Unit 5 Flashcards
cardi/o, coron/o
heart
vascul/o, angi/o, vas/o
blood vessels
atri/o
atria
ventricul/o
venticles
valvul/o, valv/o
valves
layers of heart
endocardium, myocardium, pericardium
serous membrane layers
visceral pericardium, parietal pericardium
hypertension
high blood pressure (130/80)
arteri/o, arter/o
arteries
arterioles
smaller arteries that carry blood to capillaries
ven/o, ven/i, phleb/o
veins
pulmon/o
lungs
aort/o
aorta
sphygmomanometer
measures blood pressure
sphygm/o
pulse
man/o
pressure
steth/o
chest
normal BP
120/80 mmhg
Systole
contraction
Diastole
heart relaxes in-between contractions
lub
closure of tricuspid and bicuspid valve
dub
closure of pulmonary and aortic valve
resting pulse
60-100 bpm
sin/o
sinus
path of electrical conduction
SA node, AV node, bundle of His, Purkinje fibers
arrhythmia / dysrhythmia
deviation from the normal rhythmic pattern of the heartbeat
ECG or EKG
electrocardiogram
tele/o
distant
telemetry
further heart monitoring
atrial flutter
a type of dysrhythmia characterized by rapid, but regular, contractions of the atria
Fibrillation
rapid, random, inefficient and unsynchronized contraction of heart chambers
atrial fibrillation (AF)
Electrical impulses randomly move throughout the atria, which causes the atria to quiver, common in older people
paroxysmal atrial fibrillation
episodes periodically occur
permanent atrial fibriliation
irregular heartbeats continue indefinitely
ventricular fibrillation (VF)
rapid contraction of the ventricles reflects a complete lack of organized electrical activity, dangerous
bradycardia
slow heartbeat
tachycardia
fast heartbeat
Premature atrial contractions (PACs)
occur earlier than expected in the heart’s conduction sequence and originate outside of the sinoatrial (SA) node
premature ventricular contractions (PVCs)
an electrical impulse, arising from a place other than the SA node, causes the ventricles to contract before the normal time
Heart block / atrioventricular (AV) block
a failure of conduction from the SA node through the AV node to the AV bundle
cardiac arrest
sudden cessation of the heart’s activity
myocardial infarction
heart attack
congenital heart disease
structural or functional abnormalities of the heart that are present from birth
Coarctation of the aorta
Congenital abnormality characterized by a narrowing of the aorta
patent ductus arteriosus (PDA)
oxygenated blood is allowed to flow from the aorta into the pulmonary artery through a small passageway or duct, the ductus arteriosus, which normally closes after birth
Septal defects
abnormal openings in the walls (septa) that separate the atria and ventricles
Tetralogy of Fallot
congenital malformation of the heart consisting of four distinct defects: stenosis, aperture, shifting of the aorta, hypertrophy of right ventricle
stenosis
constriction of the pulmonary artery
aperture
opening in the interventricular septum
cyanosis
bluish discoloration of the skin
anoxia
absence of oxygen
transposition of the great vessels
condition that occurs when the pulmonary artery arises from the left ventricle and the aorta from the right ventricle
Left ventricular hypertrophy
excessive development of the left ventricle, can result from hypertensive heart disease (HHD)
congestive heart failure (CHF)
heart is unable to pump the amount of blood needed to meet the body’s metabolic needs
pulmonary edema
result of CHF
diastolic CHF
heart contracts normally but is unable to relax and fill with blood; consequently, fluid backs up in the lungs and other parts of the body (peripheral edema)
Cardiogenic shock
circulatory failure that deprives the body access to adequate oxygen and nutrition
patent
open
Pericarditis
inflammation of the pericardium
cardiac tamponade
compression of the heart caused by buildup of pericardial fluid
bacterial endocarditis
inflammation of the inner lining of the heart that occurs when microorganisms infect the endocardial surface
emboli (am-bowl-lie)
material that circulates in the bloodstream
petechiae
pinpoint hemorrhages
Rheumatic heart disease
damage caused to the heart muscle and heart valves by rheumatic fever
rheumatic fever
inflammatory disease that involves all of the layers of the heart and caused by an untreated streptococcal infection of the upper respiratory tract, leads to stricture
mitral valve prolapse (MVP)
when the flaps of the mitral valve become enlarged and protrude into the left atrium during systole
heart murmur
abnormal, prolonged swishing sound (or bruit) heard between normal beats, caused by the defective valve
mitral valvulitis
inflamed valve
acute coronary syndrome (ACS)
any group of symptoms that are the result of coronary artery obstruction
stable angina
which develops during exertion and resolves at rest
unstable angina
suddenly occurs, often at rest or with minimal exertion
Angina pectoris
chest pain attributable to ischemia (a lack of blood and thus a lack of oxygen supply and waste removal) of the heart muscle
Coronary artery disease (CAD)
primary cause of angina, and atherosclerosis of the coronary arteries is usually the cause of CAD
Atherosclerosis
formation of fatty plaque deposits along the inner lining of the coronary arteries
ather/o
plaque
arteriosclerosis
