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cardio anatomy
131
Medical
Professional
10/03/2010

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Term
action potential
Definition
electrical event in cardiac muscle cells that are associated with cellular contraction
Term
adenosine diphosphate (ADP)
Definition
a substance released from activated platelets that causes more platelet activation as well as platelet aggregation
Term
antithrombin
Definition
a protein with anticoagulant activity that inhibits thrombin and other clotting factors
Term
arteries
Definition
blood vessels that carry blodd away from the heart
Term
atria
Definition
upper chambers of the heart that receive blood returning to the heart
Term
atrial natriuretic peptide
Definition
a hormone produced in the atria of the heart that promotes salt and water excretion by the kidneys and has various other functions that reduce blood pressure
Term
automaticity
Definition
the ability to spontaneously generate action potentials (impulses) that can propagate other excitable cells
Term
bachmanns bundle
Definition
specialized cardiac conduction fibers that rapidly transmit signals from the sa node to thee left atrium
Term
brances
Definition
tubular extensions that extend outward from a larger cavity having a shape that is analogous to a tree branch
Term
cardiac output
Definition
the amount of blood ejected by each ventricle of the heart per minute
Term
cardioembolism
Definition
the occlusion of an artery caused by a thrombusthat forms in the hearrt and breaks free to enter the arterial circulation
Term
casts
Definition
a mold created by filling a hollow structure with a liquid that hardens, and removing the tissue after the hardening process is complete
Term
clotting factors
Definition
blood proteins that, when activated, interact with each other and cofactors to form a blood clot
Term
collaen
Definition
a fibrous protein found in all of the bodys connective tissues, including blood vessel walls
Term
collagen
Definition
a fibrous protein found in all of the bodys connective tissues, including blood vessel walls
Term
collateral circulation
Definition
alternative pathways for blood flow through a tissue
Term
ectopic pacemakers
Definition
abnormal groups of cells that spontaneously depolarize creating an impulse that can propagate through the myocardium; these cells act as abnormal foci for the generation of cardiac impulses, which normally occurs in the sa node
Term
embolus
Definition
a blood clot that breeaks free from the site of its formation and travels through the bloodstream to lodge in a small blood vessel, causing occlusion of the vessel
Term
erythrocytes
Definition
red blood cells
Term
erythrocytes
Definition
red blood cells
Term
hematocrit
Definition
the percentae of a centrifued blood sample composed of packed red blood cells
Term
hemoglobin
Definition
an iron-containing protein found in red blood cells that play a critical rol ein oxygen transport
Term
hemostasis
Definition
stoppage of loss of blood thtrough an injured vessel
Term
inferior vena cava
Definition
the large vein that collects blood from the lower portions of the body and returns it to the heart
Term
insoluble
Definition
incapable of dissolving in a solvent such as water
Term
ions
Definition
an atom or group of atoms that carries an electric charge by virtue of having gained or lost one or more electrons; examples include sodium na ions, potassium k ions, and calcium ca ions
Term
ischemia
Definition
inadequate oxygenation of a tissue due to impaired blood flow
Term
leukocytes
Definition
white blood cells
Term
megakaryocyte
Definition
a large cell in the bone marrow that produces platelets
Term
myocardium
Definition
the muscular layer of the heart wall that generates the force required for the hearts contractions
Term
nvaf
Definition
nonvalvular atrial fibrilation; atrial fibrillation that is not associated with a disorder of the heart valves
Term
osmotic pressure
Definition
a measure of the force that draws water across a memebrane from a solution with a low concentration of a dissolved substance to a solution with a high concentration of a dissolved substance
Term
pathogenesis
Definition
a description of the mechanisms responsible for the development of a disease
Term
phospholipid
Definition
a fat molecule that has an attached phosphate group
Term
plasmin
Definition
an enzyme that can convert fibrin into soluble products
Term
plasminogen
Definition
an inactive precursor of the plasmin
Term
protease-activated receptors
Definition
