Podcast
Questions and Answers
During which phase are the atrioventricular valves open?
During which phase are the atrioventricular valves open?
- Ventricular ejection
- Isovolumetric relaxation
- Isovolumetric contraction
- Late diastole, ventricular filling (correct)
What event is associated with the 'lub' sound?
What event is associated with the 'lub' sound?
- Rapid ventricular filling
- Closing of the aortic and pulmonary valves
- Closure of the atrioventricular valves (correct)
- Opening of the mitral valve
Which wave on an ECG represents ventricular repolarization?
Which wave on an ECG represents ventricular repolarization?
- P wave
- T wave (correct)
- QRS complex
- S wave
What does EDV stand for?
What does EDV stand for?
In pacemaker cells, what causes the falling phase (repolarization) of the action potential?
In pacemaker cells, what causes the falling phase (repolarization) of the action potential?
What strengthens and anchors the heart wall?
What strengthens and anchors the heart wall?
What is the innermost layer of the heart?
What is the innermost layer of the heart?
What is the function of the auricles of the atria?
What is the function of the auricles of the atria?
What are the muscular ridges of the ventricles called?
What are the muscular ridges of the ventricles called?
What allows fetal blood to bypass the pulmonary circuit?
What allows fetal blood to bypass the pulmonary circuit?
Where is the negative electrode placed when connecting electrodes to a volunteer?
Where is the negative electrode placed when connecting electrodes to a volunteer?
What part of a cardiac cycle is the QRS complex associated with?
What part of a cardiac cycle is the QRS complex associated with?
What does the T wave represent in a cardiac cycle?
What does the T wave represent in a cardiac cycle?
From which vessels does the right atrium receive blood?
From which vessels does the right atrium receive blood?
What is the function of the chordae tendineae?
What is the function of the chordae tendineae?
Why is the left ventricle wall more massive than the right ventricle wall?
Why is the left ventricle wall more massive than the right ventricle wall?
How does the heart primarily receive its nourishment?
How does the heart primarily receive its nourishment?
What is angina pectoralis?
What is angina pectoralis?
What is the result of a prolonged coronary arterial blockage?
What is the result of a prolonged coronary arterial blockage?
What anchors cardiac muscle cells together during contractions?
What anchors cardiac muscle cells together during contractions?
What structures allow ions to pass rapidly between cardiac cells?
What structures allow ions to pass rapidly between cardiac cells?
What does cardiac muscle rely on almost exclusively for energy?
What does cardiac muscle rely on almost exclusively for energy?
Where does the intrinsic conduction system start the contraction in The Heart?
Where does the intrinsic conduction system start the contraction in The Heart?
What is the name of the pattern of electrical activity recorded at the body surface?
What is the name of the pattern of electrical activity recorded at the body surface?
The heart functions primarily as what?
The heart functions primarily as what?
Which circuit carries blood to and from the lungs?
Which circuit carries blood to and from the lungs?
What type of vessel carries blood away from the heart?
What type of vessel carries blood away from the heart?
Which of the following best describes the location of the heart's apex?
Which of the following best describes the location of the heart's apex?
What sac encloses the heart?
What sac encloses the heart?
What is the name of the outer layer of the serous pericardium that lines the inner surface of the fibrous pericardium?
What is the name of the outer layer of the serous pericardium that lines the inner surface of the fibrous pericardium?
What is the function of the serous fluid within the pericardial cavity?
What is the function of the serous fluid within the pericardial cavity?
What is the thick cardiac muscle layer of the heart called?
What is the thick cardiac muscle layer of the heart called?
Which condition involves inflammation of the pericardium?
Which condition involves inflammation of the pericardium?
What is the primary function of the heart?
What is the primary function of the heart?
Which chamber of the heart receives oxygenated blood from the lungs?
Which chamber of the heart receives oxygenated blood from the lungs?
What is the name of the valve located between the left atrium and left ventricle?
What is the name of the valve located between the left atrium and left ventricle?
What is the largest artery in the human body?
What is the largest artery in the human body?
What type of blood do veins typically carry?
What type of blood do veins typically carry?
Which nerve, when stimulated, slows the heart rate?
Which nerve, when stimulated, slows the heart rate?
Where are the cardiac centers that regulate the nerves affecting heart rate located?
Where are the cardiac centers that regulate the nerves affecting heart rate located?
