Human Physiology: Cardiovascular System Quiz
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Questions and Answers

What is the correct sequence of events in the heart's conduction system, starting from the pacemaker?

  • Purkinje fibers → Bundle of His → Atrioventricular (AV) node → Sinoatrial node (SA node)
  • Sinoatrial node (SA node) → Atrioventricular (AV) node → Bundle of His → Purkinje fibers (correct)
  • Bundle of His → Sinoatrial node (SA node) → Atrioventricular (AV) node → Purkinje fibers
  • Atrioventricular (AV) node → Sinoatrial node (SA node) → Bundle of His → Purkinje fibers
  • Which of the following is NOT a normal control of blood pressure?

  • Renin-angiotensin-aldosterone system
  • Baroreceptor reflex
  • Hypothalamus temperature regulation (correct)
  • Chemoreceptor reflex
  • Which valve prevents the backflow of blood from the left ventricle to the left atrium?

  • Mitral valve (correct)
  • Tricuspid valve
  • Pulmonary valve
  • Aortic valve
  • What is the primary factor that influences fluid movement in the capillary fluid shift?

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

    Which part of the electrocardiogram (ECG) represents the electrical activity associated with ventricular depolarization?

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

    What structure separates the right side of the heart from the left side?

    <p>The septum (B)</p> Signup and view all the answers

    Which of the following is NOT a function of the cardiac valves?

    <p>To control the rate of heart contraction (B)</p> Signup and view all the answers

    What is the name of the valve that separates the right atrium from the right ventricle?

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

    What is the name of the structure that collects blood before it is pumped into the ventricles?

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

    What is the function of the aorta?

    <p>Carry oxygenated blood to the body (D)</p> Signup and view all the answers

    What is the name of the period of cardiac muscle relaxation?

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

    What is the purpose of Starling's law of the heart?

    <p>To ensure that the heart chambers fill completely (C)</p> Signup and view all the answers

    What is the name of the pacemaker cells that initiate cardiac contraction?

    <p>Sinoatrial (SA) node (D)</p> Signup and view all the answers

    Which of the following is a component of the circulatory system?

    <p>Blood vessels (B)</p> Signup and view all the answers

    What is the primary function of the pulmonary artery?

    <p>Carry deoxygenated blood to the lungs (D)</p> Signup and view all the answers

    Where does deoxygenated blood enter the heart?

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

    What is the name of the valve that separates the left ventricle from the aorta?

    <p>Aortic valve (B)</p> Signup and view all the answers

    What is the main difference between the right heart and the left heart?

    <p>The right heart pumps deoxygenated blood, while the left heart pumps oxygenated blood. (C)</p> Signup and view all the answers

    Which of the following is NOT a function of the cardiovascular system?

    <p>Producing red blood cells (D)</p> Signup and view all the answers

    What is the primary function of the pulmonary veins?

    <p>Carry oxygenated blood from the lungs (A)</p> Signup and view all the answers

    Which structure in the heart acts as the normal pacemaker, initiating each heartbeat?

    <p>Sinoatrial (SA) node (D)</p> Signup and view all the answers

    What is the name of the fibrous ring that helps maintain the structure of the heart?

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

    What is the role of the auricle in the heart?

    <p>To collect blood before it is pumped into the ventricles (C)</p> Signup and view all the answers

    Which of the following is a feature of the heart that distinguishes it from other muscle types?

    <p>It can generate its own electrical impulses (D)</p> Signup and view all the answers

    What is the role of the atrioventricular (AV) valves in the heart?

    <p>To prevent backflow of blood from the ventricles to the atria (A)</p> Signup and view all the answers

    What is the role of the pulmonary artery in the circulatory system?

    <p>To carry deoxygenated blood from the heart to the lungs (D)</p> Signup and view all the answers

    Which of the following is the correct sequence of blood flow through the heart?

    <p>Right atrium, right ventricle, left atrium, left ventricle (D)</p> Signup and view all the answers

    Which of the following describes the function of the semilunar valves in the heart?

    <p>To prevent backflow of blood from the ventricles to the great arteries (B)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of veins?

    <p>They have a high pressure system. (A)</p> Signup and view all the answers

    Which of the following terms describes the ability of cardiac cells to generate an action potential without an external stimulus?

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

    Which of the following is the correct definition of diastole?

    <p>The period of relaxation of the heart (D)</p> Signup and view all the answers

    What is the primary function of the myocardium?

    <p>To contract and pump blood throughout the body (B)</p> Signup and view all the answers

    Which of the following factors contributes to the return of blood to the heart?

    <p>Muscle contractions in the legs (D)</p> Signup and view all the answers

    What is the main function of aldosterone in the cardiovascular system?

    <p>To regulate blood volume (C)</p> Signup and view all the answers

    What happens to the heart muscle during the contracting phase of the cardiac cycle?

    <p>The ventricles contract to pump blood out of the heart (A)</p> Signup and view all the answers

    What is the name of the specialized network that enables the atria and then the ventricles to contract synchronously?

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

    Which of the following is responsible for the striated appearance of cardiac muscle?

    <p>The arrangement of actin and myosin filaments (A)</p> Signup and view all the answers

    Which valve is located on the right side of the heart and is composed of three leaflets or cusps?

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

    What is the main function of the atrioventricular (AV) node in the cardiac conduction system?

    <p>Slowing down the impulse to allow for atrial contraction and ventricular filling (C)</p> Signup and view all the answers

    Which of the following statements accurately describes Starling's Law of the Heart?

    <p>The strength of the heart's contraction is directly proportional to the volume of blood filling the ventricles (A)</p> Signup and view all the answers

    During diastole, what happens to the AV valves?

    <p>They close tightly to prevent blood from flowing back into the atria (C)</p> Signup and view all the answers

    Which component of the cardiac conduction system conducts the impulse through the ventricular muscle?

    <p>Bundle Branches and Purkinje Fibers (C)</p> Signup and view all the answers

    What is the term for the period of cardiac muscle contraction?

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

    What is the primary function of the one-way valves in the heart?

    <p>To ensure blood flows in the correct direction (C)</p> Signup and view all the answers

    Why is it important that the atria contract just before the ventricles contract?

