HES 420 Weeks 1-4

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The lower portion of the heart is (ironically) referred to as the ________.

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Everything up to (not including) QRS axis determination

93 Terms

1

The lower portion of the heart is (ironically) referred to as the ________.

apex

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2

The upper portion of the heart is referred to as the _______.

Based

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3

The majority of the heart lies to the _________ of the midline of the sternum.

Left

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4

Heart size and weight can be influenced by….

age, body weight, exercise, heart disease, etc

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5

Ejection fraction is defined as th

Ejection fraction (Ef) can be defined as…

a measurement expressed as a percentage that indicates how much blood the heart pumps out with each contraction

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6

Normal Ef can range between…

55-70%

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7

Ateries carry blood (away from/towards) the heart, veins carry blood (away from/towards) the heart.

away from; towards

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8

The right atrium recieves ________ blood and sends it to the _______ ________.

deoxygenated; right ventricle

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9

The right ventricle pumps _________ blood to the ________ __________ to be recieved by the lungs.

deoxygenated; pulmonary artery

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10

Pulmonary veins bring _________ blood back to the heart from the lungs, specifically to the ________ _______.

oxygenated; left atrium

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11

The left atrium sends ______ blood to the ______ ______.

oxygenated; left ventricle

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12

The left ventricle sends __________ blood to the ________ .

oxygenated; aorta

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13
<p>Structure A is the ________ _______ _______.</p>

Structure A is the ________ _______ _______.

superior vena cava

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14
<p>Structure B is the ________ ________.</p>

Structure B is the ________ ________.

right atrium

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15
<p>Structure C is the ________ ________.</p>

Structure C is the ________ ________.

tricuspid valve

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16
<p>Structure D is the ________ _______.</p>

Structure D is the ________ _______.

chordae tendineae

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17
<p>Structure E is the ________ ________ ________.</p>

Structure E is the ________ ________ ________.

superior vena cava

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18
<p>Structure F is the ________ ________.</p>

Structure F is the ________ ________.

right ventricle

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19
<p>Structure G is the _________ .</p>

Structure G is the _________ .

myocardium

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20
<p>Structure H is the _________ _______.</p>

Structure H is the _________ _______.

papillary muscles

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21
<p>Structure I is the _________.</p>

Structure I is the _________.

epicardium

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22
<p>Structure J is the _________.</p>

Structure J is the _________.

endocardium

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23
<p>Structure K is the ________ _______.</p>

Structure K is the ________ _______.

mitral valve

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24
<p>Structure L is the ______ ______.</p>

Structure L is the ______ ______.

aortic valve

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25
<p>Structure M is the _______ ______.</p>

Structure M is the _______ ______.

pulmonic valve

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26
<p>Structure N is the _____ _______.</p>

Structure N is the _____ _______.

left atrium

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27
<p>Structure O is the _______ _______.</p>

Structure O is the _______ _______.

left ventricle

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28
<p>Structure P is the _______ _______.</p>

Structure P is the _______ _______.

pulmonary artery

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29
<p>Structure Q is the ________ .</p>

Structure Q is the ________ .

aorta

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30

The 3 layers of the heart (deep to superficial in order) are the…

endocardium, myocardium, epicardium

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31

This layer of the heart is the largest portion…

Myocardium

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32
<p>Structure A is the ______ ______.</p>

Structure A is the ______ ______.

Sinoatrial (SA) Node

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33
<p>Structure B is the _______ _____.</p>

Structure B is the _______ _____.

atrioventricular (AV) node

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34
<p>Structure C is the _____ __ ______.</p>

Structure C is the _____ __ ______.

Bundle of His

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35
<p>Structure D is the ________ ________ _______.</p>

Structure D is the ________ ________ _______.

right bundle branch (RBB)

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36
<p>Structure E is the ________________.</p>

Structure E is the ________________.

left bundle branch (LBB) postieror fascicle

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37
<p>Structure F is the _______________.</p>

Structure F is the _______________.

Left Bundle Branch (LBB) anterior fascicle

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38
<p>Structure A is the ______ ________ _______.</p>

Structure A is the ______ ________ _______.

right bundle branch

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39
<p>Structure B is the _______ ________.</p>

Structure B is the _______ ________.

Atrioventricular (AV) node

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40
<p>Structure C is the ________ __ ________.</p>

Structure C is the ________ __ ________.

Bundle of His

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41
<p>Structure D is the _______ ______ ______.</p>

Structure D is the _______ ______ ______.

left bundle branch

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42
<p>Structure E is the _________ ________.</p>

Structure E is the _________ ________.

septal fascicle

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43
<p>Structure F is the ______ ________ _______.</p>

Structure F is the ______ ________ _______.

left anterior fascicle

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44
<p>Structure G is the ______ _______ _____.</p>

Structure G is the ______ _______ _____.

left posterior fascicle

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45

Coronary arteries are responsible for supplying the __________ with ________.

Heart; oxygenated blood (nutrients)

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46

Coronary arteries branch directly off of the _________ .

