cardio Flashcards

(78 cards)

1
Q

what is the outer fibrous layer of the heart called?

A

pericardium

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2
Q

what is found on the inside of the pericardium?

A

epicardium

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3
Q

what is the name of the tissue that makes up most of the heart?

A

myocardium

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4
Q

what is the smooth lining of the inner service of the cavities of the heart?

A

endocardium

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5
Q

what is the pathway of blood flow starting with S and I vena cava?

A
S. and I vena cava
right atrium
right ventricle
pulmonary artery
lungs
pulmonary vein
left atrium
left ventricle
aorta
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6
Q

atrioventricular valves prevent back flow of blood during?

A

ventricular systole

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7
Q

AV valves are anchored by?

A

chordae tendineae to papillary muscles

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8
Q

the walls of the _____ are thicker and stronger than the _____ and form most of the ____ side and apex of the heart

A

left ventricle
right ventricle
left

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9
Q

name the 2 AV valves

A

tricuspid

bicuspid/mitral

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10
Q

tricuspid valve is found on the ____ side

A

right

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11
Q

mitral valve is on the _____ side

A

left

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12
Q

semilunar valves prevent back flow of blood where?

A

from aorta and pulmonary arteries into the ventricles

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13
Q

when do the semilunar valves prevent back flow?

A

diastole

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14
Q

what are the two semilunar valves?

A

pulmonary valve

aortic valve

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15
Q

the pulmonary valve prevents ___ back flow

A

right

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16
Q

the aortic valve prevent _____ backflow

A

left

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17
Q

systole is the period of ventricular _______

A

contraction

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18
Q

end-systolic volume is

A

amount of blood in the ventricles after systole ( 50ml )

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19
Q

diastole is the period of ventricular ______

A

relaxation and filling of blood

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20
Q

end diastolic volume

A

about of blood in blood in ventricles after diastole ( 120 mL)

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21
Q

atrial contraction is AKA

A

atrial kick

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22
Q

inatrial kick occurs when?

A

last 1/3 of diastole and completes ventricular filling

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23
Q

Right coronary artery supplies?

A
R atrium
most of R ventricle
inferior wall of L ventricles
AV node and bundle of HIS
supplies SA node 60% of the time
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24
Q

the SA node receives blood from the _____ 60% of the time

A

RCA

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25
Left coronary artery supplies most of the blood to the ______ and divides into two main divisions: ___ and ____
left ventricle left anterior descending circumflex
26
left anterior descending supplies
left ventricle | interventricular septum
27
circumflex supplies
lateral and inferior walls of the left ventricle portions of left atrium supplies SA node 40% of time
28
circumflex supplies the SA node _____ percent of the time
40%
29
SA node rhythm for heart is?
60-100 beats per min
30
AV node rhythm is set at ______ BPM.
40-60
31
purkinje fibers have an intrinsic firing rate of ___-___ BPM
20-40
32
stroke volume:
the amount of blood ejected with each myocardial contraction | 55-100 mL per beat
33
what 3 things effect stroke volume?
left ventricular end diastolic volume ( LVEDV) contractility afterload
34
what is Frank-Starlings Law?
the greater the diastolic filling (preload) the greater quantity of blood pump
35
LVEDV is AKA
preload
36
what is afterload?
the force the Left ventricle must generate during systole to overcome aortic pressure to open the aortic valve
37
cardiac output
the amount of blood pumped from the left or right ventricle per min
38
what is the average CO
at rest, 4-5 L per min
39
CO = ______ x ________
stroke volume x heart rate
40
cardiac index = CO/
body surface area
41
cardiac index norm is
2.5-3.5 L/min
42
LVEDP during diastole is normally?
5-12 mm Hg
43
ejection fraction
percentages of blood emptied from the ventricles during systole
44
Ejection fraction
SV/ LVEDP
45
normal EF should be over _____ percent
55%
46
diastolic filling time ______ with increased HR and with heart disease
decreases
47
what is the primary site for vascular resistance?
arterioles
48
_____ veins are the only ones that follow arteries
deep
49
venous circulation is influenced by?
muscle contraction gravity respiration compliancy of R heart
50
with respiration, _____ increases blood flow back to the heart
inspiration
51
cholinergic is sympathetic or parasympathetic stimulation?
parasympathetic
52
parasympathetic stimulation _____ the rate of myocardial contraction, _______ myocardial metabolism, and cause coronary artery _________.
slows decreases vasoconstriction
53
adrenergic is sympathetic or parasympathetic stimulation?
sym
54
sympathetic stimulation occurs via what cord segments | /
T1-T4
55
adrenergic does what to the coronary artery?
vasodilation
56
drugs that increase sympathetic function are known as?
sympathomimetics
57
drugs that decrease sympathetic function are known as?
sympatholytics
58
what is the main mechanism s for controlling heart rate?
baroreceptors
59
where are baroreceptors found?
walls of aortic arch and carotid sinus
60
increased right atrial pressure cause what reflex?
acceleration of the heart
61
increased C02 or decreased 02 results in what with the heart?
increase in HR
62
hyperkalemia is the result of _________ concentration of potassium ions which ________ the rate and force of contraction of the heart
increased | decreases
63
what would one see on a ECG of a person with hyperkalemia
widened PR interval and QRS interval | tall T waves
64
hypercalcemia has what effect on the heart
increases heart actions
65
hypocalcemia has what effect on the heart
depresses heart actions
66
normal HR for adult for children for newborn
60-100 60-140 127 ( 90-164)
67
give 2 examples of compensatory tachycardia?
surgery | dehydration
68
what is considered tachycardia?
over 100 bpm
69
what is considered bradycardia
under 60 bpm
70
what is postural tachycardia?
sustained heart rate increase 30 bpm within 10 mins of standing
71
S1 sound is what?
lub , closing of mitral and tricuspid valves | beginning of systole
72
S2 sound is what?
dub, closing of aortic and pulmonary valves | marks end of systole
73
p wave =
atrial depolarization
74
P-R interval =
time required for impulse to travel from atria through conduction system to purkinje fibers
75
QRS =
ventricular depolarization
76
ST segment =
beginning of ventricular repolarization
77
T wave =
ventricular repolarization
78
QT interval=
time for electrical systole