Chapter 5 - Cardiovascular System

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cindymzapata  on February 18, 2012

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Medical Terminology

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Exam 3

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Chapter 5 - Cardiovascular System

Cardiovascular System
Consists of the heart and blood vessels which work together to transport blood throughout the body
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Definitions

Cardiovascular System Consists of the heart and blood vessels which work together to transport blood throughout the body
heart muscular organ that pumps blood throughout the body
heart: four chambers right and left atrium (upper chambers)
and
right and left ventricle (lower chambers)
heart: divided into two right and left portions interatrial septum and interventricular septum
Heart valves open and close to maintain the one-way flow of blood through the heart
heart: three layers endocardium, myocardium, and epicardium
endocardium lines the interior cavities of the heart
myocardium the thick, muscular layer
epicardium outer membrane
Order of blood transportation
Step 1: Blood first enters
deoxygenated blood from the body enters the heart through the superior vena cava and inferior vena cava into the right atrium
Order of blood transportation
Step 2:
during atrial contraction the tricuspid valve opens to allow blood to flow into the right ventricle
Order of blood transportation
Step 3:
contraction of the ventricle pushes blood through the pulmonary semilunar valve into the pulmonary artery
Order of blood transportation
Step 4:
pulmonary artery carries the blood to the lungs and through the pulmonary circulation where it is oxygenated
Order of blood transportation
Step 5:
oxygenated blood returns to the heart via the pulmonary veins into the left atrium
Order of blood transportation
Step 6
with atrial contraction, the mitral valve opens to allow blood to flow into the left ventricle
Order of blood transportation
Step 7
contraction of the left ventricle pushes blood through the aortic valve into the aorta and on to all parts of the body through the systemic circulation
Order of blood transportation
Step 8 (Final)
the heart is the first to receive oxygenated blood via the right and left coronary arteries, which distribute blood throughout the entire heart
Combining Forms consist of roots plus a vowel, usually the letter "o", separated from the root with a slash mark:
gastr/o, enter/o, *cardi/o
angi/o, vas/o, vascul/o vessel
aort/o aorta
arteri/o artery
ather/o fatty (lipid) paste
atri/o atrium
cardi/o heart
coron/o circle or crown
my/o muscle
pector/o, steth/o chest
sphygm/o pulse
thromb/o clot
ven/o, phleb/o vein
varic/o swollen, twisted vein
ventricul/o ventricle (belly or pouch)
Anatomic Terms...
Septa and Layers of the Heart atrium, endocardium, epicardium, interatrial septum, interventricular septum, myocardium, percardium, and ventricle
atrium upper right or left chamber of the heart
endocardium membrane lining the cavities of the heart
epicardium membrane forming the outer layer of the heart
interatrial septum partition between the right and left atria
interventricular septum partition between the right and left ventricles
myocardium heart muscle
pericardium protective sac enclosing the heart composed of two layers with fluid between
1. visceral pericardium
2. parietal pericardium
3. pericardial cavity
visceral pericardium layer closest to the heart
(visceral = pertaining to organ)
parietal pericardium outer layer (parietal = pertaining to wall)
pericardial cavity fluid-filled cavity between the pericardial layers
ventricle lower right or left chamber of the heart
Valves of the heart heart valves, aortic valve, mitral valve, bicuspid valve, pulmonary semilunar valve, tricuspid valve, valves of the veins
heart valves structures within the heart that open and close with the heartbeat to regulate the one-way flow of blood
aortic valve heart valve between the left ventricle and the aorta
mitral valve and bicuspid valve heart valve between the left atrium and the left ventricle (cuspis = point)
pulmonary semilunar valve heart valve opening from the right ventricle to the pulmonary artery (luna = moon)
tricuspid valve valve between the right atrium and the right ventricle
valves of the veins valves located at intervals within the lining of veins, especially in the legs, which constrict with muscle action to move the blood returning to the heart
Blood Vessels arteries, aorta, arterioles, capillaries, venules, veins
arteries vessels that carry blood from the heart to the arterioles