    <p>To ensure complete filling of the ventricles (D)</p> Signup and view all the answers

    Where is the sinoatrial (SA) node located?

    <p>Near the top of the right atrium (A)</p> Signup and view all the answers

    What is the term for a pacemaker outside of the sinus node?

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

    What is the key property of cardiac muscle that ensures its continuous, rhythmic contractions?

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

    What is the main difference between the pulmonary and systemic circulation?

    <p>The pulmonary circulation carries deoxygenated blood to the lungs, while the systemic circulation carries oxygenated blood to the body (D)</p> Signup and view all the answers

    Why is the heart's ability to beat independently from the brain important?

    <p>It ensures the heart continues to function in the event of brain damage (A)</p> Signup and view all the answers

    Which of the following components of the cardiac conduction system slows down the impulse to allow for atrial contraction and ventricular filling?

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

    During which phase of the cardiac cycle do the pulmonary and aortic valves open?

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

    What is the term used to describe the property of cardiac cells that allows them to pass on an impulse rapidly?

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

    Where in the heart is the conduction velocity the slowest?

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

    What happens during the absolute refractory period of a cardiac cell?

    <p>The cell cannot be stimulated, regardless of the strength of the stimulus. (C)</p> Signup and view all the answers

    What is the primary function of the cardiovascular system?

    <p>To transport oxygen and nutrients to cells and remove waste products. (A)</p> Signup and view all the answers

    Which of the following structures is responsible for collecting blood from the body and directing it to the right ventricle?

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

    What is the name of the valve that separates the right ventricle from the pulmonary artery?

    <p>Pulmonic valve (B)</p> Signup and view all the answers

    What is Starling's Law of the Heart?

    <p>The heart's ability to pump more blood with increased venous return. (C)</p> Signup and view all the answers

    What is the period of cardiac muscle relaxation called?

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

    What is the function of the fibrous rings (annuli) in the heart?

    <p>To provide structural support and keep the chambers separate (C)</p> Signup and view all the answers

    What is the term for the two intertwining networks of cardiac muscle fibers that allow for simultaneous contraction of the atria and ventricles?

    <p>Cardiac syncytium (B)</p> Signup and view all the answers

    What is the name of the main artery that carries oxygenated blood from the left ventricle to the rest of the body?

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

    Which of the following is NOT a property of cardiac muscle?

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

    How does the heart's ability to generate action potentials independently of the nervous system contribute to its function?

    <p>Allows the heart to beat even if there is damage to the nervous system. (D)</p> Signup and view all the answers

    Which of the following statements accurately describes the relationship between the atria and ventricles?

    <p>The atria contract first, followed by the ventricles. (C)</p> Signup and view all the answers

    How do cardiac drugs often affect the refractory period of heart cells?

    <p>They can either increase or decrease the refractory period, depending on the specific drug and its intended effect. (D)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of P cells, the cells responsible for impulse formation and conduction in the heart?

    <p>They are found only in the sinoatrial (SA) node. (C)</p> Signup and view all the answers

    What is the primary role of the atrioventricular (AV) node in the cardiac conduction system?

    <p>To slow down the impulse, allowing for atrial contraction and ventricular filling. (A)</p> Signup and view all the answers

    During which phase of the cardiac action potential does the membrane become less permeable to potassium, allowing for calcium to enter the cell slowly?

    <p>Phase 2: Plateau (C)</p> Signup and view all the answers

    Which of the following statements best describes the concept of automaticity in cardiac cells?

    <p>The intrinsic ability of cardiac cells to generate electrical impulses independently. (D)</p> Signup and view all the answers

    Which of the following structures is NOT a part of the heart's conduction system?

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

    What is the primary function of the Purkinje fibers in the heart?

    <p>To deliver the impulse to the ventricular muscle cells, stimulating contraction. (B)</p> Signup and view all the answers

    The statement that 'the heart beats as long as it has enough nutrients and oxygen' describes which important property of the heart?

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

    Which of the following is NOT a contributing factor to the spontaneous depolarization of cardiac cells during diastole?

    <p>Influx of calcium ions into the cell. (D)</p> Signup and view all the answers

    What is the purpose of the delay created by the AV node in the heart's electrical conduction system?

    <p>To allow the ventricles to fill with blood before they contract. (A)</p> Signup and view all the answers

    Which phase of the cardiac action potential is characterized by a rapid influx of sodium ions into the cell, leading to depolarization?

    <p>Phase 0 (A)</p> Signup and view all the answers

    Which of the following best describes the action of the heart valves?

    <p>They prevent the backflow of blood during contraction. (D)</p> Signup and view all the answers

    Which of the following pairs correctly matches a heart structure with its location?

    <p>Bundle of His - Ventricular septum (A)</p> Signup and view all the answers

    Why is it important that the heart has a complex conduction system?

    <p>To allow for the coordinated contraction of the atria followed by the ventricles. (B)</p> Signup and view all the answers

    What is the primary function of the bundle branches in the heart's conduction system?

    <p>To conduct impulses through the ventricular muscle. (C)</p> Signup and view all the answers

    In the context of cardiac conduction, what does the term 'ectopic pacemaker' refer to?

    <p>A pacemaker that is located outside of the sinoatrial (SA) node. (C)</p> Signup and view all the answers

    What is the primary function of the tricuspid valve in the heart?

    <p>To allow blood flow from the right atrium to the right ventricle (C)</p> Signup and view all the answers

    During which phase of the cardiac cycle do the ventricles contract?

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

    What prevents blood from flowing backward into the atria during ventricular contraction?

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

    Which structure in the heart is primarily responsible for generating electrical impulses?

    <p>Sinoatrial (SA) node (D)</p> Signup and view all the answers

    What role does the AV node play in the heart's conduction system?

    <p>Delays impulses for optimal atrial contraction (D)</p> Signup and view all the answers

    What is automaticity in cardiac cells?

    <p>The capacity to generate action potentials spontaneously (D)</p> Signup and view all the answers

    Which statement correctly describes the role of the Purkinje fibers?

    <p>They deliver impulses to stimulate ventricular contraction. (A)</p> Signup and view all the answers

    What happens during Phase 0 of the cardiac muscle cell's action potential?

    <p>Sodium gates open, causing depolarization. (B)</p> Signup and view all the answers

    What is the primary purpose of the cardiac valves?

