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systole
contract phase & pressure increases
diastole
relax phase and filling
if ventricles are contracting & pumping blood thru valves…
…atria are relaxed and filling
depolarize
electrical activity/stimulate
contraction/systole
repolarize
reversal of electrical activity, relax
P waves
record electrical activity through upper heart chambers
atrial depolarization (electrical)
contracting atria (systole)
should not be more than 1-2 large box tall & no more than 2.5 boxes wide
PR interval
time from beginning of P wave to beginning of QRS Complex
heart health, diagnose diseases
QRS Complex
records the electrical activity through the lower heart chambers
vascular depolarization (e), contracting ventricles = systole
R (highest), S (lowest)
T waves
records the electrical activity through upper heart chambers
atrial repolarization (relax), relaxing atria = diastole
Cardiac output
volume pumped by ventricles per minute.
Maintain blood flow throughout body, measure of blood volume ejected from heart over given time
Heart rate x Stroke volume
Avg: 5.2 L -5.25 L (blood in body)
stroke volume
mL pumped per ventricle contraction (avg=70mL)
amount for blood ejected from ventricles during one heartbeat
heart rate
BPM (avg 75)
cardiac output affected by
hormones, stress, age, stimulants (caffeine/meth), depressants, chemoreception (CO2 detection)
chemoreception
CO2 detection
high CO2=acid
cardiac output increases > get blood to lungs
adrenaline
sympathetic
stress
what beta adrenegic receptors respond to
beta adrenegic receptors
respond to adrenaline
get blocked by beta blockers = competitive inhibition
when no adrenaline, cardiac output decreases > blood pressure decreases
parasympathetic system
“rest & digest”
neurons release acetylcholine neurotransmitter = slows HR and contraction force
Acetylcholine (ACH)
part of parasympathetic system > lowers cardiac output & BP
max rate
take 220 BMP - age
blood pressure
force exerted on artery wall
systolic blood pressure
top number
left ventricle contracts & pressure is passed to aorta wall muscle which distends/bulges/dilates
(90-120 mmHG)
diastole blood pressure
bottom number
left ventricle relaxes & aorta recoils on blood > pushes flow
(60-80 mmHg)
sphygmomanometer
cuff closes artery → listen
as pressure released, BP overcomes the cuff = artery opens
reads sound/korotkoff
Korotkoff
sound starts = systole reading (120)
once sound stops = diastolic pressure reading (80)
BP influenced by
epinephrine, T3
Compliance
how easy a vessel stretches > elastic
atherosclerosis reduces it
atherosclerosis
hardening artery
coronary artery disease
leads to MI (Heart attack)
volume
if decreased, pressure/flow rate decreased
ischemia
lack of flow to tissue & no perfusion
augustus gloop
decreased blood = decreased oxygen
perfuse
through
volume of blood that flows through tissue (organs) per minute
myocardial infarction
ischemia/ block of blood & oxygen to myocardium > necrosis (death)
heart attack
ischemia symptoms
left arm pain
angina (chest pain)
dyspnea (diffculty breathing)
vomiting
diaphoresis (excess sweating)
cyanosis (turn blue bcos no Oxygen)
cardiopulmonary resuscitation
manually compress blood in heart to push some into pulmonary & systemic circuits
standard call for compression of chest 5 cm deep & at a rate of 100 compressions/minute
ekg order
P waves > PR interval > QRS complex > T waves