Cardiac cycle Flashcards

1
Q

What are the AV valves

A

Tricuspid and bicuspid

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2
Q

What are the semilunar valves

A

Pulmonary artery and aortic

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3
Q

Where is the SAN node

A

Right atrium

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4
Q

Where is the AVN node

A

Bundle of His

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5
Q

Sequence of diastole

A
  • Relaxation
  • Heart fills with blood getting ready to go into systole
    Ventricles fill
    AV valves open because pressure in atrium is higher than ventricles
    Semi lunar valves are closed because pressure in atrium is lower than ventricles
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6
Q

Sequence of systole

A
  • Contraction
  • Ventricles contract
  • Blood goes through P.A. artery to become oxygenated at lungs (right)
  • Blood goes through aorta to supply the body (left)
  • AV valves closed
  • Semi lunar valves are open as pressure in ventricles is greater than atria
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7
Q

Function of coronary arteries

A

Supply the heart with oxygen. They come off the aorta

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8
Q

What is atherosclerosis

A

Arteries become blocked by fatty plaques - can lead to angina or heart attacks

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9
Q

What is the normal resting heart rate

A

60 - 100 beats per minute

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10
Q

Name for less than normal resting heart rate

A

Bradycardia

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11
Q

Name for higher than normal resting heart rate

A

Tachycardia

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12
Q

What causes heart sounds

A

Valves opening and closing

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13
Q

Intrinsic factors controlling the heart

A
  • Starlings law

- Pacemaker rhythm

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14
Q

Extrinsic factors controlling the heart

A
  • Sympathetic and parasympathetic control

- Endocrine factors

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15
Q

Formula for cardiac output

A

heart rate x stroke volume

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16
Q

What is pre load

A

Volume of blood in ventricles after diastole

17
Q

What is after load

A

Pressure the ventricles need to overcome in order to contract

18
Q

Where are baroreceptors found

A

Carotid sinus and aortic arch

19
Q

What is chronotrophy (Endocrine factor)

A

Heart rate

20
Q

What is ionotrophy (Endocrine factor)

A

Force of contraction

21
Q

Effect of noradrenaline

A

Chronotroph and ionotroph and vasoconstrictor

22
Q

Effect of acetylcholine

A

Neurotransmitter - decrease heart rate (AV node) - G1 protein coupled receptor - parasympathetic

23
Q

What is starlings law

A

The more the heart fills, the stronger the force of contraction

24
Q

Electrical conduction of the heart

A

Action potential at the SA node (right atrium), spreads across and down
Down to AV node where there is a delay - allows the atria to finish contracting
Travels down the bundle of his
AP travels in purkinje fibres which distributes it - contraction starts at the bottom
Pacemaker of the heart - SA node

25
What is depolarisation
Na+ moving into cell (more +ve inside), Ca2+ moving into cell (muscle contraction) - CONTRACT
26
What is depolarisation
K+ moving into cell (more +ve outside), Ca2+ moving out of cell - RELAX
27
What is Lub S1
Closing of AV valves - systole
28
What is Dub S2
Closing of Semilunar valves - diastole
29
What does P show on an ECG
Atrial depolarisation
30
What does the QRS complex show
Ventricular depolarisation (atrial repolarisation happening at same time)
31
What does T show
Ventricular repolarisation
32
What does QT interval show
Shortens with tachycardia | Lengthens with bradycardia
33
What does isovolumetric mean
Both sets of valves are closed
34
What are arrhythmias
Irregular heart rate
35
Why is ventricular fibrillation important
Irregular contraction of ventricles - leads to cardiac arrest
36
Treatment for arrhythmias
Pacemaker
37
Sequence of cardiac cycle
Mid to late diastole Ventricular systole Early diastole