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280 Cards in this Set

  • Front
  • Back
What does the cardiovascular system do?

--delivers oxygen, nutrients, and hormones to he various body tissues


--transports waste products to the appropriate waste removal systems

Occasionally, the cardiovascular is called the ________ ________.
circulatory system

The circulatory system is divided into what 2 parts?

--systemic circulation




--pulmonary circulation

What is systemic circulation?
blood flow to all parts of the body except the lungs

What is pulmonary circulation?

blood flow out of the heart through the lungs and back to the heart

Cardiovascular

pertaining to the heart and vessels (blood vessels in this context)

What are the 3 major parts of the cardiovascular system?


--the heart


--the blood vessels


--the blood

valve

--controls blood flow through the heart


--it is a membranous fold

valv/o


valvul/o


valve

What are the 4 heart valves?


--right atrioventricular valve


--pulmonary semilunar valve


--left atrioventricular valve


--aortic semilunar valve

right atrioventricular valve (or right AV valve)

--controls the opening between the right atrium and right ventricle




--also called the tricuspid valve because it has 3 points or cusps (tri=three, cusps=points)

pulmonary semilunar valve (or pulmonary valve)

--located between the right ventricle and the pulmonary artery and controls blood entering the lungs




--this valve is shaped like a half-moon (semilunar means half-moon)

left atrioventricular valve (or left AV valve)

--controls the opening between the left atrium and left ventricle




--also called the mitral valve or bicuspid because it has 2 points (bi=two)


aortic semilunar valve (or aortic valve)

--located between the left ventricle and the aorta and controls blood entering the arterial system




--it is also half-moon shaped

rhythm

the recurrence of an action or a function at regular intervals; the heart's contractions are supposed to be rhythmic
heartbeat

--the rate and regularity of the heart rhythm


--modified by electrical impulses from nerves that stimulate the myocardium

What is the heartbeat or cardiac cycle?

an alternating sequence of relaxation and contraction of the heart chambers

cardiac output

volume of blood pumped by the heart per unit time

stroke volume
the volume of blood ejected from the ventricles during each heartbeat

To effective pump blood throughout the body, contraction and relaxation of the heart must be synchronized accurately. These electrical impulses (also called the conduction system) are controlled by what?

--the sinoatrial node


--atrioventricular node


--bundle of His


--Purkinje fibers


sinoatrial node (or SA node)

--located in the wall of the right atrium near the entrance of the superior vena cava




--along with the Purkinje fibers, establishes the basic rhythm of the heart




--the pacemaker of the heart


Purkinje fibers
atypical cardiac muscle cells that work with the SA node

Blood flow through the heart (Step 1)

--The right atrium receives blood from all tissues, except the lungs, through the cranial and caudal venae cavae


--Blood flows from the right atrium through the tricuspid valve into the right ventricle


--This is systemic circulation


Blood flow through the heart (Step 2)

--The right ventricle pumps blood through the pulmonary semilunar valve and into the pulmonary artery, which carries it to the lungs


--This is pulmonary circulation


Blood flow through the heart (Step 3)

--The left atrium receives oxygenated blood from the lungs through the four pulmonary veins


--The blood flows through the mitral valve into the left ventricle


--This is pulmonary circulation


Blood flow through the heart (Step 4)

--The left ventricle receives blood from the left atrium


--From the left ventricle, blood goes out through the aortic semilunar valve into the aorta and is pumped to all parts of the body except the lungs


--This is systemic circulation


Blood flow through the heart (Step 5)
Blood is returned by the venae cavae to the right atrium, and the cycle continues
atrial systole

atrial contraction

inotropy

force of contraction

atrioventricular node (or AV node)

--located in the interatrial septum


--electrical impulses from the SA node travel to the AV node


--conducts impulses more slowly than the SA node


--the slower conduction causes pause after atrial contraction to allow the ventricles to fill with blood


--transmits the electrical impulses to the bundle of His

bundle of His (or AV bundle)

--located in the interventricuar septum


--receives electrical impulses from the AV node


--continues on through the ventricle as ventricular Purkinje fibers, which carry the impulse through the ventricular muscle causing the ventricles to contract.

