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71 Cards in this Set

  • Front
  • Back

Cardiac Cycle

The sequence of events that occurs during one heartbeat

Systole

Contraction of the heart muscle

Myocardium

heart muscle

Diastole

Relaxation of the myocardium

When does the blood fill a chamber?

Diastole

3 stages of Cardiac cycle

Atrial systole


Ventricular systole


Diastole

0.8 seconds

duration of the cardiac cycle

0.4 seconds

all chambers rest for...

At the end of atrial systole, the ventricles contract; this is called

Ventricular systole

For a brief period during the cardiac cycle, both the atria and the ventricles are in the.....?

Diastole

Contract

Systole

During ____ ______ the atrioventricular (AV) valves are open and the ventricles are relaxed.

Atrial systole

Rest

Diastole

ANS

Autonomic nervous system

plays an important role in coordinating and adapting cardiac function

Autonomic nervous system (ANS)

The Parasympathetic nerve is also called the

Vagus nerve

Sympathetic nerves supply...

SA node


AV node


Ventricular myocardium

Excess sympathetic activity produces

"fight-or-flight" response

Heart Failure

This is caused by persistent sympathetic nerve stimulation

Tachydysrhythmias

"fast" rhythm disorders

Digoxin

drugs

excess vagal discharge causes

Drugs

"mimic" vagal stimulation is called

vagomimetic drug

Vagomimetic drug is also known as

parasympathomimetic drugs

Two factors that determine cardiac output

heart rate


stroke volume

the total blood volume is

5 L

Heart Rate (HR)

the number of times the heart beats each minute

Cardiac output

the amount of blood pumped by each ventricle in 1 minute

Normal adult resting heart rate

60 and 100 beats/min, average 72 beats/min

Reasons for resting heart rates to differ

Size


Gender


Age


Exercise


Stimulation of the autonomic nerves


Pathology


Hormonal influence


Medications

Stroke volume

the second factor affecting cardiac output

Stroke volume

the amount of blood pumped by the ventricle per beat

average resting stroke volume

60 to 80 ml/ beat

the greater force of contraction can____

increase stroke volume

The degree of stretch of the myocardial fibers. The greater the stretch, the stronger the force of contraction

Starlings law of the heart

Allows the heart to pump out the same amount of blood it receives.

The purpose of Starlings law of the heart

inotropic effect

Strengthening the force of myocardial contraction without stretching the myocardial fibers

Cardiac reserve

The capacity to increase cardiac output above the resting cardiac output

EDV

End-Diastolic Volume

End-Diastolic Volume

The amount of blood in the ventricle at the end of its resting phase (diastole)

This determines how much the ventricle is stretched and is the basis of Starlings law of the heart

EDV

the amount of blood in the ventricles at the end of diastole; this is the same as the EDV

preload

ejection fraction

percentage of the EDV that is pumped

when the ventricle contracts, it pumps __% of its volume (EDV)

67

Refers to resistance or opposition to the flow of blood

Afterload

the pressure that is resistance or the afterload

aortic blood

inotropic effect

a change in the myocardial contraction that is not caused by stretch

positive inotropic effect

an increase in contractile force

negative inotropic effect

a decrease in contractile force

sympathetic nerve stimulation and hormones such as epinephrine and norepinephrine cause what?

a positive inotropic effect

chronotropic effect

a change in heart rate

positive chronotropic effect

anything that increases heart rate

sympathetic nerve stimulation

causes a positive chronotropic effect

vagal (parasympathetic) stimulation

causes a negative chronotropic effect

a change in speed at which the cardiac impulse travels from the SA node through the AV node and the His-Purkinje system

dromotropic effect

Beta1-Adrenergic Receptor Activation

sympathomimetic effect

Beta1-Adrenergic Receptor Blockade

parasympathetic effect

receptors for ACh are called....

muscarinic receptors

ACh is secreted by a cholinergic fiber, a muscarinic agonist is also called...

a cholinergic agonist

antimuscarinic agent,


a cholinergic blocker,


or a anticholinergic agent

a muscarinic blocker is also called...

pumps blood to the lungs for oxygenation

right ventricle

pumps blood into the arota for distribution to the systemic circulation

left ventricle

blood backs up in the lungs and heart is unable to pump a sufficient amount of blood to the systemic circulation

left heart failure

pulmonary edema (PE)

accumulation of fluid within the lungs

backward failure

the backup of blood behind the failed ventricle

left ventricular hypertrophy

increased blood pressure overworks the heart, eventually causing the left ventricle to enlarge and fail

hepatomegaly

enlarged liver

splenomegaly

enlarged spleen

JVD

jugular vein distention

when the veins in the neck pulsate and is visible

JVD

stages of the cardiac cycle

Atrial systole


Ventricular systole


Diastole