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test 2 heart

heart

QuestionAnswer
The inside of the cell becomes more "positive" or "negative" if Cl- is pumped OUT Positive
Which of the adrenergic receptors causes relaxation of smooth muscle around blood vessels? Beta 2
Factors that increase heart rate are known as? Positive Chronotropic
A concept that states: a heart chamber will eject as much blood as it receives, so an increaased venous return causes increased SV & increased ejection fraction? Frank-Starling Law
Which medication used to treat heart disease poisons the sodium-potassium ATPase pump? Digitalis
Which medication used to treat heart disease indirectly causes in an increase in Ca within cardiac muscle cells? Digitalis
The middle layer of the heart, it is the thickest layer and is composed of the heart muscle? Myocardium
Continuous low level vagal stimulation is known as? Vagal tone
Which substance is pumped OUT of a cell by the sodium pump? Sodium
Into which chamber of the heart does blood enter when returning from the entire body (other than the lungs)? Right Atrium
Where is the congestion that is typical of left heart failure? Lungs
The blood pressure in peripheral arterioles is known as? Afterload
Factors which effect the hearts strength of contraction are known as? Inotropic Factors
Heart muscles on the inside of both ventricles that produces all the "nooks n crannies" are known as? Trabeculae carneae
What is the approximate systolic/diastolic pressure of the right atrium? 5/0
A heart rate less than 60 bpm is known as? Bradycardia
The AV node is located in the "------", near the bottom of the atrium just behind the opening for the coronary sinus? Interatrial Septum
What effect on blood pressure would vasoconstriction have, generally? Increase bp
One phase of a neuron's action potential that is NOT seen in that of a cardiac muscle cells is? Hyperpolarization
Identify and tell what happens to the ion effected by acetylcholine? potassium floods OUT of the cell
Does Sympathetic stimulation of the alpha 1 receptors increase or decrease afterload? Increase
Which medication used to treat heart disease causes less sodium to be available to diffuse into the heart cells? Digitalis
The phase of systole when blood is forced out of a ventricle is known as? Ventricular Ejection
Another name for the primary pacemaker of the heart? Sinoatrial Node
An action potential that originates anywhere except the SA node is known as? Ectopic Focus
Factors which decrease the hearts strength of contraction are known as? Negative intropic factors
The outermost layer of the heart which is adhered to the heart muscle? Epicardium
Another name for adrenalin is? Epinephrine
What causes the plateau seen in the graph for a cardiac muscle's action potential? Calcium Influx
The wall between the two atria is known as? Interatrial Septum
Specialized structures containing Gap Junctions (holes) which allows the action potential (AP) to pass throughout the heart with relatively little resistance? Intercallated Discs
The chamber of the heart pumps blood to the entire body(except the lungs)? Left Ventricle
The heart chamber receiving blood returning from lungs? Left Atrium
Why is the left atrioventricular valve (mitral) heard predominantly (its louder) while listening to the heart sounds as compared to the right AV valve(tricuspid)? Pressure is much higher
This type of gradient, maintained by the sodium pump keeps a "+" outside and "-" inside of the cell membrane. Electrical
Are cardiac muscle cells "branched or non-branched"? Branched
Factors that effect heart rate are known as? Chronotropic
What condition prevents the diastolic pressure in the aorta from falling to zero? Sympathetic tone of arterial walls
What characteristic of an EKG would indicate cardiac ischemia or hypoxia? Flattened T
If both the SA and the AV nodes stop working, the Purkinjie Fibers will take over, however, the rhythm is VERY slow with a rate of only "-----"bpm? 20-40
Another, older name for the atrioventricular bundle is? Bundle of His
The inside of the cell becomes more "positive" or "negative" if K+ is pumped OUT. Negative
Are cardiac muscle cells "voulntary or involuntary"? Involuntary
The sodium pump moves Sodium ions "in or out" of the cell? Out
Long term chronic bronchitis may cause an permanent increase in the afterload of the right heart leadiing Right Heart Failure - this condition is known as? Cor Pulmonale
A term that means "tissue death" is? Necrosis
Which medication used for hypertension reduces vasocontriction and water retention to allow a drop in blood pressure? ACE Inhibitors
The inside of the cell becomes more "positive" or "negative" if Na+ is pumped OUT. Negative