    <p>To maintain blood flow in one direction (B)</p> Signup and view all the answers

    What occurs during diastole in the cardiac cycle?

    <p>The heart fills with blood as it relaxes. (D)</p> Signup and view all the answers

    How does ectopic pacemaker activity influence the heart's rhythm?

    <p>It can lead to irregular heart rhythms. (D)</p> Signup and view all the answers

    What is a characteristic of pale or P cells in the cardiac conduction system?

    <p>They have the ability to generate action potentials spontaneously. (B)</p> Signup and view all the answers

    What component of the heart’s conduction system is responsible for transmitting the impulse from the AV node to the ventricles?

    <p>Bundle of His (A)</p> Signup and view all the answers

    What is the main function of the sodium-potassium pump in cardiac cells?

    <p>To maintain resting membrane potential (B)</p> Signup and view all the answers

    Which phase of the cardiac action potential is characterized by rapid repolarization?

    <p>Phase 3 (B)</p> Signup and view all the answers

    Why does the SA node typically set the pace for the heart rate?

    <p>It depolarizes faster than any other cardiac cell (C)</p> Signup and view all the answers

    What is the absolute refractory period in cardiac cells?

    <p>A time during which a second action potential cannot be stimulated (B)</p> Signup and view all the answers

    Which structure is responsible for delivering oxygenated blood to systemic circulation?

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

    What distinguishes the conductivity of cardiac muscle cells from skeletal muscle cells?

    <p>Cardiac muscle cells can conduct impulses rapidly through specialized fibers (B)</p> Signup and view all the answers

    What happens during phase 2 of the cardiac action potential?

    <p>Calcium enters the cell while sodium and potassium leave (B)</p> Signup and view all the answers

    Which factor primarily affects the automaticity of heart cells?

    <p>The distribution of ions across the membrane (A)</p> Signup and view all the answers

    How does the structure of cardiac valves contribute to their function?

    <p>They keep blood flowing in one direction (D)</p> Signup and view all the answers

    What is the result of calcium influx during phase 2?

    <p>It triggers the contraction of cardiac muscle (B)</p> Signup and view all the answers

    What effect do cardiac drugs have on the absolute refractory period?

    <p>They can alter responsiveness to stimuli (A)</p> Signup and view all the answers

    Which area of the heart has the highest rate of automaticity?

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

    What is the property called that allows certain cardiac cells to generate action potentials without external stimuli?

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

    Which phase of the cardiac action potential is characterized by the influx of sodium ions and rapid depolarization?

    <p>Phase 0 (B)</p> Signup and view all the answers

    What is the primary purpose of the two semilunar valves?

    <p>To prevent backflow of blood from arteries into ventricles (C)</p> Signup and view all the answers

    During which phase does the cardiac cell membrane undergo a plateau due to slow calcium influx?

    <p>Phase 2 (A)</p> Signup and view all the answers

    What is the function of the sodium-potassium pump during the resting membrane potential (RMP)?

    <p>To maintain ionic balance (D)</p> Signup and view all the answers

    Which area of the heart is responsible for generating the fastest rate of impulses?

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

    What is the role of Purkinje fibers in the cardiac conduction system?

    <p>To rapidly conduct impulses to ventricular cells (B)</p> Signup and view all the answers

    What is the term for the time during which a cardiac cell cannot be stimulated to fire another action potential?

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

    Which part of the heart has the slowest conduction velocity?

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

    What initiates the spontaneous depolarization of cardiac cells during diastole?

    <p>Decreased potassium efflux and sodium leakage (C)</p> Signup and view all the answers

    What is the main characteristic that distinguishes cardiac muscle action potentials from those of skeletal muscle?

    <p>Longer duration due to plateau phase (B)</p> Signup and view all the answers

    What does Ectopic pacemaker mean in the context of cardiac function?

    <p>Pacemakers arising from the AV node or Purkinje fibers (C)</p> Signup and view all the answers

    What occurs during phase 3 of the cardiac action potential?

    <p>Potassium rapidly exits the cell (A)</p> Signup and view all the answers

    Why is the heart able to function independently from the nervous system?

    <p>Thanks to the automaticity of pacemaker cells (B)</p> Signup and view all the answers

    What is the effect of the AV node's conduction delay on heart function?

    <p>It allows the ventricles to fill completely before contraction. (B)</p> Signup and view all the answers

    Which layer of the heart is primarily responsible for its pumping action?

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

    What characterizes the resting membrane potential (RMP) in cardiac cells?

    <p>It is essential for maintaining the heart rate. (B)</p> Signup and view all the answers

    Which of the following intervals on an ECG reflects the delay at the AV node?

    <p>P-R interval (D)</p> Signup and view all the answers

    What happens during the absolute refractory period in cardiac muscle cells?

    <p>They are completely unresponsive to subsequent stimuli. (B)</p> Signup and view all the answers

    What is the primary function of the SA node in the heart?

    <p>To set the pace for heart rate through spontaneous depolarization. (B)</p> Signup and view all the answers

    How do cardiac drugs affect the refractory period of heart cells?

    <p>They can prolong or shorten the refractory period. (C)</p> Signup and view all the answers

    What does the QRS complex of an ECG primarily represent?

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

    Which part of the heart's conduction system is responsible for transmitting impulses quickly through the ventricles?

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

    What distinguishes the left heart from the right heart in terms of the blood it receives?

    <p>The left heart receives oxygenated blood. (D)</p> Signup and view all the answers

    Which part of the heart is primarily responsible for pumping blood to the lungs?

    <p>Right ventricle (B)</p> Signup and view all the answers

    Which of the following correctly describes an arrhythmia?

    <p>Any disruption in the normal rate or rhythm of the heart. (C)</p> Signup and view all the answers

    What role do the semilunar valves play during the cardiac cycle?

    <p>Prevent blood from flowing back into the ventricles. (C)</p> Signup and view all the answers

    What does a normal sinus rhythm indicate about a person's heart activity?

    <p>The heart rate is within the normal range for the individual's age. (A)</p> Signup and view all the answers

    During which phase of the cardiac cycle does blood return to the heart?

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

    What is the role of the autonomic nervous system in relation to cardiac function?

