Lecture final 5 (the heart)

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Created by:

M-Shepherd  on February 13, 2011

Subjects:

a&p 2

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Lecture final 5 (the heart)

Conduction through the heart
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Definitions

Conduction through the heart
Bloodflow through the heart
failure to sense when the patients pacemaker does not sense the patientts own cardiac rhythm and initiates an electrical impulse. a pace maker spike falls closely to the patients own rhythm, earleer than the programed rate.
loss of capture occurs when a pacing artifact is not followed by an atrial or a ventricular complex
P wave atrial depolarization, <0.12
PR Interval
is the portion of the EKG wave from the beginning of the P wave ( onset of atrial depolarization) to the beginning of the QRS complex ( onset of ventricular depolarization). It is normally 0.12 - 0.20 seconds.
S1 heart sound, known as lubb; marks the start of the ventricular contraction.
S2 makes the sound dubb; occurs at the beginning of ventricular filling, when the semilunar valves close
S3 and S4 usually very faint and seldom are audible in healthy adults. normal in child. CHF IN ADULTS.
QRS complex Ventricular depolarization
PR segment
END of Pwave to BEGINNING of QRS (atria contracting, delay of propagation at AV node)
During systole both AV valves (tricuspid and mitral) are closed, aortic valves are open.
During diastole both atrioventricular valves are open, and the aortic valves are closed.
SA node 60-100 bpm
AV node 40-60 bpm
ventricles 20-40 bpm
pericardium a double-layered serous membrane that surrounds the heart
visceral pericardium covers and ADHERES closely to outer heart surface.
parietal pericardium lines inner surface of pericardial sac.
ST segment ventricular repolarization
QT interval measured from the Q to the end of the T. represents ventricle depolarization
myocardium muscular wall of the heart, forms both atria and ventricles
epicardium is the visceral pericardium that covers the outer surface of the heart
endocardium inner surfaces of the heart, including those of the heart valves
Chambers of the heart right atrium, left atrium, right ventricle, left ventricle
Heart Layers pericardium, visceral pericardium, parietal pericardium
right atrium receives blood from the systemic circuit and passes it to the right ventricle
right ventricle pumps blood into the pulmonary circuit
left atrium collects blood from the pulmonary circuit and empties it into the left ventricle
left ventricle pumps blood into the systemic circuit
inter-atrial septum separates the left atrium from the right atrium
inter-ventricular septum separates the left ventricle from the right ventricle
Right artioventricular valve known as the tricuspid valve where free edge is attached to connective tissue fibers called chordate tendineae
right coronary artery follows the coronary sulcus around the heart, supplies blood to the right atrium, portions of both ventricles, and portions of the sa node and the atrioventricular node
left coronary artery supplies blood to the left ventricle, left atrium, intervetricular septum
stroke volume how much blood is pumped with each heartbeat`
cardiac output volume of blood pumped by one ventricle per minute
papillary muscles responsible for pulling the atrioventricular valves closed by means of the chordae tendineae
chordae tendineae "heart strings" are tiny white collagenic cords that anchor the cusps to the ventricular walls. They originate from the papillary muscles are only located on TRICUSPID AND MITRAL VALVES.
Twave Ventricular Repolarization

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