proteins found on the surface of platelets that can initiate platelet activation when their structure is altered by thrombin
Term
prothrombin
Definition
an inactive plasma protein that serves as a precursor for thrombin; also known as factor ll
Term
prothrombinase complex
Definition
an assembly of activated clotting factors, including factors Va and Xa, that can convert prothrombin into thrombin
Term
pulmonary circulation
Definition
the arteries and veins that carry blood to and from the lungs, where the blood is oxygenated
Term
recombinant t-PA
Definition
a tissue plasminogen activator product produced by introducing the human gene for t-PA into an established mammalian cell line which then synthesizes and releases t-PA into the cell growth medium
Term
refractory
Definition
incapable of generating an action potential or propagating an impulse
Term
soluble proteins
Definition
proteins that are dissolved in a solvent, such as water
Term
subendothelial
Definition
referring to the layer of a blood vessel wall that lies beneath the inner lining of the blood vessel
Term
superior vena cava
Definition
the large vein that collects blood from the head and upper portions of the body and returns it to the heart
Term
syncytium
Definition
a group of cells that behave as a single functional unit
Term
systemic circulation
Definition
the artereies and veins that connect the heart to the organs and tissues of the the body, other than the lungs
Term
thrombin
Definition
a clotting factor that plays a key role in the coagulation of blood and the formation of blood clots; also known as factor lla
Term
thrombomodulin
Definition
a glycoprotein present in the cell membrane of endothelial cells that binds thrombin, activates protein c, and participates in additional regulatory mechanisms in coagulation
Term
thromboxane A2
Definition
a substance released from activated platelets that causes vasoconstriction
Term
tissue factor
Definition
a substance present in subendothelial tissue that can initiate the formation of small quantities of thrombin
Term
tissue plasminogen activator (t-PA)
Definition
a naturally occurring enzyme that can convert plasminogen to plasmin
Term
twigs
Definition
small extensions from a branch analogous to the twigs that extend from a tree branch
Term
veins
Definition
carry blood toward the heart
Term
ventricles
Definition
the lower chambers of the heart that pump blood into the bodys major arteries
Term
ventricular diastole
Definition
that part of teh cardiac cycle during which the ventricles relax (when the word diastole is used alone it usually refered to as ventricular diastole)
Term
ventricular systole
Definition
that part of the cardiac cycle during which the bentricles contract
Term
von willebrand factor
Definition
a protein that can link platelet gplba receptors to collagen; it may also interact with other platelet receptors
Term
afterdepolarizations
Definition
depolarizations of a cardiac cell membrane taht occur out of sequence with the normal rhythmic depolarization and repolarization of the membrane
Term
atrial dilation
Definition
the enlargement of the atria with the thinning of the atrial walls, usually in respnse to increased atrial blood pressure
Term
atrial flutter
Definition
a cardiac arrhythmia in which the atrial impulses are rapid (200-350 per min) but regular (organized)
Term
bradycardia
Definition
a heart rate leass than 60 beats per min in adults
Term
cardiac venting
Definition
a technique used to remove blood from the heart during open heart surgery
Term
cardioversion
Definition
the restoration of a normal heart rhythm with drugs or via the application of an electric shock
Term
cardioversion
Definition
the restoration of a normal heart rhythm with drugs or via the application of an electric shock
Term
congestive heart failure chf
Definition
inadequacy of the heart so that as a pump it fails to maintain the circulation of blood with the result that congestion and edema develop in the tissues
Term
contractility
Definition
the ability or tendency to contract
Term
coronary sinus
Definition
a large vessel on the posterior surface of the heart into which the cardiac veins drain
Term
effective refractory period erp
Definition
the period of time during which a cell that has generated an action potential cannot generate another
Term
electrical remodeling
Definition
alterations in cell physiology that affect electrical processes of the cell
Term
excitation-contraction coupling
Definition
a process initiated by the entry of calcium into a muscle cell which results in the interaction of contractile filaments within the cell, and cellular contraction