A condition in which an underlying respiratory condition causes pulmonary hypertension which eventually results in right heart failure? Cor Pulmonale
Another name for the visceral pericardium is? Epicardium
Through which part of the aorta does blood flows inferiorly? Descending Aorta
Should the pressure in the left atrium be just higher or lowerthan the pressure in the right atrium? Higher
Which of the Choliinergic receptors decrease the heart rate? Muscarinic
What specific tissue makes up the innermost lining of the heart? Simple Squamous Epithelium
For the heart, the mechanism of its action potential is similar to that of a neuron with the obvious exception of the "-----", which is caused by calcium influx? Plateau
Is epinephrine a postivie or negative chronotropic factor? Positive
The portion of the cardiac cycle represented by relaxation of the heart? Diastole
The cavity between the lungs containing the pericardium and heart is known as the? Mediastinum
Which chamber of the heart pumps blood to the lungs? Right Ventricle
For an EKG, what hides the repolarization of the ventricles? T wave
The sinoatrial node is located in the "----" which is in the roof of the right atrium? cristae terminalis
The clogging of the arteries is known as? Atherosclerosis
A term that indicates that even though the heart is relly mononucleate, due to the intercalated discs, they behave as if they were one giant multinucleated cell? Functional Syncytium
What structure prevents the diastolic pressure in the aorta from falling to zero? Aortic Valve
Once the AP leaves the bndle branches, what are the next structures that it enters during its conduction? Purkinjie Fibers
For an EKG, what represents the depolarization of the atria? P wave
Which of the autonomic nervous systems reduces heart rate and strength of contraction? Parasympathetic Nervous system
Which part of the descending aorta is located below the diaphragm? Abdominal
Into which chanmber of the heart does blood enter when returning from the entire body (other than the lungs)? Superior Vena Cava
Vessels which return OXYGENATED blood to the left atrium from the lungs? Pulomary Veins
The term describes the parasympathetic nervous system receptor? Cholinergic
Pain experienced in the chest and left neck/arm due to build up of lactic acid in heart caused by the hypoxi conditions of clogged arteries? Angina Pectoris
An increase in a structure's size due to an increase in individual cells and not due to an increase in the numbers od cells, as seen when you exercise a muscle? Hypertrophy
50% of all deaths and approximately 1/3 of those between the age of 35-50 are caused by? Coronary Artery Disease
Another name for the epicardium is? Visceral Pericardium
A term that means "at night"? Nocturnal
the name for the volume of blood pumped out of the heart each minute? Cardiac Output
What is the valvular condition during isovolumetric contraction? All 4 valves are closed
Once the AP leaves the AV node, what is the next structure that it enters during its conduction? Atrioventricular Bundle
For an EKG, an extra wave sometimes caused by the low potassum? U wave
The wall between the two ventricles is known as? Interventricular Septum
Another name for the atrioventricular node is? secondary pacemaker of the heart
This maintains a hypertonic sodium solution outside of the ecell and a hypertonic potasium solution inside? Sodium Pump
The portion of the cardiac cycle represented by the lower bloo pressure reading? Diastole
Cardiac output is essentially equal to? Total Blood Volume
What is a name for the normal heart rate set up by the sinortrial node? Sinus Rhythm
This term describes the sympathetic nervous system receptors becasue of their close relationship to epinepherine or adrenalin? Adrenergic Receptors
This used to be a fetal pulmonary bypass between the pulmonary artery and the aortic arch? Ligamentum Arteriosum
What is the volume (in milliliters) of blood in a heart chmaber at the end of its contraction period? 50 ml
These take DEOXYGENATED BLOOD to the lungs? Pulmonary Arteries
A heart rate between 100-150 bpm is known as? Tachycardia
The loss of elasticity or hardening of the arteries is called? Arteriosclerosis
Which of the adrenergic receptors causes vasoconstriction? Alpha 1
Factors that decrease heart rate are known as? Negative Chronotropic
A condition caused by potassium efflux in which the inside of a neuron becomes more negative? Repolarization
What effect on blood pressure would an increased strength of contraction have? Increases bp
The area of the brain which inreases heart rate and strength of contraction is known as? Cardioacceleratory Center
Which of the autonomic nervous system is a Negative Chronotropic Factor? Parasympathetic Nervous System
