Electrocardiogram (ECG) Basics
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Questions and Answers

What is the main function of the left ventricle in the heart?

  • Carries deoxygenated blood to the left atrium
  • Receives oxygenated blood from the pulmonary veins
  • Pumps deoxygenated blood into the pulmonary trunk
  • Pumps oxygenated blood into the aorta (correct)
  • Which arteries carry blood to the lungs in the heart's circulatory system?

  • Right pulmonary arteries (correct)
  • Left pulmonary arteries
  • Systemic arteries
  • Coronary arteries
  • What happens when there is a blockage in the left coronary artery?

  • No impact on the heart function
  • Improves oxygenation of the blood in the heart
  • Increased oxygen supply to the myocardium
  • Risk of heart attack due to decreased oxygen supply to myocardium (correct)
  • Which part of the heart conducts electrical impulses to regulate heart contractions?

    <p>Conducting system of the heart</p> Signup and view all the answers

    During which phase of the cardiac cycle do the ventricles contract and pump blood out of the heart?

    <p>Ventricular systole</p> Signup and view all the answers

    What is the main function of the tendinous cords that extend from valve cusps to papillary muscles in ventricle walls?

    <p>Prevent inversion of cusps when ventricles contract</p> Signup and view all the answers

    Which valve controls the opening from the right ventricle into the pulmonary trunk?

    <p>Pulmonary valve</p> Signup and view all the answers

    Where does the coronary sinus drain deoxygenated blood from?

    <p>Cardiac striated muscle</p> Signup and view all the answers

    What is the function of semilunar valves located at the bases of large arteries?

    <p>Prevent backflow of blood from ventricles into arteries</p> Signup and view all the answers

    During which phase of the cardiac cycle do the ventricles experience increased blood pressure?

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

    What does the AV valve structure provide in the heart?

    <p>Support for the valves and electrical insulation</p> Signup and view all the answers

    Which heart sound is associated with the closing of the semilunar valves at the start of ventricular diastole?

    <p>Dub (S2)</p> Signup and view all the answers

    What causes the opening of AV valves and the closing of semilunar valves in the cardiac cycle?

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

    When do the AV valves close during the cardiac cycle?

    <p>At the start of ventricular systole</p> Signup and view all the answers

    What happens to the blood flow during ventricular diastole?

    <p>Blood moves from ventricles to arteries</p> Signup and view all the answers

    During which phase of the cardiac cycle do the AV valves close?

    <p>Ventricular ejection</p> Signup and view all the answers

    What is the term for the sound produced by the closing of the semilunar valves?

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

    Which part of the heart's conducting system is responsible for delaying the impulse to allow atrial contraction before ventricular contraction?

    <p>AV node</p> Signup and view all the answers

    Which vessel carries deoxygenated blood from the heart to the lungs for oxygenation?

    <p>Pulmonary artery</p> Signup and view all the answers

    What event immediately follows the closure of the semilunar valves during the cardiac cycle?

    <p>Isovolumetric relaxation</p> Signup and view all the answers

    Which chamber of the heart pumps blood throughout the entire body, except the lungs?

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

    What is the function of semilunar valves in the heart?

    <p>Prevent backflow when ventricles contract</p> Signup and view all the answers

    Which valve is located between the right atrium and the right ventricle?

    <p>Tricuspid valve</p> Signup and view all the answers

    In the cardiac cycle, which heart chamber receives blood from veins?

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

    What separates the atria in the heart?

    <p>Interatrial septum</p> Signup and view all the answers

    What is the main function of an electrocardiogram (ECG or EKG)?

    <p>Recording the electrical activity of the heart's conducting system</p> Signup and view all the answers

    Which wave in an ECG represents atrial depolarization?

    <p>P wave</p> Signup and view all the answers

    What determines the cardiac output (CO) of the heart?

    <p>The volume of blood pumped out of each ventricle per heartbeat</p> Signup and view all the answers

    Why is the repolarization of the atria not detected on an ECG?

