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Cardiology - EMT
| Question | Answer |
|---|---|
| What are the two major components of the cardiovascular system? | The heart and the peripheral blood vessels |
| What are the three layers of the heart? | The Endocardium, Myocardium and the Pericardium |
| How much pericardial fluid does the heart contain in the pericardial sac on a normal healthy individual? | 25-50ml |
| _______________ is the volume of blood that the heart pumps in one minute. | Cardiac Output |
| What is the first phase of the cardiac cycle? | Diastole - this is when the heart is at rest |
| What is the second phase of the cardiac cycle? | Systole - this is when the heart is pumping |
| What is afterload? | Afterload is the resistance which the ventricle must contract against |
| What is Starling's Law of the Heart? | Starling's Law states the more the myocardial muscle is stretched, the greater its force of contraction will be - up till a certain point. In other words, the more blood that fills the ventricle, the more forceful the next cardiac contraction will be. |
| The sympathetic nervous system has two principal types of receptors, they are _____ and _____. | Alpha and Beta |
| ________ receptors are located in the peripheral blood vessels and are responsible for vasoconstriction. | Alpha |
| ________ receptors, primarily located in the heart, increase the heart rate and contractility. | Beta 1 |
| ________ receptors, principally located in the lungs and peripheral blood vessels, cause bronchodilation and peripheral vasodilation. | Beta 2 |
| Parasympathetic control of the heart occurs through the ________ nerve. | Vagus nerve (Cranial Nerve 10) |
| The term __________ refers to heart rate. Something that has a positive affect to this term will increase the patient's heart rate. | Chronotropy |
| _____________refers to the strength of a cardiac muscular contraction. Something that has a positive affect to this term will strengthen the cardiac contraction. | Inotropy |
| What is the inherit rate of the SA Node? | 60-100 beats per minute. |
| What is the inherit rate of the AV Node? | 40-60 beats per minute. |
| What is the inherit rate of the Purkinje System? | 15-40 beats per minute. |
| The right atrium and right ventricle is separated by what valve? | Tricuspid |
| The right ventricle and the pulmonary artery are separated by what valve? | Pulmonic |
| The left atrium and left ventricle are separated by what valve? | Mitral - other wise known as the bicuspid valve |
| The left ventricle and the aorta are separated by what valve? | Aortic |
| The coronary vessels receive their blood supply during what part of the cardiac cycle? | Diastole |
| What are anastomoses? | Communications between two or more vessels |
| The inner layer of a blood vessel is termed the __________. | Tunica intima |
| The middle layer of a blood vessel is termed the __________. | Tunica media |
| The outer layer of a blood vessel is termed the ___________. | Tunica adventitia |
| What are the three primary factors that affect the stroke volume? | Preload, Cardiac Contractility & Afterload |
| What are the three primary factors that affect the blood pressure? | Stroke Volume, Heart Rate & Systemic Vascular Resistance (SVR) |
| The ___________ is the ratio of blood pumped from the ventricle to the amount remaining at the end of diastole. | Ejection Fraction |
| The amount of blood ejected by the heart in one cardiac contraction is known as the __________. | Stroke Volume |
| ____________ is the pressure within the ventricles at the end of diastole; it is commonly called the end-diastolic volume. | Preload |
| Snuggly enclosed within the mediastinum, the heart extends obliquely from the ____ rib to the _____ intercostal space. | 2nd, 5th |
| The ability for pacemaker cells in the heart to self-depolarize is called __________. | Automaticity |
| A group of cardiac cells that physiologically function as a unit is called __________. | Syncytium |
| How many pulmonary arteries and pulmonary veins are located in the human body? | 2 Pulmonary Arteries, 4 Pulmonary Veins |
| When during the cardiac cycle is the heart fed blood through the coronary vessels? | During diastole |
| What heart valves are opened during diastole? | Tricuspid and mitral valves |
| What coronary vessel feeds blood to the anterior portion of the left ventricle? | Left Anterior Descending (LAD) |
| What coronary vessel feeds blood to the majority of the right ventricle? | Right Coronary Artery (RCA) |
| What heart valves are open during systole? | Aortic & Pulmonary |
| ____________ control of the heart occurs through the vagus nerve. | Parasympathetic |
| The resistance against which the heart must pump against is known as _________. | Afterload |
| During the systolic phase, what valves inside of the heart are open? | Pulmonic & Aortic |
| What is the function of the Chordae Tendineae? | The chordae tendineae are cord-like tendons that connect the papillary muscles to the tricuspid and mitral valve in the heart – they prevent the valves from prolapsing back into the atriums. |
| Which of the heart valves are called the “semi-lunar” valves? | Pulmonic and Aortic |
| Blood entering the left atrium arrives via the _________. | Pulmonary Veins (There are 4 of them) |
| The coronary vessels are not fed blood during what part of the cardiac cycle? | Systole |
| What are the contraindications for the administration of Nitroglycerin? | Hypotension below 90mmHg, Bradycardia below 50 beats per minute, Drop in systolic pressure greater than 30 mmHg, Use of ED medications within the last 48hours. |
| What coronary vessel feeds the majority of the left ventricle muscle? | LAD |
| What are the 5 Korotkoff Sounds when auscultating a blood pressure? | Snapping, Swooshing, Tapping, Thumping or Muting, & Silence |
| What is the correct dose of nitroglycerin? | 0.4 mg |
| How do you administer nitroglycerin? | Sublingually |