EKG test 1 Flashcards

0
Q

Part of the chest wall overlying mediastinum is

A

Precordium

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1
Q

The heart

A

-delicate muscular structure lies in the mediastinum protected by the rib cage

usually simulated left of the midline and above the diahgram

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2
Q

Four pumping chambers of heart

A

Right atrium
Right ventricle
Left atrium
Left ventricle

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3
Q

The heart dimensions

A
  • 5 inches long
  • 3.5 inches wide
  • 2.25 inches thick
  • Weighs 250-350 grams 11 ounces
  • the size of an adult closed fist

Four Chambers

: right atrium
: right ventricle
: right ventricle
: left ventricle

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4
Q

Endocardium

A

Allows blood to go through smooth , smooth layer inside layer of heart

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5
Q

Myocardium

A

Thickest layer muscular middle layer

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6
Q

Pericardium

A

Double layer membrane covers the outside of the heart keeps heart lubricated

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7
Q

Septum

A

Muscular wall that separates heart into a right and left side

Prevents blood from moving between the right and left side of the heart

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8
Q

Major electrolyte that determines cardiac contractivity

A

Calcium

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9
Q

Possible causes of myocardial infarction

A
  • anemic
  • inadequate oxygen supply
  • hypoemia
  • coronary artery narrowing(blockage)
  • exercise
  • smoking
  • eat heavy meals
  • congestive heart failure
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10
Q

Basic needed to perform EKG

A
  • machine
  • electrodes
  • leads
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11
Q

Function of the sympathetic nervous system

A

Flight fight response

Sympathetic system increases automaticity

Parasympathetic system inhibits

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12
Q

Right atrium

A

Receives blood as it returns from the body cells.

Upper most chamber of the heart

Venous circulation from the test if the body empties into right atrium through superior vena cava. Venous blood from coronary circulation also empties into the tight atrium through coronary sinus

Has an embedded natural pacemaker called Sino Atrial node (SA node)

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13
Q

Tricuspid valve

A

Located between the right atrium and right ventricle

Allows blood to flow only in downward direction

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14
Q

Right ventricle

A

Receives blood from the right atrium and pumps blood into the pulmonary artery which carries blood to the lungs for oxygen

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15
Q

Left atrium

A

Receives oxygenated blood from the lungs ( pulmonary circulation through two pairs of pulmonary veins)

16
Q

Left ventricle

A

Most important pumping chamber of the heart

Receives blood from the left atrium and pumps blood into the aorta for transport to the body cells

17
Q

Aortic valve

A

Largest artery in the body

Located between the aorta and left

Regulates possible back flow of blood during ventricular diastole ( relaxation)

18
Q

Mitral valve

A

Located between the left atrium and the left ventricle

Closes when the left ventricle is contracting allows blood flow into aorta for transport to the body prevents blood from flowing back into the left atrium

19
Q

Cardiac cycle

A

Represent the series of events happen with each heartbeat

20
Q

Events during Cardiac Cycle

A

-ventricular systole(contraction )
Blood ejects out

-ventricular diastole(relaxation)
Empties and allowed to fill

-
-ventricular systole(contraction )
Blood ejects out

-atrial systole(contraction)

21
Q

Performance of Cardiac Muscle depends on three main factors

A

Preload- amount of muscle stretch at the beginning of contraction

Afterload- the pressure against which it has to pump

Contractility- the force of contraction

22
Q

Frank Sterlings law

A

The longer the stretch of cardiac muscle before contraction, the stronger the contraction will be

23
Q

Coronary circulation

A

The heart being the major pumping organ of the body supplying blood to all of the organs it itself gets blood supply through a system of circulation called Coronary Circulation.

The coronary arteries supply blood to the myocardium during diastole

24
Q

There are two main coronary artery systems such as

A

Right coronary artery (RCA) -has a direct effect on heart rate in terms of natural pace making function.

This is why patients with right coronary artery occlusion and resulting inferior wall myocardial infarction may have bradycardia or various degree of heart block

Left main coronary artery (LMCA) - supplies two thirds of the cardiac blood supply