aorta large artery that is the main trunk of the arterial system branching from the left ventricle
arterioles small vessels that receive blood from the arteries
capillaries tiny vessels join arterioles and venules
venules small vessels that gather blood from the capillaries into the veins
veins vessels that carry blood to the heart from the venules
Circulation systemic, coronary, pulmonary circulation
systemic circulation circulation of blood throughout the body via arteries, arterioles, capillaries, venules, and veins to deliver oxygen and nutrients to body tissues
coronary circulation circulation of blood through the coronary blood vessels to deliver oxygen and nutrients to the heart muscle tissue
pulmonary circulation circulation of blood from the pulmonary artery through the vessels in the lungs and back to the heart via the pulmonary vein, providing for the exchange of gases
Blood Pressure Terms...
diastole to expand; period during the cardiac cycle when blood enters the relaxed ventricles from the atria
systole to contract; period during the cardiac cycle when the heart is in contraction and blood is ejected though the aorta and the pulmonary artery
normotension normal blood pressure
hypotension low blood pressure
hypertension (HTN) high blood pressure
Cardiac Conduction Terms...
sinoatrial (SA) node the peacemaker; highly specialized, neurological tissue impeded in the wall of the right atrium; responsible for initiating electrical conduction of the heartbeat, causing the atria to contract and firing of impulses to the AV node
atrioventricular (AV) node neurological tissue in the center of the heart that receives and amplifies the conduction of impulses from the SA node to the bundle of His
bundle of His neurological fibers extending from the AV node to the right and left bundle branches that fire the impulse from the AV node to the Purkinje fibers
Purkinje Fibers/Purkinje Network fibers in the ventricles that transmit impulses to the right and left ventricles, causing them to contract
polarization resting; resting state of the myocardial cell
depolarization change of a myocardial cell from a polarized state to a state of contraction (de = not; polarization = resting)
repolarization recharging of the myocardial cell from a contracted state back to a resting state (re = again)
normal sinus rhythm (NSR) regular rhythm of the heart cycle stimulated by the SA node (average rate of 60-100 beats/minute)
Symptomatic Terms...
aneurysm a widening; a bulging of the wall of the heart, aorta, or artery caused by a congential defect or acquired weakness
1. saccular aneurysm
2. fusiform aneurysm
3. dissecting aneurysm
saccular aneurysm a sac-like bulge on one side
fusiform aneurysm a spindle-shaped bulge
dissecting aneurysm a spilt or tear of the vessel wall
angina pectoris chest pain caused by a temporary loss of oxygenated blood to heart muscle; often caused by narrowing of the coronary arteries (angina = to choke)
arteriosclerosis thickening, loss of elasticity, and calcification (hardening) of arterial walls
-atheromatous plaque
atheromatous plaque a swollen area within the lining of an artery caused by the buildup of fat (lipids)
claudication to limp; pain in the limb (especially the calf) while walking the subsides after rest; caused by inadequate blood supply
constriction compression of a part that causes narrowing (stenosis)
diaphoresis profuse sweating (perspiration)
embolus a clot (e.g. air, fat, or a foreign object) carried in the bloodstream that obstructs the flow of blood when it lodges (embolus = a stopper)
heart murmur an abnormal sound from the heart produced by defects in the chambers or valves
infarct to stuff; a localized area of necrosis (condition of tissue death) caused by ischemia resulting from occlusion of a blood vessel
ischemia to hold back blood; decreased blood flow to tissue caused by constriction or occlusion of blood vessels
-perfusion deficit
perfusion deficit lack of flow through a blood vessel caused by narrowing, occlusion, etc.
occlusion plugging; an obstruction or a closing off
palpitation subjective experience of pounding, skipping, or racing heartbeats
stenosis condition of narrowing of a part
thrombus a stationary blood clot
vegetation to grow; an abnormal growth of tissue around a valve, generally as a result of infection
Diagnostic Terms...
Related to the Heart and Arteriesacute coronary syndrome, arrhythmia, dysrhythmia, bacterial endocarditis, cardiac tamponade, cardiomyopathy, congenital anomaly of the heart, congestive heart failure, left ventricular failure, cor pulmonale, right ventricular failure, coronary artery disease, hypertension, mitral valve prolapse, myocardial infarction, myocarditis, pericarditis, rheumatic heart disease, sudden cardiac arrest