ventricular systole

--ventricular contraction


--forces blood into the aorta and pulmonary arteries

sinus rhythm


--normal heart rhythm


--starts in the sinoatrial node


arrhythmia


dysrhythmia


--abnormal rhythm caused when the SA node does not function properly and is unable to send the impulse to the rest of the heart


--other areas of the conduction system can take over and initiate the heartbeat, causing the abnormal rhythm

Antiarrhythmic drugs
substances that control heartbeat irregularities

palpitation

heartbeat sensations that feel like pounding with or without irregularity in rhythm

fibrillation

rapid, random, and ineffective heart contractions

flutter

cardiac arrhythmia in which atrial contractions are rapid but regular
bradycardia

abnormally slow heartbeat

tachycardia

abnormally fast heartbeat

paroxysm

sudden convulsion or spasm

normal sinus arrhythmia

irregular heart rhythm resulting from variation in vagal nerve tone as a result of respiration (a nonpathologic arrhythmia)

asystole

without contraction or lack of heart activity; flat line on an ECG

syncope

temporary suspension of respiration and circulation

gallop

low-frequency vibrations occurring during early diastole and late diastole

systole

--contraction


--denotes ventricular contraction

diastole

--expansion


--denotes relaxation, or the time when the chambers are expanded


--the atria fill with blood


--then the atria contract, forcing blood into the ventricles and the ventricles contract

The workload of the heart is divided in what 2 categories?



--preload


--afterload


preload

--the ventricular end-diastolic volume, or the volume of blood entering the right side of the heart


--preloaded problems are usually associated with right-sided heart disease


afterload

--the impedance to ventricular emptying presented by aortic pressure


--afterloaded problems are usually associated with left-sided heart disease

The electrical events in the conduction system can be visualized by wave movement on an...

electrocardiogram (ECG or EKG)

electrocardiogram (ECG or EKG)

--record of the electrical activity of the myocardium


--tracing that shows the changes in voltage and polarity (positive and negative) over time

electrocardiography

--the process of recording the electrical activity of the myocardium


--produces a tracing that represents the variations in electric potential caused by excitation of heart muscle and is detected at the body surface



leads

conductors that detect variations in electric potential

auscultation

the act of listening to body sounds and usually involves the use of a stethoscope

stethoscope

an instrument used to listen

stetho-

chest

-scope

instrument to visually examine or monitor

When auscultating the heart, you hear a lub-dub sound. What is the lub?

--first sound heard


--caused by the closure of the AV valves

When auscultating the heart, you hear a lub-dub sound. What is the dub?

--second sound heard


--caused by the closure of the semilunar valves

What occurs between the first and second heart sounds?

systole (ventricular contraction)

What occurs between the second and first heart sounds?

diastole (ventricular relaxation)

heart murmur

--an abnormal sound associated with the turbulent flow of blood


--may be caused by a leak in a valve


insufficiency
the inability to perform at the proper level
systolic murmur

the swooshing noise occurring between the first and second heart sounds
diastolic murmur

the swooshing noise occurring between the second and first heart sounds

holosystolic or pansystolic murmur

the swooshing noise occurs during the entire ventricular contraction phase


holo-


pan-


all

stenosis

narrowing

crescendo murmur

abnormal swooshing cardiac sounds that progressively increase in loudness

decrescendo murmur

abnormal swooshing cardiac sounds that progressively decrease in loudness

point of maximal intensity (PMI)

the point where the murmur is heard the loudest

thrill

the vibration felt on palpitation caused by a murmur

clicks

sound heard during an exam that may be a sign of mitral insufficiency or may be of unknown origin
split heart sounds

heartbeat sounds that are divided

craackles

sounds that may be associated with movement or respiratory sounds

rumbles
sounds usually caused by shivering

What are the 3 major types of blood vessels?

