right atrium
receives deoxygenated blood from the body
right ventricle
pumps blood to the lungs
left atrium
receives oxygenated blood from the lungs
left ventricle
pumps oxygenated blood to the body
atrioventricular vavles
tricuspid and mitral valves
semilunar valves
pulmonary and aortic valves
tricuspid valve
the valve between the right atrium and right ventricle
mitral valve
valve between the left atrium and left ventricle
pulmonary valve
valve between the right ventricle and the pulmonary artery
aortic valve
valve located between the left ventricle and the aorta
superior and inferior vena cava
bring blood to the right atrium
aortic auscultation
place the stethoscope on the second right intercostal space at the upper right sternal border
pulmonic area auscultation
place the stethoscope on the second left intercostal space at the upper left sternal border
Erb's point auscultation
place the stethoscope on the 3rd left intercostal space at the medial left sternal border
tricuspid auscultation
place the stethoscope on the 4th intercostal space at the left sternal border
mitral (apical) auscultation
place the stethoscope at the apex of the heart on the 5th intercostal space at the midclavicular line
s1 (first heart sound)
occurs when the mitral and tricuspid valves close
s2 (second heart sound)
happens with the closing of the aortic and pulmonic valves
s3 ventricular gallop
low frequency vibration that occurs after s1 and s2 and seems to result from the change in blood flow in diastole when rapid filling ends and slow filling starts
s3
heart sound resembles the pronunciation of the word Ken-TUCK-y where y represents it
s4 atrial gallop
low frequency sound that occurs in late diastolic filling due to atrial contraction; causes vibrations in the ventricular walls and happens just before s1 making it difficult to hear; can indicate an increased resistance to ventricular filling; sometimes can occur normally in people older than 40, especially after exercise
tachycardia
resting heart rate over 100 beats per minute; considered an arrhythmia; number of causes, some are not serious and do not cause health complications; more serious issues can arise if left untreated and chronic
bradycardia
resting heart rate of less than 60 beats per minute; considered an arrhythmia; can be normal or a sign of dysfunction of the heart's electrical system
arrhythmia
disorder of the normal cardiac rhythm
pericardial friction rub
not a heart sound, but a sound generated from inflammation of the pericardial sac as it rubs against the linings surrounding the heart; scratching, grating high frequency sound heard in both systole and diastole
pericarditis
an inflammatory disease of the pericardium, which causes the membranes to become sticky, producing friction when the heart beats or when the patient breathes; best heard with the diaphragm of the stethoscope at the left lower sternal border
murmers
produced by turbulent blood flow; normally heard during auscultation
innocent murmurs
non-cardiac related to pregnancy hyperthyroidism exercise and anemia; most often heard in children; normally heard with systole in the pulmonic precordial area
pathological murmurs
due to congenital or valvular defects, which can be identified by their timing and the auscultation region where they are heard
pulmonary arteries
carry deoxygenated blood to the lungs
pulmonary veins
return oxygenated blood to the left atrium
aorta
carries oxygenated blood to the body
vessels
includes superior and inferior vena cava, pulmonary arteries, pulmonary veins, and aorta
coronary arteries
supply the heart muscle with oxygen rich blood
electrical conduction system
includes SA node, AV node, Bundle of His, bundle branches, and Purkinje fibers
pulmonary circulation
circulatory loop from heart to lungs to heart
systemic circulation
circulatory loop from heart to body to heart
systole
ventricles contract and blood is ejected
diastole
ventricles relax and chambers fill with blood
valves
ensure unidirectional blood flow, preventing backflow
Starling's Law
increased ventricular stretch = stronger contraction to a point
electrical conduction
triggers coordinated contraction for efficient blood flow
circulatory system
primary purpose is to deliver oxygen and nutrients to tissues; remove carbon dioxide and metabolic waste
systemic veins
carry deoxygenated blood back to the right side of the heart
capillaries
responsible for exchange of gases and nutrients within tissues
systemic arteries
carry oxygenated blood away from the left side of the heart
SVC -> RA -> tricuspid valve -> RV -> Pulmonic valve -> Pulmonary artery -> lungs -> Pulmonary veins -> LA -> mitral valve -> LV -> Aortic valve -> aorta -> Body
blood flow through the heart