acute coronary syndrome (ACS)signs and symptoms indicating an active process of atherosclerotic plaque buildup or formation of a thrombus, or spasm within a coronary artery, causing a reduction or loss of blood flow to myocardial tissue; includes unstable angina and other pathological events leading to myocardial infarction (MI); early diagnosis and rapid treatment are critical to avoid or minimize damage to heart muscle
arrhythmia/dysrhythmia any of several kinds of irregularity or loss of rhythm of the heartbeat
1. bradycardia
2. fibrillation
3. premature ventricular contraction (PVC)
4. tachycardia
bradycardia slow heart rate (less than 60 beats/minute)
fibrillation chaotic; irregular contractions of the heart, as in atrial or ventricular fibrillation
premature ventricular contraction (PVC) a ventricular contraction preceding the normal impulse initiated by the SA node (peacemaker)
tachycardia fast heart rate (greater than 100 beats/minute)
bacterial endocarditis a bacterial inflammation that affects the endocardium or the heart valves
cardia tamponade compression of the heart produced by the accumulation of fluid in the pericardial sac, as results from pericarditis or trauma, causing rupture of a blood vessel within the heart (tampon = a plug)
cardiomyopathy a general term for disease of the heart muscle, such as alcoholic cardiomyopathy (damage to the heart muscle caused by excessive consumption of alcohol)
congenital anomaly of the heart malformations of the heart that are present at birth (congenital = born with; anomaly = irregularity)
1. atrial septal defect
2. coarctation of the aorta
3. patent ductus arteriosus
4. ventricular septal defect
atrial septal defect (ASD) an opening in the septum separating the atria
coarctation of the aorta narrowing of the descending portion of the aorta, resulting in a limited flow of blood to the lower part of the body
patent ductus arteriosus (PDA) an abnormal opening between the pulmonary artery and the aorta caused by failure of the fetal ductus arteriosus to close after birth (patent = open)
ventricular septal defect (VSD) an opening in the septum separating the ventricles
congestive heart failure (CHF)/left ventricular failure failure of the left ventricle to pump an adequate amount of blood to meet the demands of the body, resulting in a "bottleneck" of congestion in the lungs that may extend to the veins, causing edema in lower portions of the body
cor pulmonale/right ventricular failure enlargement of the right ventricle, resulting from chronic disease within the lungs, that causes congestion within the pulmonary circulation and resistance of blood flow to the lungs (cor = heart)
coronary artery disease (CAD) a condition affecting arteries of the heart that reduces the flow of blood and the delivery of oxygen and nutrients to the myocardium; most often caused by atherosclerosis
hypertension (HTN) persistently high blood pressure
1. essential hypertension
2. primary hypertension
3. secondary hypertension
essential hypertension high blood pressure attributed to no single cause; risks include smoking, obesity, increased salt intake, hypercholesterolemia, and hereditary factors
secondary hypertension high blood pressure caused by the effects of another disease (e.g. kidney disease)
mitral valve prolapse (MVP) protrusion of one or both cusps of the mitral valve back into the left atrium during ventricular contraction, resulting in incomplete closure and backflow of blood
myocardial infarction (MI) heart attack; death of myocardial tissue (infarction) caused ischemia (loss of blood flow) as a result of an occlusion (plugging) of a coronary artery; usually caused by atherosclerosis; symptoms include pain in the chest or upper body (shoulders, neck, and jaw), shortness of breath, diaphoresis, and nausea
myocarditis inflammation of myocardium; most often caused by viral bacterial infection
pericarditis inflammation of the pericardium
rheumatic heart disease damage to heart muscle and heart valves by rheumatic fever (a streptococcal infection)
sudden cardiac arrest (SCA) the abrupt cessation of any cardiac output (CO), most commonly as the result of ventricular fibrillation causes sudden death unless defibrillation is initiated immediately
Related to the Veins deep vein thrombosis, phlebitis, thrombophlebitis, varicose veins
deep vein thrombosis (DVT) formation of a clot in a deep vein of the body, occurring most often in the femoral and iliac veins
phlebitis inflammation of a vein
thrombophlebitis inflammation of a vein associated with a clot formation
varicose veins abnormally swollen, twisted veins with defective valves; most often seen in the legs

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