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Cardiovascular System CHAPTER 7 Overview: what we will cover  Combining forms of terms  Anatomy & physiology of the heart  Anatomy & physiology of the vascular system  Coronary Artery Disease  Blood Pressure  Blood Pressure Medications  Electrical Conduction of the heart  Types of Aneurysms  Additional terms to know Combining Forms for the Cardiovascular System angi/o vas/o vascul/o vessel angiogram vasospasm vascular aort/o aorta aortic Combining Forms for the Cardiovascular System arteri/o artery arteriosclerosis ather/o fatty (lipid) paste atheroma atri/o atrium atrioventricular ventricul/o ventricle (belly or pouch) ventricular Combining Forms for the Cardiovascular System cardi/o heart cardiology coron/o circle/crown coronary my/o muscle myocardial Combining Forms for the Cardiovascular System pector/o steth/o chest pectoral stethoscope sphygm/o pulse sphygmomanometer thromb/o clot thrombocyte Combining Forms for the Cardiovascular System ven/o phleb/o vein venous phlebitis varic/o swollen/ twisted vein varicosis Cardiovascular System Overview  Consists of the heart and blood vessels  The heart pumps blood throughout the body  Blood vessels transport blood throughout the body Structure of the Heart  Four Chambers  Right atrium (upper chamber)  Left atrium (upper chamber)  Right ventricle (lower chamber)  Left ventricle (lower chamber) Structure of the Heart (continued)  Valves — Open and close with the heartbeat to maintain one-way flow of blood through the heart  tricuspid valve — located between right atrium and right ventricle  mitral (bicuspid) valve — located between left atrium and left ventricle  pulmonary semilunar valve — opening from right ventricle to pulmonary artery  aortic valve — located between left ventricle and aorta Layers of the Heart  endocardium   myocardium   Thick, muscular layer epicardium   membrane that lines the interior cavities of the heart Outer membrane Pericardium is the loose, protective sac that surrounds and encloses the heart Structures of the Heart Blood Vessels “oxygenated”  Aorta    Small vessels receive blood from arteries Cappillaries    Tiniest of vessels that join the arteries & veins Venules  Vessels that carry blood from the heart to… Arterioles   Large artery branching from the ventricle Arteries  “un-oxygenated” Small vessels that gather blood from the capillaries into the veins Veins  Carry blood from the veins to the heart. Exception to the rule  The pulmonary artery carries “un-oxygenated” blood to the lungs from the right ventricle  Oxygenated blood returns to the heart via the pulmonary veins into the left atrium Coronary Artery Disease Coronary Arteries & Angiogram /c stent https://youtu.be/-BuazAhs7uA https://youtu.be/I45kJJoCa6s Blood Pressure & The Heart  *The heart is a pump  Force exerted by circulating blood on the walls of the arteries, veins and heart chambers  Determined by the volume (think of hemorrhagic pt or dissecting aneurysm) of blood, the space within the arteries and arterioles, and the force of the heart contractions Blood Pressure Terms  Systole (aka systolic)   Diastole (aka diastolic)   period in the cardiac cycle when the heart is in contraction and blood is ejected through the aorta and pulmonary artery period in the cardiac cycle when blood enters the relaxed ventricles from the atria normotension  normal blood pressure (110/70) Blood Pressure Medications  ACE inhibitors   Beta Blockers   End in …pril End in ...olol Calcium Channel Blockers  End in …ipine  Except diltiazem & verapamil  Diuretics  End in …ide  Except spironolactone, aldactone, & chlorthalidone Electrical Conduction of the Heart  SA (sinoatrial node)  Pacemaker of the heart  AV (atrioventricular node)  Bundle of His  Purkinje fibers Types of Aneurysms Additional Terms to Know…  Hypo /hypertension  Infarct  Arteriosclerosis  Angina pectoris  Atherosclerosis  Claudication  Thrombus vs embolus  Vegitation  Stenosis, constriction, occlusion, ischemia  Palpitation  Not to be confused with palpate Additional Terms to Know…  Arrhythmia or dysrhythmia  Fibrillation  Heart block  Cardiomyopathy  Congenital anomaly of the heart  ASD (atrial septal defect)  CHF  CAD  HTN  MI  DVT  Myocarditis, pericarditis, & phlebitis Additional Terms to Know…  Auscultation  ECG or EKG  ICD  Cardioversion  Pacemaker