The sodium pump moves "----" (spell out number) Potassium ions? Two
Another name for the sinoatrial node that reflects its ability to automatically generate action potentials in the heart? Primary pacemaker
The right heart continues to push blood into ther left heart, however, teh left heart is not pushing this blood out. Where does the fluid leak out? Lungs
The inside of the cell becomes more "positive" or "negative" if Cl- is pumped IN? Negative
The sodium pump move "----" (spell out number) Sodium ions? Three
What is the approximate systolic/diastolic pressure of the Aortic Arch? 120/80
What is the function of the "plateau" seen in the graph of a cardiac muscle cel's action potential? Maximize emptying
What is the location of the atrioventricular bundle? Interventricular Septum
One characteristic of cardiac muscle whihc helps to prevent the myocardium from entering tetanus or fatigue is a much longer "----- ----- -----" as compared to skeletal muscle? Absolute refractory period
Are most cells "positive or negative" on the outside of the cell membrane? Positive
What characteristic of an EKG would indicate damage in artia blocking AP's? Prolonged P-Q segment
Which of the two semilunar valves is predominantly heard while listening to the heart sounds? Aortic
Another name for PVC's which indicate th fact that an extra ORS complex occurs during the cardiac cycle? Extrasystole
The volume in the heart chamber just prior to contraction represents? Preload
Which of the autonomic nervous systems increases heart rate and strength of contraction? Sympathetic
What condition prevents the diastolic pressure in the pulmonay arteries from falling to zero? Sympathetic tone of arterial walls
What characteristic of an EKG would indicate an extra QRS complex occuring during a cardiac cycle? Premature Ventricular Contractions (PVC)
What condition in the cardiac muscle cell is induced by acetylcholine? the cell is hyperpolarized
What characteristic of an EKG would indicate SA node damage? Missing P wave
How much of the blood that enters the ventricles is contributed to by atrial contraction? 20%
How long does it take a person's heart to pump their entire blood volume? One minute
Are most cells "positive or negative" on the inside of the cell membrane? Negative
During an increase in heart rate as seen during exercise, whihc part of the cardiac cycle is shortened? Diastole
Once the AP leaves the atrioventricular bundle, what is the next structure (or structures) that it enters during its conduction? Right & Left Bundle Branches
The portion of the cardiac cyle represented by ejection of blood from the heart's chamber? Systole
According to our notes, what is the rate fo Sinus Rhythm? 75 bpm
Wht is the name for the volume in a heart chamber at the end of its relaxation period? End Diastolic Volume(EDV)
Which of the adrenergic receptors causes vasodilation? Beta 2
Give the location of the cardioacceleratory center? Medulla Oblongata
What does a low ejection fraction indicate? Heart Disease
What is the location of the right and left bundle branches? Interventricular septum
Which of the autonomic nervous systems decreases heart rate? Parasympathetic Nervous system
If the SA node stops working, the secondary pacemaker of the heart will take over and set the heart rate at "----" bpm? 40-50
Which of the autonomic nervous systems is a Positive Chronotropic Factor? Sympathetic Nervous System
What effect on blood pressure would an iincreased heart rate have? Increases bp
Which of the neurotransmitters discussed in our CV notes is a positive chronotropic factor? Norepinephrine
What is the systolic pressure in the right ventricle? 12-25 mm Hg
According to our notes, what is the normal rate set up by the SA node? 75 bpm
An atrioventricular valve between the left atrium and left ventricle? Mitral or Bicuspid Valve
The speed or velocity of the action potential through the heart is slowed in the AV node. The purpose of this "slow down" is? Allow for optimal filling in the ventricles
What is the approximate systolic/diastolic pressure of the left ventricle? 120/0
Which of the cranial nerves reduces heart rate and strength of contraction? Vagus Nerve
Is anxiety a positive or negative chronotropic factor? Positive
Any abnormal rate & rhythm of heart is known as? Dysrrhythmias or Arrhythmias
The stretch of the heart wall chamber just prior to contraction represents? Preload
The part of the aorta giving off the first 3 major arteries? Aortic Arch
In the trilogy of heart failure, the second phase is? Myocardial Ischemia
Venous return determines the tension on the heart chamber wall just before contraction, which determines? Preload
