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60,000
The heart is the pump that circulates the blood through an estimated ______ miles of blood vessels
1 million
Heart pumps over _ _______ gallons per year
mediastinum
The heart is situated between the lungs in the ___________ with about two-thirds of its mass to the left of the midline
cardiology
The study of the normal heart and diseases associated with it
pressure changes
Valves open and close in response to
heart contracts and relaxes
Causes of pressure changes
pressure
Blood filling up atrium/ventricle causes __________ to increase
Ventricle
Atrium →
Valve to ventricle to open
Pressure build up in atrium causes
Right atria
Blood returning to heart fills
tricuspid valve to open
Pressure in right atria causes
tricuspid valve
AV Valve
Opening of AV Valve
allows blood to flow into the right ventricle
Atria contracts
What forces additional blood into ventricles
Atrial, ventricular
When AV valves open; _________ pressure is greater then __________ pressure
pressure
Atria contracts → _________ increases
valves to open
Pressure increase in atria forces
Papillary
What muscles contract stopping valves from opening
AV Valve Cusps
Ventricles contract, forcing blood against
Chordae Tendineae
Papillary muscles contract and ___________ ____________ tighten
Papillary Muscle, Chordinae Tendineae
What contracts to prevent AV Valves from opening after blood goes to the ventricle
Atrial, Ventricular
Av valves closed; ____________ pressure is less then ______________ pressure
ventricular, atrial
AV valves open and allow blood to flow from atria into ventricles when ___________ pressure is LOWER than atrial pressure
AV valves
WHAT closes preventing backflow of blood into atria
ventricles
WHAT are contracted when AV Valves close
Closed
increased blood pressure in ventricles push valve cusps _______
AV Valves Close
papillary muscles contract to pull cords and prevent cusps from everting when
interventricular
ventricles contract and ____________ pressure rises
semilunar
ventricles contract and interventricular pressure rises, blood is pushed up against ___________ valves
falls
Ventricles relax and intraventricular pressure ______
close
blood flows back from arteries, filling up the cusps of semilunar valves forcing them to
Relaxation phase
Semilunar valves closed, AV Valve open
Contraction Phase
Semilunar open, AV Valve closed
ventricular contraction
Semilunar valves open with
pulmonary trunk and aorta
Semilunar valves open, allowing blood to flow into
ventricular relaxation
Semilunar valves close with
ventricles
Semilunar valves close prevents blood from returning to
SL valves
Semilunar valves close, blood fills valve cusps and tightly closes the
resting
Cardiac cells don’t have a __________ potential
Autorythmic cells
Cells that generate AP better then others
longer
AV Nodes take _______ to get to threshold
faster heart rate
Steeper Slope =
Pacemaker potential
Slow depolarization is due to both opening of Na+ channels and closing of K+ channels
depolarization
When threshold is reached
action
the ________ potential begins when the pacemaker potential reaches threshold
depolarization
Depolarization
____________ is due to Ca+ influx through Ca+ Channels
flat line
Membrane potential is never a
depolarizes
Voltage gated Ca+ Channels _____________ cells
Repolarization
WHAT is due to Ca+ channels inactivating and K+ channels opening
negative
K+ Leaves → __________ value again
negative
influx of k+ brings membrane potential back to _________ voltage
autorhythmic
Cardiac muscle cells are _____________ cells
autorhythmic
self-excitable cells
Cardiac Cells
Repeatedly generate spontaneous action potentials that then trigger heart contractions
sodium
Pacemaker potential is due to influx of
calcium
Depolarization phase is due to influx of
Repolarization
______________ is due to calcium channels inactivating and potassium channels opening
heartbeat
The ANS and hormones, such as epinephrine, do modify ________
(in terms of rate and strength of contraction)
Epinephrine
Which hormone modifies heartbeats
ANS and hormones (Epinephrine)
do not establish the fundamental rhythm in heartbeat
increase
caffeine & nicotine _________ heartbeat activity
Heart rate, pacemaker
ANS influence speed of ____________ and ___________ potential
Pacemaker Potential
Makes slope higher
faster
Sympathetic NS makes HR go
Slower
Parasympathetic NS makes HR go
Vagus Nerve
The ______ _______ decreases HR
epinephrine
Heart Transplant makes HR increase because of _________ increase
impulses
The SA node generates
Primary HR
The SA Node sets
AV
The impulses pause at the ___ node
AV
The ___ Bundle connects the atria to the ventricles
Bundle Branches
The ________ __________ conduct the impulses through the interventricular septum
Subendocardial conducting network
The _________ ________ __________ depolarizes the contractile cells of both ventricles
SA Node
Autorhythmic cluster of cells in wall of right atrium
SA
__ node generates an Action potential spontaneously 90-100 times per minute
SA Node
begins heart activity that spreads through the intercalated discs to all cardiac muscle cells in both atria
AV
Sa Node → __ node
AV
Node in in atrial septum
AV
__ node fires at 40-50 times per minute
AV Node
Node that transmits signal to atrioventricular bundle (bundle of His)
Atrioventricular (AV) bundle
the connection between atria and ventricles
Atrioventricular (AV) bundle
divides into bundle branches
Right and left bundle branches
large diameter fibers that conduct signals quickly in the interventricular septum
Purkinje fibers
in trabeculae carneae, papillary muscles and the myocardium
fastest
SA node sets pace since it is the
AV node
In 50 msec excitation spreads through both atria and down to
filling
100 msec delay at AV node due to smaller diameter fibers - allows atria to fully contract ______ ventricles before ventricles contract
ventricles
In 50 msec excitation spreads through both ___________ simultaneously
Plateau Phase
phase due to Ca+ influx through slow Ca+ channels
keeps cell depolarized because K+ channels are closed
excitation-contraction coupling
depolarized cell because K+ channels are closed starts
long
Absolute refractory period is very
rapid depolarization, plateau, and repolarization
An Action potential in a ventricular contractile fiber is characterized by
tetnus
tension relaxes before refractory period is over so cardiac muscles does not go into
Depolarization
Cardiac cell resting membrane potential is -90mv
intercalated discs
Depolarization; excitation spreads through gap junctions in the
depolarization
fast Na+ channels open for rapid
Plateau phase
250 msec (only 1msec in neuron)
Plateau phase
Phase where slow Ca+2 channels open, let Ca+2 enter from outside cell and from storage in sarcoplasmic reticulum, while most K+ channels remain closed
Plateau phase
Phase where Ca+2 binds to troponin to allow for actin-myosin cross-bridge formation & tension development
Refractory period
the time interval when a second contraction cannot be triggered very long so heart can fill