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EKG CH 1
Chapter 1 notes
| Question | Answer |
|---|---|
| Where is the heart? | In the mediastinum between the 2nd and 5th intercostal space. |
| How big is YOUR heart? | The size of YOUR fist. |
| How many chambers of the heart are there and what are their names? | 4 chambers; Right atrium, Left atrium, Right ventricle, Left ventricle. |
| What separates the ventricles?; What separates the atria? | The Septum |
| How does the heart work? | It acts as a pump; the right side moves used blood from the body to the lungs, the left side used freshly oxygenated blood from the lungs to the body. |
| How does the heart work pt. 2? | The atria receive blood and the ventricles pump blood out. |
| What is the most muscular part of the heart? | The Left ventricle; it has to pump blood to the entire body. |
| Anterior | Front |
| Posterior | Back |
| Inferior | Bottom |
| Superior | Top |
| Lateral | Left side |
| Septal | Middle, dividing wall |
| Base | The top of the ventricles |
| Apex | Bottom of the heart |
| Endocardium | Inner layer of the myocardium |
| What function does the endocardium have? | It holds the heart's conduction system |
| Myocardium | Muscular layer of the heart |
| What function does the myocardium have? | It is stimulated by the electricity of the conduction system that causes it to contract and make the heart pump. |
| Epicardium | Outer layer of the heart |
| What function does the epicardium have? | It holds the coronary arteries. |
| Pericardium | A tough lining around the heart |
| What is the function of the pericardium? | It helps protect the heart. |
| Pericardial Sac | Fluid-filled space between the epicardium and pericardium |
| What is the function of the pericardial sac? | It holds a fluid that allows the heart to shift without it rubbing against anything. |
| Ischemia | Restricted blood flow; can lead to cell/tissue damage or death. |
| Injury | Cells/tissue become damaged from lack of oxygen. |
| Infarction | Death of cells/tissue. An MI (myocardial infarction/heart attack) is the death of the tissue of the heart. |
| Atrioventricular valves (AV) | Have "accessory organs" called chordae tendineae and papillary muscles to help them function properly: Tricuspid valve and Mitral Bicuspid valve. |
| Tricuspid valve | Connects the right atrium to the right ventricle |
| Mitral Bicuspid valve | Connects the left atrium to the left ventricle |
| Semilunar valves | Pulmonic valve and and Aortic valve |
| Pulmonic valve | Exits the right ventricle and leads to the pulmonary trunk |
| Aortic valve | Exits the left ventricle and leads to the aorta |
| What are the different heart sounds? | S1: the sound made by closure of the AV valves (LUB) S2: the sound made by closure of the semilunar valves (DUP) |
| What is the Skeleton of the heart? | The tough connective tissue that forms rings to hold the valves in shape so they can seal properly. The skeleton also separates the atria from the ventricles. |
| What are the coronary arteries? | The heart's main circulatory system and they are on the surface of the epicardium. |
| The left main coronary artery | Branches off into the left anterior descending (LAD) coronary artery and the left circumflex artery (Cx) |
| The right coronary artery | Travels along the the groove between the right atrium and the right ventricle |
| Where is the main source of a heart attack? | The coronary arteries |
| What is the Autonomic Nervous System? | It consists of the sympathetic nervous system and the parasympathetic nervous system |
| Sympathetic Nervous System | Your brain stem tells your adrenal glands to produce and send adrenaline into the bloodstream causing the heart rate, blood pressure, and blood flow to increase. (Fight or Flight) |
| Parasympathetic Nervous System | Acetylcholine is produced when the vagus nerves are stimulated, causing slowing of the heart rate and decreased heart contraction strength. (Resting) |
| Heart rate | Number of beats per minute |
| Stroke volume | Amount of blood pumped out with each heartbeat |
| Cardiac output | Amount of blood pumped out with each minute (Cardiac output = stroke volume x heart rate) |
| Blood pressure | = cardiac output x peripheral vascular resistance |
| Systole | Contraction of the heart muscle |
| Diastole | Relaxation of the heart muscle |
| Cardiac cycle | One complete heartbeat, including the relaxation and rest between beats |