Pathophysiology
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Describe the heart. | show 🗑
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show | 300 grams (10.6 oz).
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show | By the patient's age, weight, exercise, and heart disease.
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show | To pump blood to the tissues, supplying them with oxygen and other nutrients while removing carbon dioxide and other waste products of metabolism.
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show | Varies according to body build, but is generally 70 ml per contraction.
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What is the cardiac output per minute? | show 🗑
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Where is the mediasinum located? | show 🗑
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What is the pericardium? | show 🗑
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show | Trauma and infection.
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Parietal pericardium | show 🗑
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Visceral pericardium | show 🗑
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show | Pericaridum
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How much fluid is located between the heart and the pericardial lining and what are its functions? | show 🗑
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What chambers make up the heart? | show 🗑
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show | The septum.
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What chamber is responsible for ejecting blood into the arteries? | show 🗑
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What are the functions of the atria? | show 🗑
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How many valves are in the heart and what are their functions? | show 🗑
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show | Thin, leaflets of fibrous tissue, open and close passively in response to pressure changes and blood movement.
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show | Atrioventricular and semilunar.
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show | Atrioventricular valves.
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What are the atrioventricular valves composed of? | show 🗑
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show | Papillary muscles and chordae.
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show | Tricuspid valve.
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2 cusps whcih lie between the left atrium and the left ventricle. | show 🗑
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show | Papillary muscles.
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Fibrous bands extending from papillary muscles to the edges of the valve leaflets. | show 🗑
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Situated between each ventricle and its corresponding artery. | show 🗑
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show | Pulmonic valve and aortic valve.
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show | Pulmonic valve.
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show | Aortic valve.
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Coronary arteries. | show 🗑
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How much oxygen does the heart use? | show 🗑
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Where do the coronary arteries arise from? | show 🗑
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show | Left main coronary artery (left anterior descending artery and cirumflex artery) and the right coronary artery.
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What is the function of the left main coronary artery? | show 🗑
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show | Left anterior descending artery.
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show | Cirumflex artery.
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show | To supply blood to the right side of the heart. The coronary arteries are perfused (passage of fluid) during diastole (period between contractions).
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Specialized muscle tissue composing the wall of the heart. | show 🗑
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show | In an interconnected manner (syncytium) so that they can contract and relax in a coordinated manner.
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What are the 3 cardiac muscles? | show 🗑
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show | Myocardium.
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The inner lining of the myocardium which is in contact with the blood. | show 🗑
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show | Epicardium.
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show | Generate and coordinate the transmission of electrical impulses to the myocardial cells.
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show | Sequential atrioventricular contraction, which provides for the most effective flow of blood, thereby optimiizing cardiac output.
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Name the components of the conduction system. | show 🗑
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show | SA node.
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What is the function of the SA node? | show 🗑
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How many pulses does the SA node initiate in a resting normal heart. | show 🗑
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show | It is conducted along the myocardial cells of the atrium to the AV node.
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Located in the right atrial wall near the trisucpid valve, but this group of specialized cells have an intrinsic rate of 40-60 impulses per minute. | show 🗑
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show | Coordinates the incoming electrical impulses from the atria and, after a slight delay, relays an impulse to the ventricles.
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show | Through a bundle of specialized muscle fibers (bundle of HIS) that travel in the septum separating the left and right ventricles.
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show | Divides into the right and left bundle branches, which terminate in fibers called the Purkinje fibers.
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Where does the right bundle of the Purkinje fibers lead? | show 🗑
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show | It divides again into the left anterior and left posterior bundle branches, which fan out into the left ventricular muscle.
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How is the heart rate determined? | show 🗑
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What happens if the SA node malfunctions? | show 🗑
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What if the AV and SA nodes fail? | show 🗑
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The amount of blood pumped by the ventricles during a given period? | show 🗑
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What is the cardiac output of a typical adult? | show 🗑
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show | Cardiac output (CO).
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Amount of blood ejected per heartbeat? | show 🗑
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show | HR: 60-80 beats/minute. SV: 70 ml/beat
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What are the 3 factors that control stroke volume? | show 🗑
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What is the structure of blood vessels in systemic circulatio? | show 🗑
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show | Tunica intima.
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show | Tunica media.
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show | Tunica adventitia.
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Example of the structure of blood vessels. | show 🗑
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show | Arteries further away from the heart contain a greater proportion of smooth muscle fibers bc arteries must be able to constrict and dilate to control BP and volume w/in capillary beds.
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Blood flow: | show 🗑
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Where do oxygen, nutrients, and other substances needed for cellular metabolism travel? | show 🗑
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show | Smallest veins; receive capillary blood.
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show | Flows into larger and larger veins until it reaches the vena cava and then into the atrium.
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