    <p>It can increase or decrease the rate of action potentials. (D)</p> Signup and view all the answers

    What does Starling's law of the heart state about cardiac muscle contraction?

    <p>Greater stretching of the heart muscle results in stronger contractions. (A)</p> Signup and view all the answers

    When does cardiac muscle repolarization occur during the cardiac cycle?

    <p>At the end of the T wave. (D)</p> Signup and view all the answers

    Which vessels supply oxygenated blood to the heart?

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

    What physiological property allows the heart to generate action potentials independently?

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

    What is the correct sequence of blood flow from the body back to the heart?

    <p>Vena cavae → Right atrium → Right ventricle (B)</p> Signup and view all the answers

    What important function does the partition (septum) serve in the heart?

    <p>It prevents oxygenated and deoxygenated blood from mixing. (A)</p> Signup and view all the answers

    What happens to the atrioventricular (AV) valves during ventricular contraction?

    <p>They close tightly to prevent backflow into the atria. (B)</p> Signup and view all the answers

    Which chamber of the heart has a thicker muscular wall?

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

    What occurs immediately after the atria contract during the cardiac cycle?

    <p>Blood is pushed into the ventricles. (D)</p> Signup and view all the answers

    What role do the auricles play in the heart?

    <p>They collect blood before it enters the ventricles. (D)</p> Signup and view all the answers

    What is the main purpose of the aortic valve?

    <p>To prevent backflow into the left ventricle. (A)</p> Signup and view all the answers

    Which structure anchors the heart valves and maintains its shape?

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

    What is the specialized property of the cells in the heart's impulse-forming and conducting system that allows them to generate action potentials without external stimuli?

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

    Which part of the heart is responsible for slowing down the electrical impulse and allowing for atrial contraction and ventricular filling?

    <p>Atrioventricular (AV) node (D)</p> Signup and view all the answers

    What is the physiological phenomenon that underlies the plateau phase of the cardiac action potential?

    <p>Slow influx of calcium ions (A)</p> Signup and view all the answers

    Which phase of the cardiac action potential is associated with the rapid influx of sodium ions, leading to depolarization of the cell?

    <p>Phase 0 (B)</p> Signup and view all the answers

    How does the SA node act as the pacemaker of the heart?

    <p>It has the fastest rate of automaticity among the cardiac cells. (B)</p> Signup and view all the answers

    What is the role of the cardiac muscle during the relaxation phase of the cardiac cycle?

    <p>It allows the chambers to fill with blood. (B)</p> Signup and view all the answers

    What is the role of the Purkinje fibers in the heart's conduction system?

    <p>To deliver the electrical impulse to the ventricular cells for contraction. (B)</p> Signup and view all the answers

    Apart from the SA node, which other cardiac structures can potentially act as ectopic pacemakers?

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

    How does Starling's law of the heart influence cardiac output?

    <p>A greater blood volume leads to a stronger contraction. (A)</p> Signup and view all the answers

    What is the primary function of the sinoatrial (SA) node in the heart?

    <p>To generate electrical impulses for heart contractions. (B)</p> Signup and view all the answers

    What is the significance of the slow calcium current during the plateau phase of the cardiac action potential?

    <p>It ensures a prolonged contraction of the heart muscle. (D)</p> Signup and view all the answers

    What is the significance of the AV node in the cardiac conduction system?

    <p>It prevents the premature contraction of the heart. (C)</p> Signup and view all the answers

    Which of the following statements correctly describes the role of the sodium-potassium pump in the cardiac action potential?

    <p>It helps to maintain the resting membrane potential by pumping sodium out and potassium into the cell. (C)</p> Signup and view all the answers

    Why is it crucial that the heart can beat even without signals from the brain?

    <p>To ensure that the heart continues to function even in life-threatening situations. (C)</p> Signup and view all the answers

    What effect does the contraction of the ventricles have on the blood flow within the heart?

    <p>Blood is pumped into the systemic and pulmonary circulation. (B)</p> Signup and view all the answers

    Which of the following statements about the action potentials of different areas of the heart is TRUE?

    <p>The SA node has the fastest rate of automaticity, followed by the AV node and then the ventricular muscle cells. (A)</p> Signup and view all the answers

    During the diastole phase, what occurs in relation to the AV valves?

    <p>They remain open to allow blood flow into the ventricles. (D)</p> Signup and view all the answers

    What advantage does the heart's ability to generate impulses independently provide?

    <p>It ensures the heart can beat regardless of brain activity. (C)</p> Signup and view all the answers

    What is the role of the atrial bundles in the conduction system?

    <p>To transmit the electrical impulse from the SA node to the AV node. (B)</p> Signup and view all the answers

    Which of the following statements is TRUE regarding the relationship between diastole and automaticity?

    <p>Diastole refers to the relaxation phase of the heart, during which automaticity is increased. (C)</p> Signup and view all the answers

    Which structure primarily contributes to the conduction of impulses through the ventricles?

    <p>The Purkinje fibers. (D)</p> Signup and view all the answers

    What describes the mechanism of the cardiac valves during ventricular contraction?

    <p>They close tightly to prevent backflow. (C)</p> Signup and view all the answers

    What is the name of the primitive cells that compose the impulse-forming and conducting system of the heart?

    <p>Pale cells (P cells) (D)</p> Signup and view all the answers

    Which of the following BEST describes the role of the bundle of His in the heart's conduction system?

    <p>It conducts the electrical impulse from the atria to the ventricles. (A)</p> Signup and view all the answers

    What characterizes the way blood flows through the heart chambers?

    <p>Blood follows a specific one-way path through the heart. (B)</p> Signup and view all the answers

    In what manner does the heart muscle resemble a rubber band, according to its functional properties?

    <p>It can be stretched and always returns with strength. (C)</p> Signup and view all the answers

    What is the significance of the unique plateau stage observed during the cardiac action potential compared to the action potential of skeletal muscle?

    <p>It ensures a prolonged contraction of the heart muscle. (D)</p> Signup and view all the answers

    What key property of cardiac muscle allows it to act as a pump?

    <p>The synchronized contraction of atria and ventricles. (A)</p> Signup and view all the answers

    What structural feature distinguishes the tricuspid valve from the mitral valve?

