Term
|
Definition
atrial contraction begins atria eject blood in ventricles |
|
|
Term
Give order of steps in cardiac cycle |
|
Definition
atrial systole ventricular systole ventricular diastole |
|
|
Term
|
Definition
end diastolic volume blood recieved by ventricles from atria (aka they have to end their nap(diastole) b/c atria is giving them blood. |
|
|
Term
EDV, S1 are in what step?, |
|
Definition
|
|
Term
|
Definition
Stroke volume volume of blood ejected by ventricle through semilunar valves |
|
|
Term
|
Definition
|
|
Term
SV, isovolumetric contractions semilumar valves close (S2) ESV ventricles release blood are in what step?, |
|
Definition
|
|
Term
|
Definition
end systolic volume volume of blood remaining after ventricle ejects blood through semilunar valves |
|
|
Term
the beginning of ventricular diastole what occurs?, |
|
Definition
high ventricular pressure
low atrial pressure
all valves closed isovolumetric relaxation |
|
|
Term
near the end of ventricular diastole what occurs?, |
|
Definition
high atrial pressure low ventricular pressure AV open passive atrial + ventricular filling begin |
|
|
Term
|
Definition
% of EDV represented by SV |
|
|
Term
|
Definition
ventricles are ejecting more blood through semilunar valves = increased cardiac output |
|
|
Term
|
Definition
there is more blood left in ventricles (instead of being released through semilunar valves) = decreased cardiac output |
|
|
Term
ESV is usually what % of EDV |
|
Definition
40 ESV (blood ejected through semilunar valve) is 40% of EDV (blood ventricle recieved from atria) |
|
|
Term
|
Definition
first sound, lub, loud AV close |
|
|
Term
|
Definition
second sound, dub, loud semilunar valves close |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
soft sounds heard during blood flow into ventricles, atrial contraction |
|
|
Term
sounds heard because of regurguitation of blood is |
|
Definition
|
|
Term
heart mumurs are caused by |
|
Definition
|
|
Term
If you have a heart attack patient with an end-diastolic volume of 125 ml and an end systolic volume of 40 ml. Calc stroke volume |
|
Definition
SV= EDV-ESV SV=125-40 =85 |
|
|
Term
|
Definition
vol of blood pumped by left ventricle in 1 min |
|
|
Term
|
Definition
= HR x SV heart rate (bpm) x stroke volume (ml/beat) |
|
|
Term
A patient has a heart rate of 125 beats/min, EDV of 130 mL and ESV of 40mL. What is cardiac output? |
|
Definition
CO= HR x SV
SV= EDV-EDV
130-40=90
CO=125 x 90= 11250 mL/min |
|
|
Term
factors affecting heart are |
|
Definition
autonomic innervation hormones |
|
|
Term
factors affecting stroke volume |
|
Definition
|
|
Term
Give an alternate but equal formula for CO |
|
Definition
|
|
Term
name the nervous system component in heart |
|
Definition
|
|
Term
which part of the brain also affects heart |
|
Definition
medulla oblongata with its cardio acceleratory cardio inhibitory centers |
|
|
Term
resting tone is maintained by |
|
Definition
,aCH (acetylocholine) NE (norepiphrine) |
|
|
Term
tell flow in cardioacceltory center |
|
Definition
impulses sent to sympathetic neruons cardiac plexus signal goes to AV & SA node |
|
|
Term
tell flow in cardioinhibitory center |
|
Definition
impulses sent to parasympathetic vagus
inhibitory impulses sent to heart. |
|
|
Term
why do pacemaker cells make the 1st heart beat? |
|
Definition
pacemaker cells in SA node have a membrane potential closer to threshold potential (-60 mV instead of -80 mv)
depolarizes fastest at a rate of 80 beats/min |
|
|
Term
sympathetic & parasympathetic stimulation is greatest at |
|
Definition
|
|
Term
Ach is what branch of nervous system
has what effect on heart |
|
Definition
parasympathetic, slows heart NE is part of what branch of nervous system |
|
|
Term
NE is part of what branch of nervous system
has what effect on heart |
|
Definition
sympathetic, speeds up heart |
