Topic list 2 Flashcards
(79 cards)
AP duration in myocytes
t= 200-400ms
AP conduction velocity in myocytes
v= 1m/s
What is the cardiac vector?
The vector sum of all cardiac electrical activity at any moment
Usual duration of PR/PQ interval
0.12-0.2 seconds
Usual duration of QRS interval
0.06-0.1 seconds
Usual amplitude of QRS interval
0.5-2mV
Usual duration of QT interval
0.36-0.4 seconds
What is the electrical axis of the heart?
It is the mean direction of the action potentials traveling through the ventricles during ventricular depolarization
How does unipolar recording work?
Two limbs are connected through electrical resistances to the negative terminal and the third limb is connected to the positive terminal
What is the isoelectric method for finding the electrical axis of the heart? (2)
- find the lead where QRS is isoelectric (usually III or aVL) and find the perpendicular to that : it’s the electrical axis
- In the perpendicular, look at R + or - to determine the direction of the axis
What is the EDV value?
About 130-140mL
What is the ESV value?
About 60mL
What is the ejection fraction?
SV/EDV
What is the usual range for the ejection fraction?
0.5
What is the usual max dp/dt?
1000-1200 mmHg/s
What are cardiac glycosides?
drugs that inhibit the Na+/K+ ATPase on the outer cell surface
What is the value of CO at resting conditions?
5600mL/min
What happens under steady-state conditions to CO?
It must then be equal to venous return
What is the CI?
it is a haemodynamic parameter that related the cardiac output from the left ventricle in one minute to the body surface area.
What is TPR?
total peripheral resistance : the ratio of the arteriovenous pressure difference to the flow through the entire systemic circulation (essentially CO)
What are the 3 ways of increasing preload?
- Increasing EDV
- Increasing filling time
- Frank Starling law
What are the 3 ways of increasing venous return?
- muscular milking
- by breathing (respiratory pump due to lower thoracic pressure than abdominal),
- sympathetic system stimulation : NE stimulates muscle constriction.
What is the Frank Starling law?
When you increase the stretch of the heart, it allows for more cross-bridges to be active. So greater stretch means greater force of contraction.
What is the afterload?
The amount of resistance to overcome for the left ventricle to eject blood into the aorta