Lec 22 - Heart 2 Flashcards

1
Q

Which component of the conduction system is known as the “pacemaker” of the heart?

A

SA node [sinoatrial node]

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2
Q

where is the SA node located? what is its purpose?

A

located in the posterior wall of right atrium

initiates heartbeat

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3
Q

where is the AV node located and what is its function?

A

medial of inferior atrium

receives message from SA node located in right atrium. sends message to AV bundle.

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4
Q

where is the atrioventricular bundle His found, and what is its function.

A

“tract” or collection of conduction fibers located in the interventricular septum

transmits message to Purkinje fibers

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5
Q

where are the purkinje fibers found and what is its function?

A

located in walls of ventricles

conduct impulse to myocardium

results in ventricular contraction (excites ventricles)

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6
Q

what is the purpose of the conduction system?

A

To stimulate cardiac muscle fibers to contract without the need for direct stimulus from the nervous system.

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7
Q

which node does sympathetic stimulation act on?

A

SA node.

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8
Q

what hormone does sympathetic stimulation release?

A

norepinephrine

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9
Q

what hormone does parasympathetic stimulation release?

A

acetylcholine

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10
Q

what does a cardiac cycle refer to?

A

a complete heartbeat.

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11
Q

which node initiates each cardiac cycle?

A

SA node

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12
Q

as the atria contracts, what occurs?

A

they simultaneously force blood into both ventricles

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13
Q

what is the systole?

A
"lubb"
ventricles CONTRACT
AV VALVES close
Blood is ejected from the heart.
Blood in right ventricle exits through the pulmonary arteries while that in the left ventricle leaves through the aorta.
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14
Q

what is the diastole?

A
"dubb"
the ventricles RELAX
SEMILUNAR VALVES close
av valves OPEN
Blood has filled the atria which are awaiting the signal from the SA node to begin the next cardiac cycle
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15
Q

appx how many times per minute does the cardiac cycle occur?

A

70 times per min

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16
Q

how many liters of blood is pumped by the heart every minute?

A

5 L

17
Q

what does auscultation mean?

A

refers to the act of listening to sounds within the body [stethoscope]

18
Q

what is the 1st heart sound?

A

lubb

closure of AV valves

19
Q

what is the 2nd heart sound?

A

dubb

closure of semilunar valves

20
Q

what are the ausculatory areas?

A

aortic area
pulmonic area
tricuspid area
bicuspid area

21
Q

where is the aortic area located?

A

second intercostal space, right side.

22
Q

where is the pulmonic area located?

A

second intercostal space, left side

23
Q

where is the tricuspid area located?

A

5th intercostal space, right of sternum, right av valve

24
Q

where is the bicuspid area located?

A

5th intercostal space, left of sternum, left av valve.

25
Q

what is the purpose of coronary circulation?

A

to carry oxygen and nutrients to cardiac tissue and carry away waste produced by cells

26
Q

what are the differences between the right coronary artery and the left coronary artery?

A

right coronary artery;
marginal - supplies myocardium of lateral and inferior side of right heart.
posterior interventricular - travels in septum or sulcus on posterior side to supply posterior side of ventricles

left coronary artery:
anterior interventricular - supplies interventricular septum and anterior walls of both ventricles
circumflex - supples left atrium and posterior left ventricle

27
Q

where do the coronary veins enter and where do they empty into?

A

they enter into the coronary sinus and empty into the right atrium.

28
Q

what are the 3 major cardiac veins? describe each

A

great cardiac vein - anterior
middle cardiac vein - posterior
small cardiac vein - inferior

29
Q

what is myocardial infarction?

A

an insufficient supply of blood to cardiac muscle tissue can cause death of cardiac tissue, leading to a heart attack

30
Q

what is a thrombus or embolus? what do they cause?

A

thrombus - fixed blood clot
embolus - moving blood clot

when they block one of the major coronary vessels, a heart attack happens

31
Q

what is atherosclerosis?

A

when fatty substance deposit on walls of vessels; buildup blocks normal blood flow