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Venecava
connected to right atrium
pulmonary veins
connected to left atrium
valve between LA and LV
bicuspid valve, also called mitrial valve
valve between RV and RA
tricuspid valve
pulmanary valve
RV
aortic valve
LV
papilary muscles
contract when valves are open
endocardium
inside heart
myocardium
cardiac muscle, solid
pericardium
outside of heart
corinary circulation
small amount of blood exits LV
Chordae tendineae
cable like straps attached to papilary muscle
papilary muscle
portion of cardiac wall growing into chamber
perkinji system
conductive
helps system go from bottom up
sinoatrial node
heart pacemaker, causes atria to contract
atrioventricular node
recieves electrical impulse from sinoatrial node
delays signal to let ventricles fill with blood, passes signal to bundle of his
bundle of his
go to bottom of heart
carries impulse from AV node to ventricles
purkinje pathway
SA node—→AV node—→ bundle of his—→ perkinje fibers
conductive contractile cells
myocardial cells
conductive noncontractile cells
perkinje system
nonconductive noncontractile cells
skeleton of the heart
SA node beats
100/min
atrial beats
40-60/min
AV node beats
25-40/min
vent. m. beats
20/min
average resting heart rate
70/min
what can raise heart rate
parasympathetic
max impulses/min
240
depolarization
systole
repolarization
diastole
cardiogram
measures wave of electricity that travels through heart every beat
P wave
start of atrial systally (depolarization)
QRS complex
start of ventricular systally (depolarize) and atrial dyastaly (repolarization)
peak of T
start of ventricular diastally
blood pressure
systolic/diastolic
contraction happens when
when depolarized
AV block
slowing of conduction between AV node and bundle of his
1st degree block
slower but no skipped beats
2nd degree block
some skipped beats
3rd degree block
severed communication between top and bottom
lets ventricles beat on own rhythm
atrial flutter
rapid weak sawtooth pattern
asynchronous QRS
rhythm=250-250 bpm
ventricles can’t keep up with atria
myocardial interaction
after heart attack
clogging of coronary arteries leading to decreased blood flow, myocardial death
fibrilation
random, wandering isoelectric line, no clear P or QRS events
fibrillation can either be atrial or ventricular
atrial feels like racing
ventricular triggered by heart attack
defibrillator
not fixing dead part just want SA node to dodge dead spot
atrial diastole from
—->p and R—→
atrial systole from
mid p—>R
ventricular diastole from
—→r mid and T—→
ventricular systole from
R mid —→ T mid
crosses on important chart mean
a valve opens
causes sound
valve closing
isometric contract
all chambers closed pressure skirockets
isometric relaxation
chambers closed, pressure decreases
P and R align with
first action potential in atrial muscles
depolarization of atria and ventricles
T align with
steep repolarization of ventricles
which side is weaker
right side is weaker
normal open valve
laminar flow=quiet
not normal open valve
stenotic valve: narrowed valve, turbulent flow= murmer
valve does not open all the way
normal closed valve
no flow=quiet
not normal closed valve
unsufficient valve: leaky valve, turbulent backflow=murmer
blood leaking valve, damaged whne tries to close can’t fully
prolase
valve fails entirely, closes then pressure bursts it open the wrong way
aortic stenosis
aortic valve is narrow, hard for blood to leave left ventricle
mitral regurgitation
mitral valve doesn’t close properly, blood leaks to left atrium
aortic regurgitation
aortic valve doesn’t clse properly, allowing blood to leak to left ventricle
patent ducts arteriosus
fetal blood vessel vessel open after birth, abnormal blood flow between aorta and pulmonary artery
mitral valve prolapse
mitral valve bulges backward into the left atrium
how to increase heart pumping
by either increasing heart rate or volume
EDV: starling’s law of the heart
heart muscle has stretch receptors in it
can strengthn beat not start one
contracts more forcefully, puts more blood in
trained heart
work longer, still needs same amount of blood
lower heart rate even at rest
more efficient, pumps more blood
untrained heart
beats more often and less efficient
leaving the heart, blood flow
blood can’t flow backwards through aortic valve or pulmonary valve during diastate
aorta elasticity
as age, elastic of connective tissues break down
collesteral also stiffins it