--arteries


--veins


--capillaries


angi/o


vas/o


vessel

lumen

the opening in a vessel through which fluid flows

constriction

narrowing of the vessel diameter

dilation

widening of the vessel diameter

vasoconstrictors

things that narrow a vessel's diameter

vasodilators

things that widen a vessel's diameter
hilus

the depression where vessels and nerves enter an organ

arteries

--blood vessels that carry blood away from the heart


--blood is usually oxygenated (except for pulmonary artery)


--blood is bright red


--have muscular walls to allow contraction and expansion to move blood throughout the body

arteri/o

artery

aorta

--the main trunk of the arterial system that begins from the left ventricle of the heart


--located ventral to the vertebrae


--branches into other arteries that supply many muscles and organs of the body

aort/o


aorta

celiac artery

supplies the liver, stomach, and spleen

celi/o

belly

renal arteries

supply the kidneys

ovarian arteries

supply the ovaries

testicular arteries

supply the testicles

subclavian artery

artery located under the collarbone

arterioles

--smaller branches of arteries


--carry blood to the capillaries


arter/i

vessel that carries blood away from the heart


-ole

suffix meaning small
capillaries

--single cell thick vessels that connect the arterial and venous systems


--blood is slower through the capillaries due to their smaller diameter


--allows time for diffusion of oxygen, nutrients, and waste products

alveolar capillaries

blood here picks up oxygen and gives off carbon dioxide

perfusion

blood flow through tissues

capillary refill time (CRT)

--indicator of perfusion


--obtained by applying pressure to mucous membranes and timing how long it takes for the pink color to return


venules

--tiny blood vessels that carry blood to the veins


--capillaries connect to venules

veins

--form a low-pressure collecting system that returns blood to the heart


--have thinner walls and are less elastic than arteries


--contractions of the skeletal muscles cause the blood to flow through the veins toward the heart


--have valves that permit blood flow toward the heart and prevent blood from flowing away from the heart

ven/o


phleb/o

vein

jugular vein

drains the head and neck area

femoral veins

drain the legs

renal veins

drain the kidneys

azygous vein
a single vein that drains the chest wall and adjacent structures

a-

prefix meaning without

zygon

yoke or pair

blood pressure

--the tension exerted by blood on the arterial walls


--determined by the energy produced by the heart, the elasticity of the arterial walls, and the volume and viscosity of the blood


viscosity

resistance to flow

pulse

the rhythmic expansion and contraction of an artery produced by pressure

sphygmomanometer

--measures blood pressure


--measures the amount of pressure exerted again the was of the vessels

sphygm/o

pulse

man/o

pressure

-meter

suffix meaning device

systolic pressure

occurs when the ventricles contract and is highest toward the end of the stroke output of the left ventricle

diastolic pressure

occurs when the ventricles relax and is lowest late in ventricular dilation

tensi/o

pressure or tension

hypertension

high blood pressure

hyper-

excessive or above normal

hypotension

low blood pressure

hypo-
deficient or less than normal

antihypertensives

drugs used to lower blood pressure

intravenous

within a vein

perivascular

--around the vessels


--undesired route of administration and usually is an error of intravenous injection


intra-arterial

within an artery

angiocardiography

radiographic study of the blood vessels and heart using contrast materials

angiocardiogram

film resulting from angiocardiography

angiography

radiographic study of the blood vessels flowing injection of radiopaque material

angiogram

the film produced from an angiography

cardiac catheterization

radiographic study in which a catheter is passed into a blood vessel and is guided into the heart to detect pressures and patterns of blood flow

echocardiography

process of evaluating the heart structures using sound waves

ech/o

sound

Doppler echocardiography
uses the differences in frequency between sound waves and their echoes to measure the velocity of a moving object
electrocardiography

process of recording the electrical activity of the heart

electrocardiogram

the record of the electrical activity of the heart and is abbreviated ECG or EKG

electrocardiograph

the machine that records the electrical activity of the heart

Holter monitor

24-hour ECG that records the heart rates and rhythms onto a specialized tape recorder

radiography

procedure of imaging objects by exposing sensitized film to X-rays

radiograph

film resulting from radiography

tourniquet

constricting band applied to a limb to control bleeding or to assist in drawing blood

aneurysm

localized balloon-like enlargement of an artery

angiopathy

disease of vessels

aortic insufficiency

inability of the aortic valve to perform at the proper levels, which results in blood flowing back into the left ventricle from the aorta

atherosclerosis

hardening and narrowing of the arteries; may be caused by plaque

plaque

a patch or raised area

ather/o

plaque or fatty substance

atrial septal defect
opening in the wall dividing the right and left atria that may allow blood to move from the high-pressure right atrium to the low-pressure left atrium