What node typically acts as the primary pacemaker for the heart?
What node typically acts as the primary pacemaker for the heart?
What is the term for a heart rhythm generated by the SA node?
What is the term for a heart rhythm generated by the SA node?
Through what structure does the action potential spread slowly, allowing atrial contraction to contribute to ventricular filling?
Through what structure does the action potential spread slowly, allowing atrial contraction to contribute to ventricular filling?
What is the result of fibrillating ventricles?
What is the result of fibrillating ventricles?
What is the purpose of defibrillation?
What is the purpose of defibrillation?
What happens to the heart rate if the AV node takes over as pacemaker?
What happens to the heart rate if the AV node takes over as pacemaker?
What is a possible cause of premature contractions?
What is a possible cause of premature contractions?
In second-degree heart block, what is the relationship between P waves and QRS complexes on an ECG?
In second-degree heart block, what is the relationship between P waves and QRS complexes on an ECG?
What event produces the P wave on an ECG?
What event produces the P wave on an ECG?
Which component of the cardiac action potential creates a long subsequent contraction to squeeze the blood out efficiently?
Which component of the cardiac action potential creates a long subsequent contraction to squeeze the blood out efficiently?
What event does the QRS complex represent?
What event does the QRS complex represent?
Which of the following best describes the atrial state during the QRS complex?
Which of the following best describes the atrial state during the QRS complex?
What causes the plateau phase in ventricular action potentials?
What causes the plateau phase in ventricular action potentials?
What heart-related event occurs shortly after the T wave?
What heart-related event occurs shortly after the T wave?
What can an enlarged R wave on an ECG indicate?
What can an enlarged R wave on an ECG indicate?
Which ion is responsible for the rapid depolarization phase of a cardiac action potential?
Which ion is responsible for the rapid depolarization phase of a cardiac action potential?
The long refractory period created by the plateau phase prevents what condition in the heart?
The long refractory period created by the plateau phase prevents what condition in the heart?
During which phase do the semilunar valves close?
During which phase do the semilunar valves close?
What is the definition of stroke volume (SV)?
What is the definition of stroke volume (SV)?
What is the mathematical relationship between the end-diastolic volume (EDV), the end-systolic volume (ESV), and stroke volume (SV)?
What is the mathematical relationship between the end-diastolic volume (EDV), the end-systolic volume (ESV), and stroke volume (SV)?
What is cardiac output?
What is cardiac output?
What primarily increases contractility?
What primarily increases contractility?
What is afterload?
What is afterload?
What prevents blood from flowing back into the atria?
What prevents blood from flowing back into the atria?
What causes the 'dup' sound?
What causes the 'dup' sound?
What can be detected with a stethoscope when valves malfunction?
What can be detected with a stethoscope when valves malfunction?
In a patient with situs inversus, where would heart sounds be heard best?
In a patient with situs inversus, where would heart sounds be heard best?
What happens when a valve is incompetent?
What happens when a valve is incompetent?
What causes valvular stenosis?
What causes valvular stenosis?
During ventricular diastole, is the pressure in the heart high or low?
During ventricular diastole, is the pressure in the heart high or low?
How much does atrial systole contributes to ventricular filling?
How much does atrial systole contributes to ventricular filling?
What is the term given to describe the point when the ventricle is at maximum fill?
What is the term given to describe the point when the ventricle is at maximum fill?
What characterizes the isovolumetric phase of ventricular contraction?
What characterizes the isovolumetric phase of ventricular contraction?
What neurotransmitter is released by the parasympathetic vagus nerve to decrease heart rate?
What neurotransmitter is released by the parasympathetic vagus nerve to decrease heart rate?
About how fast would the SA node fire without any parasympathetic or sympathetic innervation?
About how fast would the SA node fire without any parasympathetic or sympathetic innervation?
What type of channels are affected by acetylcholine?
What type of channels are affected by acetylcholine?
What reflex is activated by increased atrial filling due to increased venous return?
What reflex is activated by increased atrial filling due to increased venous return?
Which hormone increases heart rate?
Which hormone increases heart rate?
What is the effect of hypercalcemia on the heart?
What is the effect of hypercalcemia on the heart?
What heart condition is defined as a heart rate greater than 100 beats/min?
What heart condition is defined as a heart rate greater than 100 beats/min?
What heart condition is sometimes caused by thyroid disorders?
