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Cardiology
Overview
82
Medical
Graduate
09/07/2010

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Cards

Term
Kidneys
Definition
Which organ in the body gets about 20% of the cardiac output?
Term
Circulatory failure
Definition
Inadequate local or systemic perfusion by blood.
Term
Cytochrome C Oxidase
Definition
What enzyme is affected by cyanide (HCN)?
Term
Mitochondrial level
Definition
When there is a toxicity, at what level does this occur?
Term
decrease
Definition
If the resistance of the vasculature goes down, what will happen to the pressure?
Term
Flow
Definition

What is defined as movement of a liquid?

 

It could be measured in volume/unit of time.

Term
Velocity
Definition

What is defined as rate of movement?

 

It is measured in distance/unit of time.

Term

Increase

 

*like a kinked hose

Definition
If vessels are stenotic, what will happen to the velocity?
Term
Blood Pressure
Definition
What is the term for the force of blood on a blood vessel?
Term
aerobic
Definition
What type of environment does the heart want?
Term
Cardiac Cycle
Definition
What are all of the events associated with one heart beat?
Term

It remains the same

 

*the isovolumic contraction is the time where the ventricle is contracting but the pressure has not exceeded the aortic pressure

Definition
During the isovulmic contraction period what happens to the volume in the ventricles?
Term

Open

 

*Closed during diastole

Definition
Is the aortic valve open or closed during systole?
Term
Cardiac Output
Definition
What is the HR x Stroke Volume?
Term
Afterload
Definition
What is the impendance against which the heart must work?
Term
Preload
Definition

What is the amount of filling of the ventricle at end diastole?

 

Also known as the amount of stretch applied to the ventricle before it contracts.

Term
Ejection Fraction
Definition
What is the most efficient meter of function of the heart?
Term
Increase
Definition
What do the stroke volume and ejection fraction do during exercise?
Term

SV - decrease

 

EF - stay the same

Definition

If someone loses alot of blood, what will their SV do?

 

Ejection Fraction?

Term
ATP
Definition
Both contraction and relaxation are ____ dependent.
Term
Isovolumic relaxation
Definition
In ventriclat diastole, what is associated with a sharp fall in ventricular pressure, but constant volume?
Term
Rapid filling phase
Definition
What begins with opening of the atrioventricular valves and is associated with falling ventricular and atrial pressures and increasing ventricular volume?
Term
Diastole
Definition
What is characterized by blood flowing into the ventricles from the periphery (systemic or lungs).  During this time there is a gradual increase in ventricular and atrial pressures and ventricular volume
Term
Isovolumic contraction
Definition
What is the interval of time between the start of systole and the opening of the semilunar valves?
Term
lateral direction
Definition
Most of the compression of the LV is in which direction?
Term
Reduced ejection Phase
Definition
What phase is characterized by decreasing aortic pressure as runoff of blood from the aorta to the periphery exceeds ventricular output
Term
End systolic Volume
Definition
At the end of systole (ejection) this volume of blood is approximately equal to that ejected remains in the ventricular cavities
Term

Greater

 

*ESV = the amt of blood left in the ventricles after contraction

Definition
In a pt with heart failure, is the ESV going to be greater or less than the SV?
Term

closed

 

*this is right as the ventricles are beginning to contract

Definition
Is the mitral valve open or closed during isovolumic contraction?
Term

increase

 

*this will increase venous return

Definition
By inhaling deeply, will you increase or decrease your preload?
Term

increase

 

*more pressure for the heart to pump against

Definition
Would a stenotic valve increase or decrease afterload?
Term
Inotropy
Definition
What is the energy of cardiac muscular contraction?
Term
decrease
Definition
Would shock make someone's inotropy increase or decrease?
Term

End systolic volume will be the same

 

More work for the heart

Definition

If you increase the preload of the heart, what will happen to the end-systolic volume?

 

Is this more or the same work for the heart?

Term
Decrease
Definition
In people with heart failure, we want to ______ the amount of venous return.
Term
increases
Definition
What does the SV do when the preload increases?
Term
it will increase
Definition
What will happen to the end systolic volume if you increase the afterload?
Term
it will decrease
Definition
What will happen to the strove volume if you increase the afterload?
Term

ESV - it will decrease

 

SV: increase

Definition

What happens to the end-systolic volume if you increase inotropy?

