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92 Cards in this Set

  • Front
  • Back

Pericardium

Fibrous sac containing heart

Papillary muscles

Nipple like projections inside the myocardium.



When contracted they open the atrioventricular valves

The two atria are separated by the

Interatrial space

Cardiac tamponade

Fluid in the pericardium


The two ventricles are separated by the

Interventricular septum

Together the interatrial septum and the interventricular septum form the

Atrioventricular septum

Auricles are

Blind pouches that come off the atria

What are the collagen fiber cords that prevent the valves from opening backwards called

Chordae tendonae

The skeleton of the heart is located

Between the atria and ventricles

Heart skeleton functions (4)

1. Separates atria and ventricles


2. Anchors the heart valves


3. Provides a point of attachment for the myocardium


4. Provides electrical insulation between atria and ventricles

Systole

Myocardium contacting


- chamber empties blood


- depolarisation

Diastole

Myocardium relaxing


- repolarising


- Chambers filling back with blood

What large vein brings deoxygenated blood FROM the systemic circulation directly to the right atrium?

Vena Cava

Cardiac cycle is

One cycle of atrial and ventricular contraction and relaxation

Depolarisation vs repolarisation

Contraction and raxation

Lub

Tricuspid and mitral valves close after atrial systole

Dub

Pulmonary and aortic valves close after ventricle systole

Valvular insufficiency

One or more of the cardiac valves don't close all the way- producing a murmur

Valvular stenosis

One or more valves don't open all the way


- producing a murmur

Cardiac Output

Is the volume of blood that is ejected out of the LEFT ventricle over time

Two factors determine cardiac output

1. Stroke volume


2. Heart rate

Stroke Volume

The volume of blood ejected from the left ventricle during one contraction (systole).



- systolic discharge (another name)

Heart rate is

The number of times the ventricle contracts or beats in 1 minute.

HR is based on

The rate at which the SA Node spontaneously depolarises

CHF occurs when

The pumping ability of the heart decreases, usually due to disease of cardiac muscle or valve malfunction.

Right side CHF

Blood from the systemic circulation cannot travel to the right atrium as quickly which results in fluid build up .... a.k.a ascites (in the abdomen) and edema in the tissues

Left sided CHF

The venous return from the lungs is decreased resulting in pulmonary edema, resulting in respiration issues.

The inner layer that lines the lumen of the vessel is the

Endothelium

2 types of arteries

Elastic arteries


Muscular arteries

Elastic arteries

Stretch when blood passes.


Found closer to heart to withstand the surge of blood

What type of artery directs blood to specific organs and tissues?

Muscular arteries

Arterioles

Branch from muscular arteries.


- contract under autonomic nervous system control

What type of artery helps maintain blood pressure

Arterioles

True or false:



Veins and arteries run close to eachother

True

Why can't blood move backwards in a vein

Because it moves against gravity and has valves that close to prevent this

Umbilical vein

Oxygenated blood from the mother flows from the placenta to the uterus through the umbilical vein

Pulse

Alternating stretching and recoiling of elastic fibers in an artery as blood passes through with each heart beat

Pulse wave

Stretching and recoiling travels through all arteries and arterioles and dissipates through capillaries.

Blood pressure

Measure of the amount of pressure flowing blood exerts on arterial walls

Systolic blood pressure

Ejection of blood from the left ventricle into the systemic circulation

Diastolic blood pressure

Pressure remaining in the artery during left ventricular diastole

Mean arterial pressure

Average pressure during one cardiac cycle

Oscillometric

Cuff over the artery and inflated until blood flow stops.


Air is released slowly and you make the pulsations

Doppler

Measures arterial blood flow as air is released from the cuff attached to a sphygmomanometer.



Only accurately measures systolic

Electrocardiography produces a

Electrocardiogram (ECG) based on the electrical activity of the heart

P wave

The time it takes the wave of depolarisation to travel from the SA node through the atria

QRS

Is the time of ventricular depolarisation (contraction)

Q

Depolarisation of the interventricular septum

R

Depolarisation of the main mass of the ventricles

S

Final depolarisation of the ventricles near the base of the heart

T wave

Is the time for repolarisation ( ventricle relaxation )

Echocardiography (cardiac ultrasound)

Bounce sound waves off parts of the heart.



