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Cardio Lecture 1
a
58
Nursing
Undergraduate 2
11/25/2011

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Term
endocardium
Definition
thin inner layer of heart
Term
myocardium
Definition
middle muscle layer of heart
Term
epicardium
Definition
outer most fibrous layer of the heart
Term
pericardium
Definition
double layer fibrous-serous membrane that surrounds the heart and forms the pericardial sac
Term
septum
Definition
the heart is divided vertically by the _____
Term
tricuspid
Definition
the ______ valve divides that artium and ventricles on the right side
Term
mitral(bicuspid)
Definition
the _____ valve divides the atrium and ventricles on the left side
Term
coronary sinus
Definition
vein that returns blood from coronary circulation to the right atrium of the heart
Term
AV
Definition
the S1 is the sound of the ____ valves closing during Systole
Term
systole
Definition
ventricular contraction
Term
diastole
Definition
ventricular relaxation and filling with blood
Term
semilunar
Definition
the S2 is the sound of the _____ valves closing
Term
gravity
atrial kick
Definition
durin the diastole, the ventricles fill by __(2)
Term
atrial kick
Definition
at the end of diastole, remaining blood is moved from the atria to the ventricle by ____
Term
stroke volume
Definition
amount of blood ejected from ventricles with each contraction
Term
70 ml/beat
Definition
average stroke volume
Term
cardiac output
Definition
the amount of blood pumped by the ventricles in 1 minute
Term
4-8 L/min
Definition
average cardiac output
Term
cardiac output
Definition
an indicator of how well the heart is functioning
Term
cardiac reserve
Definition
term referring to cardiac output increasing when O2 needs increases
Term
increase
Definition
if O2 need increases, then cardiac output should ______ (cardiac reserve)
Term
size of ventricles
Ventricular Compliance
Definition
two factors that affect stroke volume
Term
ventricular compliance
Definition
the ability of the ventricles to stretch to accomodate blood
Term
decrease - fill
Definition
too rapid of a heart rate will cause cardiac output and stroke volume will _____ because there is not time for the ventricles to ___
Term
coronary artery
Definition
if heart rate is too rapid, perfussion to _________ will decrease because they fill primarily during diastole
Term
preload
Definition
volume in ventricles at the end of diastole prior to contraction
Term
ventricular compliance
stroke volume
Definition
the amount of preload is r/t __(2)
Term
frank starlings law
Definition
the greater the volume, the greater the stretch of the cardiac muscles, and the greater the force of the contraction which increases cardiac output
Term
afterload
Definition
the force the ventricles must overcome to eject blood
- the pressure in the arterial system ahead of the ventricles
Term
increase - increase
Definition
increased preload, contractility, and afterload will ____ the work of the heart and ____ oxygen demand
Term
intrinsic conduction system
Definition
specialized nerve tissue in the heart that is capable of initiating an electrical impulse
Term
action potential
Definition
the process of the hearts self excitation (the initiation and transmition of impulses without a stimulus)
Term
superior vena cava and R atrium
Definition
the SA node is located at the junction of the _______ and ______
Term
internodal ducts
Definition
transmit the electrical impulse from the SA node through the atria to the AV node
Term
AV node - atrial kick
Definition
when the heart impulse reaches the ____ it is delayed to allow for ____
Term
30 ml
Definition
during the atrial kick, the last ____ of blood is ejected into the ventricles
Term
bundle of His - R&L bundle branches
Definition
conducts the electrical impulse from the atria into the ventricles and divides into ____
Term
R and L bundle branches
Definition
transmit the impulse down the R and L ventricles
Term
Purkinje Fibers
Definition
condust the impulse to all parts of the venrticle
- terminal point in conduction that triggers ventricular contraction
Term
external/extrinsic conduction system
Definition
control of the heart through the autonomic nervous system.
- can override the normal intrinsic rhythm
Term
vagus
Definition
the parasympathetic nervous system stimulates the ___ nerve to slow HR and decrease contraction
Term
S4
Definition
sound that is made by resistance to the atrial kick
- immediately preceding S1
Term
internal mammary artery
saphenous vein
Definition
two blood vessels commonly used for bypass
Term
70
Definition
to receive bypass, the coronary artery must be at least __% occluded to prevent clotting in graft
Term
transmyocardial laser revascularization
Definition
laser is used to drill tiny holes in the myocardium muscle to provide collateral blood flow to ischemic muscle
Term
myoglobin
Definition
muscle enzyme that is specific to cardiac and skeletal muscle
- rises VERY early in muscle damage
Term
Troponin
Definition
protein unique to heart muscle
- provides accurate id of MI
- prolonged elevation
Term
CK (creatine Kinase)
Definition
general enzyme found in heart and skeletal muscle and brain tissue, but can be broken down by type
Term
CK-MB
Definition
this type of creatine kinase is only present when there is damage to heart cells (MI)
Term
200
Definition
desirable cholestrol is less than ____
Term
LDL
Definition
transports cholestrol and triglycerides into cells and walls of arteries
Term
130
Definition
desireable LDL is less than ____
Term
HDL
Definition
transports cholestrol to liver to be broken down and excreted
Term
45-46
Definition
desireable HDL range for men
Term
45-85
Definition
desireable HDL range for women
Term
triglycerides
Definition
compounds of fatty acids that are used for fat storage
Term
150
Definition
desireable triglyceride level is less than ___
Term
lipoprotein associated phospholipase A2
Definition
measure of vascular inflammation which may indicate risk for CAD in patients with normal LDL levels
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