PCS 3 Flashcards
Where can you hear the heart valves
Aortic valve - right 2nd intercostal space
Pulmonary valve - left 2nd intercostal space
Tricuspid valve - left 4th/5th intercostal space
Mitral valve - mid axillary line intercostal space
How can you tell if someone has cardiomegaly
if heart shadow on xray is more than half the thorax shadow
What are the two layers of the pericardium
Fibrous pericardium
Serous Pericardium
What are the contents in the posterior mediastinum
Descending aorta Azygous, hemiazygous veins Thoracic ducts Esophagus Sympathetic trunk
What part of vessel wall is responsible for dilation and constriction
Tunica media
What happens in primary haemostasis
causes soft clot rich in platelets and Von Willebrand factor. Von Willebrand factor attaches to subendothelial collagen which causes platelets to bind. This changes the platelet shape causing them to degranulate causing their surface to be negatively charged
What happens in secondary haemostasis
Reinforces soft clot with fibrin. Cell based and classical pathways.
Describe the extrinsic pathway of clotting
Uses tissue factor
Describe the intrinsic pathway of clotting
Series of coagulation factors causing fibrinogen to turn into fibrin
Describe the steps of the cell based model of clotting
initiation, amplification, propagation
What converts testosterone to oestrogen
aromatase
What is lucitropy
the rate of muscle relaxation
What is preload
The amount of sarcomere stretch experienced by cardiac muscle cells at the end of ventricular filling
What is myocardial contractility
ability of the heart to contract
What are some positive inotropic agents
Digitalis
Catecholamine
Phosphodiesterase inhibitors
What are some negative inotropic agents
Beta adrenoceptor antagonists
Calcium channel antagonists
What is afterload
Pressure the heart must work against to eject blood during systole
What conditions are beta blockers prescribed for
Angina Heart failure Atrial fibrillation Heart attack High Blood Pressure
How are beta blockers dangerous to people with asthma or COPD
Bronchoconstriction because it activated the sympathetic nerves innervating the bronchioles
What conditions can be managed with calcium channel blocking drugs
High blood pressure
cardiac arrhythmias
coronary heart disease
Hypertrophic cardiomyopathy
What proteins metabolise adrenaline
Monoamine oxidase
Catechol - o - methyl transferase