EKG Plain and Simple: Chapter 1 (Anatomy & Physiology)

Thoracic

Chest cavity

Sternum

Breastbone

Mediastinum

The cavity between the lungs, in which the heart is located

Base

The top of the heart where the great vessels emerge

The 3 layers of the heart are:

1.) Epicardium
2.) Myocardium
3.) Endocardium

Epicardium

Outer layer of the heart. Contains coronary arteries

Myocardium

Middle; thickest layer of the heart. Made of muscle

Endocardium

Innermost layer of the heart. Form heart valves

Pericardium

The sac that enclosed the heart

Pericardial fluid

Small amount of fluid found between the pericardial sac. Minimizes friction with each heartbeat

The heart has 4 chambers:

1.) Right atrium
2.) Right ventricle
3.) Left atrium
4.) Right ventricle

Right atrium

Receives deoxygenated blood from the body and delivers to the right ventricle

Right ventricle

Pumps blood to the lungs

Left atrium

Receives oxygenated blood from the lungs and deliver to the left ventricle

Left ventricle

Pumps blood throughout the body

Blood pressure

The pressure exerted on the arterial walls by the circulating blood

Septum

The fibrous tissue that separate the heart into right and left sides

Interatrial septum

Muscular band of tissue separating the right and left atria

Interventricular septum

Muscular band of tissue separating right and left ventricle

The 4 heart valves are:

Semilunar valves:
1.) pulmonic valve
2.) Aortic
Atrioventricular (AV) valves:
3.) tricuspid
4.) Mitral

Pulmonic valve

Valve located between the right ventricle and pulmonary artery

Aortic

Largest artery in the body, into which left ventricle empties out

Tricuspid

Valve that separates/between the right atrium and right ventricle. Has 3 cusps

Mitral

Valve that separates/between the left atrium and left ventricle. "Bicuspid" 2 cusps

Chordae tendineae

Tendinous cords that attach to the AV valves and prevent then from everting

Papillary muscle

Muscle to which the chordae tendineae are attached at the bottom

Systole

Phase of the cardiac cycle in which the ventricle contracts and expels it's blood

Diastole

Phase of the cardiac cycle in which the ventricular relax and fill blood

The 5 great vessels (at the base) are:

1.) Superior vena cava
2.) Inferior vena cave
3.) Pulmonary artery
4.) Pulmonary veins
5.) Aorta

Cardiac cycle

Mechanical movement pump blood to, through, and out the heart.

Diastole has 3 phases:

1.) Rapid filling phase
2.) Diastasis
3.) Atrial kick

Rapid filling phase

First phase of diastole in which the ventricular fill rapidly with blood from atria

Diastasis

2nd phase flow into ventricle slows as pressure equalized

Atrial kick

Last phase: contract, squeezing remainder of blood into ventricle.

Cardiac output

The amount of blood expelled by the heart each minute. Measure as heart rate times stroke volume

The systole has 4 phases:

1.) Isovolumetric contraction
2.) Ventricular ejection
3.) Protodiastole
4.) Isovolumetric relaxation

Isovolumetric contraction

First phase systole: ventricles contract but no blood is flowing

Ventricular ejection

Second phase systole: Semilunar valve open, blood pours out of the ventricle

Protodiastole

3rd phase systole: blood flow out of the ventricles, slows as pressure equalize

Isovolumetric relaxation

Final phase of systole: ventricles relax and stops, Semilunar valves close

Blood flow chart through systemic circulation (6)

1.) Aorta ? 2.) Arteries ? 3.) Capillary bed ? 4.) Venules ? 5.) Veins ? 6.) Vena cava

Blood flow chart through the heart (14)

1.) Superior/inferior vena cava ? 2.) Right atrium ? 3.) Tricuspid valve ?4.) Right ventricle ?5.)pulmonic valve ?6.) Pulmonary artery ? 7.) Lungs ? 8.) Pulmonary veins ? 9.) Left atrium ? 10.) Mitral valve ? 11.) Left ventricle ? 12.) Aortic valve ? 13.)

Arteries

Blood vessel that carries blood away from the heart to the tissues or the lung

Arterioles

Small artery that empties into capillary bed

Capillary bed

Smallest blood vessels in the body, where nutrient and gas exchange take place

Venules

Small vein that drains blood away from a capillary bed

Veins

Blood vessel that transports, deoxygenated blood away from the tissues

Vena cava

Largest vein in the body, returns deoxygenated blood to the heart

Left anterior desending (LAD)

A branch of the left main coronary artery. Feeds oxygenated blood to the anterior wall of the left ventricle

Circumflex

Branch off the left main artery that feeds oxygenated blood to the lateral wall if the left ventricle.
Window maker (heart attack)

Right coronary artery (RCA)

Coronary artery that feeds oxygenated blood to the right ventricle and inferior wall of the left ventricle

Contractile cells

Cardiac cell whose job is to contact and cause blood flow

Conduction system cell

Create and conduct electrical impulse to regulate the cardiac cycle

Normal heart rate

60 to 100 beat per minute

Autonomic nervous system (ANS)

Control involuntary bodily functions.
1.)sympathetic
2.)parasympathetic

Sympathetic nervous system

Fight or flight. Hits the accelerator

Norepinephrine

Chemical released by the adrenal gland when stimulated

Parasympathetic nervous system

Rest and digest. Puts on the brake

Acetylcholine

Hormone released as a result

Vagus nerve

Nerve that is part of the Parasympathetic nervous system. Causes the heart rate to slow when stimulated

Glottis

Flap over the top of the windpipe

Trachea

Windpipe

Syncope

Fainting spell

Resuscitation

Restoring respiration and/or pulse by way artificial respiration and cardiac compressions