    <p>The QRS complex masks it with its stronger signal</p> Signup and view all the answers

    What regulates heart function according to the text?

    <p>The amount of blood returning to the heart during diastole</p> Signup and view all the answers

    What is the outermost layer of the heart wall called?

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

    Where does the pericardial fluid reside within the heart?

    <p>Between the visceral and parietal layers of serous pericardium</p> Signup and view all the answers

    Which chamber of the heart pumps oxygenated blood to the body?

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

    What is the main function of the myocardium in the heart?

    <p>To provide force for contraction</p> Signup and view all the answers

    Where does blood exchange materials with interstitial fluid in the circulatory system?

    <p>In capillaries</p> Signup and view all the answers

    Which structure separates the heart from surrounding tissues, allowing it to expand and contract as it pumps blood?

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

    What is the function of the fibrous pericardium in heart protection?

    <p>It provides a tough, unyielding membrane around the heart</p> Signup and view all the answers

    Which layer of the serous pericardium tightly adheres to the surface of the heart?

    <p>Visceral layer (epicardium)</p> Signup and view all the answers

    Where is the apex of the heart located?

    <p>At the lower pointed end extending to the left side</p> Signup and view all the answers

    Which layer of the heart wall contains blood vessels that nourish the heart?

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

    Study Notes

    Heart Function and Anatomy

    • The left ventricle pumps oxygenated blood to the entire body, except the lungs.
    • Blood is carried to the lungs by the pulmonary arteries for oxygenation.
    • A blockage in the left coronary artery can lead to ischemia, resulting in heart attack or heart dysfunction.

    Electrical Conduction and Cardiac Cycle

    • The sinoatrial (SA) node conducts electrical impulses, regulating heart contractions.
    • Ventricular contraction occurs during systole, which pumps blood out of the heart.
    • The AV valve structure ensures one-way flow of blood from atria to ventricles.

    Valves and Blood Flow

    • The pulmonary valve regulates blood flow from the right ventricle into the pulmonary trunk.
    • Coronary sinus drains deoxygenated blood from the heart muscle itself.
    • Semilunar valves prevent backflow of blood into the ventricles after it has been ejected.

    Cardiac Cycle Phases

    • During ventricular systole, blood pressure in the ventricles rises, forcing blood into the arteries.
    • The closing of AV valves happens at the start of ventricular systole to prevent backflow.
    • During ventricular diastole, the ventricles fill with blood as pressure decreases.

    Heart Sounds and ECG

    • The second heart sound (S2) indicates the closing of semilunar valves during ventricular diastole.
    • The "lub" sound correlates with the closing of AV valves at the beginning of ventricular contraction.

    Structural Aspects

    • Tendinous cords (chordae tendineae) anchor the heart valves to prevent them from inverting during contraction.
    • The septum separates the atria, ensuring proper compartmentalization of blood flow.
    • The outermost layer of the heart wall is the epicardium, providing protective covering.

    Cardiac Output and Fluid Dynamics

    • Cardiac output (CO) is determined by heart rate and stroke volume.
    • The myocardium is responsible for the heart's muscle contraction, enabling effective blood pumping.
    • Blood exchanges materials with interstitial fluid in capillaries, facilitating nutrient and gas exchange.

    Pericardial Structures

    • The fibrous pericardium protects the heart and anchors it to surrounding tissues, allowing expansion and contraction.
    • Serous pericardium has two layers: the visceral layer (epicardium) adjoins the heart surface, while the parietal layer lines the fibrous pericardium.

    Miscellaneous

    • The apex of the heart is located at the bottom point, directing the blood flow.
    • The repolarization of the atria is not detected on ECG as it occurs simultaneously with ventricular depolarization, masking its effect.

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    Description

    Learn about the basics of an electrocardiogram (ECG), including the recording of electrical currents generated by the heart's conducting system. Understand how ECGs provide essential information in diagnosing heart diseases and abnormalities.

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