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59 Cards in this Set

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What is each complete heartbeat called?

Cardiac cycle

How much time does the average heart cycle takes to happen?

0.8 seconds

What is the average resting rate of the heart when it’s beating at 0.8 seconds per cycle?

72 minutes per minute

True or false


The cardiac cycle includes the systole and diastole of each atrium and ventricle?

True

Name the main structures of the heart’s conduction system

Sinoatrial node - SA node


Atrioventricular node - AV node


AV bundle or bundle of His


Subendocardial branches aka purkinje fibers

What is the pacemaker of the heart?

SA node

True or false


The heart fibers are not linked together

False - they are linked together to make the conduction systems work

The graphic record of the heart’s activity is called?

Electrocardiogram

Name the instrument that can pick up electric signals from the body surface

Electrocardiograph

What is the name for the electrocardiograph chart?

ECG or EKG

How many deflections or waves does a ECG tracing have and name them?

Three waves


P wave


QRS complex


T wave

What is depolarization?

Describes when electrical activity that triggers contraction of the heart muscle

What is repolarization?

Just before the relaxation phase of the cardiac muscle

When do you have a P wave on the ECG?

Depolarization of the atria

When do you get a QRS complex on the ECG?

Depolarization of the ventricles

When do you get a QRS complex on the ECG?

Depolarization of the ventricles

How is the T wave generated

Repolarization of the ventricles

When do you get a QRS complex on the ECG?

Depolarization of the ventricles

How is the T wave generated

Repolarization of the ventricles

Why is the atrial repolarization not shown on the ECG?

The deflection is very small and is hidden by the large QRS complex which occurs at the same time

When does the ECG deflection occurs?

Before the myocardial contractions, not during the contractions

What is the abnormality of the heart rhythm called?

Dysrhythmia

When does a complete heart block occurs?

P wave does not match up with the QRS complex


For example: two or more P waves are shown then a QRS complex

Name a kind of dysrhythmia

Heart block

How can a physician treat a heart block?

Artificial pacemaker

Describe how the pacemaker is connected to the heart?

At the right side of the atrium- the wires are connected to the myocardium with timed electrical impulse that cause ventricular contractions

Another name for a slow heart rhythm?

Bradycardia

What is a slow heart rhythm?

Less than 60 beats per minute

When are you allowed to have slight bradycardia?

When you’re asleep


In conditioned athletes when they are awake and at rest

What is the term for a rapid heart rhythm?

Tachycardia

When is a person considered to be tachycardic?

Having more than 100 beats per minute

When is tachycardia normal?

During and after exercise


During a stress response

What is sinus dysrhythmia?

Variation in the heart rate during the breathing cycle

During the breathing cycle when does the heart rate increase or decrease?

Increase during inspiration


Decrease during expiration

Another name for premature contractions?

Extrasystoles

When does premature contractions happen?

Before the expected contractions

When does premature ventricular contraction happens?

When the electrical signal begins in the ventricle rather than in the SA node

What are the factors that can cause premature contractions?

Lack of sleep


Anxiety


Cold medication


Too much caffeine


Too much nicotine


Alcoholism


Heart damage

What can frequent premature contractions lead to?

Fibrillation

What is fibrillation?

A condition in which the cardiac muscle fibers contract out of step with each other

Name the types of fibrillation

Atrial fibrillation (AF or A-fib)


Ventricular fibrillation (VF or V-fib)

What illness normally occurs when there is atrial fibrillation?

Rheumatic heart disease


Mitral stenosis


Infarction of the atrial myocardium

Which is more dangerous A-fib or V-fib?

Ventricular fibrillation

How is fibrillation treated?

Defibrillation


Epinephrine my be injected into the blood stream to increase blood pressure and flow to aid defibrillation

What does AED mean?

Automatic external defibrillator

What does ICD mean

Implantable cardioverter defibrillation

What is atrial ablation?

The intentional destruction of heart muscle in a special location to treat atrial fibrillation by eliminating the pathway of the abnormal electric signal

What is an atrial flutter?

A rapid and irregular atrial rhythm often triggered by abnormal electrical signal from the nearby pulmonary vein

Another name for dysrhythmia?

Arrhythmia

What is cardiac output?

Volume of blood from the ventricle

Volume of blood pumped by one ventricle per minute

What is the average cardiac output per minute?

5 liters

How do you determine cardiac output?

Heart rate x stroke volume


HR X SV

What is the heart rate?

Number of heart beats per minute (cardiac cycle)

What is the stroke volume?

Volume of blood ejected from the ventricle during each beat

How can the sympathetic nervous system increase your heart rate?

By releasing norepinephrine which causes the SA node to increase its usual pace

How does the parasympathetic nervous system slows down the heart?

Releasing acetylcholine that decreases the pace of the SA node

What is the venous return?

Volume of blood returned to the heart by the veins

What is the disease of the myocardial tissue?

Cardiomyopathy

What is the broken heart syndrome otherwise known as?

Stress cardiomyopathy