    <p>It has three leaflets or cusps. (B)</p> Signup and view all the answers

    What is the relationship between the pressure in the atria and the ventricles during the filling phase?

    <p>Atrial pressure must be greater than ventricular pressure. (A)</p> Signup and view all the answers

    Which of the following statements accurately reflects the heart's vascular structure?

    <p>The aorta is the primary vessel for leaving the heart. (B)</p> Signup and view all the answers

    What happens to the coronary arteries during ventricular contraction?

    <p>Their openings are covered by the aortic valve leaflets. (B)</p> Signup and view all the answers

    Which factor primarily determines the heart's oxygen consumption?

    <p>Heart rate. (C)</p> Signup and view all the answers

    What is the consequence of an imbalance between oxygen supply and myocardial oxygen demand?

    <p>Potential ischemia of the heart muscle. (D)</p> Signup and view all the answers

    What region of the heart does the left circumflex artery primarily supply?

    <p>Most of the left lateral wall of the ventricle. (C)</p> Signup and view all the answers

    How does preload affect the workload of the heart?

    <p>Increases the volume of blood returned to the heart. (D)</p> Signup and view all the answers

    How is pulse pressure defined?

    <p>The difference between systolic and diastolic blood pressure. (C)</p> Signup and view all the answers

    What role does afterload play in cardiac function?

    <p>It represents the resistance the heart must overcome to pump blood. (C)</p> Signup and view all the answers

    During which phase do the coronary arteries receive blood?

    <p>During diastole. (A)</p> Signup and view all the answers

    Where does the right coronary artery primarily supply blood?

    <p>Most of the right side of the heart. (C)</p> Signup and view all the answers

    What is a characteristic of the heart's coronary circulation?

    <p>It efficiently meets the heart muscle's needs under normal circumstances. (C)</p> Signup and view all the answers

    What can cause sinus tachycardia in patients?

    <p>Exercise or stress (A)</p> Signup and view all the answers

    Which of the following statements about cardiac cells is TRUE?

    <p>All cardiac cells possess a degree of automaticity, meaning they can spontaneously generate action potentials. (A)</p> Signup and view all the answers

    Which condition is associated with a heart rate of less than 60 beats/min?

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

    Which phase of the cardiac action potential is characterized by a rapid influx of sodium ions, resulting in depolarization of the cell membrane?

    <p>Phase 0 (D)</p> Signup and view all the answers

    What distinguishes supraventricular arrhythmias from other types?

    <p>They show normal QRS complexes. (C)</p> Signup and view all the answers

    Which part of the heart has the slowest conduction velocity, leading to a delay between atrial and ventricular contraction?

    <p>Atrioventricular (AV) node (D)</p> Signup and view all the answers

    In which type of heart block do P waves occur without a consistent relationship to QRS complexes?

    <p>Third-degree block (C)</p> Signup and view all the answers

    What occurs during atrial flutter concerning P waves and QRS complexes?

    <p>Fewer QRS complexes than P waves. (B)</p> Signup and view all the answers

    Which of the following best describes ventricular fibrillation?

    <p>Irregular contractions lacking coordination. (B)</p> Signup and view all the answers

    What is the term for the period of time during an action potential when it is impossible to stimulate an area of cardiac muscle?

    <p>Absolute refractory period (C)</p> Signup and view all the answers

    Which statement BEST describes the role of the sinoatrial (SA) node in the heart's function?

    <p>The SA node initiates and regulates the heart's rhythm (D)</p> Signup and view all the answers

    What is a potential consequence of rapid ventricular tachycardia?

    <p>Ineffective pumping of blood. (D)</p> Signup and view all the answers

    What causes the twisting effect seen in torsade de pointes?

    <p>Long QT interval. (D)</p> Signup and view all the answers

    Which of the following describes the property of cardiac cells that allows the electrical impulse to spread rapidly throughout the heart?

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

    Which of the following is a common feature of premature ventricular contractions (PVCs)?

    <p>Followed by a compensatory pause. (B)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of the plateau phase (Phase 2) of the cardiac action potential?

    <p>Rapid efflux of potassium ions (C)</p> Signup and view all the answers

    What role does coronary circulation play for the heart muscle?

    <p>Supplies oxygen and nutrients to the heart muscle. (D)</p> Signup and view all the answers

    Which of the following conditions would likely occur if the sinoatrial (SA) node were to fail?

    <p>An ectopic pacemaker would likely take over. (C)</p> Signup and view all the answers

    What is the term for the situation where a region of the heart other than the sinoatrial (SA) node assumes pacemaker activity?

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

    Which heart rhythm is characterized by irregular P waves and multiple ectopic foci firing?

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

    What does the presence of a prolonged QRS complex typically indicate?

    <p>Ectopic foci in the ventricles. (C)</p> Signup and view all the answers

    Which of the following statements accurately describes the role of the autonomic nervous system in regulating heart function?

    <p>The autonomic nervous system modulates the heart rate and force of contraction. (C)</p> Signup and view all the answers

    Which of the following properties of cardiac cells is primarily responsible for the heart's ability to generate action potentials without external stimulation?

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

    Which part of the heart is responsible for pulmonary circulation?

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

    What is the effect of sinus bradycardia on the heart's oxygen demand?

    <p>Decreases oxygen demand. (B)</p> Signup and view all the answers

    During which phase of the cardiac action potential does calcium slowly enter the cell, contributing to the prolonged plateau phase?

    <p>Phase 2 (D)</p> Signup and view all the answers

    Which of the following statements about the action potential of a ventricular muscle cell is TRUE?

    <p>It has a longer duration than the action potential of a SA node cell. (B)</p> Signup and view all the answers

    Which of the following accurately describes the relationship between the action potential and the refractory period in cardiac muscle cells?

    <p>The refractory period occurs during the plateau phase of the action potential. (B)</p> Signup and view all the answers

    What happens to blood pressure in the right atrium during the rapid-filling phase?

    <p>It momentarily rises until it exceeds the pressure in the right ventricle. (A)</p> Signup and view all the answers

    What is the primary role of the arterioles in the cardiovascular system?

    <p>To control blood flow by adjusting resistance. (B)</p> Signup and view all the answers

    Which of the following describes the function of the capillaries?

