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16 Cards in this Set

  • Front
  • Back
What are the two types of chambers in the heart?
Atrium
Receives blood ("in")
Ventricles
Pumps out ("out")
What are the two types of vessels involved with the heart?
Vessels ("tubing")
Artery
moves blood away from the heart
Vein
moves blood toward heart
What are the two circuits serviced by the heart?
Pulmonary
Lungs
Systemic
Body ("Everyplace else")
What are the two sets of valves within the heart? What are the actual valves in each set?
Atrioventricular valve
Between atrium and ventricles
Bicuspid valve - Left hand side, left atrium and ventricle
Tricuspid valve - Right hand side, right atrium and ventricle

Semi-lunar valve ("half moon")
Between ventricle and arteries
Pulmonary valve - between right ventricle and pulmonary artery
Aortic valve - between left ventricle and aorta
Describe the route that blood uses to pass through the heart and body, starting with the right atrium
Right atrium > Right ventricle > Pulmonary artery > Lungs > Pulmonary vein > Left Atrium > Left Ventricle > Aorta > Systemic/Body > Vena Cava > Back to Right atrium
How are the right and left side of the heart differentiated?
Right side of heart called "pulmonary side", deals with lungs
Left side of heart called "systemic side", deals with body
What is meant by the "AV rule" with regard to the heart?
AV rule - As and Vs always alternate as you go through heart
What is the mnemonic for remembering the order of the heart valves as blood encounters them? What are the heart valves, in order?
"Toilet Paper Bobs Ass" - Order in which blood encounters valves - Tricuspid, Pulmonary, Bicuspid, Aortic
What produces the heartbeat sound?
Valves within the heart closing
What is the first third of the cardiac cycle called? What happens during this phase?
1. Ventricular filling
Blood fills ventricles (both), blood comes from from atria
AV valves (tri and bicuspid) are open
Graph - Atrial pressure goes up due to contraction
What is the second third of the cardiac cycle called? What happens during this phase?
Ventricular systole - contract
Isovolumetric contraction (tri and bicuspid valves close so that blood does not travel backwards)
"Lub" - doctor-speak for the sound of this contraction
Graph - Ventricular pressure at lowest
Graph - Aortic pressure lowers, but does not drop from approx 120/80 due to sustained pressure from closed valves
Graph - Ventricular volume goes down, after initial peak in volume due to atria contracting
Ventricular ejection - Pulmonary and aortic valve open due to ventricular pressure
What is the final third of the cardiac cycle called? What happens during this phase?
Isovolumetric relaxation - Diastole
Pulmonary and aortic valves close
"Dub/Dup" - doctor-speak for the sound of this contraction
Graph - Ventricular pressure at highest
Graph - Aortic pressure at highest
Graph - Ventricular volume goes up
What is Starling's law?
Starling's law - the more you expand the heart, the more pressure will be created on rebound (rubber band effect) - EMTs call this "Atrial kick", Biologists call this pre-loading
Describe the pathway or sequence of depolarization within the heart
SA Node > Internodal pathway > AV node > Bundle branches > Purkinje fibers


Sino-Atrial node "Pacemaker" fires
Atria contract
Atrio-Ventricular node fires - (Why two nodes? AV node gives delay for filling)
Purkinje fibers fire
Ventricles contract
Describe a normal ECG wave
P wave (small bump before big)- Atrial depolarization, SA node firing
QRS complex (big bump shape) - Ventricular depolarization, AV node and purjinkes fibers fire, ventricles contracting
T wave (small bump after big) - Ventricular repolarization - relax, nodes reset
What is a bundle branch block? How does it affect someone?
"Bundle branch block" - wire fried in heart, signal sent chemically, slower heartbeat - unaffected side will wait for blocked side to beat