Week 1 Flashcards

1
Q

Structures on the right side of the heart, or right heart, pump blood through the lungs and termed the

A

pulmonary circuit

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2
Q

The left side of the heart, or left heart, sends blood throughout the ________, which supplies
all of the body except the lungs

A

systemic circulation

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3
Q

thickest layer of the heart wall

A

myocardium

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4
Q

Which chamber of the heart has the thickest myocardium?

A

left ventricle

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5
Q

During _____________ the two AV valves (tricuspid and mitral valves) open and blood flows from the relatively higher pressure in the atria to the lower pressure in the relaxed ventricles.

A

ventricular relaxation

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6
Q

valves close and prevent backflow into the atria as the ventricles contract

A

ventricular contraction

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7
Q

open when intraventricular pressure exceeds aortic and pulmonary pressures and blood flows out of the ventricles and into the systemic and pulmonary circulations

A

semilunar valves of the heart (aortic and pulmonic valves)

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8
Q

blood fills the ventricles
-period of relaxation

A

distole

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9
Q

-contraction
-propels the blood out of the ventircles

A

Systole

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10
Q

The Five Phases of the Cardiac Cycle

A
  1. Ventricular diastole-opening of the mitral and tricuspid valves and then ventricular filling from the atria occurs
  2. Ventricular systole begins with “isovolumetric contraction; contraction pushes AV valves shut
  3. When ventricular pressure exceeds pulmonary artery and aorta, the semilunar valves open and ventricular ejection occurs
  4. ventricular relaxation- all valves closed
  5. L ventricle pressure falls below atrial- mitral and tricuspid valves open and passive ventricular filling occurs.
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11
Q

Ventricular diastole is the same as atrial

A

systole

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12
Q

supply oxygen and other nutrients to the myocardium, heart structures are nourished by vessels of the systemic circulation, the coronary circulation

A

coronary arteries

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13
Q

which coronary artery has the greatest flow

A

right coronary artery has greater flow
-in 70% of individuals

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14
Q

The left coronary artery generally divides into two branches—

A
  1. the left anterior descending artery
  2. circumflex artery.
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15
Q

delivers blood to portions of the left and right ventricles and much of the interventricular septum.

A

left anterior descending artery

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16
Q

supplies blood to the left atrium and the lateral wall of the left ventricle.

A

circumflex artery

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17
Q

travels behind the pulmonary artery, and extends around the right heart to the heart’s posterior surface, where it branches to the right atrium and ventricle.

A

R coronary artery

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18
Q

connections, or anastomoses, between branches of the same coronary artery or connections of branches of the right coronary artery with branches of the left.

A

collateral arteries
-protects the heart from ischemia

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19
Q

New collateral vessels are formed through two processes:

A
  1. arteriogenesis (new artery growth branching from pre-existing arteries)
  2. angiogenesis (growth of new capillaries within a tissue).
20
Q

SA node loaction

A

unction of the right atrium and superior vena cava, just above the tricuspid valve.

21
Q

SA node generates about 60 to 100 action potentials per minute depending on age and physical condition.

A

SA node generates about 60 to 100 action potentials per minute depending on age and physical condition.

22
Q

caused by the movement of ions, including sodium, potassium, calcium, and chloride, across cardiac cell membranes.

A

depolarization

23
Q

rapid sodium entry into the cell. (the inside of the cell becomes LESS negative lowering the membrane potential)

A

depolrization

24
Q

property of generating spontaneous depolarization to threshold, enables the SA and AV nodes to generate cardiac action potentials without any stimulus

A

automacity

25
regular generation of an action potential by the heart’s conduction system
rhythmicity
26
the volume of blood flowing through either the systemic or the pulmonary circuit and is expressed in liters per minut
cardiac output
27
Cardiac Output =
Heart Rate (HR) x Stroke Volume (Liters per heart beat)
28
amount of blood ejected from ventricles
ejection fractions
29
normal ejection fraction of the resting heart is
55% or higher.
30
Angiogenesis
-new capillaries branching of small vessels, such as capillaries
31
Arteriogenesis
-new arteries occurs by branching from larger vessels, such as arterioles.
32
Vasculogenesis
growth of vessels from progenitor or stem-like cells that originate in the bone marrow and other body tissues.
33
Factors Affecting Blood Flow
Pressure Resistance Velocity Type of Flow Compliance
34
greater the pressure differential across a vascular bed, the greater will be the blood flow
greater the pressure differential across a vascular bed, the greater will be the blood flow
35
Resistance
-opposition to blood flow -most opposition to blood flow is a result of the diameter and length of the blood vessels -Vasoconstriction = increase in resistance -vasodilation= decrease in resistance
36
Blood viscosity
thick, sticky consistency of the fluid -relationship is expressed as the hematocrit—the ratio of the volume of red blood cells to the volume of whole blood.
37
Laminar flow
Blood flow through the vessels, except where vessels split or branch, is mainly laminar.
38
Resistance increases with turbulence. Arterial areas of turbulence also are places where atherosclerotic plaques are found
Resistance increases with turbulence. Arterial areas of turbulence also are places where atherosclerotic plaques are found
39
the increase in volume a vessel is able to accommodate for a given increase in pressure -determines a vessel’s response to pressure.
vascular compliance
40
Elastic arteries are more compliant than muscular arteries; the veins are more compliant than either type of artery
Elastic arteries are more compliant than muscular arteries; the veins are more compliant than either type of artery
41
the opposite of compliance -most common being aging and arteriosclerosis.
stiffness
42
Arterial pressure is a function of
1. cardiac output (heart rate × stroke volume) 2. peripheral resistance
43
presence of myocardial ischemia and infarction or conduction defects and dysrhythmias
ECG
44
most effective and widely used noninvasive modality for evaluating the structures of the heart.
Echocardiogram
45
can provide information about calcification of coronary vessels and cardiac valves.
CT
46
anatomy and physiology of the great blood vessels and myocardium are depicted in three dimensions with excellent resolution
MRI