What heart condition is sometimes caused by thyroid disorders?
What term describes a heart rate less than 60 beats/min?
What term describes a heart rate less than 60 beats/min?
What might pathological bradycardia indicate?
What might pathological bradycardia indicate?
What is a common cause of congestive heart failure (CHF)?
What is a common cause of congestive heart failure (CHF)?
Which of the following can result in increased afterload for the heart?
Which of the following can result in increased afterload for the heart?
What is peripheral congestion?
What is peripheral congestion?
A patient with right-side congestive heart failure is LEAST likely to have what symptom?
A patient with right-side congestive heart failure is LEAST likely to have what symptom?
Which medications are often used to treat CHF?
Which medications are often used to treat CHF?
Flashcards
What is the heart?
What is the heart?
A dual pump that circulates blood around the body and through the lungs.
Electrocardiogram (ECG/EKG)
Electrocardiogram (ECG/EKG)
The pattern of electrical activity recorded at the body surface.
Pulmonary Circuit
Pulmonary Circuit
Includes blood vessels that carry blood to and from the lungs where oxygen is picked up and carbon dioxide is released.
Systemic Circuit
Systemic Circuit
Includes blood vessels that transport blood to and from all body tissues.
Signup and view all the flashcards
Arteries
Arteries
Carry blood away from the heart.
Signup and view all the flashcards
Veins
Veins
Carry blood toward the heart.
Signup and view all the flashcards
Mediastinum
Mediastinum
The medial cavity of the thorax where the heart is enclosed.
Signup and view all the flashcards
Pericardium
Pericardium
A sac that encloses the heart.
Signup and view all the flashcards
Pericarditis
Pericarditis
Inflammation of the pericardium.
Signup and view all the flashcards
Myocardium
Myocardium
The thick cardiac muscle layer of the heart.
Signup and view all the flashcards
Cardiac Skeleton
Cardiac Skeleton
Crisscrossing collagen and elastic connective tissue fibers that strengthens and anchors the heart.
Signup and view all the flashcards
Endothelial Endocardium
Endothelial Endocardium
The innermost layer of the heart.
Signup and view all the flashcards
Endocardium Function
Endocardium Function
Lines the heart valves and chambers.
Signup and view all the flashcards
Auricles of the Atria
Auricles of the Atria
Allow for additional filling of the atria.
Signup and view all the flashcards
Pectinate Muscles & Trabeculae Carneae
Pectinate Muscles & Trabeculae Carneae
Muscular ridges in the atria and ventricles, respectively.
Signup and view all the flashcards
Foramen Ovale
Foramen Ovale
Allows fetal blood to bypass the pulmonary circuit.
Signup and view all the flashcards
SA Node
SA Node
Natural pacemaker of the heart.
Signup and view all the flashcards
P Wave
P Wave
Atria activation (depolarization).
Signup and view all the flashcards
Cardiac Cycle: Phase 1
Cardiac Cycle: Phase 1
Phase 1 of the cardiac cycle; includes late diastole, ventricular filling, and atrial contraction.
Signup and view all the flashcards
Cardiac Cycle: Phase 2a
Cardiac Cycle: Phase 2a
Phase 2a of the cardiac cycle; ventricular systole, isovolumetric contraction.
Signup and view all the flashcards
Cardiac Cycle: Phase 2b
Cardiac Cycle: Phase 2b
Phase 2b of the cardiac cycle; ventricular ejection stage.
Signup and view all the flashcards
Cardiac Cycle: Phase 3
Cardiac Cycle: Phase 3
Phase 3 of the cardiac cycle; early diastole, isovolumetric relaxation.
Signup and view all the flashcards
EDV (End Diastolic Volume)
EDV (End Diastolic Volume)
Volume of blood in the left ventricle at the end of diastole (filling).
Signup and view all the flashcards
Right Atrium
Right Atrium
Receives blood from the superior and inferior vena cava & coronary sinus.
Signup and view all the flashcards
Left Atrium
Left Atrium
Receives blood from the four pulmonary veins.
Signup and view all the flashcards
Chordae Tendineae
Chordae Tendineae
Prevent AV valves from everting into the atria during ventricular contraction.
Signup and view all the flashcards
Left Ventricle Workload
Left Ventricle Workload
Left ventricle pumps blood to the entire body, higher pressure, higher resistance.
