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1 2 Aorta - the largest artery in the body, is almost the diameter of a garden hose. Capillaries - are so small that it takes ten of them to equal the thickness of a human hair. Troponin - Protein that is released into the bloodstream when a heart attack occurs. 3 Cardiac arrest is what happens when the heart stops pumping blood effectively enough to get oxygen to the tissues of the body. Heart attack occurs when the heart does not get enough oxygen and as a result some of the heart muscles die. (Myocardial infarction) 4 Arrhythmia -Irregular heartbeat at any speed. Tachycardia / Tachyarrhythmia - (greek word for “fast”, tachys) – condition for any rate greater than 100 beats a minute Bradycardia / Bradyarrhythmia - condition of a heart that is pumping too slow, which is defined as any rate less than 60 beats per minute. 5 When the atria contract, the ventricles are at rest so that they can receive the blood pumped into them from the atria. When the atria are at rest then the ventricles contract. A heartbeat consists of one contraction phase of the ventricles, called the systole and one resting phase called diastole. 6 During the systole, blood is being forced under pressure out of the ventricles and into the arterial system. The arteries dilate. And this dilation is felt as a pulse at certain points in the body. The pressure of the blood against the arterial walls is called blood pressure. The pressure of the systolic and diastole is measured and expressed as two numbers by an instrument called sphygmomanometer. Systolic pressure is the first number. It is higher because the ventricles contract during the phase. Diastole pressure, 2nd number, is lower because it is a measure of pressure during the ventricular resting phase. 7 8 A normal blood pressure measurement would range from 100/60 to 120/80 mm Hg. (milli meters mercury) High blood pressure is called hypertension. LBP is called hypotension. Hypertension – 140/90 Hypotension – 90/60 Optimum - 120/80 9 10 Abbreviation Meaning ACV Acute cardiovascular (disease) CA Cardiac CAD Coronary artery disease CCU Cardiovascular care unit CHD Cardiovascular heart disease CIPS Cardiovascular imaging procedure CRFS Cardiovascular risk factors CSU Cardiovascular surgery unit CT Cardiovascular technologist CVICU Cardiovascular intensive care unit CVIS Cardiovascular imaging systems EKG or ECG Electrocardiogram; electrocardiograph electrocardiography; cardiogram MI Myocardial infraction 11 The case is reported of a 37-year-old woman who suffered a heart attack during labor. Except for smoking, there was nothing in her medical history indicating increased risk for heart disease. Just over 10 hours after she was admitted to the hospital for labor, she experienced what was thought to be heartburn. She also experienced vomiting episodes and a short-term drop in blood pressure. Her chest pain disappeared and she delivered a baby boy. Two days following delivery, severe heartburn returned. The pain resolved in one hour. An electrocardiogram performed later that day showed she had suffered a heart attack a few days earlier, probably during labor, and that the second episode was post infarction angina. She was treated and discharged shortly thereafter. Although heart attacks during pregnancy are rare, a number of cases have been reported. Smoking appears to be the greatest risk factor in younger women. Coronary artery spasms may be the cause of many of these attacks. (Consumer Summary produced by Reliance Medical Information, Inc.)