    <p>To facilitate nutrient and gas exchange at the cellular level. (D)</p> Signup and view all the answers

    What is the significance of hydrostatic pressure (HP) in capillary function?

    <p>It pushes fluid out of the capillaries into the interstitial spaces. (D)</p> Signup and view all the answers

    What condition results from a disruption in hydrostatic pressure or protein concentration in the capillary?

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

    How does the venous system differ from the arterial system?

    <p>The venous system is a capacitance system with the capacity to hold more blood. (B)</p> Signup and view all the answers

    What is the primary function of the coronary arteries?

    <p>To deliver oxygenated blood to the heart muscle. (C)</p> Signup and view all the answers

    What happens at the venous end of the capillaries?

    <p>Oncotic pressure pulls fluid back into the capillaries. (D)</p> Signup and view all the answers

    What role does the pulmonary artery play in the circulatory system?

    <p>It transports deoxygenated blood from the right ventricle to the lungs. (A)</p> Signup and view all the answers

    What happens to blood volume in the left atrium right before it contracts?

    <p>It is at its maximum level due to blood return from the body. (C)</p> Signup and view all the answers

    What physical property of the arterial walls contributes to their ability to withstand high pressure?

    <p>Arteries have thick, muscular walls that provide strength. (D)</p> Signup and view all the answers

    What is the effect of the heart muscle requiring a constant supply of oxygenated blood?

    <p>It creates dependency on aerobic metabolism for energy. (A)</p> Signup and view all the answers

    What determines the direction of blood flow through the veins?

    <p>The presence of one-way valves preventing backflow. (C)</p> Signup and view all the answers

    Which factor primarily influences the distribution of blood in the vascular system?

    <p>The diameter changes in arterioles. (B)</p> Signup and view all the answers

    Flashcards

    Heart Anatomy

    The structure of the heart, including chambers, valves, and vessels.

    Blood Flow in Cardiac Cycle

    The sequence of blood movement through the heart during one heartbeat.

    Conduction System of the Heart

    The system that controls the heart's rhythm through electrical signals.

    Normal ECG Pattern

    A graphical representation of the heart's electrical activity over time.

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    Capillary Fluid Shift

    Movement of fluid between capillaries and surrounding tissues influenced by pressure and concentration.

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    Ectopic Pacemaker

    Cells in the AV node or Purkinje fibers that discharge impulses faster than the SA node.

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    Automaticity

    The ability of cardiac cells to generate impulses without external stimuli.

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    Action Potential Phases

    The five distinct phases during electrical impulse generation in cardiac cells.

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    Phase 0 of Action Potential

    Depolarization phase where sodium rushes into the cell.

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    Phase 1 of Action Potential

    Repolarization begins as sodium channels close and potassium starts to leave.

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    Phase 2 of Action Potential

    Plateau phase characterized by calcium entering and potassium leaving slowly.

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    Phase 3 of Action Potential

    Rapid repolarization where potassium rapidly moves out and calcium influx stops.

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    Phase 4 of Action Potential

    Resting membrane potential is achieved by the sodium-potassium pump.

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    Sinoatrial (SA) Node

    The natural pacemaker of the heart, generating impulses 90-100 times a minute.

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    Atrioventricular (AV) Node

    Serves as a backup pacemaker generating impulses 40-50 times a minute.

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    Conductivity

    The property that allows cardiac cells to conduct impulses rapidly throughout the heart.

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    Conduction Velocity

    The speed at which electrical impulses travel through the heart's conduction system.

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    Absolute Refractory Period

    Time after an action potential where cells cannot be stimulated again.

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    Cardiac Output

    The volume of blood the heart pumps per minute; crucial for circulation.

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    Function of the Heart

    To pump blood, delivering oxygen and nutrients while removing wastes.

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    Actin

    Thin filament that is a component of a sarcomere, or muscle unit.

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    Aldosterone

    Hormone from the adrenal cortex that increases retention of sodium and water in the kidneys.

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    Angiotensin

    Peptide hormone that causes vasoconstriction and stimulates aldosterone and ADH release.

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    ADH

    Hormone that increases water retention in the kidneys, released from the posterior pituitary.

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    Arrhythmia

    Disruption in cardiac rate or rhythm, also called dysrhythmia.

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    Cardiac Cycle

    Period of diastole (relaxation) followed by systole (contraction) in the heart.

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    Diastole

    The resting phase of the heart where blood returns to the heart.

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    Systole

    The contracting phase of the heart during which blood is pumped out.

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    Myocardium

    The muscle of the heart responsible for contraction.

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    Sarcomere

    The functional unit of a muscle cell, composed of actin and myosin.

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    Troponin

    A chemical in heart muscle that controls actin and myosin interaction.

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    Veins

    Vessels that return blood to the heart; they are distensible tubes.

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    Ventricles

    Lower chambers of the heart that pump blood out to the lungs or body.

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    Sinoatrial Node

    The normal pacemaker of the heart, generating spontaneous action potentials.

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    Cardiac Muscle

    Muscle fibers forming the myocardium of the heart.

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    Atrial Syncytium

    Network of cardiac fibers allowing simultaneous atrial contraction.

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    Ventricular Syncytium

    Network facilitating concurrent contraction of the ventricles.

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    Synchronous Contraction

    Simultaneous contraction of cardiac muscle due to a single stimulus.

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    Starling's Law

    The heart's ability to contract stronger when filled more completely.

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    Tricuspid Valve

    Heart valve between right atrium and right ventricle.

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    Mitral Valve

    Valve between left atrium and left ventricle, has two leaflets.

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    Cardiac Conduction System

    Network managing electrical impulses to trigger heartbeats.

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    SA Node

    Natural pacemaker generating action potentials for heartbeat.

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    AV Node

    Slows impulses from atria before passing to ventricles.

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    Purkinje Fibers

    Fibers that conduct impulses to ventricular muscle for contraction.

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    Right Heart

    The right side of the heart that receives deoxygenated blood.

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    Left Heart

    The left side of the heart that pumps oxygenated blood to the body.

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    Atria

    Upper chambers of the heart that collect blood.

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    Auricle

    An appendage attached to each atrium that collects blood.

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    Cardiac Valves

    Thin tissues that ensure blood flows in one direction in the heart.