Signup and view all the flashcards
Angina Pectoralis
Angina Pectoralis
Chest pain caused by fleeting insufficiency of blood supply to the myocardium.
Signup and view all the flashcards
Myocardial Infarction
Myocardial Infarction
Prolonged blockage of coronary arteries leading to oxygen and nutrient deficit and tissue death.
Signup and view all the flashcards
Desmosomes
Desmosomes
Anchoring junctions that prevent cells from separating during contraction.
Signup and view all the flashcards
Gap Junctions
Gap Junctions
Allow ions to pass rapidly between cardiac cells for coordinated contraction.
Signup and view all the flashcards
Intercalated discs
Intercalated discs
Allows for rapid and coordinated electrical coupling of the entire heart.
Signup and view all the flashcards
Pacemaker Cells
Pacemaker Cells
Specialized non-contractile cells that spontaneously depolarize.
Signup and view all the flashcards
Endocardium
Endocardium
The inner lining of the heart, composed of endothelium.
Signup and view all the flashcards
Parietal Pericardium
Parietal Pericardium
The serous membrane lining the fibrous pericardium; part of the pericardium.
Signup and view all the flashcards
Trabeculae Carneae
Trabeculae Carneae
Irregular ridges of muscle on the ventricular walls.
Signup and view all the flashcards
Pericardial cavity
Pericardial cavity
Pericardial cavity filled with serous fluid that reduces friction.
Signup and view all the flashcards
Heart Depolarization Sequence
Heart Depolarization Sequence
The sequence includes atrial depolarization, septal depolarization, apical depolarization, left ventricular depolarization, ventricular depolarization, and ventricular repolarization.
Signup and view all the flashcards
Rapid Depolarization
Rapid Depolarization
A rapid change in membrane potential due to fast voltage-gated sodium channels opening.
Signup and view all the flashcards
Plateau Depolarization
Plateau Depolarization
A sustained depolarization phase in cardiac cells, caused by slow voltage-gated calcium channels opening.
Signup and view all the flashcards
Repolarization
Repolarization
Return to resting membrane potential, potassium channels open.
Signup and view all the flashcards
Long Plateau Function
Long Plateau Function
Ensures efficient blood ejection and prevents tetanus.
Signup and view all the flashcards
QRS Complex
QRS Complex
Represents ventricular depolarization and atrial repolarization.
Signup and view all the flashcards
Enlarged R Wave Signifies
Enlarged R Wave Signifies
Enlargement of the ventricles.
Signup and view all the flashcards
What does the P-wave indicate?
What does the P-wave indicate?
Wave indicates atrial depolarization.
Signup and view all the flashcards
Stroke Volume (SV)
Stroke Volume (SV)
Volume of blood pumped out by one ventricle with each beat.
Signup and view all the flashcards
End Diastolic Volume (EDV)
End Diastolic Volume (EDV)
Volume of blood in the ventricle at the end of diastole (relaxation/filling).
Signup and view all the flashcards
End Systolic Volume (ESV)
End Systolic Volume (ESV)
Volume of blood remaining in the ventricle after systole (contraction).
Signup and view all the flashcards
Cardiac Output
Cardiac Output
Volume of blood pumped out by one ventricle in one minute.
Signup and view all the flashcards
Cardiac Reserve
Cardiac Reserve
Difference between maximum and resting cardiac output.
Signup and view all the flashcards
Heart Contraction Dependence
Heart Contraction Dependence
Cardiac contractions don't need nerves; the vagus nerve slows the heart down while sympathetic nerves speed it up.
Signup and view all the flashcards
Action Potential Pathway
Action Potential Pathway
Action potentials spread from the SA node, through the atria, to the atrioventricular (AV) node. This leads to atrial contraction and blood flow to the ventricles.
Signup and view all the flashcards
Role of the AV Node
Role of the AV Node
The AV node delays the action potential to allow the atria to contract fully, then rapidly transmits it through the AV bundle and Purkinje fibers to the ventricles.
Signup and view all the flashcards
Ventricular Depolarization
Ventricular Depolarization
Rapid spread of action potential down the Purkinje fibers leads to ventricular depolarization.
Signup and view all the flashcards
Arrhythmia
Arrhythmia
Defects in the conduction system can cause arrhythmia, where the heart rhythm is irregular, and in severe cases, fibrillation.
