Cardiac Cycle and Circulation
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Questions and Answers

What is the primary cause of myocardial ischemia?

  • Atherosclerosis (correct)
  • Cardiomyopathy
  • Hypertension
  • Myocarditis
  • Which drug is commonly used in the prevention and treatment of cardiovascular disease?

  • Statins (correct)
  • Antidepressants
  • Antihistamines
  • Antibiotics
  • What is the major complication of myocardial infarction?

  • Hypothyroidism
  • Osteoporosis
  • Diabetes mellitus
  • Arrhythmia (correct)
  • Which type of heart disease is present at birth?

    <p>Congenital heart disease</p> Signup and view all the answers

    What is the primary method of treating acquired valvular heart disease?

    <p>Valve replacement surgery</p> Signup and view all the answers

    Which layer of the heart provides support and divides the atria/ventricles to function independently?

    <p>Myocardium</p> Signup and view all the answers

    What prevents backflow of blood into the atria when the ventricles contract?

    <p>Atrioventricular valves</p> Signup and view all the answers

    Where is the heart located within the body?

    <p>Thoracic cavity</p> Signup and view all the answers

    What controls the normal cardiac rhythm and the ability of the cardiac muscle to depolarize and contract?

    <p>$SA$ node</p> Signup and view all the answers

    What supplies arterial blood to the heart, and where is it collected before being emptied into the right atrium?

    <p>$Coronary$ arteries; collected by cardiac veins and emptied into coronary sinus</p> Signup and view all the answers

    Which of the following is a characteristic of infective endocarditis?

    <p>It typically presents as subacute bacterial infection affecting heart valves.</p> Signup and view all the answers

    What can lead to hypotension and pulmonary congestion?

    <p>Decreased blood volume due to atrial fibrillation.</p> Signup and view all the answers

    What can trigger a heart attack?

    <p>Coronary artery blockage from thrombus or atheromatous debris.</p> Signup and view all the answers

    What can lead to myocardial infarction?

    <p>Myocardial ischemia due to atherosclerosis and thrombosis.</p> Signup and view all the answers

    What can lead to fatal consequences, even in individuals with normal coronary arteries?

    <p>Cocaine-induced arrhythmias and infarcts</p> Signup and view all the answers

    Which condition involves molecular mimicry leading to autoimmune response affecting heart tissues?

    <p>Rheumatic Fever</p> Signup and view all the answers

    What treatment approach is recommended for Primary Myocardial Disease involving hypertrophied septal muscles?

    <p>Genetic screening and beta blockers</p> Signup and view all the answers

    Which condition can lead to scarring of heart valves, impairing cardiac function and potentially leading to heart failure?

    <p>Infective Endocarditis</p> Signup and view all the answers

    What is the cause of Aortic Stenosis in 2% of the population?

    <p>Aging</p> Signup and view all the answers

    How is Mitral Valve Prolapse diagnosed?

    <p>$Echocardiogram$</p> Signup and view all the answers

    During which phase of the cardiac cycle do the ventricles passively fill?

    <p>Atrial diastole</p> Signup and view all the answers

    What is the typical cardiac output pumped out by each ventricle per minute?

    <p>$5L/min$</p> Signup and view all the answers

    Which vessels receive blood from the pulmonary veins?

    <p>Left atrium</p> Signup and view all the answers

    When is blood pressure in the arteries highest?

    <p>During ventricular contraction (systolic pressure)</p> Signup and view all the answers

    Which tool measures the electrical activity of the heart and can detect disturbances in rate, rhythm, conduction, and muscle injury?

    <p>ECG (electrocardiogram)</p> Signup and view all the answers

    Which enzyme test is specific to the heart and reflects cardiac muscle necrosis?

    <p>CK-MB</p> Signup and view all the answers

    What is the typical timeframe for Troponin T and Troponin I to peak after myocardial infarction?

    <p>24 hours</p> Signup and view all the answers

    Which laboratory data indicates that the larger the infarct, the longer for elevated levels to return to normal?

    <p>Enzyme tests</p> Signup and view all the answers

    What are the possible mild symptoms of subendocardial infarct?

    <p>Mild angina</p> Signup and view all the answers

    How does pain of severe angina compare to pain of myocardial infarction?

    <p>It may be similar</p> Signup and view all the answers

    Study Notes

    Cardiac Cycle and Circulation

    • The sinoatrial (SA) node in the right atrium (RA) near the opening of the superior vena cava initiates impulses for the cardiac cycle.
    • The cardiac cycle consists of events related to blood flow through the heart during one complete heartbeat.
    • Atrial and ventricular systole and diastole phases occur in the cardiac cycle, with the ventricles passively filling in diastole.
    • The cardiac output is typically 5L/min pumped out by each ventricle (70ml/contraction x 72 bpm).
    • Blood enters the right atrium via the superior vena cava, inferior vena cava, and coronary sinus, while the left atrium receives blood from the pulmonary veins.
    • Pulmonary circulation involves oxygen-poor blood entering the right atrium and then flowing to the lungs, while systemic circulation involves freshly oxygenated blood leaving the lungs and circulating to the rest of the body.
    • Blood pressure in the arteries is highest during ventricular contraction (systolic pressure) and lowest when ventricles relax (diastolic pressure).
    • Atherosclerosis, which is the loss of elasticity in blood vessels, leads to increased blood pressure.
    • The ECG (electrocardiogram) measures the electrical activity of the heart and can detect disturbances in rate, rhythm, conduction, and muscle injury.
    • Tools to examine cardiovascular function include ultrasound imaging of the heart, echocardiogram, and angiogram by radiography or CT.
    • Congenital heart diseases include abnormalities such as atrial and ventricular septal defects, patent ductus arteriosus, and tetralogy of Fallot, which may require surgical interventions for correction.
    • Primary myocardial diseases like cardiomyopathy can lead to conditions such as dilated cardiomyopathy and hypertrophic cardiomyopathy, with complex hereditary susceptibility and uncertain causes.

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    Description

    Test your knowledge about the cardiac cycle, blood flow through the heart, cardiac output, circulation, blood pressure, cardiovascular diseases, and diagnostic tools for examining cardiovascular function.

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