Term
extracellular atrial material
Definition
components of the atrial tissue that lie outside of the cells such as fibrous connective tissue
Term
fibrillatory waves
Definition
small rapid deflections on an ecg recording that suggest the presence of uncoordinated electrical activity in the myocardium
Term
fibrosis
Definition
the formation of tough, nonconducting fibrous tissue ithin the myocardium
Term
gap junctions
Definition
specialized regions of fusion between the cell membranes of two adjacent cells that permit the diffusion of ions and small molecules from one cell to the next
Term
holter monitor
Definition
a type of portable, continuous ecg recorder used to detect the frequency and duration of cardiac rhythm disturbances
Term
lone atrial fibrillation
Definition
atrial fibrillation that occurs in a young individual with no concomitant cardiovascular or pulmonary disease
Term
multivariate analysis
Definition
a statistical procedure that is used to analyze more than one variabl eat the same time
Term
myocardial infarction
Definition
the death of a portion of heart muscle tissue due to an intereruption in its oxygen supply, usually associated with occlusion of a coronary artery
Term
p wave
Definition
a deflection on an ecg recording that represents the depolarization of the atrial myocardium
Term
palpitations
Definition
a subjective sensation of an unduly rapid or irregular heartbeat
Term
qrs complex
Definition
a series of waves or deflections on an ecg recording that represent the depolarization of the ventricular myocardium
Term
reentry
Definition
the return of an impulse into a zone of heart muscle that it has recently activated which is sufficiently delayed so taht the zone is no longer refractory
Term
relative risk
Definition
the ratio of the chance of a disease developing among members of a popluation exposed to a factor compared with a similar population not exposed to the factor
Term
secondary atrial fibrillation
Definition
atrial fibrillation attributable to another condition
Term
secondary atrial fibrillation
Definition
atrial fibrillation attributable to another condition
Term
t wave
Definition
a deflection on an ecg recording that represents the repolarization of the ventricular myocardium
Term
tachycardia
Definition
a heart rate above 100 beats per minute
Term
transient ischemic attack tia
Definition
a brief episode of neurologic dysfunction caused by focal brain or retinal ischemia, with clinical symptoms typically lasting less than one hour, and without evidence of acute infarction
Term
triggered activity
Definition
action potentials that occur following afterdepolarizations that can initiate abnormal contractions of teh myocardium
Term
aneurysm
Definition
a bulge or dilation in teh wall of an artery due to a weakness in teh arterey wall
Term
angina
Definition
a sqeezing chest discomfort attributable to a lack of oxygen supply to the heart muscle; it is often brought on by exercise and relieved by rest
Term
angina
Definition
a sqeezing chest discomfort attributable to a lack of oxygen supply to the heart muscle; it is often brought on by exercise and relieved by rest
Term
atherosclerosis
Definition
a progressive disease of medium to large sized arteries that involves the formation of fatty plaques on teh artery walls, which may lead to arterial occlusion
Term
cardioembolic stroke
Definition
a stroke caused by the occlusion of an artery that supplies the brain caused by a thrombus that forms in the heart and breaks free to enter the arterial circulation
Term
cerebral infarction
Definition
the death of brain tissue due to lack of blood supply. stroke
Term
cerebral ischemia
Definition
inadequate oxygenation of the brain due to impaired blood flow
Term
coronary heart disease (chd)
Definition
an accumulation of cholesterol laden plaques in the blood vessels that supply the heart, which can reduce blood flo an ddeprive the heart of exygen (myocardial ischemia)
Term
doppler echocardiography
Definition
an augmentation of echocardiographic technology that allows for tehe measurement of blood flow velocity
Term
endocardium
Definition
the layer of cells that lines teh inside surface of the chambers of the heart
Term
glomerular filtration rate
Definition
a measure of the rate at which blood is filtered by the kidneys, decreases, in the rate are a sign of diminished kidney function
Term
heart failure
Definition
inadequacy of the heart so taht as a pump it fails to maintain the circulation of blood
Term
hemorrhagic strokes
Definition
