Chapter 18 Cardiovascualr Emergencies Flashcards

1
Q

Acute coronary syndrome (ACS)

A

a term used to describe a group of symptoms caused by myocardial ischemia; includes angina and myocardial infarction.

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2
Q

Acute myocardial infarction (AMI)

A

Heart attack; death of heart muscle following obstruction of blood flow to it. Acute in this context means new or happening right now.

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3
Q

Angina pectoris

A

Short lived chest discomfort caused by a partial or temporary blockage of blood flow to the hear muscle.

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4
Q

Aorta

A

The main artery that receives blood from the left ventricle and delivers it to all the other arteries that carry blood to the tissues of the body.

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5
Q

Aortic aneurysm

A

A weakness in the wall of the aorta that makes it susceptible to rupture

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6
Q

Aortic valve

A

Between left ventricle and the aorta; keeps blood from flowing back into left ventricle after blood is ejected into the aorta.

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7
Q

Arteriosclerosis

A

Thickening of the arterial walls that results in a loss of elasticity and concomitant reduction in blood flow.

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8
Q

Artifact

A

A tracing on an electrocardiogram that is the result of interference, such as patient movement, rather than the heart’s electrical activity.

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9
Q

Asystole

A

Complete absence of heart electrical activity.

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10
Q

Atherosclerosis

A

Disorder in which cholesterol and possibly calcium build up inside the walls of blood vessels, forming plaque, which eventually leads to partial or complete blockage of blood flow; a plaque can become a site where blood clots can form, detach, and travel elsewhere in the circulatory system (embolize); the most common form of arteriosclerosis.

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11
Q

Atrioventricular (AV) node

A

Site located in the right atrium adjacent to the septum that is responsible for transiently slowing electrical conduction.

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12
Q

Atrioventricular valves

A

Two valves through which blood flows from the atria to the ventricles.

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13
Q

Atrium

A

One of the two (right and left) upper chambers of the heart.

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14
Q

Automaticity

A

Ability for cardiac muscle to create it’s own impulse to contract.

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15
Q

Bradycardia

A

Slow hear rate; less than 60 bpm in adults; less than 80 bpm in children; less than 100 bpm in infants.

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16
Q

Capillaries

A

Thin walled- vessels between arterioles and venules through which the exchange of o2, co2, nutirents and waste happens between tissue and blood.

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17
Q

Cardiac arrest

A

When heart fails to generate an effective and detectable blood flow; pulses are not palpable in cardiac arrest, even if muscular and electrical activity continues in the heart

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18
Q

Cardiac cycle

A

The repetitive pumping process that begins with the the onset of cardiac muscle contraction and ends just before the beginning of the next contraction.

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19
Q

Cardia output

A

The amount of blood pumped by the heart per minute; Calculated by multiplying the stroke volume by the pulse rate per minute.

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20
Q

Chordae tendineae

A

Fibrous tissue that attach to the valves in the heart and prevent them from inverting, preventing regurgitation of blood through the valves from the ventricles to the atria.

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21
Q

Chronotropic state

A

Related to control of the hearts contraction

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22
Q

Circumflex coronary artery

A

One of the two branches of the left main coronary artery.

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23
Q

Contractility

A

Strength of heart muscle contraction

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24
Q

Coronary arteries

A

Arteries that arise from the aorta shortly after it leaves the left ventricle and suppply the heart with oxygen and nutrients

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25
Q

Coronary artery disease

A

The condition that results when atherosclerosis and arterioscleosis is present in the arterial walls.

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26
Q

Coronary sinus

A

End of the great cardiac vein that collects blood returning from the walls of the heart

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27
Q

Defibrillate

A

To shock a fibrillating (chaotically beating) heart with specialized electrical current in an attempt to restore a normal rhythmic beat

28
Q

Dependent edema

A

Swelling in part of the body closest to the ground, caused by collection of fluid in the tissues; possible sign of heart failure

29
Q

Diastole

A

Relaxation phase of heart, when the ventricles are filling with blood

30
Q

Dissecting aneurysm

A

A condition in which the inner layers of an artery, such as the aorta, become separated, allowing blood (at high pressures) to flow between the layers.

31
Q

Dromotropic state

A

Control of the heart’s conduction rate

32
Q

Ejection fraction

A

Portion of blood ejected from the ventricle during systole.