cardiac tamponade

compression of the heart due to fluid or blood collection in the pericardial sac

cardiomegaly

heart enlargement

cardiomyopathy

disease of heart muscle

hypertrophic cardiomyopathy

excessive growth of the left ventricle

dilated cardiomyopathy

characterized by a thin-walled left ventricle (also known as congestive)

carditis
inflammation of the heart

congestive heart failure

syndrome that reflects insufficient cardiac output to meet the body's needs; abbreviated CHF
congestion

accumulation of fluid

edema

accumulation of fluid in the intercellular spaces; may be seen with CHF

ascites


fluid accumulation in the peritoneal cavity seen in dogs secondary to CHF and other diseases

pleural effusion

abnormal fluid accumulation between the layers of the membrane encasing the lungs and is seen in cats secondary to CHF. Fluid accumulation can be relieved with the use of diuretics.

diuretics

substances that increase urine excretion

cor pulmonale

alterations in the structure or function of the right ventricle caused by pulmonary hypertension; also called pulmonary heart disease

cor

heart

pulmon/o

lung

dirofilariosis


--heartworm infection; formerly called dirofilariasis


--found in dogs, cats, and ferrets


Dirofilaria immitis

--scientific name of heartworm


--causes dirofilariosis


--heartworms mature and breed in the larger blood vessels


--mature heartworms ay obstruct blood flow through the heart and blood vessels


--a dead heartworm can cause pulmonary embolism



microfilariae
--tiny larvae produced by mature heartworms

caval syndrom

obstruction of blood flow from the vena cava caused by heavy heartworm infestation

How can heartworm disease be prevented?

using prophylactic medication

prophylaxis


prevention

adulticide

--used in heartworm treatment


--substance that kills mature or adult heartworms


microfilaricide

--used in heartworm treatment


--substance that kills larva or juvenile heartworms




embolus

foreign object (like a clot, air, or tissue) that is circulating in blood

embolism

blockage of a vessel by a foreign object

endocarditis

inflammation of the endocardium and sometimes the heart valves

heart block

--interference with the electrical conduction of the heart


--may be partial or complete


--is graded in degrees based on the characteristics of the block


hemangioma
benign tumor comprised of newly formed blood vessels

hematoma

collection of blood
hypercapnia

above-normal levels of carbon dioxide; results in hypoxia (reduced levels of oxygen) and may cause a bluish tinge to the skin and mucous membranes.

cyanosis

bluish tinge

cyan/o

blue

hypocapnia

below-normal levels of carbon dioxide

hypoxia
below-normal levels of oxygen
infarct

localized area of necrosis caused by an interrupted blood supply

ischemia

deficiency in blood supply

isch/o

hol back

mitral stenosis

narrowing of the opening of the mitral valve (which affects the opening and closing of the mitral valve); abbreviated MS

mitral valve insufficiency

inability of the left atrioventricular valve to perform at the proper level; may be caused by fibrosis, endocarditis, or other conditions that occur in the mitral valve area

mitral valve prolapse

abnormal protrusion of the left atrioventricular valve that results in incomplete closure of the valve

myocarditis

inflammation of the mycardium

occlusion

blockage in a vessel or passageway in the body

patent ductus arteriosus

--persistence of the fetal communication (ductus arteriosus) between the left pulmonary artery and aorta that should close shortly after birth; abbreviated PDA


--may cause overloading of the left ventricle which may lead to left ventricular failure


--signs are a continuous heart murmur and enlarged heart

pericarditis

inflammation of the pericardium

pulmonic stenosis

narrowing of the opening and valvular area between the pulmonary artery and right ventricle
regurgitation

backflow; used to describe backflow of blood caused by imperfect closure of heart valves

shock

--inadequate tissue perfusion


--different types but one type occurs after cardiac arrest or cessation of heartbeat

resuscitation

--used for the treatment of shock


--restoration of life


measures include fluid administration, cardiac massage, and artificial respiration

cardiopulmonary resuscitation

CPR; addresses only the cardiac and respiratory systems

tetralogy of Fallot

congenital cyanotic cardiac condition that classically has 4 anatomical defects in the heart: pulmonary stenosis, ventricular septal defect, overriding aorta, and right ventricular hypertrophy
thromboembolism

the blocking of a blood vessel by a part that has broken away from a blood clot at its site of formation

thrombus

blood clot attached to the interior wall of a vein or artery

thrombosis

an abnormal condition in which a blood clot develops in a blood vessel

anticoagulants

substances that prevent blood clotting

vasculitis

inflammation of a blood or lymph vessel

ventricular septal defect

--opening in the wall dividing the right and left ventricles that may allow blood to shunt from the right ventricle to the left ventricle without becoming oxygenated; abbreviated VSD