|
|
Term
the atrial reflex is also called the |
|
Definition
|
|
Term
|
Definition
adjusts heart rate in response to increased venous return |
|
|
Term
When you excercise how does heart increase? |
|
Definition
Sympathetic nervous system kicks in stretchreceptors (mechanoreceptors) in r. atrium cause increase in HR |
|
|
Term
these hormones stimulate SA node and increase heart rate? |
|
Definition
epinephrine
norepinephrine thyroid hormone |
|
|
Term
factors that influence Stroke Volume |
|
Definition
duration of ventricular diastole (filling time)
rate of blood flow during ventricular diastole (venous return) |
|
|
Term
|
Definition
how much ventricle stretches during ventricular diastole
(aka how stretched are they before they contract (fill with blood) |
|
|
Term
if preload increases then EDV, |
|
Definition
|
|
Term
how does preload affect muscle cells |
|
Definition
ability to produce tension |
|
|
Term
at rest, EDV is myocardium stretches is stroke volume is |
|
Definition
|
|
Term
with excercise, EDV is myocardium stretches stroke volume, |
|
Definition
|
|
Term
|
Definition
EDV increases SV increases |
|
|
Term
the most important factor for controlling stoke volume is |
|
Definition
|
|
Term
ventricular expansion is limited by |
|
Definition
myocardial connective tissue
cardiac (fibrous) skeleton
pericardial sac |
|
|
Term
|
Definition
preload,contractility,afterload
afterload :tension the ventricle produces to open semilunar valve and eject blood. contractility def: ,force produced during contraction |
|
|
Term
|
Definition
tension the ventricle produces to open semilunar valve and eject blood |
|
|
Term
at a given preload contractility depends on |
|
Definition
autonomic activty (symp/parasymp) hormones |
|
|
Term
sympathetic stimulation effect on contractility |
|
Definition
ventricles contract with more force increases ejection fraction decreases ESV (less blood left in ventricles that should have been pumped) |
|
|
Term
parasympathetic stimulation effect on contractility |
|
Definition
ach released by vagus nerves
reduces force of cardiac contractions |
|
|
Term
if afterload increases then SV? |
|
Definition
|
|
Term
afterload can be increased by |
|
Definition
any factor that restricts arterial flow |
|
|
Term
|
Definition
difference btwn resting and maximal cardiac output |
|
|
Term
drugs that stimulate or block beta adrenergic receptors causes |
|
Definition
beta -one recepetors to be activated and heart rate increases |
|
|
Term
|
Definition
decrease force of cardiac contraction
decrease BP
dilate coronary arteries
weaken contractions |
|
|
Term
what is negative ionotropic effect?, |
|
Definition
contractions are weakened
can be due to Ca2+ channel blockers |
|
|
Term
|
Definition
depolarization of inventricular septum at left bundle branch |
|
|
Term
what would occur if valve was clogged with Ca2+? |
|
Definition
prolapse of valve & regurgitation of blood |
|
|
Term
|
Definition
start of ventricular depolarization to end of ventricular repolarization |
|
|
Term
|
Definition
start of atrial depolarization to start of ventricular depoloarization(qrs) |
|
|
Term
block in SA node?
what will ekg show? |
|
Definition
|
|
Term
if there is a heart block in AV node, what would ECG show? |
|
Definition
additional P waves (2 or 3)then a QRS
(aka QRS is delayed) |
|
|
Term
size of the T wave depends on |
|
Definition
|
|
Term
|
Definition
Ventricles repolarize/relax |
|
|
Term
|
Definition
ventricles depolarize/contracting |
|
|
Term
|
Definition
atria depolarize/contracting |
|
|
Term
|
Definition
|
|
Term
when heart rate increases ___ cycle(s) shorten especially ____ |
|
Definition
|
|
Term
cardiac cycle lasts about ___ msec |
|
Definition
|
|
Term
|
Definition
|
|
Term
at 75 beats per minute, the heart beats __ times in a day |
|
Definition
|
|
Term
|
Definition
|
|