Heart Valves Flashcards

1
Q

What is childhood rheumatic fever likely lead to

A

Mitral valve problems eg regurgitation

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2
Q

What does a right atrium and right ventricle enlargement lead to

A

Tricuspid valve regurgitation

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3
Q

What is an embolism

A

Obstruction of an artery eg blood cor or air bubble

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4
Q

What are the valve disease investigations

A

ECG
CXR
Echo
Cardiac catheter

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5
Q

What is the difference in Primary and secondary mitral regurgitation

A

Primary is where the problem is with the valve itself

Secondary is the papillary muscles (valve is intact )

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6
Q

What is a normal ejection fraction

A

55-70 %

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7
Q

How do the cardiomyocyte contract

A

In unison

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8
Q

What do the gap junctions facilitate in cardiac cells

A

Electrical connections

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9
Q

In a GAP junction what are the tubes that allow ion transport

A

Connexons

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10
Q

What protein is found in Z lines

A

Alpha actinin

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11
Q

What protein is found in the gap junctions

A

Connexin 43

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12
Q

What transmits the electrical stimulus rapidly into the interior of the cell to promote the synchronous activation of the whole depth of the cell despite the fact that the signal to contract is relayed across the external membrane

A

Transverse tubules ( t-tubules)

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13
Q

What happens to intracellular calcium every time the heart beats

A

It rises during systole

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14
Q

What does the excitation-contraction coupling dependent on

A

Calcium

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15
Q

What are the calcium channels called

A

L type calcium channels

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16
Q

What helps transport a large quantity of Ca2+ out of the cell

A

rayadaline receptors (RyR)

17
Q

How does the Ca2+ get to the storage thingy inside the cell after contracting

A

SERCA and PLB

18
Q

In the heart the strength of contraction of the cardiac muscle is regulated by

A

Varying the intracellular calcium concentration during activation of the cells

Or by altering the sensitivity of the myofilaments to calcium

19
Q

What can a scar do to heart tissue

A

Gap junctions have gone / damaged due to scar !

20
Q

What is the purpose of the Foramen Ovale

A

small hole located in the septum, which is the wall between the two upper chambers of the heart (atria). Before a baby is born, it does not use its lungs to get blood rich in oxygen.

21
Q

When are the heart chambers and major vessels formed by

A

8th week

22
Q

What is the purpose of the ductus ateriosus

A

COnnects pulmonary artery to aortic arch and blood pypasses lungs