Signup and view all the flashcards
Ventricular Fibrillation
Ventricular Fibrillation
Fibrillating ventricles twitch ineffectively and can't pump blood. Defibrillation shocks the heart to reset the SA node's control.
Signup and view all the flashcards
SA Node Failure
SA Node Failure
If the SA node fails and is replaced by the AV node, the heart rate slows down, and the ECG will have a slower rhythm without a P wave.
Signup and view all the flashcards
Premature Contraction
Premature Contraction
An extra beat is followed by a longer pause for filling, leading to a stronger next beat.
Signup and view all the flashcards
Second-Degree Heart Block
Second-Degree Heart Block
In second-degree heart block, some SA node impulses don't reach the ventricles, leading to more P waves than QRS complexes on an ECG.
Signup and view all the flashcards
Atrioventricular Valves
Atrioventricular Valves
Valves which prevent backflow from the ventricles into the atria.
Signup and view all the flashcards
Semilunar Valves
Semilunar Valves
Valves that prevent backflow of blood from the aorta and pulmonary arteries into the ventricles.
Signup and view all the flashcards
First Heart Sound (S1)
First Heart Sound (S1)
The 'lub' sound. Occurs during early ventricular contraction when the AV valves close.
Signup and view all the flashcards
Second Heart Sound (S2)
Second Heart Sound (S2)
The 'dup' sound. Occurs when the semilunar valves close as the ventricles relax.
Signup and view all the flashcards
Heart Murmur
Heart Murmur
Abnormal heart sound due to turbulent blood flow often caused by valve malfunctions.
Signup and view all the flashcards
Situs Inversus
Situs Inversus
A condition where the major visceral organs are mirrored.
Signup and view all the flashcards
Incompetent Valve
Incompetent Valve
A valve defect that allows blood to flow backward, reducing heart efficiency.
Signup and view all the flashcards
Valvular Stenosis
Valvular Stenosis
A condition where valve flaps are stiff and narrowed, forcing the heart to work harder.
Signup and view all the flashcards
Isovolumetric Ventricular Contraction
Isovolumetric Ventricular Contraction
The phase in the cardiac cycle when the ventricles cannot change volume. Pressure increases but volume is static.
Signup and view all the flashcards
ESV (End Systolic Volume)
ESV (End Systolic Volume)
Volume of blood remaining in the ventricle after systole (contraction).
Signup and view all the flashcards
Increased Contractility
Increased Contractility
Increased heart muscle contraction.
Signup and view all the flashcards
Vagus Nerve
Vagus Nerve
Decreases heart rate by signaling for the opening of potassium channels via acetylcholine.
Signup and view all the flashcards
Basal Tone of the Heart
Basal Tone of the Heart
Natural rate of the SA node without any nerve input (approx. 100 bpm).
Signup and view all the flashcards
Baroreceptors
Baroreceptors
Respond to blood vessel stretch, signaling the autonomic nervous system to maintain blood pressure.
Signup and view all the flashcards
Atrial Reflex (Bainbridge)
Atrial Reflex (Bainbridge)
Reflex activated by increased atrial filling, leading to increased sympathetic output and heart rate.
Signup and view all the flashcards
Epinephrine
Epinephrine
Increases heart rate, similarly to norepinephrine.
Signup and view all the flashcards
Thyroxine
Thyroxine
Hormone from the thyroid gland that increases heart rate.
Signup and view all the flashcards
Tachycardia
Tachycardia
Abnormally fast heart rate (greater than 100 bpm).
Signup and view all the flashcards
Bradycardia
Bradycardia
Abnormally slow heart rate (less than 60 bpm).
Signup and view all the flashcards
Physiological Bradycardia
Physiological Bradycardia
Heart rate less than 60 bpm due to high-level physical fitness.
Signup and view all the flashcards
Congestive Heart Failure (CHF)
Congestive Heart Failure (CHF)
Heart's weakened ability to pump blood efficiently due to structural or functional impairment.
Signup and view all the flashcards
Coronary Atherosclerosis
Coronary Atherosclerosis
Fatty buildup and scar tissue clogs the coronary arteries.
Signup and view all the flashcards
Afterload
Afterload
The force against which the heart must pump.
Signup and view all the flashcards
Dilated Cardiomyopathy
Dilated Cardiomyopathy
When the ventricles stretch out and deteriorate, causing CHF.
Signup and view all the flashcards