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    Septum

    Partition that separates the right and left sides of the heart.

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    Deoxygenated Blood

    Blood low in oxygen returning to the heart from the body.

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    Oxygenated Blood

    Blood rich in oxygen coming from the lungs to the heart.

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    Starling’s Law

    The greater the heart muscle is stretched, the stronger it contracts.

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    Sinus Rhythm

    The normal heart rhythm set by the SA node.

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    Cardiac Conductivity

    The ability of cardiac cells to conduct impulses rapidly.

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    AV Node Delay

    A delay in impulse conduction at the AV node between atria and ventricles.

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    Purkinje Fibers Function

    Conduct impulses rapidly for simultaneous ventricle contraction.

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    Heart Chambers

    The four sections of the heart: two atria and two ventricles.

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    Starling’s Law of the Heart

    The more the heart fills, the stronger the contraction.

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    Pulmonary Circulation

    The pathway for deoxygenated blood to the lungs.

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    Systemic Circulation

    The pathway for oxygenated blood to the body tissues.

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    Pacemaker Cells

    Cells that set the heart's rhythm by generating impulses.

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    Bundle of His

    A collection of heart muscle cells that conduct impulses from the AV node to the ventricles.

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    Action Potential

    Electrical impulses in cardiac cells, allowing for contraction.

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    Conduction System

    The network of cells that transmits electrical signals throughout the heart.

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    Heart's Autonomy

    The heart's ability to beat independently of brain signals when nourished.

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    Pulmonary Valve

    Valve controlling blood flow from right ventricle to pulmonary artery.

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    Aortic Valve

    Valve controlling blood flow from left ventricle to aorta.

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    P Cells

    Primitive cardiac cells capable of generating action potentials without external stimuli.

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    Diastolic Depolarization

    Spontaneous depolarization during diastole as potassium flow decreases.

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    Resting Membrane Potential

    The state of a cardiac cell when it's not actively transmitting an impulse.

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    Sodium-Potassium Pump

    A pump that maintains resting membrane potential by moving sodium out and potassium in.

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    Plateau Phase

    A unique phase in cardiac muscle action potentials that prolongs depolarization.

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    Phase 3

    Rapid repolarization where calcium influx stops and potassium exits the cell.

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    Resting Membrane Potential (RMP)

    The stable, resting state of a cardiac cell after depolarization.

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    SA Node Automaticity

    The SA node generates electrical impulses at 90-100 beats per minute.

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    AV Node Function

    Acts as a backup pacemaker, generating impulses 40-50 times a minute.

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    Ventricular Muscle Cells

    Generate impulses only about 10-20 times a minute.

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    Conductivity of Cardiac Cells

    The ability of heart cells to conduct impulses rapidly.

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    Atrioventricular Delay

    A delay in impulse conduction at AV node allowing atria to contract before ventricles.

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    Circulatory System Components

    Consists of the heart and interconnected blood vessels for movement of blood.

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    Right vs Left Heart

    The heart is divided into right (deoxygenated blood) and left (oxygenated blood) sides.

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    Cardiac Conduction

    The process through which electrical impulses control heartbeats.

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    Impulse Transmission

    The movement of electrical signals through the heart’s conducting system.

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    Repolarization

    The process of restoring the resting membrane potential after depolarization.

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    Calcium Influx

    The entry of calcium ions during the plateau phase of action potential.

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    Potassium Ions

    Ions that move out of the cell during repolarization.

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    Cardiovascular System

    The body system responsible for delivering oxygen and nutrients and removing wastes.

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    Atrial Contraction

    The action of the atria contracting to push blood into the ventricles.

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    Closed Circulatory System

    A system with no openings allowing blood leakage, ensuring pressure regulation.

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    Pressure Gradient

    Blood flows from high pressure to low pressure areas in circulation.

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    Right Atria Function

    Collects deoxygenated blood from the body to be sent to the right ventricle.

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    Left Atria Function

    Receives oxygenated blood from the lungs and sends it to the left ventricle.

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    Rapid-Filling Phase

    Phase where blood quickly flows from the right atrium to the right ventricle.

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    Edema

    Condition of fluid retention in tissue due to pressure imbalance.

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    Resistance System

    The arterial system that offers resistance to blood flow, regulating pressure.

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    Myocardial Blood Flow

    Constant supply of oxygenated blood to the heart muscle through coronary arteries.

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    Lymphatic System Role

    Returns fluids from tissues back to the circulatory system.

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    Oncotic Pressure (OP)

    Pulling pressure of proteins in blood that helps retain fluid in capillaries.

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    Hydrostatic Pressure (HP)

    Force exerted by fluids pushing against capillary walls, driving fluid out.

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    Left Coronary Artery

    Artery that arises from the left aorta and bifurcates into two branches.

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    Left Circumflex Artery

    A branch of the left coronary artery that supplies the left lateral wall of the ventricle.

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    Left Anterior Descending Artery

    A branch of the left coronary artery that supplies the anterior parts of the heart.

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    Right Coronary Artery

    Artery that arises from the right side of the aorta, supplying the right heart.

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    Pulse Pressure

    The difference between systolic and diastolic blood pressure, indicating artery pressure.

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    End Artery Circulation

    Circulation pattern where arteries supply specific areas without significant backup circulation.

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    Preload

    The volume of blood returned to the heart before it pumps, affecting contraction strength.

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    Afterload

    The resistance the heart must overcome to eject blood during contraction.

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    Sinus Tachycardia

    A heart rate faster than 100 beats/min with a normal ECG.

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    Sinus Bradycardia

    A slower heart rate, usually less than 60 beats/min with a normal ECG.

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    Sinus Pause

    A temporary stoppage of SA node signaling leading to ectopic pacemaker takeover.

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    Supraventricular Arrhythmias

    Arrhythmias originating above the ventricles but not in the SA node.

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    Premature Atrial Contractions (PACs)

    Early heartbeats formed from an ectopic focus in the atria.

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    Paroxysmal Atrial Tachycardia

    Sudden bursts of rapid heart rate originating in the atria.

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    Atrial Flutter

    Fast atrial depolarization characterized by sawtooth P waves.

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    Atrial Fibrillation

    Irregular and fast heart rhythm due to many ectopic foci firing.

