Heart Structure
Contains four chambers (two atria and two ventricles)
Responsible for pumping blood through body
Blood flow (pulmonary circulation)
Deoxygenated blood from the body enters the right atrium, then the right ventricle and is pumped to the lungs to become oxygenated
Blood Flow (systematic circulation)
Oxygenated blood is pumped from the left atrium then the left ventricle and is pumped to the rest of the body
Electrical Conduction System
Specialized system that initiates and coordinates electrical impulses, ensuring a regular heartbeat.
Key components: Sinoatrial (SA) node (pacemaker), Atrioventricular (AV) node, bundle of his, and Purkinje fibers.
Cardiac Output (CO)
The amount of blood pumped by the heart per minute (CO= Heart Rate X Stroke Volume)
Blood Volume
Total amount of blood in the circulatory system
Systematic Vascular Resistance (SVR)
The resistance to blood flow within the blood vessels
Atrial Blood Pressure (BP)
CO X SVR
Sympathetic Stimulation
Increases heart rate and contractility, and causes vasoconstriction leading to increased blood pressure.
Parasympathetic Stimulation
Decreases HR which decreases BP
Baroreceptors
Receptors in aorta and carotid arteries which detect changes in blood pressure and help regulate it
Antidiuretic Hormone (ADH)
Promotes water retention which increases BP and blood volume
Aldosterone
Promotes water and sodium retention increasing blood volume and BP
Renin-Angiotensin- Aldosterone System (RAAS)
A complex system which leads to vasoconstriction and increases blood volume, raising blood pressure.
Cardiac Dysrhythmias
Irregularities in heart rhythm caused by issues in the electrical conduction system
Heart Blocks
Conductions delays or blocks at AV node or bundle of his (first, second, and third degree)
Telemetry Strip analysis
A systemic approach to interpreting ECG strips to identify rhythm abnormalities and their significance.
Coronary Artery Disease
Narrowing or blockage of the coronary arteries primarily due to artherosclerosis (plaque build up)
Ischemic Heart Disease
Reduce blood supply to heart muscle often due to CAD
Acute Coronary syndrome (ACS)
A subset of CAD characterized by sudden severe reduction to heart flow to the heart
Angina
reccurent, brief episodes of substernal chest pain caused by an oxygen deficit to myocardium
Stable Angina
Triggered by exertion, relieved by rest and nitroglycerin
Unstable Angina
Occurs at rest or with minimal exertion, indicated impending MI
Variant Angina
Caused by vasospasm occurs at rest