 

What about stroke volume?

Term
diastolic
Definition
Pulmonary edema can be a secondary effect of a person with _____ dysfunction.
Term
It will be reduced
Definition
What will happen to the uptake of Calcium in the SR if ischemia occurs?
Term
adrenergic
Definition
Calcium being taken up by the SR can be enhanced by what activation?
Term
heart muscle and valves
Definition
What two things does cardiac work depend on?
Term
increase
Definition
If you increase the resistance and the flow stays the same, what will the pressure do?
Term
blood flow
Definition
pressure = ________ x resistance
Term
cardiac output
Definition
heart rate x stroke volume = ________
Term
end diastolic - end systolic volume
Definition
How is stroke volume calculated?
Term
Cardiac Index
Definition
What normalizes Cardiac Output between individuals of varying body mass?
Term
Compliance
Definition
What is the ability to store blood volume under pressure?
Term

venous compliance

 

*much more able to store blood under pressure

like when you sit for awhile

Definition
Which is greater, arterial compliance or venous compliance?
Term
arteries
Definition
Are arteries or veins more capable of resistance?
Term
Adrenal Medulla
Definition
Where do catecholamines come from?
Term

increase - ALOT

 

*doesn't take alot of constricing to affect the resistance

Definition
If a blood vessel slightly constricts what will happen to the resistance?
Term

c. capillaries

 

*they do not have smooth muscle in them

Definition

If norepinephrine is given to vasoconstrict vessels, which vessels will not be affected?

a. arteries

b. veins

c. capillaries

Term
the valves closing
Definition
What structures of the heart hold the diastolic blood pressure above 0?
Term
it increases
Definition
As we age, what happens to our MAP's?
Term
it decreases
Definition
What happens to the pressure as you get further away from the heart?
Term
more
Definition
Is systemic circulation pressure more or less than pulmonary circulation pressure?
Term
Pressure
Definition

Pressure = flow x resistance

 

What is the dependent variable?

Term
Alpha receptors only
Definition
Which receptors does norepinephrine act upon?
Term

Increase

 

Increase

Definition
Increase plasma epinephrine is going to _____ the HR and ________ the Stroke Volume.
Term
it will decrease b/c the SV decreases b/c there is less time for the heart to fill
Definition
If a person has tachycardia, what will happen to the CO?
Term
Norepinephrine
Definition
Which hormone is a neurotransmitter and a circulating catecholamine?
Term
Vasodilation
Definition
What is the main action of a Beta 2 receptor?
Term
Vasoconstriction
Definition
What is the main action of an Alpha 1 receptor?
Term
increased HR & contractility
Definition
What is the main action of an Beta 1 receptor?
Term
Mobilizes glucose use for energy
Definition
What is the Beta effect on fat cells & muscle cells?
Term
sphincter
Definition
Alpha hormones increase the _____ contraction in the genitourinary system.
Term
Beta adrenergic
Definition
Stimulation of what enhances the opening for Calcium to get through to the cardiac muscle and increase contraction?
Term
Renin
Definition
If bloodflow is decreased to the kidneys, what will their juxtaglomerular cells secrete?
Term
Angiotensinogen
Definition
Renin act on _______ to make angiotensin I.
Term
Angiotensin Converting Enzyme (ACE)
Definition
Angiotensin I is converted to Angiotensin II by what?
Term

Vasoconstrictor

 

Increases

Definition
Angiotensin II is a potent ______ and _____ total peripheral resistance.
Term
Aldosterone
Definition
Angiotensin II stimulates the adrenal cortex to release what?
Term
Aldosterone
Definition
What hormone promotes sodium and water reabsorption of the kidneys?
Term
arginine vasopressin
Definition
What is the ADH horome in humans?
Term
Posterior Pituitary
Definition
Where is ADH released from?
Term
Retained
Definition
ADH causes water to be ______.
Term
Diastole
Definition
During what stage is the L ventricle receiving its perfusion?
Term

Lower HR

 

Higher SV

Definition
A trained athlete will have a _____ HR and a _____ SV.
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