Cardiology: Heart functions and treatments

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Questions and Answers

Where does the left atrium send oxygenated blood?

  • Pulmonary artery
  • Right atrium
  • Left ventricle (correct)
  • Right ventricle

What condition is said to occur when myocardial oxygen demands transiently exceed the heart’s blood supply?

  • Pericarditis
  • Myocardial rupture
  • Angina pectoris (correct)
  • Congestive heart failure

Which syndrome results when the heart's performance is compromised, preventing cardiac output from meeting the body's needs?

  • Cardiogenic shock
  • Cardiac tamponade
  • Heart failure (correct)
  • Myocardial infarction

Which of the following is one of the three tissue layers that make up the heart?

<p>All of the above (D)</p> Signup and view all the answers

How does aspirin function in the treatment of myocardial ischemia?

<p>Inhibits the aggression of platelets (D)</p> Signup and view all the answers

What is the key distinguishing factor between stable and unstable angina?

<p>Unstable angina occurs at rest. (C)</p> Signup and view all the answers

Which drug, used in cardiac arrest resuscitation, acts on both alpha- and beta-adrenergic receptors?

<p>Epinephrine (C)</p> Signup and view all the answers

Which formula correctly calculates cardiac output?

<p>SV*HR (B)</p> Signup and view all the answers

Which statement accurately describes the four chambers of the heart?

<p>Ventricles are separated by the interventricular septum (A)</p> Signup and view all the answers

Besides the heart, what is the other major component of the cardiovascular system?

<p>Peripheral blood vessels (A)</p> Signup and view all the answers

How does the heart receive its own supply of nutrients?

<p>Coronary arteries (D)</p> Signup and view all the answers

Which statement accurately describes the nervous system's control of the heart?

<p>The sympathetic nervous system becomes dominant in stressful situations. (C)</p> Signup and view all the answers

What is the pressure in the ventricles at the end of diastole called?

<p>Preload (A)</p> Signup and view all the answers

Leads I, II, and III collectively form what?

<p>Einthoven’s triangle (C)</p> Signup and view all the answers

Which intervention is most appropriate for a CHF patient presenting with respiratory distress, a respiratory rate of 32, and an SpO2 of 88%?

<p>Use of CPAP (A)</p> Signup and view all the answers

According to the most recent guidelines for cardiac arrest, which takes priority?

<p>Circulation (D)</p> Signup and view all the answers

What is the most common complication of myocardial infarction?

<p>Arrhythmias (A)</p> Signup and view all the answers

Muscle tremors, loose electrodes, and shivering can cause what on an ECG?

<p>Artifacts (D)</p> Signup and view all the answers

What is the intrinsic discharge rate for the AV node?

<p>40-60 (D)</p> Signup and view all the answers

Which of the following statements regarding angina pectoris is most accurate?

<p>It results from underlying coronary artery disease. (A)</p> Signup and view all the answers

After blood circulates through the lungs and becomes oxygenated, how does it return to the heart?

<p>Pulmonary veins (A)</p> Signup and view all the answers

Which statement accurately describes the P wave on an ECG tracing?

<p>It corresponds to atrial depolarization (D)</p> Signup and view all the answers

What does a prolonged PR interval on an ECG typically indicate?

<p>A delay in the AV node (C)</p> Signup and view all the answers

During what phase of the cardiac cycle can a strong stimulus cause depolarization?

<p>Relative refractory (B)</p> Signup and view all the answers

Which of the following dysrhythmias originates in the SA node?

<p>Sinus tachycardia (D)</p> Signup and view all the answers

How does the movement of electrical current away from the positive electrode of an ECG manifest on the tracing?

<p>Negative deflection (D)</p> Signup and view all the answers

In lead II of an ECG, where are the electrodes placed to obtain the reading?

<p>Right arm and left leg (B)</p> Signup and view all the answers

What rhythm does the following ECG tracing describe: regular, 160 bpm, upright T waves, upright P waves, narrow QRS?

<p>SVT (A)</p> Signup and view all the answers

Identify the rhythm based on these characteristics: slightly irregular, rate of 120, P waves with a sawtooth pattern, no discernible PR interval, and narrow QRS complexes.

<p>Atrial flutter (B)</p> Signup and view all the answers

Flashcards

Left Atrium Function

The left atrium receives oxygenated blood from the lungs and sends it to the left ventricle.

Angina Pectoris

Chest pain or discomfort that occurs when the heart muscle doesn't get enough oxygen-rich blood.

Heart Failure

A syndrome where the heart's ability to pump blood is compromised, and cardiac output fails to meet the body's needs.

Endocardium

The innermost layer of the heart, lining the chambers and valves.

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Aspirin in Myocardial Ischemia

It inhibits platelet aggregation, reducing the risk of clot formation and improving blood flow in myocardial ischemia.

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Unstable Angina

Unstable angina can occur at rest, while stable angina typically occurs during exertion.