strokes that are attributable to bleeding in or around the brain
Term
INR
Definition
interenational normalized ratio: a measure of teh time it takes blood to clot compared with normal clotting times, it is based on a lab test called the prothrombin time
Term
ischemic stroke
Definition
strokes associated iwth the occlusion of a blood vessel supplying the brain
Term
left ventricular systolic function
Definition
the ability of the left ventricle to efficiently eject blood into the aorta durin ventricular systole
Term
neurologic deficits
Definition
deficiencies in fuction attributable to abnormalities of the brain or nervous system; in stroke patients, such deficits may manifest in the form of speech or visual disturbances, paralysis, or other symptoms
Term
paraxysmal nvaf
Definition
nvaf that spontaneously terminates within 7 days (usually within 24 hrs)
Term
permanent nvaf
Definition
nvaf that persists despite efforts at cardioversion, or nvaf in which cardioversion has not been attempted b/c it is not an appropriate strategy for the patient
Term
proteinuria
Definition
the abnormal presence of protein in the urine
Term
prothrombin fragments
Definition
parts of prothrombin molecule that are inzymatically removed during hte conversion of prothrombin to thrombin
Term
rate control
Definition
in the presence of a history of AF, a therapeutic strategy that accepts the presence of AF, while maintaining control over teh ventricular response rate to within acceptable limits through the administration of drugs or teh use of a pacemaker
Term
rhythm control
Definition
in the presence of a history of AF, a therapeutic strategy to maintain sinus rhythm through appropriate therapeutic interventions such as anti-arrhthmic drugs, cardioversion or ablation
Term
spontaneous echo contrast (sec)
Definition
swirling, smoke-like images observed during echocardiographic procedures that suggest the presence of reduced blood flow velocity
Term
thrombomodulin
Definition
a glycoprotein present in the cell membanes of endothelial and endocardial cells that binds with thrombin, activates protein c, and participates in additional regulatory mchanisms in coagulation
Term
transducer
Definition
an instrument that is capable of both sending and receiving ultra high frequency sound waves
Term
transesophageal echocardiography (TEE)
Definition
a diagnostic ultrasound procedure used to visualize the heart chambers, including the LAA, that is performed with a transducer placed within the esophagus
Term
transthoracic echocardiography (TTE)
Definition
a ddiagnostic ultrasound procedure used to visualiz the heart chambers and valves aht is performed with a transducer place don the exterior surface of teh chest wall
Term
warfarin
Definition
an anticoagulant drug taht acs sb inhibiting the synthesis of various clotting factors
Term
ataxia
Definition
the inability to coordinate the movements of muscles
Term
av block
Definition
inhibited tansmission of impulses through the av node
Term
av node ablation
Definition
the surgical elimination of the av node for therapeutic purposes
Term
beta blocker
Definition
a drug that reduces the actions of the sympathetic nervous system of the heart
Term
calcium channel antagonist
Definition
a drug that inhibits the entry of calcium ions into cardiac and smooth muscles
Term
cardiac glycoside
Definition
any of several sugar containing molecules obtained chiefly from plant sources such as teh foxglove used medicinally to increase the force of contraction of the heart muscle and regulate heart rhythm
Term
cardiac tamponade
Definition
a potentially dangerous condtion in which the heart is compressed, either by blood in the pericardial sac or by a penetrating injury, so that its normal function is impeded
Term
catheter ablation
Definition
the elimination of foci taht triger episodes of nvaf by the application of high frequency elecrical energy through a catheter electrode
Term
coronary sinus
Definition
a large vessel on the posterior surface of teh heart into which the cardiac veins drain
Term
CYP3A4 enzyme
Definition
a liver enzyme that is responsible for the metabolism of many drugs; more drugs are metabolized by this enyme than any other enzyme in the CYP 450 group
Term
CYP2D6 enyzyme
Definition
a liver enzyme that is respnsible for teh metabolism of many drugs; about 7% of the population is genetically deficient in the production of this enzyme
Term
ejection fraction
Definition
the percentage of the total volume of blood in a ventricle of the heart that is ejected with each beat
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