Aorta

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47
<p>Structure A is the ________ _________ ________.</p>

Structure A is the ________ _________ ________.

left coronary artery

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48
<p>Structure B is the ________ ________ _______.</p>

Structure B is the ________ ________ _______.

right coronary artery

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49
<p>Structure C is the __________ ________ ________.</p>

Structure C is the __________ ________ ________.

posterior descending branch

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50
<p>Structure D is the _________ __________ _________ ________.</p>

Structure D is the _________ __________ _________ ________.

Left anterior descending branch

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51
<p>Structure E is the <em>_____________ ___________.</em></p>

Structure E is the _____________ ___________.

circumflex branch

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52

Disease ihibited blood flow through normal vasculature can result in increased reliance on ___________ ________.

collateral vasculature

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53

Ateriosclerosis

Chronic disease of arterial system characterized by thickening and hardening of vessel walls

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54

Artherosclerosis

A form of arteriosclerosis, caused by fatty-like deposits (plaques)

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55

Heart disease (coronary artery disease) is defined as…

the presence of plaques or lesions in the coronary arteries

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56

Ischemia is defined as…

inadequate blood flow and oxygen supply to the myocardium (heart muscle tissue)

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57

Classic angina is…

chest pain with exertion

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58

Variant angina is…

chest pain during rest

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59

Silent ischemia is…

ischemia without any symptoms

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60

At rest our cells are (negatively/positively) charged, and refered to as (polarized/depolarized).

negatively; polarized

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61

Depolarization involves the influx of (negative/positive ions) into the cell.

Positive

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62

Myocardial cells have 3 distinct properties. These are…

  • Automaticity

  • Excitability

  • Conductivity

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63

Automaticity is defined as…

the ability to depolarize spontaneously

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64

Excitability is defined as…

the ability to depolarize and repolarize when excited by an electrical stimulus

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65

Conductivity is defined as…

the ability to transfer electrical impulses to neighboring cells

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66

The mean vector flow of the depolarization wave can be thought of as traveling from the (left/right) atrium to the (left/right) ventricle

Right ; left

<p>Right ; left</p>
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67

P waves can be…

positive, negative, or biphasic

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68

Q waves are always (positive/negative) and come (before/after) the __ wave. (in lead II)

Negative; before; R

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69

R waves are always… (in lead II)

Positive

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70

S waves are always (positive/negative) and come (before/after) the __ wave. (in lead II)

Negative; after; R

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71

T waves can be…

positive, negative, biphasic

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72
<p>Structure 1 (green line) is a __ _________.</p>

Structure 1 (green line) is a __ _________.

p wave

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73
<p>Structure 2 (orange line) is a __ _________.</p>

Structure 2 (orange line) is a __ _________.

q wave

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74
<p>Structure 3 (red line line) is a __ _________.</p>

Structure 3 (red line line) is a __ _________.

r wave

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75
<p>Structure 4 (purple line) is a __ _________.</p>

Structure 4 (purple line) is a __ _________.

s wave

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76
<p>Structure 5 (blue line) is a __ _________.</p>

Structure 5 (blue line) is a __ _________.

t wave

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77

What event in the heart is the p wave associated with?

Atrial depolarization

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78

What event in the heart is the qrs complex associated with?

ventricular depolarization

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79

What event in the heart is the t wave associated with?

ventricular repolarization

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80

On ECG paper, the x axis displays __________ measured in __________, and the y axis displays ____________ measured in ____________.

time, seconds; amplitude, millivolts

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81

With ECG paper, standard calibration involves one small square equal to __________ on the x axis, and ___________ on the y axis

.04 sec; .1 mV

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82

The pq junction can be defined as ____________________ and serves as our _______________.

the beginning of the qrs complex; baseline

<p>the beginning of the qrs complex; baseline </p>
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83

A normal duration for the QRS interval is ___________.

< .10 seconds

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84

A normal duration for the QT interval is ___________.

< .50 seconds

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85

A normal duration for the PR interval is __________ .

< .21 seconds

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86

Refractory period can be defined as the time that ______________.

the cell membrane is unresponsive to new stimuli

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87

The absolute refractory period differs from relative refractory period in that…

  • absolute refractory period occurs before the relative refractory period

  • membranes are unresponsive to new stimuli, regardless of strength (for the absolute refractory period)

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88

We can determine heart rate on an ECG strip (w/o reading the # the Q stress gives us) in 3 ways. What are they?

  • # of R waves in 6 seconds x 10

  • 1500 / mm between two R waves

  • HR guide sheet/ruler

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89

The SA node node fires at a regular rate of ____ - _____ bpm.

60 - 100

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90

In normal sinus rhythm, p waves, PR intervals, and R to R should all be _________.

consistent

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91

One common sign of sinus arrthymia involves R to R intervals varying by at least __________.

3 mm

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92

Sinus bradycardia involves consistent waves/intervals but a HR of _________.

<60 bpm

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93

Sinus tachycardia involves consistent waves/intervals but a HR of _________.

>100 bpm

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