N190: Physical Assessment Chapter 17 Cardiovascular System

Pericardium

A thin sac composed of fibrous material that surrounds the heart.

Visceral Layer of the Pericardium

The inner layer, which lines the surface of the heart.

Blood Flow of the Heart

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What is S1 and S2?

Lub - Dub" Normal complete heart beat

Heart Murmur

Harsh blowing sounds caused by disruption of blood flow into the heart

Stenosis

Narrowing of the left mitral valve.

Regurgitation

Back-flow in the heart

Systole

Refers to the phase of ventriclular contraction. Ventricles have been filled, then contract to expel blood iinto the aorta and pulmonary arteries

Friction Rub

Refers to a rough, grating sound caused by the rubbing together of organs

Mitral Stinosis

Narrowing of the left mitral valve

Coronary Muscle

Transport blood with nutrients and oxygen to myocardial muscle. Located above the aortic valve. Plaque in these arteries can cause death

Coronary Veins

The vessels that remove deoxygenated blood from the heart muscle

SA Node

Initiates the electrical impulse. Referred to as the "Pacemaker" of the heart. Has a firing rate of 60 - 100 beats/minute

What is the PR Interval?

Atrial Depolarization

What is the QRS Complex?

Ventricular Depolarization

What is the ST Interval?

Ventricular Repolarization

Parietal

Outer layer that lines the inside of the fibrous pericardium

Visceral

Inner layer: lines the surface of the heart.

Epicardium

Outer layer made up of squamous cells

Myocardium

Thin muscular layer. Forms most of the heart wall. It has striated muscle fibers that cause the heart to contract

Endocardium

Hearts inner layer. Consists of endothelial tissue with small blood vessels and bundles of smooth muscle

Heart Valves (Right to Left)

Bicuspid
Mitral
Aortic
Pulmonic

Diastole

Refers to the phase of ventricular relaxation. The ventricles relax and are filled as the atria contract.

Intra-Atrial Conducting Pathways

These fibers assist in the flow of the electrical current

AV Node

Receives the current that has finished spreading throughout the atria. The AV node is also capable of initiating electrical impulses in the event of SA node failure. Firing rate of 40 - 60 beats/minute

Bundle of His

Receives the current that has finished spreading through the atria

Right & Left Bundle Branches

Spreads the electrical current through the ventricle myocardial tissue

Purkinje Fibers

The fibers fan out and penetrate into the myocardial tissue to spread the current into the tissue. Firing rate of 20 - 40 beats per minute

Cardiac Nerves

Stimulates the heart

Pulmonary Circulation

Carries deoxygenated blood to the lungs where carbon dioxide is exchanged for oxygen.
After going through the pulmonary network, oxygenated blood returns to the left atrium via the pulmonary veins

Systemic Circulation

Supplies freshly oxygenated blood to the body's periphery and returns deoxygenated blood to the pulmonary circuit

Stroke volume

Amount of blood that is ejected with each heartbeat. Normal stroke volume is 55 to 100 ml/beat

Cardiac output

Amount of blood ejected from the left ventricle over one minute. Normal adult output is 4 to 8 liters/minute

Cardiac index

Diagnostic measurement of the effectiveness of the pumping action of the heart

Ductus Arteriosus

btw pulmonary artery & descending aorta - closes 24-46 hrs after birth

Foramen Ova

btw right & left atria - closes shortly after birth

Myocardial Ischemia

the oxygen needs of the heart are not met as it works harder, and an ischemic process ensues

Heart Failure

inability of the heart to produce a sufficient pumping effort. Left sided causes blood to back up into the pulmonary system and results in pulmonary edema. Right sided heart failure causes back up of the blood into the systemic circulation and leads to di

Myocardial Infarction

disruption of oxygen and nutrient flow to the myocardial tissue

Ventricular Hyertrophy

occurs in response to pumping against high pressures

Mitral Stenosis

narrowing of the left mitral valve

Aortic Stenosis

narrowing of the aortic valve

Mitral Regurgitation

backflow of blood from the left ventricle into the left atrium

Pulmonic Stenosis

narrowing of the opening btw the pulmonary artery and the right ventricle

Tricuspid Stenosis

narrowing or stricture of the tricuspid valve of the heart

Mitral Valve Prolapse

prolapse of the valve leaflets

Aortic Regurgitation

backflow of blood from the aorta into the left ventricle