--shunt from VSD bypasses the lungs


shunt

to bypass or divert

angioplasty

surgical repair of blood or lymph vessels

transluminal angioplasty

the procedure is done through the opening of a vessel

percutaneous angioplasty

the procedure is done through the skin

angiorrhaphy

suture of a vessel

arteriectomy


surgical removal of part of a blood vessel that carries blood away from the heart

arteriotomy

incision of a blood vessel that carries blood away from the heart

central venous pressure

--tension exerted by blood in the cranial vena cava; abbreviated CVP


--monitored by catheterization of the cranial vena cava via the jugular vein


--the catheter is connected to a fluid-filled column and a syringe or bad that serves as a fluid source

defibrillation

use of electrical shock to restore the normal heart rhythm

hemostasis

control or stoppage of bleeding

stent

small expander implanted in a blood vessel to prevent it from collapsing (also a device to hold tissue in place or to provide support for a graft)

transfusion

introduction of whole blood or blood components into the bloodstream of the recipient

valvotomy

surgical incision into a valve or membranous flap

congenital

present at birth

hereditary

genetically transmitted from parent to offspring

anomaly

deviation from normal

idiopathic

of unknown cause

iatrogenic

produced by treatment

AF

atrial fibrillation

ASD

atrial septal defect

AV

atrioventricular

BP

blood pressure

CHF

congestive heart failure

CPR

cardiopulmonary resuscitation

CRT

capillary refill time

CVP

central venous pressure

ECG or EKG

electrocardiogram or electrocardiograph

HR

heart rate

LV

left ventricle

MM

mucous membrane

MS

mitral stenosis

PDA

patent ductus arteriosis

PMI
point of maximal intensity

PVC

premature ventricular complex

RV

right ventricle

SA

sinoatrial

VSD
ventricular septal defect

VT

ventricular tachycardia
What is the heart?

a hollow muscular organ that provides the power to move blood through the body

cardi/o

heart

thoracic cavity (or chest cavity)

where the heart is located

mediastinum

--the heart lies between the lungs in this cavity


--it also contains the large blood vessels, trachea, esophagus, lymph nodes, and other structures

pericardium
double-walled membrane surrounding the heart

What are the 2 layers of the pericardium?

--fibrous


--serous


fibrous pericardium

tough external layer

serous layer of pericardium

inner layer divided into parietal and visceral layers
parietal layer
the serous layer that lines the fibrous pericardium

visceral layer (aka epicardium)

serous layer that lines the heart

pericardial space

space between the two serous layers

pericardial fluid

a liquid in the pericardial space that prevents friction between the heart and the pericardium when the heart beats

What are the 3 layers of the heart wall?

--epicardium


--myocardium


--endocardium


epicardium (aka visceral layer)

external layer of the heart
epi-

upper

myocardium

middle and thickest layer of the heart; the actual heart muscle

my/o

muscle

endocardium

inner layer of the heart lines the heart chambers and valves

endo-

within

coronary arteries

arteries that serve the heart; supplies oxygen and nutrients to the heart tissue

coron/o

crown

coronary veins
remove waste products form the myocardium

coronary occlusion
causes disruption of blood to the myocardium

occlusion

blockage

ischemia

deficiency in the blood supply to an area

necrosis

tissue death


infart


infarction


area of necrosis due to ischemia; localized area of necrosis caused by an interrupted blood supply
atria (singular is atrium)

craniodorsal chambers of the heart; all vessels coming into the heart enter here
atri/o

atria

interatrial septum

separates the left and right atria

septum

a separating wall or partition

ventricles

--caudoventral chambers of the heart


--the pumping chambers of the heart


--all vessels leave the heart via ventricles


ventricul/o

ventricle

interventricular septum

separates the ventricles

apex (or cardiac apex)

the narrow tip of the heart