33
Q

Endocardium

A

Thin membrane lining the inside of the heart

34
Q

Epicardium

A

Layer of serous pericardium that lies closely against the heart; also called the visceral pericardium

35
Q

Excitability

A

Property of cardiac cells that provides the cells with the ability to respond to electrical impulses.

36
Q

Fibrinolytic therapy

A

Use of medications that act to dissolve blood clots.

37
Q

Heart failure

A

Disorder in which the heart loses part of its ability to effectively pump blood, usually as a result of damage to the heart muscle and usually resulting in a backup of fluid into the lungs.

38
Q

Hemoglobin

A

Iron-containing protein within red blood cells that has the ability to combine with oxygen; carries 97% of oxygen

39
Q

hypertensive emergency

A

Excessively high blood pressure; can lead to aneurysm and stroke.

40
Q

Inferior vena cava

A

One of the two largest veins in the body; carries blood from the lower extremities, pelvic and abdominal regions back to the heart.

41
Q

inotropic state

A

Strength of the hearts contraction

42
Q

Ischemia

A

Lack of oxygen that deprives tissues of the necessary nutrients, resulting from partial or complete blockage of blood flow; potentially reversible because permanent injury has not yet occurred.

43
Q

Left anterior descending (LAD) artery

A

One of the two branches of the left main coronary artery, which is the largest and shortest of the myocardial blood vessels; this and the circumflex coronary artery supply blood to the left ventricle and other areas.

44
Q

Lumen

A

Inside diameter of an artery or other hollow structure.

45
Q

Mitral valve

A

Valve that separates the left atrum from the left ventricle

46
Q

Orthopnea

A

Severe dyspnea experienced when lying down that is relieved by a change in position, such as sitting up or standing.

47
Q

Papillary muscles

A

Specialized muscles that attach the ventricles to the cusps of the valves by muscular strands called chordae tendineae cordis.

48
Q

Pedal edema

A

Swelling of the feet and ankles caused by collection of fluid in the tissues; a possible sign of heart failure.

49
Q

Perfusion

A

Circulation of oxygenated blood within an organ or tissue in adequate amounts to meed cell’s needs

50
Q

Pericardial fluid

A

Serous fluid that fills the space between the visceral pericardium and the parietal pericardium and helps to reduce friction.

51
Q

Pericardial sac

A

A thick, fibrous membrane that surrounds the heart; also called the pericardium.

52
Q

Pericardium

A

Thick fibrous membrane that surounds the heart

53
Q

Plasma

A

Sticky yellow fluid made mostly of water, but also electrolytes, clotting factors, and blood cells, formed elements and nutrients. Transports cellular waste material to the organs of excretion

54
Q

platelets

A

Disked shaped elements smaller than cells; essential in the formation of blood clot, and stops bleeding.

55
Q

Pulmonary circulation

A

Right ventricle through pulmonary arteries to capillaries in the lungs, back to the left atrium through venules and pulmonary veins;

56
Q

pulmonic valve

A

Semilunar valve that regulates blood flow between the right ventricle and the pulmonary artery.

57
Q

Semilunar valves

A

Two valves , aortic and pulmonic, divide the heart from the aorta and pulmonary arteries.

58
Q

Sinoatrial (SA) node

A

Normal site of origin of electrical impulses; located high in the right atrium. Hearts natural pacemaker.

59
Q

Starling law

A

Principle that states that if a muscle is stretched slightly before stimulation to contract, the muscle will contract harder; describes how increased venous return to the hear stretches the ventricles and allows for increased cardiac contractility

60
Q

stroke volume

A

Volume of blood pumped from the left ventricle into the aorta with each ventricular contraction.

61
Q

Superior vena cava

A

Principal vein draining blood from the upper portion of the body.

62
Q

Systemic circulation

A

Blood flow in the rest of the body aside from the pulmonary circulation.

63
Q

Thromboembolism

A

A blood clot that has formed within a blood vessel and is floating within the bloodstream.

64
Q

Tricuspid valve

A

Valve in the heart that separates the right atrium from the right ventricle

65
Q

Ventricle

A

Cardiac: Two lower chambers
Neurologic: hollow storage areas of brain.

66
Q

Ventricular fibrillation (VF)

A

Disorganized, ineffective twitching of the ventricles, resulting in no blood flow and a state of cardiac arrest.

67
Q

Ventricular tachycardia (VT)

A

Increased heart rate with signal starting from the ventricle instead of the atrium, may result in inadequate blood flow and eventually deteriorate into cardiac arrest.