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65 notecards = 17 pages (4 cards per page)

Viewing:

BMD 420 Module 4 (Chapter 12)

front 1

Endocardium

back 1

Inner lining of the heart chambers and valves

front 2

Myocardium

back 2

Muscular middle layer of the heart responsible for contraction

front 3

Epicardium

back 3

Outer layer of the heart wall

front 4

SA node

back 4

Primary pacemaker of the heart initiating electrical impulses

front 5

AV node

back 5

Delays impulse to allow atrial contraction before ventricular contraction

front 6

Bundle of His

back 6

Electrical pathway transmitting impulses from AV node to ventricles

front 7

Purkinje fibers

back 7

Network distributing impulse throughout ventricles for coordinated contraction

front 8

P wave on ECG

back 8

Atrial depolarization

front 9

QRS complex on ECG

back 9

Ventricular depolarization

front 10

T wave on ECG

back 10

Ventricular repolarization

front 11

Cardiac output

back 11

Amount of blood pumped per minute equal to heart rate times stroke volume

front 12

Stroke volume

back 12

Amount of blood ejected from ventricle each beat

front 13

Blood pressure determinants

back 13

Cardiac output blood volume and peripheral resistance

front 14

Electrocardiogram ECG

back 14

Records electrical activity of the heart and detects arrhythmias or infarction

front 15

Echocardiogram

back 15

Ultrasound imaging showing heart structure valve movement and blood flow

front 16

Angiography

back 16

Imaging using contrast dye to visualize coronary arteries and blockages

front 17

Stress test

back 17

Evaluates heart function during exercise to detect ischemia

front 18

Cardiac biomarkers

back 18

Troponin and other enzymes released during myocardial damage

front 19

Lifestyle changes for cardiovascular disease

back 19

Weight loss exercise smoking cessation reduced salt reduced saturated fat stress control

front 20

Vasodilators

back 20

Drugs that relax blood vessels reducing peripheral resistance and blood pressure

front 21

Beta blockers

back 21

Drugs that decrease heart rate contractility and blood pressure

front 22

Calcium channel blockers

back 22

Drugs that reduce myocardial contractility and vascular resistance

front 23

ACE inhibitors

back 23

Drugs that block angiotensin II formation lowering blood pressure

front 24

Diuretics

back 24

Drugs that increase urine output reducing blood volume and blood pressure

front 25

Anticoagulants

back 25

Drugs that prevent clot formation

front 26

Statins

back 26

Drugs that lower LDL cholesterol and reduce atherosclerosis risk

front 27

LDL cholesterol

back 27

Transports cholesterol to tissues and promotes plaque formation

front 28

HDL cholesterol

back 28

Removes cholesterol from tissues and transports it to the liver for removal

front 29

Atheroma

back 29

Fatty plaque composed of lipids fibrous tissue and inflammatory cells in arterial wall

front 30

Metabolic syndrome

back 30

Cluster including obesity insulin resistance hypertension and dyslipidemia increasing cardiovascular risk

front 31

Angina pectoris

back 31

Chest pain caused by temporary myocardial ischemia without tissue death

front 32

Stable angina

back 32

Chest pain triggered by exertion relieved by rest or nitroglycerin

front 33

Myocardial infarction

back 33

Prolonged coronary obstruction causing myocardial tissue necrosis

front 34

MI classic symptoms

back 34

Severe crushing chest pain radiating to arm neck or jaw dyspnea nausea sweating anxiety

front 35

MI diagnostic markers

back 35

Elevated cardiac troponin abnormal ECG changes

front 36

Sinus bradycardia

back 36

Heart rate below normal due to slowed SA node firing

front 37

Sinus tachycardia

back 37

Heart rate above normal due to increased SA node firing

front 38

Atrial fibrillation

back 38

Rapid chaotic atrial impulses producing irregular ventricular rhythm and clot risk

front 39

Atrial flutter

back 39

Rapid regular atrial contractions often producing tachycardia

front 40

Heart block

back 40

Impaired conduction between atria and ventricles

front 41

Third degree heart block

back 41

Complete dissociation between atrial and ventricular activity

front 42

Premature ventricular contraction

back 42

Early ventricular beat originating outside SA node

front 43

Ventricular tachycardia

back 43

Rapid ventricular rhythm that may reduce cardiac output

front 44

Ventricular fibrillation

back 44

Chaotic ventricular electrical activity causing loss of effective pumping and death if untreated

front 45

Cardiac arrest

back 45

Complete cessation of effective cardiac activity and circulation

front 46

Congestive heart failure

back 46

Heart unable to pump sufficient blood to meet body needs

front 47

Common causes of CHF

back 47

Coronary artery disease hypertension myocardial infarction valve disease cardiomyopathy

front 48

Forward effects of CHF

back 48

Reduced perfusion causing fatigue hypoxia and organ dysfunction

front 49

Left sided heart failure

back 49

Backflow into pulmonary circulation causing pulmonary edema dyspnea cough orthopnea

front 50

Right sided heart failure

back 50

Backflow into systemic veins causing peripheral edema hepatomegaly ascites jugular distention

front 51

Pulmonary edema

back 51

Fluid accumulation in lungs impairing oxygen exchange

front 52

Orthopnea

back 52

Difficulty breathing when lying flat relieved by sitting upright

front 53

Essential hypertension

back 53

Persistent elevation of systemic blood pressure without identifiable secondary cause

front 54

Hypertension mechanism

back 54

Increased peripheral resistance from arteriolar vasoconstriction

front 55

Hypertension early stage

back 55

Often asymptomatic called silent disease

front 56

Hypertension long term effects

back 56

Damage to heart kidneys brain and retina

front 57

Hypertension risk factors

back 57

Age genetics obesity high salt intake smoking alcohol stress sedentary lifestyle

front 58

Hypovolemic shock

back 58

Shock caused by major loss of blood or fluid leading to reduced circulating volume

front 59

Cardiogenic shock

back 59

Shock due to severe heart failure preventing adequate cardiac output

front 60

Septic shock

back 60

Distributive shock caused by systemic infection producing vasodilation and hypotension

front 61

Anaphylactic shock

back 61

Severe allergic reaction causing widespread vasodilation airway constriction and hypotension

front 62

Neurogenic shock

back 62

Loss of sympathetic vascular tone causing widespread vasodilation and hypotension

front 63

Early shock signs

back 63

Anxiety tachycardia pale cool skin sweating decreased urine output

front 64

Progressive shock effects

back 64

Metabolic acidosis organ failure renal failure ARDS DIC

front 65

Compensatory shock response

back 65

Vasoconstriction increased heart rate and fluid retention to maintain perfusion