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Epinephrine in Cardiac Arrest

A drug used in cardiac arrest resuscitation that stimulates both alpha- and beta-adrenergic receptors, increasing heart rate and blood pressure.

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Cardiac Output Equation

Cardiac Output (CO) = Stroke Volume (SV) * Heart Rate (HR)

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Interventricular Septum

The ventricles are separated by the interventricular septum.

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Cardiovascular System

The heart (central pump) and the network of peripheral blood vessels.

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Coronary Arteries

The heart receives its nutrients from the coronary arteries.

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Sympathetic Nervous System on Heart

During stressful situations, the sympathetic nervous system becomes dominant, increasing heart rate and contractility.

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Preload

The pressure in the ventricles at the end of diastole (filling).

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Einthoven’s Triangle

A triangle formed by leads I, II, and III in electrocardiography.

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CHF Treatment

Patients with a history of CHF presenting with respiratory distress, a respiratory rate of 32, and SPO2 of 88% should be treated with CPAP.

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Cardiac Arrest Priorities

In cardiac arrest, circulation has priority over breathing.

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MI Complication

The most common complication of myocardial infarction is arrhythmias.

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ECG Artifacts

Muscle tremors, shivering, and loose electrodes can cause deflections on the ECG called artifacts.

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AV Node Rate

The AV node's intrinsic discharge rate is 40-60 beats per minute.

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Angina Cause

Angina pectoris results from underlying coronary artery disease.

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Pulmonary Veins

After blood circulates through the lungs and becomes oxygenated, it returns to the heart by way of the pulmonary veins.

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P Wave

The P wave corresponds to atrial depolarization.

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Prolonged PR Interval

A prolonged PR interval indicates a delay in the AV node.

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Relative Refractory Period

The time in the cardiac cycle when a strong stimulus may produce depolarization is called the relative refractory period.

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SA Node Dysrhythmias

Dysrhythmias that originate in the SA node include sinus tachycardia.

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ECG Deflection

Movement of electrical current away from the positive electrode of the ECG will result in a negative deflection.

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Lead II Placement

In lead II, the negative electrode is placed on the right arm, and the positive electrode is placed on the left leg.

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SVT Characteristics

Regular rhythm, rate of 160, Upright T waves, Upright PRI, narrow QRS

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A Flutter Characteristics

Slightly irregular, rate of 120, P waves- sawtooth, no PRI, narrow QRS

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Study Notes

  • The left atrium sends oxygenated blood into the left ventricle.
  • Angina pectoris occurs when the heart’s blood supply is transiently exceeded by myocardial oxygen demands.
  • Heart failure is a syndrome in which the heart’s performance is compromised, so cardiac output cannot meet the body’s needs.
  • The heart consists of three tissue layers, one of which is the endocardium.
  • Aspirin inhibits the aggression of platelets, aiding in the treatment of myocardial ischemia.
  • Unstable angina occurs at rest, distinguishing it from stable angina.
  • Epinephrine, used in cardiac arrest resuscitation, acts on both alpha- and beta-adrenergic receptors.
  • Cardiac output is determined by the equation SV*HR (stroke volume multiplied by heart rate).
  • Ventricles are separated by the interventricular septum.
  • The cardiovascular system’s two major components are the heart and peripheral blood vessels.
  • The heart receives nutrients from the coronary arteries.
  • In stressful situations, the sympathetic nervous system becomes dominant.
  • Preload is the pressure filled in the ventricles at the end of diastole.
  • Leads I, II, and III form Einthoven’s triangle.
  • Treatment for a patient with a history of CHF who presents with respiratory distress, a respiratory rate of 32, and an SPO2 of 88% includes the use of CPAP.
  • According to the most recent science of cardiac arrest, circulation has priority over breathing.
  • The most common complication of myocardial infarction is arrhythmias.
  • Muscle tremors, shivering, and loose electrodes can cause deflections on the ECG called artifacts.
  • The intrinsic discharge rate for the AV node is 40-60.
  • Angina pectoris results from underlying coronary artery disease.
  • After blood circulates through the lungs and becomes oxygenated, it returns to the heart by way of pulmonary veins.
  • The P wave corresponds to atrial depolarization.
  • A prolonged PR interval indicates a delay in the AV node.
  • The relative refractory is the time in the cardiac cycle when a strong stimulus may produce depolarization.
  • Dysrhythmias that originate in the SA node include sinus tachycardia.
  • Movement of electrical current away from the positive electrode of the ECG will result in a negative deflection.
  • In lead II, the negative electrode is placed on the right arm, and the positive electrode is placed on the left leg.
  • A rhythm that is regular, rate of 160, with upright T and D waves, upright PRI (PR interval), and a narrow QRS is SVT (Supraventricular Tachycardia).
  • A rhythm that is slightly irregular, with a rate of 120, P waves that appear as sawtooth, no PRI (PR interval), and a narrow QRS is A-flutter (Atrial Flutter).

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