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Cardiovas System
Cardiac Notes
| Question | Answer |
|---|---|
| How much does the Heart weight in a Women + Men | 225g Women + 310g in Men |
| What is the structure of the Heart | Pericardium/Myocardium/Endocardium |
| How many chambers does the Heart have | 4 - 2 atriums + 2 ventricles |
| Name the 4 types of valves the Heart has | Tricuspid/Pulmonary/Mitral/Aortic |
| How is blood supplied to the Heart | Coronary arteries |
| What artery is known as the “Widow Maker” | Left anterior descending artery - LAD |
| How long is the cardiac cycle | 0.8seconds |
| What are the 3 stages of the Cardiac cycle | Atrial Systole - Ventricular Systole - Complete Cardiac Diastole |
| What is Cardiac Output | The amount of Blood ejected from Ventricles every minute Calculated by Stroke Vol + HR eg. 70ml + 88 = 158L/per min |
| What is Stroke Volume | The amount of Blood expelled by each contraction - 70ml |
| What percentage of the Ventricles fill by the opening of the Valves | 70% |
| What is Preload | The amount of Blood in the Ventricles immediately before contraction |
| What is Afterload | Is the amount of pressure the Heart must work against to eject Blood during Systole |
| What vessels make up the circulatory system | Veins/Arteries/Capillaries |
| What is the function of the Vessels of the Circulatory system | Transportation |
| Which Vessels carry Blood away from the Heart | Arteries |
| Which Vessels have Valves | Veins |
| What is Pulmonary Circulation | Movement of Deoxyygenated Blood from Heart to Lungs + then to Systemic Circulation |
| What is Systemic Circulation | Movement of Oxygenated Blood from Left Ventricle into Vessels + then tissues + then back into Right Atrium |
| What is the name of the cell that contains Haemoglobin | Erythrocyte |
| What is the life span of an Erythrocyte | 120 days |
| What is the function on an Erythrocyte | Transport o2 from Lungs to tissues + Co2 from Tissues to Lungs |
| What type of Tissue is Blood | Connective |
| What is the function of Leukocytes | Infection Fighters |
| What is the function of Thrombocytes | Protection/ Clotting |
| What is Blood Pressure | The pressure of Blood on the vessel walls when the Heart beats |
| What is Pulse Pressure | The difference between Systolic + Diastolic Eg. 120/80 = 40 |
| What is Systolic | When the Ventricles contract |
| What is Diastolic | When the Ventricles relax |
| What is M.A.P | Mean Arterial Pressure - The force the Heart generates each time is contracts |
| How is M.A.P calculated | DBP + 1/3 of Pulse Pressure |
| What are the blood pressure sounds known as | Korotkoff Sounds |
| How many BP assessment sites are there | 5 - Brachil/Radial/Popiteal/Dorsalis Pedis/Posterior Tibial |
| What are the Normal ranges of BP for an Adult | 120 - 129 mmhg Systolic + 80 - 84mmhg Diastolic |
| What are the Normal ranges of BP for a Child | 0-1mth = >60systolic 1-12mth = 80systolic 1-10yrs = 90 + (2x age)systolic |
| What is Systemic Hypertension | 140/90 |
| What is the minimum M.A.P required to perfuse the organs | 60mmgh |
| What is an ECG | Electrocardiography - used to check Hearts rhythm + electrical activity |
| What is known as the Primary Pacemaker | SA node - 60 - 100BPM |
| What is the Bachmans Bundle | Conductive tissue between RA + LA |
| What are the Internodal Pathways | Connective tissues between SA+AV nodes |
| The AV node is the backup pacemaker - what are the BPM | 40 - 60 BPM |
| What is the Bundle of His | Post AV conductive tissues |
| What are the Perkinjie Fibres | Another backup pace maker - 20-40BPM |
| What does the Bundle of His split into | Left Bundle Branch + Right Bundle Branch |
| What speed does ECG paper print at | 25mm/sec |
| What size is a small sq on ECG | 1mm/0.04sec |
| What size is a large sq on ECG | 5mm/0.2sec |
| Time on an ECG is | Horizontal |
| Voltage on an ECG is | Vertical |
| The “P’ wave represents | Atrial Depolarisation |
| The “QRS” complex represents | Ventricular Depolarisation + Atrial Repolarisation |
| The “T” wave represents | Ventricular Repolarisation |
| A normal “PR” interval is | 0.12 - 0.20sec/3-5 small sq |
| A normal “QRS” complex is | <0.12sec/<3 small sq |
| Ischaemia is | Impaired Blood Flow |
| What is the term used to describe Death of Tissue due to an interruption of Blood supply | Infarct/Infarction |
| What is an Atheroma | Build up of fatty deposits in the Intimal Layer of the blood vessel that makes a fibrous cap + Bulges the Lumen = reduces blood flow to distal organs |
| What is Atherosclerosis | Thickening/Hardening of artery walls due to build up of Plaque - Fibrous cap can rupture = Thrombus |
| What is a Thrombus | Formation of a Clot |
| What is an Embolism | Any mass that travels in Blood vessels = Blockage |
| Where is a Saddle Embolism | Located at the bification of the main pulmonary arteries |
| An Aneurysm is | A Bulge on the artery wall |
| Describe an Aortic Dissection | Tunica Intima is ruptured - Blood pushed in between Media + Intima = False Lumen - this narrows the true Lumen = Distal Ischaemia |
| What is Coronary Heart Disease | Blockage or Disruption of Blood flow to Coronary arteries |
| Stable Angina is | narrowing of vessels that supply blood to Heart during excercise |
| Unstable Angina is | narrowing of vessels that supply blood to Heart with no cause |
| NSTEMI means | Blockage in Coronary artery - Partial thickness of wall is damaged = Subendocardial Ischaemia |
| STEMI means | Blockage in larger Coronary artery - Full thickness of wall is damaged = Transmural Ischaemia |
| What are arrhythmias | Issues with Electrical Conduction of the Heart |
| SVT is / Shocking? | Supra Ventricular TachyCardia - Fast + Narrow QRS - No Shock |
| VT/PVT is / Shocking? | Ventricular TachyCardia/Pulseless Ventricular TachyCardia - Fast + Broad QRS - No Shock if Pulse Present - Shock if No Pulse |
| VF is / Shocking? | Ventricular Fibrillation - Chaotic+ irregular - Shock |
| Asystole is / Shocking? | No electrical activity - No Shock |
| In relation to Heart Rhythms - SB is / Shocking? | Sinus Bradycardia - Slow + regular+ <60BPM - No Shock |
| In relation to Heart Rhythms - AF is / Shocking? | Atrial Fibrillation - No P waves + Irregular QRS - No Shock |
| NSR is / Shocking? | Normal Sinus Rhythm - Regular + Organised - No Shock |
| In relation to Heart Rhythms - ST is / Shocking? | Sinus tachycardia - Fast + regular + >100BPM - No Shock |
| In relation to Heart Rhythms - PEA is / Shocking? | Pulseless Electrical Activity - No Shock |