An enzyme that converts Lactic Acid to Pyruvic Acid. when cells die, this enzyme spills out to elevate its plasma levels? Lactic Dehydrogenase (LDH)
If the heart muscle works to hard, it will increase in size (like any muscle) due to an increase in the individual muscle cells, not an increase in the number of muscle cells....this condition of size increase is? Hypertrophy
Which of the adrenergic receptors causes an increase rate and strength of contraction? Beta 1
The area of the brain which reduces heart rate and strength of contraction is known as? Cardioinhibitory Center
The phase of a cardiac cycle when the ventricles begin to contract, but all valves are closed? Isovolumetric Contraction (IVC)
When looking at the general population, what is the maximum heart rate that can be reached before there is not enough filing time so there is a reduction in the ejection fraction and a loss of heart's efficiency? 200 bpm
An electrical rate between 250-300/minute is known as? Flutter
Bundles od muscles only seen in the right atrium? Pectinate muscles
This tpe of gradient keeps MORE Na+ OUTSIDE of the cell and MORE K+ INSIDE of the cell. Chemical
Difficulty breathing is known as? Dyspnea
A small "appendage"-like chamber that adds volume to the right atrium? Right Auricle
Specialized muscles in the ventricles of the heart which hold tension on the string-like cords that connect to the cusps of the atrioventricular valves? Papillary muscles
The string-like cords that connect the cusps of the atrioventricular valves to specific muscles of the heart? Chordae Tendineae
Because the heart relies on extracellular calcium, one line of treatment for diseases such as hypertension is to use drugs such as? Calcium Channel Blockers
Which of the parasympathetic receptors reduces heart rate and strength of contraction? Muscarinic
Which of the following statements best describes an electrocardiograph? EKG's represent the electrical events in the entire heart
Without the influence of vagal tone, what would be the heart rate set up by the sinoatrial node? 100 bpm
For an EKG, what represents the depolarization of the ventricles? QRS Complex
Which of the autonomic systems increases heart rate? Sympathetic Nervous System
Which of the Adrenergic Receptors increase the heart rate? Beta 1
What characteristic of an EKG would indicate ventricular hypertrophy? Enlarged R
Another name for congestive heart failure (CHF) is? Left Heart Failure
Is nicotine a positive or negative chronotropic factor? Positive
Why is the left semilunar valve (aortic) heard predominantly (its louder) while listening to the heart sounds as compared to the right AV valve (pulmonary)? Pressure is much higher
Give the location of the cardioinhibitory center? Medulla Oblongata
For an EKG, a wave sometimes seen in a normal EKG which has unknown origins is the ? U wave
Which medication used to hypertension to reduces blood volume by increasing urine output? Directics
Is caffeine a positive or negative chronotropic factor? Positive
Name the valve between the right atrium and right ventricle? Tricuspid valve
Factors which increase the hearts strength of contraction are known as? Positive inotropic factors
What characteristic of an EKG would indicate a left bundle branch block? Bifid R wave
Which medication used to treat heart disease resets heart muscles cells to re-establish sinus rhythm by blocking the sodium channels open? Lidocaine
How much blood enters the ventricles due to venous return alone (blood entering atria from veins) and not atrial contraction? 80%
Which medication used to treat heart disease causes less sodium to be available to be pumped out which reduces the Na+ chemical gradient? Digitalis
A term that reflects a condition of abnormally low plasma potassium levels? Hypokalemia
Described as a gallop, this heart sound may be normal in children and young adults, but indicates disease if over 30 years old? S3
What type of tissue makes up the conducting fibers of the heart which carry its action potentials? Cardiac Muscle
What characteristic of an EKG would indicate Myocardial Infraction? Enlarged Q and/or inverted T
According to our notes, what is the normal heart rate? 75 bpm
What is the valvular condition during isovolumetric relaxation? All 4 valves are closed
The "charge" or voltage differenc at the Motor End Plate is known as the end plate "-----"? Potential
What is the approximate systolic/diastolic pressure of the right ventricel? 12-25/0
The value in milliliters for the volume of blood pumped out of the heart each beat? 70 ml
A condition caused by long term pulmonary diseases that increase afterload in right ventricle, causing the right ventricle to work harder, &hypertrophies (enlarges), is known as? Cor Pulmonale
