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Myocardium
special muscle that makes up the heart
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Endocardium
sac of connective tissue that encloses the entire heart
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Pericardium
connective tissue that attaches the endocardium to the thorax
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Coronary arteries
branch from the base of the aorta to suppley the entire myocardium
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Sinoatrial (SA) node
depolarizes & sends first signal to atria causing them to contract
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Atrioventricular (AV) node
depolarizes next and sends signal into ventricular walls viz AV bundle, bundle branches & Purkinje fibers
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Diastole
atria & ventricles are both relaxed (70% of ventricular filling occurs during htis phase)
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Systole
contractionphase (Atrial systole precedes vetricular systole)
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Stroke Volume
amount of blood pumped into the aorta during a singular ventricular contraction
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Cardiac Output
the volume of blood pumped per minute=stroke volume x heart rate (bpm)
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Blood pressure
the pressure of blood against the atrial walls *too low=hypoxia of brain, too high=damge to capillaries
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Tachypnea
respiration rate >24 breaths/min.
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Hypernpea
increased respiration rate, type of tachypnea-breaths are usually large and deep-->hyperventilation
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Bradypnea
respiration rate <12 breaths/min.
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Hypopnea
breathing is slow and shallow (as seen with rib fractures) call 911
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Dyspnea
shortness of breath (subjective)
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Orthopnea
type of dyspnea that begins/increases when patient is supine
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Hyperventilation
increase in rate without increase in depth
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Fatigue
reduction in the body's capability to perform work
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Palpitation
sensation of "skipped beats" or "fluttering (caused by arrhythmia)
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Arrhythmia
disturbance of the electrical activity that controls the heartbeat (causes cardiac contractions of excessive pace or strength; felt as palpitations)
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Syncope
fainting, a complete loss of consciousness and postrual tone (resulting from a sudden reduction in the brain's blood supply)
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Claudication
Impaired gait (occurs when blood flow to a lower limb is blocked)
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Tissue ischemia
lack of blood (usually a chronic sign of CV disorders)
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Clubbing
rounding (of fingertips & nails, caused by CV disorders)
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Edema
abnormal accumulation of fluid in the interstitial spaces
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Hear rate
measured in beats per minute, characterized by: rate, rhythm (regular vs. irregular), and character (strong vs. weak)
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Bradycardia
slow hear rate (resting <60bpm, can occur in trained athletes)
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Tachycardia
rapid heart rate (resting >100bpm)
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Respiration
rate: breaths per minute should be regular, moderate in depth and require little effort
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Auscultation
using a stethoscope to listen to internal body sounds (cardica, pulmonary, abdominal) p.110-113 in O'Connor
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Bruits
abnormal vascular sounds includeing: clicks, pounding, or continuous
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Myocardial bulging
coronary artery that is surrounded by myocardium for a portion of its course, *seen in up to 25% of hearts at time of autopsy
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