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73 flashcardsby Alexandra
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1
muscle pump enclosed in _________
pericardium
2
what is enclosed in the pericardium
the muscle pump
3
what is heart size related to?
size of clenched fist

body sze
4
Heart is located ______ lower half of _______
behind lower half of sternu,
5
what divides the heart into right an delft halves
longitudinal septum
6
what does the longitudinal septum divide
heart into right and left halves
7
what does the pulmonary valve supply
pulmonary circulation
8
what does the aortic valve supply
systemic circulation
9
what forces the cusps open????
increased ventricular pressure
10
what receives deoxygenated blood
right atrium
11
what receives oxygenated blood
left atriu,
12
where is the house of the SA and AV node?
right atrium

House of SA node!!! In posterior wall

House of AV node!! In floor above tricuspid valve
13
where does left atrium empty blood into?
left ventricle via mitral valve
14
what is pulmonary pressure
20/19
15
what does more work... right or left ventricle???
left
16
what is systemic pressure
120/80mmHg
17
what atria/ventricle is the PRIMARY issue with heart disease???
left ventricle
18
mm fibers of the heart are _____
self excitatory
19
innervation of the heart needs to be____
regulated
20
ANS intervention: function
regulate the rate of impulse formation
21
increased stimulation of ______ nervous system increases...

- discharge rate of SA node
- AV node conduction
- contractile force of both atrial and ventricular mm
- HR
sympathetic
22
what does increased stimulation of sympathetic nervous system increase??
increases...

- discharge rate of SA node
- AV node conduction
- contractile force of both atrial and ventricular mm
- HR
23
increased stimulation of ____________ nervous system

- increases VAGUS nerve activity

- decreases AV node conduciton

- decreases HR
parasympathetic
24
increased stimulation of parasympathetic nervous system causes what three things
- increases VAGUS nerve activity

- decreases AV node conduciton

- decreases HR
25
SA node is what rythm?
sinus
26
where is SA node located
Near the junction of the superior vena cava and the right atrium
27
what is SA node rate without neural influence
100 bpm
28
what is SA node rate with vagal influence
60-90 bpm (decelerates the HR)
29
what is located on the FLOOR of atrium above tricuspid valve?
AV ndoe
30
what is the rate of the AV node
40-60 bpm
31
what is the main function of the AV node
delay impulse by 0.04 seconds

Postpone ventricular excitation

Limit number of signals transmitted
32
what is this the three phases of

1)Isovolumetric contraction
2)Rapid ejection
3)Slower ejection
ventricular systole
33
what is this the three phases of

1) passive rapid-filling
2)slower filling
3)activie rapid-filling
ventricular diastole
34
what heart sound is closure of AV valves
S1
35
what is S1
closure of AV valves
36
what is S2
closure of semilunar valves
37
what is closure of semilunar valves heart soind
S2
38
what heart sound is associated with passive rapid-filling (ventricular gallop)
S3
39
what is S3
passive rapid-filling (ventricular gallop)
40
what heart sound is associate with active rapid-filling (atrial gallop)
S4
41
what is S4
associated with active rapid-filling phase (Atrial Gallop)
42
On average we pump_____ of total blood in LV to systemic circulation
55-60%
43
when breathing in the diaphragm goes ____
down
44
when inhaling how does the heart move??
descends and rotates to the RIGHT
45
when does the heart descend and rotate right?
inhaling
46
when does the diaphragm contract? inspiration or expiration
inspiration
47
pt presents with right lung atelectasis. Which way does the heart move?
rotates towards the Right
48
atelectasis.. shifts heart to _____ side as pathology
SAME
49
which way does the heart shift with atelectasis???
SAME side as pathology
50
Which was does the heart shift in pneumothorax?
AWAY
51
patient presents with left pneumothorax.. which way do we suspect the heart has shifted??
TOWARDS the right!!!
52
what are the three layers of the heart?
epicardium, myocardium, endocardium
53
which layer of the heart is visceral and has lots of fat?
epicardium
54
which layer of the heart contains coronary blood vessels that nourish the heart?
epicardium
55
which is thicker?
ventricle walls or atrial walls?
ventricle!!!
56
<50%
indictive of impairment
57
ejection fraction: 40-50%
mild
58
ejection fraction: 30-40%
moderate
59
ejection fraction: <30%
severe
60
indicative of impairment
<50%
61
ejection fraction: moderate
30-40%
62
ejection fraction: severe
<30%
63
what is this the definition of? amount of blood ejected from Lventricle during ventricular SYSTOLE (1 heartbeat)
stroke volume
64
what is the average SV
70mLeat
65
what is a SV less than 70mLeat indicative of?
pathology
66
what is this the definition of?: End-diastolic muscle fiber length of ventricles BEFORE systolic ejection
preload
67
what is this the definition of?: Resistance to ejection of blood during VENTRICULAR systole
afterload
68
what is the cardiac reflex?
starling effect
69
what responds to hypoxia by increasing ventilation?
peripheral chemoreceptors
70
venous return is the amount of blood entering the LEFT atrium
71
true or false
FALSEEE it enters the right
72
venous return is the amount of blood entering the ______ atrium
right
73
resistance exercise is bad for what?
cardiac disease/hypertension
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