week 1 - cardiac + HTN (1) Flashcards

1
Q

Define Acute Coronary Syndrome.

A

signs + symptoms due to a diseased coronary artery that has ruptured because of atherosclerotic plaque that resulted in a partial or complete thrombosis

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2
Q

define afterload.

A

the amount of resistance to eject blood from the ventricle (the amount of pressure the heart needs to exert to pump blood out of the ventricles

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3
Q

Apical Impulse/ PMI

A

this is caused by the contraction of the ventricle

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4
Q

Where do you palpate the apical impulse/ PMI?

A

at the 5th intercostal space, on the left midclavicular line

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5
Q

Which node is the secondary pacemaker of the heart?

A

The AV node. Atrioventricular

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6
Q

What are Baroreceptors?

A

nerve fibers located in the aortic arch + carotid arteries - they control blood pressure

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7
Q

describe cardiac catheterization.

A

-invasive procedure
-Measures cardiac chamber pressure
-assesses patency of coronary arteries

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8
Q

What is the cardiac conduction system?

A

specialized cardiac cells responsible for generating + coordinating the transmission of electrical impulses to myocardial cells

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9
Q

define cardiac output.

A

the amount of blood pumped by each ventricle.
-measured in LPM

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10
Q

What is a cardiac stress test?

A

this evaluates the heart function at a time for increased oxygen demand

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11
Q

What is used to initiate a cardiac stress test.

A

-exercise
-medication

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12
Q

What does contractility mean?

A

the ability of the cardiac muscle to shorten in response to am electrical impulse

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13
Q

define depolarization.

A

electrical activation of a cell caused by sodium entering the cell + potassium leaving the cell

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14
Q

define diastole.

A

a period of ventricular relaxation so they can refill with blood

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15
Q

What is the ejection fraction?

A

the percentage of blood ejected from the ventricle with each heartbeat

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16
Q

What is hemodynamic monitoring?

A

directly measuring cardiovascular function with pressure monitoring devices

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17
Q

What is considered Hypertension?

A

a BP consistently over 130/80

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18
Q

What is considered hypotension?

A

a BP less than 90/60 that is compromising systemic perfusion

19
Q

What is a heart murmur?

A

sounds created from abnormal, turbulent blood flow in the heart

20
Q

define myocardial ISCHEMIA.

A

heart muscle cells aren’t receiving enough oxygen

21
Q

What is the muscle layer of the heart responsible for the pumping action of the heart?

A

Myocardium.

22
Q

Normal heart sounds are produced when the valves close? What are those normal sounds?

A

S1 - atrioventricular valves
S2 - semilunar valves

23
Q

What are opening snaps?

A

abnormal diastolic sounds from the opening of rigid atrioventricular valve leaflets

24
Q

what is orthostatic blood pressure?

A

this is a significant drop in blood pressure after standing upright

25
Q

define preload.

A

the degree of stretch in the cardiac muscle nerve fibers at the end of diastole

26
Q

What is pulmonary vascular resistance (PVR)?

A

the resistance of blood flow out of the right ventricle created by the pulmonary circulatory system

27
Q

What is a pulse deficit?

A

the difference between apical pulse and radial pulse rates

28
Q

what are radioisotopes?

A

unstable atoms giving off small amounts of energy via gamma rays as they decay
-used in cardiac nuclear medicine studies

29
Q

what is repolarization?

A

when the cell returns to a resting state;
potassium is reentering the cell and sodium is exiting

30
Q

describe the S1 heart sound.

A

the “lub” produced by the AV valves closing

31
Q

what are the 2 AV valves?

A

mitral
tricuspid

32
Q

describe the S2 heart sound.

A

the “dub” produced by the semilunar valves closing

33
Q

what are the 2 semilunar valves?

A

aortic
pulmonic

34
Q

what is an S3 heart sound?

A

-abnormal
-occurs early in diastole
-resistance is met with blood entering either ventricle

35
Q

what most commonly causes an S3 heart sound?

A

volume overload associated with heart failure

36
Q

what is an S4 heart sound?

A

-abnormal
- occurs late in diastole
-resistance is met with blood entering either ventricle during atrial contraction

37
Q

what is the most common cause of an S4 heart sound?

A

hypertrophy of the ventricle

38
Q

what is the primary pacemaker of the heart?

A

the SA node (sinoatrial)

39
Q

what is stroke volume?

A

the amount of blood ejected from one of the ventricles per heartbeat

40
Q

what is a summation gallop?

A

-abnormal heart sound
-created when S3 +S4 are present during tachycardia

41
Q

define systemic vascular resistance.

A

the resistance of blood flow out of the left ventricle created from the systemic circulatory system

42
Q

what is SYSTOLE?

A

period of ventricular contraction resulting in ejection of blood from the ventricles into the pulmonary artery or aorta

43
Q

what is a systolic click?

A

-an abnormal systolic sound
-when a calcified aortic or pulmonic valve open during ventricular contraction

44
Q

what is telemetry?

A

continuous ECG monitoring