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Heart
| Question | Answer |
|---|---|
| Name the layers of the heart | Epicardium, Myocardium, Endocardium. |
| Name the arteries that brings blood to the heart muscle AND in which layer of the heart are these arteries found? | Coronary Arteries, Epicardium |
| Describe the pericardium | Pericardium supports and lubricates the heart during contractions. This membrane consists of 2 layers of fibrous tissue with pericardial fluid filling the space between the 2 layers. Outer layer attaches to the sternum and diaphragm. |
| Define blood pressure | The measurement of the pressure exerted by the blood on the walls of blood vessels |
| Write down the average blood pressure for an adult | 120/80 mmHg |
| Define pulse | The wave of increased pressure as the ventricles contracts and force blood along the arteries. It can be felt by compressing an artery against a bone. |
| Give the correct terminology for pain on exertion caused by decreased blood flow to the myocardium from the coronary arteries | Angina/ Angina pectroris / Ishaemic heart disease |
| Give the correct terminology for Heart attack / death of heart muscle resulting from obstruction (occlusion) of a coronary artery. | Myocardial infarction |
| Give the correct terminology for a term used to describe any change or deviation from the normal heart rate or rhythm. | Arrhythmia |
| Give the correct terminology for a slow heart rate of less than 60 beats per minute. | Bradycardia |
| Give the correct terminology for inflammation of the pericardium | Pericarditis |
| Give the correct terminology for a rapid heart rate of more than 100 beats per minute | Tachycardia |
| Name 2 laboratory tests that are commonly requested if the doctor suspects the patient has had a recent heart attack | CK-MB ( Creatine kinase isoenzymes), Troponin T/Troponin I, Myoglobin LD (Lactic dehydrogenase) |
| Name two laboratory tests commonly requested if the patient is suspected of having or has coronary heart disease. | Lipogram: Cholestrol, triglycerides, HDL ( High density lipids), LDL (low density lipids), Lp(a) (Lipoprotein a), Pro Bnp, Homocysteine. |
| Name the middle layer of the heart | Myocardium |
| Name the function of the coronary arteries | Supplies blood to the heart muscle |
| Name the fibrous tissue membrane that surrounds the heart | Pericardium |
| Explain the meaning of the word mediastinum | The name given to the space between the two lungs where the heart is found |
| Explain what the lower reading of an adults blood pressure indicates | The relaxation phase of the heart/ diastole phase |
| The blood pressure would respond in the following way to severe blood loss/shock: | Drop lower than normal - Hypotension |
| How does one measure a pulse rate? | By compressing an artery against a bone |
| CCF | Congestive cardiac failure |
| HDL | High density lipids |
| BP | Blood pressure |
| CK | Creatine kinase |
| If the doctor has ordered an AST, LD and CK-MB and Tropinin – I: what do you think may be wrong with the patient? | The patient may have had a heart attack/myocardial infarction |
| If the doctor requests a lipogram and a Lp(a) on a patient, what is he assessing? | Cardiac disease |
| Narrowing of the aorta or its opening | Aortic stenosis |
| Heart attack/ death of heart muscle resulting from obstruction (occlusion) of a coronary artery | Myocardial infarction |
| A term used to describe any change or deviation from the normal heart rate or rhythm | Arrhythmia |
| What lubricates the heart during contractions? | Pericardial fluid in the Pericardium |
| Bacterial endocarditis | Infection of the lining of the heart, most commonly caused by streptococci |
| Aortic stenosis | Narrowing of the aorta or its opening |
| Trop I | Troponin I |
| Name the structure found in the upper wall of the right atrium that stimulated both atria to contract simultaneously | Sino- atrial node |
| Through which valve does oxygenated blood flow to enter the left ventricle? | Bicuspid/mitral valve |
| Name the three structures responsible for the initiation and conduction of the electrical impulses that result in both ventricles contracting simultaneously | • Atrio-ventricular node • Atrio-ventricular bundle/ Bundle of His • Purkinje fibres |
| Coronary artery disease | Damaged or diseased coronary arteries resulting from plaque build-up that narrow and reduces oxygen rich blood to the heart muscle |