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Clinical Chemistry
Cardiac Function and Lipids Exam 2
40
Chemistry
Undergraduate 3
03/15/2010

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Term
Pericardium
Definition
Double-walled sac that surrounds heart with a serous membrane between layers
Term
Epicardium
Definition
outer layer of the heart
Term
Myocardium
Definition
middle layer, cardiac muscle, pumps blood
Term
Endocardium
Definition
inner layer; forms valves
Term
Atrioventricular Valves
Definition
between atria and ventricles
Term
semi-lunar valves
Definition
between ventricles and corresponding arteries
Term
Sinoatrial node
Definition
pacemaker; iniates contractions and located in the right atrium; generates impulses at a basic rate of 70 bpm
Term
QRS
Definition
Ventricular depolarization, contraction
Term
P
Definition
atrial depolarization
Term
T
Definition
ventricular repolarization
Term
Thick Filaments
Definition
Myosin
Term
Thin filaments
Definition
actin
Term
Anisotropic (A) band
Definition
contains both actin and myosin
Term
Isotropic (I) band
Definition
contains only actin
Term
Z band
Definition
attachment of actin and associated proteins
Term
Myosin
Definition
Large filamentous molecule composed of 6 peptide chains 2 heavy chains and 4 light chains
Term
Actin
Definition
Long filaments polymers of 2 strands of globular monomers
Term
Cardiac Specific troponins
Definition
Troponin T cTnT and Troponin I cTnI
Term
Congestive Heart Failure
Definition
Characterized by edema in the lungs, rest of body; caused by coronary artery disease, cardiomyopathies, myocarditis, valvular disease, cardiac arrhythmias
Term
Uremia
Definition
an increase in blood urea
Term
Azotemia
Definition
an increase in N2-containing endproducts including urea, creatinine and uric acid
Term
Brain Natriuretic Peptide (BNP)
Definition
Released in response to ventricle volume expansion and pressure overload, approved for diagnosis of CHF
Term
Chronic Heart Disease Risk Factors
Definition
Hypertension, Sedentary lifestyle, response to stress, diabetes mellitus, hyperlipidemia.
Term
Consequences of ischemia
Definition
CHF
Angina pectoris
Myocardial Infarction (MI=heart attack)
Term
Diagnosis of Myocardial Infarction
Definition
Patient history, serum markers, EKG Changes (need 2 out of 3 to make diagnosis)
Term
CK-1 (CK-BB)
Definition
Predominantly in brain; closest to the cathode in electrophoresis
Term
CK-2 (CK-MB)
Definition
Relatively specific to heart; in between CK 1-3 for electrophoresis
Term
CK-3 (CK-MM)
Definition
Cardiac and skeletal muscle; stays by the anode in electrophoresis
Term
Myoglobin (Cardiac marker)
Definition
Found in skeletal and cardiac muscle.
Rapidly released upon muscle damage
After MI increases 2-4 hours and peaks at 6 hours.
Term
Lipid
Definition
Hydrophobic, non-polar organic molecules
Diverse structure and function including:
cell membrane components, bile acids, steroid hormones, surfactants, vitamins, energy source
Term
Tangier Disease
Definition
Caused by increased catabolism of HDL
Defect in catabolism on Apo A-I
Homozygotes may have increased risk of CHD
Heterozygotes exhibit no clinical manifestations
Term
Plasma Appearance
Creamy layer on top indicates
Definition
increased chylomicrons (need a fasting sample which this is not)
Term
Plasma appearance is Lipemic (turbid of milky throughout)
Definition
increased VLDL, IDL
Term
Plasma appearance is no turbity, slight orange color
Definition
increased LDL
Term
Plasma appearance is Normal, Clear
Definition
Increased HDL
Term
Atherogenic Lipoproteins
Definition
LDL, IDL, Lp(a), Chylomicrons, VLDL, Chylomicron remnants
Term
The majority of the plasma cholesterol is transported by which lipoprotein?
Definition
LDL
Term
High levels of which lipoprotein class are associated with a decrease risk of accelerated atherosclerosis?
Definition
HDL
Term
Important functions of cholesterol
Definition
Formation of bile acids
Structural component of cell membranes
precursors of steroid hormones
Term
ApoB100
Definition
the apoprotein that contributes to the atherogenic properties of LDL particles
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