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43 Cards in this Set

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What is located superior to the diaphragm on the left at the 5th intercostal space?

Apex of the Heart

Pericardium

Sac surrounding the heart

Pericardial effusion severe enough to decrease blood flow to the body, compress the heart. If untreated shock & death will occur

Cardiac tamponade

Three layers of the Heart wall

Outer epicardium


Middle myocardium


Inner endocardium

Annulus Fibrosus Cordis

Composing dense connective tissue within the atrioventricular rings, providing support to the 4 chambers and valves of the heart

The remnant of the fetal foramen ovale.



Where is it located

Fossa ovalis cordis



Oval depression on the right side of the interatrial septum, between the left and right atrium

Which 2 chambers do most of the pumping for circulation of blood

Left and right ventricle

Left ventricle size and shape

When looked across anteriorly has the appearance of a sphere



2/3 larger then right

Describe left atrioventricular aid

When left ventricle contracts the right ventricle wall is pulled. Due to the right ventricle pocket attachment

Which 2 arteries arise from the root of the aorta

Main left and right coronary arteries

Coronary artery obstruction can lead to tissue ischemia

Angina Pectoris

Myocardial Infarction (MI)

Complete death or obstruction within the coronary artery

Cardiac muscle ability to initiate spontaneous electrical impulse

Automaticity

Extremely high HR decreases blood flow through coronary arteries because

As diastolic time decreases, increasingly less time is available for coronary artery perfusion that occurs during diastole until coronary blood flow is decreased

Frank- Sterling law

The more a cardiac fiber is stretched (up to a point) the greater the tension it generates when contracted

Aorta on left ventricle and ends @ the right atrium

Systemic circulation

Pulmonary circulation

Starts @ pulmonary artery out of the right ventricle and ends in the left atrium

What is the goal of the heart and vascular system

Maintaining adequate perfusion to all tissue according to their METABOLIC needs

Sympathetic division Of the autonomic nervous system does what

Primarily the one to Central control of blood flow

Smooth muscle relaxation & vessel dilatation occur as a result to stimulated by

Cholinergic or specialized beta- adrenergic receptors

Formula for cardiac output

CO= HR x SV

• over Q

Contractility preload and afterload intrinsic control, affect

SV

CO changes involves

Change in SV, change in HR or both

EDV

end-diastolic volume

During resting phase, diastole, the ventricles fill to a what volume

End-diastolic volume

70mL

Normal SV

Proportion of EDV ejected on each stroke

64%

Preload and afterload are which concepts

Tension or force and filling volume

Contractility

The amount of systolic force exerted by the heart muscle @ any given preload

Stimulation exerting a negative inotropic effect

Parasympathetic

A decrease in cardiac contractility and impaired myocardial function are a result of

Profound hypoxia and acidosis

Vasoconstrictor area within the medulla being stimulated results in

Increased vascular resistance and vasoconstriction

Cardioaccelerator area is a stimulator for

HR increase by an increase of sympathetic discharge to th SA and AV of the heart

Name 2 types of peripheral cardiovascular receptors

Baroreceptor


Chemoreceptors

Responsive to pressure changes

Baroreceptor

Chemoreceptors respond

Blood chemical changes (ABG)

Vasoconstriction and increased HR are cardiovascular effects from

Stimulation of the Chemoreceptors

Amount of time after depolarization ventricles contract

Few 100th of a second

S1 sound represents

Closing of mitral valve 1st. Immediately followed by tricuspid valve closure

Elastic recoil of the arteries

Dicrotic notch

What arises from the aorta

The main left and right coronary arteries

Decreased O2 supply

Ischemia

Partial coronary artery obstruction


Leading to tissue ischemia

Angina pectoris