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Cardiology Book Notes 1
Cardiology chptr 2 brady books
37
Medical
Professional
02/22/2013

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Term

Visceral - inner layer; contacts the heart

 

Parietal - Outer Layer

Definition
What are the 2 layers of the pericardium called and which one is which?
Term
25 ml
Definition
About how much pericardial fluid is in the pericardium?
Term
Atrioventricular and Semilunar
Definition
What are the two types of valves in the heart called?
Term

controls flow between the atria and ventricles

 

right = tricuspid; left = bicuspid or mitral

Definition
What function do the atrioventricular valves serve? What are their names / locations?
Term

Regulate flow between the ventricles and the arteries.

 

Left Semilunar = Aortic Valve

 

Right Semilunar = Pulmonic Valve

Definition
What function do the Semilunar Valves serve and what are they called?
Term

Ascending = from the heart

 

Thoracic = Curves inferiorly and goes through the chest

 

Abdominal = Gots through the diaphragm and into the abdomen

Definition
What are the three parts of the aorta and where are they located?
Term
From the Coronary Arteries
Definition
Where does the myocardium get all of its nutrients?
Term
Aorta, just above the aortic valve
Definition
Where do the coronary arteries originate?
Term
Left Ventricle, Interventricular Septum, Part of the Right Ventricle and the heart's conduction system.
Definition
What parts of the heart does the Left Coronary artery perfuse?
Term
Anterior Descending and the Circumflex Artery
Definition
What are the 2 main branches of the Left Coronary Artery?
Term
Portion of the Right Atrium, Right Ventricle and part of the conduction system.
Definition
What portions of the heart does the Right Coronary Artery perfuse?
Term
Posterior Descending Artery and the Marginal Artery
Definition
What are the two major branches of the Right Coronary Artery?
Term
During Diastole because the aortic valve leaflets cover the coronary artery openings (ostia) during systole.
Definition
When do the coronary vessels recieve their blood?
Term
Tunica Intima (1 cell thick)
Definition
What is the name of the innermost layer of the vasculature? What is unique about this layer?
Term

Tunica Media

 

Consists of elastic fibers and muscle that give the vessels strength and recoil

Definition
What is the name of the middle layer of the vasculature? What is specific to this layer?
Term

Tunica Adventitia

 

Fibrous tissue covering of the vessel

Definition
What is the name of the outermost layer of the vasculature and what is specific to this layer?
Term
Lumen
Definition
What is the name for the cavity inside the vessels?
Term
cardiac cycle
Definition
What is the term for the sequence of events that occurs between the end of one heart contraction and the end of the next?
Term
Cardiac Plexus
Definition
What is the name of the network of nerves at the base of the heart through which the sympathetic system innervates the heart?
Term
Alpha and Beta receptors
Definition
What are the two principal types of receptors of the sympathetic nervous system?
Term
Peripheral blood vessels and are responsible for vasoconstriction
Definition
Where are the Alpha receptors located and what is their function?
Term
Primarily in the heart; increase rate and contractility
Definition
Where are the Beta 1 receptors located and what is their function?
Term
In the lungs and peripheral blood vessels; cause bronchial and peripheral vasodilation
Definition
Where are the Beta 2 receptors located and what is their primary function?
Term
slow heart rate and drop BP by blocking beta 1 receptors
Definition
What purpose do beta blockers serve and how do they achieve the desired effect?
Term
Vagus nerve (the 10th cranial nerve)
Definition
Parasympathetic control of the heart occurs through the _______________?
Term
Chronotrophy
Definition
This term refers to heart rate?
Term
Inotropy
Definition
This term refers to the strength of a cardiac muscular contraction?
Term
Dromotropy
Definition

This term refers to the rate of nervous impulse conduction?

 

A positive ___________ agent would speed conduction while a negative _____________ agent would slow conduction.

Term
Atrial Natriuretic Peptide (ANP)
Definition

This is a cardiac hormone that is manufactured, stored  and released by atrial muscle cells in response to such things as atrial distention and sympathetic stimulation.

 

Primarily counters the renin angiotensin aldosterone system and causes a reduction in blood volume resulting in decreased central venous pressure (CVP), cardiac output and blood pressure.

Term
Brain Natriuretic Peptide (BNP)
Definition
Initially discovered in the brain, this hormone is secreted principally by the ventricles of the heart in response to excessive stretching of myocytes. It also serves to counter the renin angiotensin aldosterone system and causes a reduction in blood volume, resulting in decreased central venous pressure (CVP), cardiac output, and blood pressure. The half life is twice as long as the other hormone.
Term
Brain Natriuretic Peptide (BNP
Definition
Which of the cardiac hormones show elevated levels in CHF and has become a marker for the presence of CHF?
Term

Sodium (Na+): Depolarization of myocardium

 

Calcium (Ca++): Myocardial depolarization and myocardial contraction (Hypercalcemia = increased contractility while Hypocalcemia = decreased contractility and increased electrical irritability)

 

Potassium (K+): Repolarization (hypokalemia = increases irritability / hyperkalemia = decreases automaticity and conduction)

 

Chloride (Cl-) and Magnesium (Mg++)

Definition

What five electrolytes affect cardiac function?

 

What are their functions?

Term

Intercalated Discs

 

Syncytium

Definition

These structures connect cardiac muscle fibers and conduct electrical impulses quickly (400x faster than std cell membranes). This speed allows the cells to function physically as a unit, resulting in a coordinated contraction?

 

What is this functional unit called?

Term
Excitability
Definition
The cells can respond to an electrical stimulus, like all other myocardial cells.
Term
conductivity
Definition
The cells can propagate the electrical impulse from one cell to another.
Term
Automaticity
Definition
The individual cells of the conductive system can depolarize without any impulse from an outside source; also called self excitation.
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