What would be the average heart rate if the vagus nerves were destroyed? 100 bpm
How high can the ejection fraction reach during excerise? 90%
Which neurotransmitter reduces heart rate and strength of contraction? Acetylcholine
Wht is the name for the volume in a heart chamber at the end of its contraction period? End Systolic Volume (EDV)
What characteristic of an EKG would indicate atrial hypertrophy? Enlarged P wave
Does atherosclerosis increase or decrease afterload? Increase
Preload is represented by the amount of blood returning to the atria which is known as? Venous Return
Which medication used to treat heart disease reduces the amount of calcium pumped out of the heart muscle cells? Digitalis
The sodium pump moves Potassium ions "in or out" of the cell? In
The tension on the heart chamber wall just before contraction is called? Preload
The phase of a cardiac cycle when the ventricles begin to relax, but all valves are closed? Isovolumetric Relaxation (IVR)
The resistance or pressure against which the heart must pump is known as? Afterload
Where is the edema that is typical of left heart failure? Lungs
Which of the adrenergic receptors causes bronchodilation? Beta 2
The portion of the cardiac cycle represented by the higher blood pressure reading? Systole
Which medication used to treat heart disease forces calcium to build up within the cardiocytes which increases SOC Digitalis
A term that means a sudden, extreme, attack bordering on suffocation? Paroxysmal
Another name for the secondary pacemaker of the heart? Atrioventricular Node
Generally, what is the formula for determining your maximum heart rate for testing? 220-"age"
A term for the percent of the blood pumped out each beat? Ejection Fraction
The innermost lining of the heart is known as? Endocardium
In the trilogy of heart failure, the third phase is? Myocardial Infarction
Ischemic Necrosis Myocardial Infarction
What is the approximate systolic/diastolic pressure of the left atrium? 8/0
Which valve prevents blood in the right atrium from entering the venae cavae? None
Which medication used to teat heart disease reduces the Sodium-Calcium counter Transport(secondary active transport)? Digitalis
A condition caused by potassium efflux in which the inside of a neuron becomes "MORE NEGATIVE" than the resting state is known as "-----" polarization? Hyperpolarization
What is the mean arterial pressure? 96 mm Hg
How much blood enters the ventricles due to atrial contraction? 20%
a state of neuron in which the inside of a neuron is negative, the outside is positive and there is more sodium on the outside, more potassium on the inside? Resting
Which of the neurotransmitters discussed in our CV notes is a negative chronotropic factor? Acetylcholiine
What is the systolic pressure in the left ventricle? 120 mm Hg
The tension in the heart wall chamber just prior to contraction represents? Preload
Does the loss of arteries due t tissue damage increaseor decrease afterload? Increase
What is a probable cause for most angina pain? Lactic acid build up in the heart
Which of the heart sounds represents closure ofthe atrioventricular (AV) valves? S1
A scientific term for a truly multinucleated cell is? Anatomical syncytium
Valve between the right ventricle and pulmonary trunk? Pulmonary Semilunar Valve
Name the ion channels effected by acetylchloline? potassium channels
The left heart continues to push blood into the right heart, however, the right heart is not pushing this blood out. where does the fluid leak out? The periphery especially the lower extremities
Does the loss of arteries due to limb amputation increase or decrease afterload? Increase
The inside of the cell becomes more "positive" or "negative" if K+ is pumped IN? positive
One noteworthy characteristic of the action potentilal as t passes through the AV node is the AV node"---"? Delay
Which major veins return blood to the heart from structures below the diaphragm? Inferior Vena Cava
Which of the two atrioventricular valves is predominantly heard while listening to the heart sounds? Mitral and Bicuspid
The portion of the cardiac cycle represented by the filling of the heart's chamber? Diastole
Which part of the conducting system of the heart begin at the apex & move up the sides of the heart & into the papillary muscles? Purkinjie Fibers
Is there more potassium "inside or outside" of most cells? Inside
In the trilogy of heart failure, the first phase is ? Coronary Artery Disease
Does the loss of ateries due to scaring increase or decrease afterload? Increase
Which of the heart sounds represents closure of the Semilunar valves? S2
Long term emphysema may cause a permanent increase in the afterload of the right heart leading to Right Heart Failure - this condition is known as? Cor Pulmonale
