Ischemic Heart Disease Flashcards

1
Q

Heart wall outside in

A

pericardium, epicardium, myocardium, endocardium

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2
Q

Pericardium

A

fibrous membrane that covers the heart (the outside sac)

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3
Q

Epicardium

A

outermost layer that covers the entire heart and great vessels

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4
Q

Myocardium

A

muscular middle layer controlled by the ANS that contracts

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5
Q

Endocardium

A

very thin layer that lines the interior of the heart and covers the valves

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6
Q

Where is serous fluid located

A

in between the visceral and parietal layer

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7
Q

What is the purpose of serous fluid

A

act as a lubricant to minimize friction with contraction and relaxation

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8
Q

What layer folds over to form the parietal layer of the pericardium

A

epicardium

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9
Q

What is the myocardium made of

A

cardiac muscle cells that are packed together, separated by gap junctions with low resistance

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10
Q

Left main coronary artery location and purpose

A

branches off the aortic arch and into the left anterior descending artery, supplies the left ventricle

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11
Q

Right coronary artery location and purpose

A

travels over the right atrium to the right ventricle then branches off into the posterior descending artery that supplies the posterior heart

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12
Q

Collateral branches

A

additional paths of circulation made through angiogenesis

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13
Q

Systole

A

ventricles contract

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14
Q

Diastole

A

ventricles relax and accept blood from atrial contraction

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15
Q

What innervates the cardiac muscle

A

the ANS to help move the heart in a precise manner

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16
Q

Where does blood go during systole from the left ventricle

A

to the aorta

17
Q

Where does blood go during systole from the right ventricle

A

pulmonary artery to become oxygenated

18
Q

Conduction system

A

specialized conductive pathway that maintains an orderly impulse sequence of the heart

19
Q

Action potentials

A

electric currents cause by the movement of ions across cell membranes

20
Q

Path of electric conduction

A

SA node –> AV node –> bundle of HIS –> purkinjie fibers –> left/right bundles

21
Q

Electrocardiogram (ECG)

A

recording of the electrical activity of the heart

22
Q

P-wave

A

SA node and atrial depolarization, atrial contraction

23
Q

QRS complex

A

ventricular depolarization, ventricular contraction

24
Q

T-wave

A

ventricular repolarization, heart’s refractory/refill/relax period

25
Acute coronary syndrome
a disorder caused by myocardial ischemia
26
Unstable angina
lack of blood flow to myocardium causing squeezing pain in chest (first time)
27
Acute myocardial infarction
cardiac tissue endures prolonged ischemia without recovery --> tissue is damaged and cells die
28
Percutaneous transluminal coronary angioplasty
procedure to open blocked coronary arteries