hardening, thickening, or loss of arterial wall elasticity
thrombotic occlusion
the blocking of a coronary artery by a blood clot
ischemia
blood flow is decreased
necrosis
tissue death
hypotension
low blood pressure
Essential hypertension
no cause but associated with obesity, a sedentary lifestyle, increased sodium intake, smoking, hypercholesterolemia, and a family history
Secondary hypertension
high blood pressure that is a consequence of another condition, such as renal disease, endocrine disorders, or neurologic disorders
aneurysm
dilation, or ballooning of a weakened portion of an arterial wall
aneurysm/o
widened blood vessel
Peripheral arterial disease (PAD) / peripheral arterial occlusion
progressive narrowing and eventual blockage of arteries carrying blood to the legs, arms, kidneys, and other organs
intermittent claudication
cramplike pain in the calf muscles caused by exercise and relieved by rest
Raynaud disease
intermittent attacks of ischemia that cause constriction and vasospasm in the arterioles in the fingers and toes
Varicose veins (varicosities)
swollen and twisted veins, can be caused by inadequate venous valves and backflow
hemorrhoid
varicose vein near the anus
Vasoconstriction
tightening or narrowing (constriction) of a blood vessel
Phlebitis
inflammation of a vein
Thrombophlebitis
inflammation of a vein related to a thrombus, or blood clot
deep vein thrombosis
blood clot, or thrombus, is formed in a large vein
pulmonary embolism (PE)
clot traveled to lungs
palpitations
uncomfortable sensations in the chest related to cardiac arrhythmias that make you aware of your heartbeat
Holter monitor
portable electrocardiographic device that can be worn to provide an extended recording of the heart’s electrical activity
Exercise tolerance testing / cardiac stress testing / stress test
diagnostic method used to assess the heart’s response to exercise using a treadmill
cardiac catheterization (cath)
guiding a flexible catheter via a vein or artery into the heart to detect blood flow and pressure, diagnosis of congenital heart disease
Angiography
Injecting radiopaque dye to obtain x-ray visualization of the heart and large blood vessels, diagnosis of congenital heart disease
echocardiography (ECHO)
the use of high-frequency sound waves to show the structure and movement of the heart
Electrocardiography, cardiac catheterization, and echocardiography (ECHO)
used to diagnose congestive heart failure (CHF)
serum lipid tests
screen for risk factors such as high cholesterol, used to diagnose coronary artery disease
cardiac biomarkers
chemicals released into the bloodstream by damaged heart muscle, evidence of infarction / heart attack
thallium-201 scan and technetium-99m sestamibi scan
assess coronary blood flow and myocardial viability
thallium studies
show heart muscle viability by displaying infarcted or scarred myocardium as cold spots
technetium-99m sestamibi scan
radioactive tracer compound is intravenously injected and then taken up in the area near and around a myocardial infarction to define areas of poor blood flow in the heart muscle
Positron emission tomography (PET) and single–photon emission computed tomography (SPECT)
used to identify areas of ischemia and infarction (myocardial function)
digital subtraction angiography (DSA)
video equipment and a computer to produce radiographic images of the blood vessels, second image taken to create contrast
lipoprotein electrophoresis
lipoproteins are physically separated in a blood sample, high levels of LDL associated with atherosclerosis
angiography and Doppler ultrasound
used to diagnose peripheral arterial disease (PAD)
Doppler ultrasound
uses sound waves focused to bounce off red blood cells in the vessels
Duplex ultrasound
A combination of Doppler and conventional ultrasound, allows the physician to see the speed of blood flow while simultaneously imaging the structure of the blood vessels
Antidysrhythmic medications, such as beta-blockers, calcium channel blockers, and digoxin
can convert fibrillation to a normal sinus rhythm
direct oral anticoagulant (DOAC)
prevent stroke
defibrillation / cardioversion
application of an electrical shock, through the chest wall, to the myocardium, which effectively and briefly stops activity so that a normal rhythm can then take over
implantable cardioverter-defibrillator (ICD)
for patients at high risk for ventricular tachycardia, ventricular fibrillation, or cardiac arrest
cardiac pacemaker
restore normal rhythm in the instance of heart block
biventricular pacemaker
enables the ventricles to beat in synchrony to help more blood move through the heart
radiofrequency catheter ablation (RFA)
delivers radiofrequency energy to destroy tissue that causes arrhythmias
heart transplantation
surgical removal of a donor heart and the transfer of the organ to a recipient for CHF
extracorporeal circulation or extracorporeal membrane oxygenation (ECMO)
a heart-lung machine is used to divert blood from the heart and lungs to be artificially oxygenated outside of the body and then returned to an artery
Pericardiocentesis
puncture and remove the fluid from the sac surrounding the heart
valvuloplasty
valve repair
valvotomy
surgical opening of collapsed valve