situation
Found evidence for:
- COG= increase HR, increase SCL
-PERC= decrease HR, increase SCL

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9
Q

What is the Intake-Rejection hypothesis?

A

HR and BP influence cortical activity and therefore affect sensitivity to stimuli

Cardiac deceleration facilitates stimulus “intake”
Cardiac acceleration facilitates stimulus “rejection”

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10
Q

Can Heart Rate be used as an index of the Orienting Reflex?

A

No (may think so because people often get it confused with intake-rejection)
Phasic HR deceleration response to OR type stimulus doesn’t habituate

Because: Lacey uses tonic changes for OR

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11
Q

Can Heart Rate be used as an index of Vigilance?

A

Maybe/yes
Barry and Tremayne: vigilance increased with HR deceleration
Using Tonic measure

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