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66 Cards in this Set

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Cardiac Cycle

Refers to the events that occur during a complete heartbeat

Systole

Contraction of the heart muscle

Diastole

Relaxation of the heart muscle

Events of the cardiac cycle

1. Blood returns to the heart and flows into the atria


2. Atrial systole


3. Ventricular systole


4. Ventricular diastole

What happens during atrial systole?

The pressure within the atria increases, forcing the remaining 30% of blood that did not flow directly into the ventricles through the AV valves

What happens during ventricular systole?

1. Atrial diastole


2. Pressure within the ventricles and the atria increases


3. Semilunar valves open and blood goes into either the ascending aorta or pulmonary trunk

Why does the pressure in the atria increase during ventricular systole?

Blood is forced against the AV valves, which push into the atria slightly

What prevents the cuspid valves from opening into the atria?

The contractions of the papillary muscles put tension on the chordae tendonae

What occurs during ventricular diastole?

The pressure in the ventricles lowers, allowing the AV valves to open



The semilunar valves close to prevent blood from flowing back into the ventricles from the higher pressure aorta and pulmonary trunk.



Blood begins to flow into the ventricles from the atria

What term is used to describe heart sounds?

Lub-Dub

Lub

Refers to the closure of the AV valves

Dub

Refers to the closure of the semilunar valves

What are the specialized areas that are specially adapted to initiate and conduct impulses?

1. Sinoatrial Node


2. Atrioventricular node


3. Bundle of His


4. Purkinje fibers

What is the name of the machine that records the electrical impulses of the heart?

Electrocardiograph

In response to electric impulses, the electrocardiograph produces a series of ____ that are recorded onto a ______

Deflection waves


Electrocardiogram

Types of deflection waves

P wave


QRS complex


T wave

P wave

Records electrical activity associated with atrial depolarization

QRS complex

Ventricular depolarization (main deflection)


Atrial repolarization

T wave

Ventricular repolarization

What controls the heart rate?

Autonomic nervous system

Divisions of your autonomic nervous system

Sympathetic


Parasympathetic

What carries sympathetic impulses?

Accelerator nerves

What carries parasympathetic impulses?

Vagus nerve

Cardiac muscle depolarization leads to ____

Systole

Cardiac repolarization leads to ______

Diastole

Deoxygenated blood

High CO2, low O2


Pumped by the right side of the heart

Oxygenated blood

High O2, Low CO2


pumped by the left side

Septum

A partition separating the atria or the ventricles


Prevents the mixing of oxygenated and deoxygenated blood

Name of septum separating the atria?

Interatrial septum

Name of the septum separating the ventricles?

Interventricular septum

Valves

Prevent the backflow of blood

How many valves are in the heart?

4

Heart sounds

Produced by the closure of valves

Potential cause of a murmur

Sometimes caused by a leaking valve

What are the exchange vessels?

Capillaries

What are the first arterial branches that come off of the ascending aorta?

Branches to the coronary arteries

What is the first structure the heart sends oxygenated blood?

The heart

Where do the coronary arteries deliver blood?

Myocardium

Characteristics of cardiac muscle

Single, rounded nucleus in striated cells


Intercolated discs


Many mitochondria


High concentration of myoglobin


Totally dependent on aerobic metabolism

Intercolated discs

Thickenings of the cell membrane


Strengthen the muscle tissue


Aid in nerve impulse conduction over the muscle tissue

What are mitochondria used for?

ATP production

Myoglobin

Compound that stores O2

CAD

Coronary artery disease

Artherosclerosis

Plaque build up in the coronary arteries

Plaque

Fatty deposits that calcify

Calcification

Hardening

Angina pectoris

Chest pain caused by insufficient O2 to the heart muscle

Arterial sclerosis

A loss of elasticity (or hardening) of the coronary arteries

Myocardial Infarction

Aka heart attack


Most commonly caused by a blood clot

Heart reflexes that affect cardio output

Atrial (bainbridge) reflex


Starling principle

Atrial Reflex

- Aka Bainbridge reflex


- Occurs when an increase in blood volume is detected within the atria, causing the walls to stretch


- increases sympathetic activity, which increases heart rate

Starling Principle

- Occurs when an increase in blood volume is detected within the ventricles, which causes the walls to stretch


- increases the force of contraction of ventricular myocardium

Heart rate

Number of beats per minute

Average heart rate

80bpm

Stroke volume

Amount of blood pumped by the ventricle in a single contraction

Average stroke volume

80ml/beat

Cardiac Output (CO)

Amount of blood pumped by the ventricle in one minute



Calculated CO ( L/min) = HR x SV

Effect of beta stimulation?

Excitatory


Increase in HR, SV, and CO

Where is the cardiac center located?

The brainstem, specifically in the medulla

Parts of the cardiac center

Cardioacceleratory center


Cardioinhibitory center

Cardioacceleratory center

Increases heart activity

Cardioinhibitory center

Slows heart activity

What gland secretes which hormones involved in the sympathetic activity of the heart?

Adrenal gland


Norepinephrine (this is the relevant hormone) and Epinephrine

Acetylcholine

Post Ganglionic Neuron

Preganglionic neuron