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Exam 3
N/A
28
Physiology
Undergraduate 3
11/10/2009

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Cards

Term
Cardiac Cell Structure
Definition
  • Cylindrical shaped cells.
  • Intercalated disks join cells end-to-end.
  • Filaments- as in skeletal muscle.
  • Thin filaments activation by Ca++ binding to troponin.
Term
Intercalated Disks
Definition
  • Strong connections between cells.
  • Desmosomes for strength.
  • Gap junctions for electrical activation spread.
Term
Circulatory Flow Circuit
Definition
  • Systemic: LV to aorta to body to vena cava to RA.
  • Pulmonary: RV to pulmonaryartery to lungs to pulmonary vein to LA.
Term
Cardiac Activation Structures
Definition
  • Activation pathway has autorhythmic cells.
Term
Atria
Definition
  • Site of normal heartbeat initation.
Term
SA Node
Definition
  • In right atrium.
  • Depolarizes to threshold starts AP.
  • Fastest depolarizer- no stable vaseline membrane potential.
  • The internodal pathway connects the SA node to the AV node.
  • Premature beats occur if the heartbeat starts elsewhere--not usually harmful.
Term
Atrial Muscle
Definition
  • Right atrium activated by SA node- spreads toward the LA using the interatrial pathway.
  • Spread through gap junction.
  • Not autorhythmic-contraction spreads downward.
Term
AV Node
Definition
  • Electrical connection from atria to ventricles.
  • Delays AP spread, allows ventricular filling to be completed.
  • AV block produces seperate atrial and ventricular activation.
Term
Ventricles
Definition
  • AP enters septum first, spreadsto apex, then up to ventricular muscle.
  • V muscle contraction spreads upward.
Term
Bundle of His
Definition
  • Off the AV node and down to septum.
Term
Ventricular Muscle
Definition
  • Apex cells activated first by Purkanje Fibers, then muscle cell-to-cell through gap junctions.
  • Contraction spreads upward, forcing blood into aorta and pulmonary artery.
Term
Pacemaker Cells
Definition
  • Autorhythmic, no stable baseline potential.
  • SA and AV nodes, some cells of Bundle of His and Perkenje Fibers.
Term
Depolarization
Definition
  • Closing of K+ channels, opening of Ca++ channels.
  • Little Na+ influence.
Term
Neural Influences
Definition
  • Sympathetic neurons- NE opens Ca++ channels.
  • Parasympathetic Neurons- ACH.
  • Decreases K+ closing rate.
  • ACH decreases Ca++ channel opening.
  • Decreases heart rate.
Term
Cardiac Cycle
Definition
  • Sequence of contraction and relaxation
  • 4-valves, ZA-V, aortic/pulmonary, keep blood flowing one way.
Term
Diastole
Definition
  • Relaxed heart.
  • Time for filling.
  • End diastolic volume- 130 mL.
Term
Atrial Systole
Definition
  • Contracts first.
  • Completes filling of ventricles.
Term
Ventricular Systole
Definition
  • Follows atrial contraction.
  • Contraction spreads upward.
  • Pressure must begreater than aorta to open aortic valve.
Term
Aortic Pressure
Definition
  • Load left ventricle works against.
  • High BP puts greater load on heart.
Term
Ejected Blood Volume
Definition
  • 70-90 mL of blood ejected/beat.
  • 65% of end diastolic volume.
  • Lower HR means higher ejected volume.
Term
Heart Rate Dependence
Definition
  • The max heart rate is (220-age).
  • Rates above 180 decrease filling time.
  • Must be motivated to exceed 180.
  • This can decrease cardiac output.
  • Potentially life threatening.
Term
Arterial Pulse
Definition
  • Arterial walls expand to hold blood.
  • Rebounds during diastole-creates pulse.
  • Little drop in BP throughout arteries.
Term
Heart Sounds
Definition
  • Closing of the valves-turbulent blood flow creates sounds.
  • Low pressure AV (mitral and tricuspid) first, thenhigh pressure aortic and pulmonary valves.
  • Different sound intersitles.
Term
Murmurs
Definition
  • Non-laminer (non smooth) flow -> sound when valves should be closed.
Term
Valve Stenosis
Definition
  • Stiff valve-small opening.
  • Turbulent flow as blood squirts through.
Term
Valve Insufficiency
Definition
  • Valve leaves dont properly mesh.
Term
Cardiac Output
Definition
  • 70 mL- at 70 beats/min= ~5L/min.
  • Body has about 5L of blood.
  • Circulation time: 1 minute.
Term
Stroke Volume x Heart Rate
Definition
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