Are cardiac muscle cells "striated or non-striated"? Striated
The valve between the left ventricle and ascending aorta? Aortic Semilunar Valve
Caused by Cor Pulmonale, this is due to a permanent increase in the afterload for the right ventricle? Right Heart Failure
A large artery leading from the right ventricle to the oulmonary arteries Pulmonary Trunk
A drug to treat heart disease causes vasolilation of the coronary arteries to increase their blood flow? Nitroglycerine
The name for the volume of blood pumped out of the heart each beat? Stroke Volume(SV)
for the trilogy of heart disease, a reversible condition in which the wals of the arteries in the heart are damaged? Coronary Artery Disease
Reversible damage of the heart muscle due to reduced blood flow? Myocardial Ischemia
A fancy-schmancy term that indicates that a person passed out due to anxiety or fear of a needle? Vasovagal Episode with Concomitant Syncope
Another name for epinephrine is? Adrenalin
A point-of-no-return that is reached when the inside of a neuron becomes more positive at which an action potential is generated? Threshold
Where is the edema seen that is typical of right heart failure? The periphery especially the lower extremities
What structure prevents the diastolic pressure in the pulmonary arteres from falling to zero? Pulmonary Valve
An enzyme that is needed for the production of amino acids & used in Kreb's Cycle. When cells die, this enzyme spills out to elevate its plasma levels? Serum Glutamic - Oxaloacetic Transaminase (SGOT)
An inrease in blood pressure of the arteries of the lungs caused by lung disease and subsequent loss of its vasculature? Pulmonary Hypertension
The wall between the two atria is known as? Interatrial septum
What is the approximate systolic/diastolic pressure of the pulmonary arteries? 12-58/8
Which substance is pumped INTO a cell by the sodium pump? Potassium
A sound that indicates too much volume in artium as in Mitral Valve regurgitation when heard in patients over 30 years old? S3
An electrical rate of over 300/minute is known as? Fibrillation
An abnormal "Gallop" indicating possible myocardial damage which causes stiff walls(noncompliant or non-elastic)which vibrate when blood hits them an makes sound. S4
An enzyme that transfers a phjosphate group to another molecule. When cells die, this enzyme spills out to elevate its plasma levels? Creatin Kinase(CK)
Which part of the desending aorta is located above the diaphragm? Thoracic
A "dimple" or indentation in the interatrial septum that marks the location of a fetal pulmonary bypass? Fossa ovalis
The portion of the cardiac cycle represented by contraction of the heart? Systole
Another name for left heart failure is? Congestive Heart Failure(CHF)
The first part of the aorta leaving the heart? Ascending Aorta
If the SA node stops working, the secondary pacemaker of the heart will take over, but the heart rate is known as "----" or "----" rhythm? Nodal or Junctional
The value for the percent of the blood pumped out each beat? 58.33%
Difficulty breathing when lying down is known as? Orthopnea
What is the volume(in millilters) of blood in a heart chnmber at the end of its relaxation period? 120 ml
A condition caused by sodium influx in which the inide of a neuron becomes more positive? Depolarization
Factors that effect heart rate are known as? Chronotropic
What happens to the contraction of a heart chmaber if the tension on the walls of that chamber increased just prior to contraction? Increases
do cardiac muscles require relatively more "extracellular calcium" or "intracellular calcium" compared to skeletal muscles? Exracellular
Sudden, extreme, attack of breathing difficulty that occurs at night? Paraoxysmal Nocturnal Dyspnea
A reduction in blood flow is called? Ischemia
This process is an example of primary active transport? Sodium Pump
Small "appendage"- like chamber that adds volume to the left atrium? Left Auricle
The S3 sound in adults over 30 years old may be caused by what cardiovascular condition? Mitral Valve Regurgitation
A sac that surrounds the heart? Parietal pericardium
What is a normal sinus rhythm for a neonate(new born)? 120 bpm
Long term black lung may cause a permanent increase in the afterload of the right heart leading to Right Heart Failure - this condition is known as? Cor Pulmonale
A group of drugs used to treat heart disease causes vasolilation of the coronary arteries to increase their blood flow? Nitrates
This maintains the electrochemical gradients fro cells? Sodium Pump
The inside of the cell becomesmore "positive" or "negative" if Na+ is pumped IN? Positive
Created by: sreed5012
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