1muscle pump enclosed in _________
pericardium
2what is enclosed in the pericardium
the muscle pump
3what is heart size related to?
size of clenched fist
body sze
4Heart is located ______ lower half of _______
behind lower half of sternu,
5what divides the heart into right an delft halves
longitudinal septum
6what does the longitudinal septum divide
heart into right and left halves
7what does the pulmonary valve supply
pulmonary circulation
8what does the aortic valve supply
systemic circulation
9what forces the cusps open????
increased ventricular pressure
10what receives deoxygenated blood
right atrium
11what receives oxygenated blood
left atriu,
12where 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
13where does left atrium empty blood into?
left ventricle via mitral valve
14what is pulmonary pressure
20/19
15what does more work... right or left ventricle???
left
16what is systemic pressure
120/80mmHg
17what atria/ventricle is the PRIMARY issue with heart disease???
left ventricle
18mm fibers of the heart are _____
self excitatory
19innervation of the heart needs to be____
regulated
20ANS intervention: function
regulate the rate of impulse formation
21increased stimulation of ______ nervous system increases...
- discharge rate of SA node
- AV node conduction
- contractile force of both atrial and ventricular mm
- HR
sympathetic
22what 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
23increased stimulation of ____________ nervous system
- increases VAGUS nerve activity
- decreases AV node conduciton
- decreases HR
parasympathetic
24increased stimulation of parasympathetic nervous system causes what three things
- increases VAGUS nerve activity
- decreases AV node conduciton
- decreases HR
25SA node is what rythm?
sinus
26where is SA node located
Near the junction of the superior vena cava and the right atrium
27what is SA node rate without neural influence
100 bpm
28what is SA node rate with vagal influence
60-90 bpm (decelerates the HR)
29what is located on the FLOOR of atrium above tricuspid valve?
AV ndoe
30what is the rate of the AV node
40-60 bpm
31what is the main function of the AV node
delay impulse by 0.04 seconds
Postpone ventricular excitation
Limit number of signals transmitted
32what is this the three phases of
1)Isovolumetric contraction
2)Rapid ejection
3)Slower ejection
ventricular systole
33what is this the three phases of
1) passive rapid-filling
2)slower filling
3)activie rapid-filling
ventricular diastole
34what heart sound is closure of AV valves
S1
35what is S1
closure of AV valves
36what is S2
closure of semilunar valves
37what is closure of semilunar valves heart soind
S2
38what heart sound is associated with passive rapid-filling (ventricular gallop)
S3
39what is S3
passive rapid-filling (ventricular gallop)
40what heart sound is associate with active rapid-filling (atrial gallop)
S4
41what is S4
associated with active rapid-filling phase (Atrial Gallop)
42On average we pump_____ of total blood in LV to systemic circulation
55-60%
43when breathing in the diaphragm goes ____
down
44when inhaling how does the heart move??
descends and rotates to the RIGHT
45when does the heart descend and rotate right?
inhaling
46when does the diaphragm contract? inspiration or expiration
inspiration
47pt presents with right lung atelectasis. Which way does the heart move?
rotates towards the Right
48atelectasis.. shifts heart to _____ side as pathology
SAME
49which way does the heart shift with atelectasis???
SAME side as pathology
50Which was does the heart shift in pneumothorax?
AWAY
51patient presents with left pneumothorax.. which way do we suspect the heart has shifted??
TOWARDS the right!!!
52what are the three layers of the heart?
epicardium, myocardium, endocardium
53which layer of the heart is visceral and has lots of fat?
epicardium
54which layer of the heart contains coronary blood vessels that nourish the heart?
epicardium
55which is thicker?
ventricle walls or atrial walls?
ventricle!!!
56<50%
indictive of impairment
57ejection fraction: 40-50%
mild
58ejection fraction: 30-40%
moderate
59ejection fraction: <30%
severe
60indicative of impairment
<50%
61ejection fraction: moderate
30-40%
62ejection fraction: severe
<30%
63what is this the definition of? amount of blood ejected from Lventricle during ventricular SYSTOLE (1 heartbeat)
stroke volume
64what is the average SV
70mLeat
65what is a SV less than 70mLeat indicative of?
pathology
66what is this the definition of?: End-diastolic muscle fiber length of ventricles BEFORE systolic ejection
preload
67what is this the definition of?: Resistance to ejection of blood during VENTRICULAR systole
afterload
68what is the cardiac reflex?
starling effect
69what responds to hypoxia by increasing ventilation?
peripheral chemoreceptors
70venous return is the amount of blood entering the LEFT atrium
71true or false
FALSEEE it enters the right
72venous return is the amount of blood entering the ______ atrium
right
73resistance exercise is bad for what?
cardiac disease/hypertension