Evaluate size, shape, and movement

Doppler echocardiography

Used with 2 dimensional. Measures blood through the heart and adds colour to the image.



Evaluate stenosis

Vein in the pelvic limb

Femoral vein or saphenous vein

The jugular vein is next to

The carotid artery

Sinus arrythmia

Normal in dogs


HR increased when dogs breathe in


HR decreased when dogs breathe out

Pulse is best felt

Over a medium artery against firm surfaces

Stroke volume is determined by 3 factors

Preload


Afterload


Contractibility

Preload

Volume of blood received from atrium

Afterload

Physical resistance by artery the ventricle is pumping blood into

Contractibility

Force of heart contractions

True or False:


Arterioles are muscular arteries

True

Perfusion

Blood flow through tissue



Happens at the capillaries

Normal systolic BP

100-160

Normal diastolic blood pressure

60-100

Normal MAP #

70-120

Shock

Inadequate cellular energy production or decreased cellular oxygen utilisation related to decreased blood flow that leads to cell death and organ failure

Shock (again)

Inadequate tissue perfusion resulting in poor oxygen delivery

Cardiogenic shock

Heart failure, arrhythmia, valve disease, stenosis

Disruptive shock

Body is unable to maintain vasoconstriction of blood vessels



- sepsis, anaphylaxis, trauma, neurogenic


- fluid mal-distruption, pooling

Obstructive shock

GDV - gastric dilatation- volvulus


HW - heartworm disease

Hypovolemic shock

Most common



Blood loss, fluid loss

Lactate levels

In absence of oxygen, the body switches to an alternative way to producing cellular energy.



Partially breaking down glucose to lactic acid

Hypovolemic shock stages

Decrease intravascular volume > Decreased preload> Decrease cardiac output > decrease tissue perfusion and oxygen delivery


The body's response to shock

Sympathetic n.s / adrenal glands release epinephrine + norepinephrine = increased HR



Increase contractibility of heart



Arteriole constriction = increase BP



Redirects blood flow to heart and brain

Stages of Shock

1. Compensatory


- body is maintaining vital parameters


2. Decompensated


- losing the battle, need vigorous treatment


3. Irreversible


- treatment no longer helpful

Compensatory Phase

Starts with initial trauma/cause



Body attempt to maintain perfusion



Spleen contracts to move blood into circulation

Compensatory signs of shock

Tachycardia


Tachypnea


Normal BP / CRT


Norma to pale MM


Responsive

Decompensatory Signs of Shock

Tachycardia


Tachypnea


Low pulse


Low BP


Increased CRT time


Pale MM


Cold extremities


Obtunded (dull) mentation

Late decompensatory shock signs

High lactate


Bradycardia


Bradypnea


Weak / absent pulse


Hypotension


Prolonged CRT


Pale to grey MM


Stuporous mentation (no blood flow to brain or heart)


Death

Shock Therapy

Maintain blood oxygenation




A lot of fluid to increase preload


- by O2 cage


A lot of fluid to increase preload



Monitor vitals


The interatrial septum is a continuation of the

Myocardium

The largest pressure drop in the circulatory system occurs along the

Arterioles

If a baroreceptor in the aorta detects low pressure, what will happen

Vasoconstriction

Cusps

Flap of CT that make up a heart valve

Parietal layer

Moist, serous membrane

Reason cardiac muscle doesn't fatigue

Autorhythmic

Channel formed by coronary vein to return blood to circulation

Coronary sinus

Transplanted hearts do not have what, but don't need to keep beating?

Nerve supply

Infection in the pericardium

Septic pericarditis

Fluid in the pericardial sac


Vs


Fluid in the pericardium

Effusion


&


Cardiac tamponade

Foramen ovale

Bypass of oxygen from the umbilical vein