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Heart- Roseman
Heart Terms
56
Nursing
Undergraduate 1
02/06/2012

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Term
Automaticity
Definition
Ability of cardio muscles to depolarize spontaneously w/out external electrical stimulation from nervous system.

Occurs in myocardium
Term
Preload
Definition
Venous return that builds up during diastole.

Length to which the ventricle muscle is stretched at the end of diastole just before contraction
Term
Afterload
Definition
opposing pressure that the ventricle must generate to open the aortic valve against higher aortic pressure.

Resistance against which the ventricle must pump its blood.
Term
Apical Impulse
Definition
Point of maximal impulse, PMI.

Pulsation created as the left ventricle rotates against the chest wall during systole.

normally at the 5th left intercostal space in the midclavicular line
Term
Arrhythmia
Definition
Ectopic beats.

Common increase with aging.

any of a group of conditions in which the electrical activity of the heart is irregular or is faster or slower than normal.
Term
Bruit
Definition
Blowing, swishing sound indicating blood flow turbulence
Term
Cardiac Output
Definition
SV x = CO

Amount of blood pump from the heart each minute
Term
Systole
Definition
Hearts pumping phase

Contraction of the ventricles where blood is pumped from ventricles and fills pulmonary and systemic arteries

Takes up 1/3 of the cardiac cycle
Term
Diastole
Definition
Hearts filling phase

Relaxation of the ventricles. Allowing them to fill with blood

Takes up 2/3 of the cardiac cycle

Normal silent sound
Term
Orthopnea
Definition
The need to assume a more upright position to breath
Term
Pulse Deficit
Definition
Signals a weak contraction of ventricles and occurs with arterial fibrillation, premature beats, and hear failure.
Term
Pulse pressure
Definition
Difference between systolic and diastolic pressure
Term
Sinus Rhythm
Definition
The normal beating of the heart. Measured by EKGs
Term
Sinus Arrhythmia
Definition
Rhythm caries with the persons breathing, increasing at the peak of inspiration and slowing with expiration.
Term
Murmur
Definition
Valves are not shutting all the way so there is back flow of blood, causing other sounds to be heard. Usually the mitral valve
Term
Arterial Kick
Definition
Atrium – fills up like a balloon and stretches, because it is so inflated there is a larger kick or contraction of the atrium. the priming force contributed by atrial contraction immediately before ventricular systole that acts to increase the efficiency of ventricular ejection due to acutely increased preload.
Term
Sound 1
Definition
Closure of the AV valves and thus signals the beginning of systole
Term
Sound 2
Definition
Closure of the semilunar valves and signals the end of systole
Term
Angina Pectoris
Definition
Acute chest pain that occurs when myocardial demand exceeds oxygen supply
Term
Aortic regurgitation
Definition
(aortic insufficiency)

incompetent aortic valve that allows backward flow of blood into the left ventricle during diastole
Term
Aortic Stenosis
Definition
Calcification of aortic valve cups that restricts forward flow of blood during systole
Term
Aortic Valve
Definition
The left semilunar valve separating the left ventricle and the aorta
Term
Apex of the heart
Definition
Tip of the heart pointing down towards the fifth left intercostal space
Term
Apical impulse
Definition
(point of maximal impulse, PMI)

pulsation created as the left ventricle rotates against the chest wall during systole, normally at the 5th left intercostal space in the midclavicular line
Term
Base of the heart
Definition
Broader area of the heart’s outline located at the 3rd right and left intercostal space
Term
Bell (of the stethoscope)
Definition
Cup-shaped end-piece used for soft, or low-pitched heart sounds
Term
Bradycardia
Definition
Slow heart rate, less than 50 beats per minute in the adult
Term
Clubbing
Definition
Bulbous enlargement of distal phalanges of fingers and toes that occurs with chronic cyanotic heat and lung conditions
Term
Coarctation of aorta
Definition
Severe narrowing of the descending aorta, is a congenital heart defect
Term
Cor pulmonale
Definition
Right ventricular hypertrophy and heart failure due to pulmonary hypertension
Term
Diaphragm (of the stethoscope):
Definition
Flat end-piece of the stethoscope used for hearing relatively high-pitched heart sounds
Term
Dyspnea
Definition
Difficult, labored breathing – shortness of breath
Term
Erb’s point
Definition
Transitional auscultatory area in the 3rd left intercostal space
Term
Fourth heart sound (S4)
Definition
S4 gallop; atrial gallop. Very soft, low-pitched, ventricular filling sound that occurs in late diastole
Term
Gallop rhythm
Definition
The addition of a 3rd or 4th heart sound makes the rhythm sound like the cadence of a galloping horse
Term
Inching
Definition
Technique of moving the stethoscope incrementally across the pre-cordium through the auscultatory areas while listening to the heart sounds.
Term
LVH – Left ventricular hypertrophy
Definition
: Increase in thickness of myocardial wall that occurs when the heart pumps against chronic outflow obstructions; e.g. aortic stenosis
Term
MCL – mid-clavicular line
Definition
Imaginary vertical line bisecting the middle of the clavicle in each hemi-thorax
Term
Mitral regurgitation
Definition
Mitral insufficiency;

incompetent mitral valve that allows regurgitation of blood back into the left atrium during systole
Term
Mitral stenosis
Definition
Calcified mitral valve impedes forward flow of blood into the left ventricle during diastole
Term
Mitral valve
Definition
Left AV valve separating the left atria and ventricle
Term
Palpitation
Definition
Uncomfortable awareness of rapid or irregular heart rate
Term
Paradoxical splitting
Definition
Opposite of a normal split S2 so that the split is hear in expiration, and inspiration the sounds fuse to one side
Term
Pericardial friction rub
Definition
High-pitched scratch extra-cardiac sound heard when the precordium is inflamed
Term
Physiologic splitting
Definition
Normal variation in S2 heard as two separate components during inspiration
Term
Precordium
Definition
Area of the chest wall overlying the heart and great vessels
Term
Pulmonic regurgitation
Definition
Pulmonic insufficiency; backflow of blood through incompetent pulmonic valves into the right ventricle
Term
Pulmonic stenosis
Definition
Calcification of pulmonic valve that restricts forward flow of blood during systole
Term
Pulmonic valve
Definition
Right semilunar valve separating the right ventricle and the pulmonary artery
Term
Second heart sounds – S2
Definition
Occurs with closure of the semilunar valves, aortic and pulmonic, and signals the end of systole
Term
Summation gallop
Definition
Abnormal mid-diastolic heart sound heard when both the pathologic S3 and S4 are present
Term
Syncope
Definition
Temporary loss of consciousness due to decreased cerebral blood flow (fainting), caused by ventricular asystole, pronounced bradycardia, or ventricular fibrillation
Term
Tachycardia
Definition
Rapid heart rate, greater than 100 beats per minute in the adult
Term
Third heart sounds – S3
Definition
Soft, low-pitched, ventricular filling sound that occurs in early diastole (S3 gallop) and may be an early sign of heart failure
Term
Thrill
Definition
Palpable vibration on the chest wall accompanying severe heart murmur
Term
Tricuspid valve
Definition
Right AV valve that is separating the right atria and the ventricle
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