echocardiography 1
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Two main systems | show 🗑
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show | • Left Anterior Descending (LAD) -feeds anterior wall of LV, IVS, apex of heart
• Left Circumflex (LCx) -feeds lateral and posterior portion of LV
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Right system | show 🗑
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show | Arteries and Veins
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show | Capillary level
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• The spinal cord is posterior to the heart? | show 🗑
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Arteries have small valves inside them to assist in the movement of flow back to the heart? | show 🗑
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show | - located at the right atrial wall; inferior to opening of SVC,
- Has the highest degree of “automaticity”
- Native “pacemaker” of the heart
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show | -Three: Anterior, Middle, Posterior - Feeds RA
- Bachmann’s Bundle – Feeds LA
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show | - Connections of atria to ventricles;
- impulse slows for about .05 seconds to allow for ventricular filling
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Bundle Branches | show 🗑
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Purkinje fibers | show 🗑
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Normal Intracardiac Pressures | show 🗑
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show | represents atrial depolarization (discharge), followed immediately by atrial
systole (contraction)
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QRS Complex | show 🗑
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T wave | show 🗑
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Isoelectric line | show 🗑
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show | represents 1 complete cardiac cycle
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show | Systole and diastole
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show | 1 complete cardiac cycle
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Ventricular contraction | show 🗑
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Ventricular Systole ECG timing: | show 🗑
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Ventricular Systole Includes 3 phases | show 🗑
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Isovolumic Contraction Period/Time (IVCT) | show 🗑
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Iso volumic | show 🗑
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show | Heart volume is at its largest
No volume change because all valves are closed during this period
Duration: Valves are closed for a split second
Pressure rises rapidly in preparation for SL valve opening
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show | Occupies the approx. first half of systole
SL Valves open
Rapid ejection of blood
Ventricular volume rapid decreases
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show | Ventricular pressure begins to decline
Repolarization (recharging) occurs (on the T wave)
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Ventricular Diastole | show 🗑
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Ventricular Diastole ECG rhythm timing: | show 🗑
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show | Isovolumic relaxation phase (time)
Early rapid filling
Diastasis
Late filling
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show | Period begins at semilunar (SL) valve closure (endsystole) and continues until atrioventricular (AV) valve
opening
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Isovolumic Relaxation Time/Period IVRT | show 🗑
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show | Volume of blood pumped out of
the ventricles during systole (per
heart beat
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SV timing | show 🗑
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SV measurements | show 🗑
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SV normal range | show 🗑
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Frank-Starling Law | show 🗑
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show | Stroke volume ~ 75 mL/beat (changes with
heart rate)
LVEDP ~ 8 mmHg
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show | Increase venous return = increased LVEDP
= increased preload = increased SV and
vise versa
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show | End diastolic volume (EDV) – End systolic volume (ESV)
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Four Determinants of Left Ventricular Function | show 🗑
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Heart Rate | show 🗑
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Heart Rate expressed as | show 🗑
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