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    Atrioventricular Block (Heart Block)

    Disruption in impulse conduction at the AV node.

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    First-Degree AV Block

    All impulses reach ventricles but delayed, characterized by a long P-R interval.

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    Ventricular Arrhythmias

    Arrhythmias originating below the AV node with wide QRS complexes.

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    Premature Ventricular Contractions (PVCs)

    Early heartbeats from ectopic foci in the ventricles, can have varying shapes.

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    Torsade de Pointes

    A type of polymorphic ventricular tachycardia with QRS polarity that twists.

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    Ventricular Fibrillation

    Uncoordinated electrical activity in ventricles, leading to ineffective pumping.

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    Coronary Circulation

    Blood flow supplying the heart muscle with oxygen and nutrients.

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    Pacemaker Potential

    The gradual depolarization that occurs in SA node cells leading to action potential generation.

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    Electrocardiography

    The technique of recording the electrical activity of the heart during the cardiac cycle.

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    Normal ECG Waves

    The P wave, QRS complex, and T wave represent the heart’s electrical activity.

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    P-R Interval

    The time from the beginning of the P wave to the start of the QRS complex, indicating AV nodal delay.

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    Sinus Arrhythmia

    A variation in heart rate that occurs naturally with breathing.

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    Study Notes

    Cardiovascular System Overview

    • The cardiovascular system delivers oxygen and nutrients to body cells, removing waste. It comprises the heart and interconnected blood vessels.
    • The heart is a four-chambered, muscular pump (right and left halves). Each half has an atrium (upper chamber) and a ventricle (lower chamber).
    • Auricles are appendages on the atria, collecting blood for pumping.
    • Valves (tricuspid, mitral, pulmonary, aortic) ensure one-way blood flow; they are thin tissues anchored to fibrous rings for structural integrity.
    • A septum divides the right and left halves of the heart.
    • Deoxygenated blood enters the right side of the heart, travels to the lungs (pulmonary circulation), and then oxygenated blood returns to the left side to circulate systemically through the body.
    • The cardiovascular system utilizes ~60,000 miles of blood vessels.

    Cardiac Cycle

    • The cardiac cycle alternates between diastole (relaxation) and systole (contraction) to fill and pump blood.
    • Heart muscle (myocardium) forms two networks allowing simultaneous atria and ventricle contraction.
    • Filling is crucial as stronger contraction follows. Starling's Law of the Heart: More stretch leads to stronger contraction, to a point of diminishing returns.
    • The atria contract just before the ventricles to increase ventricular filling.
    • One-way valves in the heart maintain directionality of blood flow.

    Cardiac Conduction

    • The heart's own pacemaker cells (SA node) initiate rhythmic contractions without external stimulation (automaticity).
    • The SA node is the primary pacemaker, firing around 90-100 beats per minute.
      • Other regions (e.g., AV node, Purkinje fibers) can act as pacemakers when the SA node fails.
    • Impulses travel via the conduction system (SA node, atrial bundles, AV node, bundle of His, bundle branches, Purkinje fibers) stimulating simultaneous contractions.
    • The AV node slows the impulse, allowing ventricles to fill.
      • Conduction velocity varies across the system.
      • There is an important delay at the AV node, and this delay allows the ventricles adequate time to fill.
    • After cell activation (action potential), a brief refractory period prevents re-stimulation. This refractory period is also affected by cardiac medications.

    Electrocardiography (ECG)

    • ECG records electrical activity, not mechanical activity.
    • Normal ECG has a P wave (atrial depolarization), QRS complex (ventricular depolarization), and T wave (ventricular repolarization).
    • Specific intervals and segments (e.g., P-R, Q-T) provide crucial timing information and anomalies can reveal cardiac irregularities.
    • Normal sinus rhythm refers to a normal heart rate and ECG pattern.

    Arrhythmias

    • An arrhythmia (dysrhythmia)is a disruption in heart rate or rhythm.
    • Sinus tachycardia (rapid heart rate, above 100 bpm) and sinus bradycardia (slow heart rate, below 60 bpm) both possess a normal ECG waveform but are above/below expected values.
      • Sinus arrhythmias are triggered by the autonomic nervous system, and the underlying physical condition of the patient influences whether it is problematic.
    • Supraventricular arrhythmias originate above the ventricles; including premature atrial contractions, paroxysmal atrial tachycardia, atrial flutter, and atrial fibrillation.
    • Atrioventricular (AV) block, affecting impulse conduction through the AV node, manifests in varying degrees—from slight delays to complete block.
    • Ventricular arrhythmias originate below the AV node with wide QRS complexes and potentially dangerous outcomes if prolonged (PVCs, ventricular tachycardia, torsades de pointes, ventricular fibrillation).

    Circulation

    • Pulmonary circulation: pumps deoxygenated blood to the lungs for oxygen uptake.
    • Systemic circulation: pumps oxygenated blood to body tissues.
      • Pressure gradients direct blood flow across the circulatory system from areas of higher pressure to areas of lower pressure
    • The heart requires its own blood supply (coronary circulation) via coronary arteries.
    • Blood flows in a similar manner throughout the body for the system to function.
    • Capillary fluid shift: a balance between hydrostatic and oncotic pressure governs fluid movement in and out of capillaries.
    • Edema results from imbalances in these pressure factors, causing fluid to accumulate in tissues.

    Coronary Circulation

    • Coronary arteries supply oxygenated blood to the heart muscle.
      • Branches off the aorta (sinuses of Valsalva).
      • Two main arteries: left coronary (left circumflex and left anterior descending), right coronary.
      • Coronary arteries fill during diastole (heart relaxation).
    • Pulse pressure (systolic - diastolic blood pressure) reflects coronary artery filling pressure.
    • The heart’s oxygen demand is influenced by rate, preload (blood volume), afterload (resistance to contraction/ blood pressure), and contractility (calcium influx).
    • A mismatch between oxygen supply and demand can lead to heart problems. The heart must have enough oxygen to adequately contract and circulate blood (for all body functions).

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    Test your knowledge on the cardiovascular system with this quiz. From the heart's conduction system to the functions of cardiac valves, this quiz covers essential concepts that are crucial for understanding how the heart operates. Perfect for students studying human physiology or anyone interested in the cardiovascular system.

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