The heart and ECG Flashcards

1
Q

What is systemic circulation?

A

blood from heart via the body to provide 02 & nutrients

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2
Q

What do valves allow?

A

unidirectionality and maintain pressure

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3
Q

what is the circulation system in the body?

A

1) de02 blood enter right atria via Superior/ inferior Vena cava
2) blood enter right ventr. via tricuspid valve
3) blood exit right ventr. into pulmonary artery via Semi Lunar valve
4) blood to lungs
5) blood from lungs to left atria via pulmonary vein
6) blood from left atria to ventr. via Bicuspid Mitral valve
7) blood from left ventr. to aorta via semi lunar aortic valve for systemic circulation

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4
Q

What does myogenic mean?

A

signals itself and autorhythmic

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5
Q

What are pacemaker cells?

A
  • create Action potentials

- located SA node in right atrium and AV node near tricuspid valve

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6
Q

What speed do Purkinje fibres conduct potential?

A

4m/s

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7
Q

What is systole?

A

when heart contracts and pumps blood into arteries

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8
Q

What is Diastole?

A

when heart relaxes and allows chambers to fill with blood

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9
Q

What is action potential transmission?

A

pacemakers> conduction fibres> contractile cells

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10
Q

how is passage to cardiac cells enabled?

A

cardiac muscle cells connected by gap junction channels

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11
Q

What are gap junction channels in cardiac cell?

A

Desmosomes ( protein fibres)

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12
Q

What do desmosomes allow?

A

myocardium can resist stretching

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13
Q

How is impulse initiated in heart?

A

1) SA node initiate impulse to AV node via conduction fibres
2) Small delay as AV node transmits less rapid
3) AV node > bundle of his in interventricular system
4) signal split into right and left branch
5) signal travel via Purkinje fibres which spread via Ventricles

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14
Q

Is there a steady resting potential?

A

NO

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15
Q

What happens with Action potential?

A

slow depolarisation
threshold reach= rapid action potential
Repolarization until -70mV

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16
Q

What causes Action potential?

A

increase in Ca2+ ions across membrane so depolarizes

17
Q

What do Cardiac contractile cells need to generate Action potential?

A

Na ion

18
Q

What is action potential initiation in Contractile cells?

A

1) depolarization - Na into cell via Na/K channel
2) Repolarization-
3) Plateau
4) repolarization
5) resting potential

19
Q

What happens in depolarization in contractile cells?

A

Na into cell via Na/K channel

20
Q

What happens in repolarization in contractile cells?

A

Na channels inactivate so pNA falls
Na/K pump so more Na+ pumped out
Ca channels open

21
Q

What happens in plateau in contractile cells?

A

K channel shut

Ca channels stay open

22
Q

What is 2nd repolarization after plateau ?

A

channels open - K pumped out cell
Membrane potential more negative
Ca channels open so AP finishes

23
Q

What is resting membrane potential of contractile cell?

A

-90mV

24
Q

How does electrical activity spread via body?

A

Body fluids act as conductors

25
Q

What is Einthovens triangle?

A

Right arm
Left arm
Left leg

26
Q

What is P wave?

A

Atrial depolarisation

27
Q

What is QRS complex?

A

Ventricular depolarization

QRS hides atrial repolarization

28
Q

What is T wave?

A

Ventricular repolarization

29
Q

What is P-Q interval?

A

AV node conduction time

30
Q

What is Q-T interval?

A

Ventricular systole

31
Q

What is T-Q interval ?

A

Ventricular diastole

32
Q

What is tachycardia?

A

Faster heart rate

33
Q

What is bradychardia?

A

slow heart rates

34
Q

What are problems with conduction via AV node?

A

1) 3rd degree heart block
2) premature atrial/ventr. contraction
3) ventr/ atrial fibrillations