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11 The Cardiovascular System Lesson 11.1: Heart Anatomy and the Function of the Cardiovascular System Lesson 11.2: Regulation of the Heart Lesson 11.3: Blood Vessels and Circulation Lesson 11.4: Heart Disease Chapter 11: The Cardiovascular System Lesson 11.1 Heart Anatomy and the Function of the Cardiovascular System Do Now • Grab your folders. • Begin working on your “Learning the Key Terms” worksheet. • Chapter 11 Lesson 1 vocab is on page 374. • You have 8 minutes to complete the worksheet. • Turn in the worksheet to Mr. B when you are finished. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Today’s Objectives 1. Describe the function of the cardiovascular system. 2. Describe the location, size, and structures of the heart. 3. Outline the flow of blood through the cardiopulmonary system. 4. Describe how blood flows from the arteries to the veins. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Anatomy and the Function of the Cardiovascular System What We’re Covering Today: • the heart: location and size • the four chambers of the heart • the heart valves • blood flow through the heart • walls of the heart • cardiac cycle • cardiac output © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. • Intro: – Cardiovascular system – also called the circulatory system. – Contains: • The heart, blood vessels, and blood. – The system transports oxygen, hormones, and other nutrients to cells and rids the body of carbon dioxide. – Functions: • Transportation of oxygen • Removal of carbon dioxide • Regulation of body temperature • Maintain of body’s acid-base balance • Transportation of hormones • Assistance with immune function © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. The Heart: Location and Size • The heart is the hardest working organ in the human body. • The human heart beats 3 billion times in a person’s lifetime. – Located in the thoracic cavity above the diaphragm, and between the lungs • About the size of a clenched fist • weighs 8–10 ounces in women • Weighs 10-12 ounces in men © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. The Heart: Location and Size © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. The Four Chambers of the Heart • The heart is divided into four chambers: – right atrium – right ventricle – left atrium – left ventricle • The two atria act as low-pressure collecting chambers and are separated by the interatrial septum • The two ventricles act as powerful pumps and are separated by the interventricular septum. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. The Four Chambers of the Heart • The right atrium receives deoxygenated blood from the venous system from the inferior vena cava and the superior vena cava. • The right ventricle then pumps the blood to the lungs. • The left atrium receives the oxygenated blood from the lungs and then the left ventricle pumps the blood through the aorta. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. The Heart Valves • The heart has 4 major valves. – These valves only allow blood to flow in one direction. • atrioventricular (AV) valves – Located between the atria and the ventricles – Tricuspid – has three flaps – bicuspid (mitral) – has two flaps • semilunar valves – Allows for blood to flow from the ventricles to the lungs and the rest of the body. – Pulmonary – located at the opening of the pulmonary artery on the right side of the heart. – Aortic – located at the opening of the aorta on the left side of the hear. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Review and Assessment Match these words with 1–4 below: tricuspid, thoracic cavity, ventricle, aortic. 1. atrioventricular valve 2. semilunar valve 3. location of heart 4. heart chamber © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Blood Flow through the Heart • (1) deoxygenated blood flows from the body to the inferior and superior vena cavae to right atrium • (2) right atrium contracts, forcing blood through the tricuspid valve to right ventricle • (3) right ventricle contracts, forcing blood through the pulmonary valve, to the pulmonary artery • (4) blood exits to the lungs © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Blood Flow through the Heart (continued) • (5) oxygenated blood from lungs travels through the pulmonary veins to the left atrium • (6) left atrium contracts, forcing blood through the mitral valve to the left ventricle • (7) left ventricle contracts, forcing blood through the aortic valve • (8) blood passes to the aorta • (9) blood travels out to parts of the body © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Blood Flow through the Heart © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Walls of the Heart • The heart has three layers or walls. • epicardium – outermost layer • myocardium – middle layer – Makes up about 2/3 of the heart muscle. • endocardium – inner layer, that lines the interior of the heart chambers and covers the valves of the heart. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Cardiac Cycle • Cardiac cycle consists of two phases: Contraction and relaxation. • diastole – Ventricle relax, atria contract – Chambers fill with blood • systole – Ventricles contract, atria relax – Chambers pump blood out of the heart • mean arterial pressure – overall pressure within cardiovascular system © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Cardiac Output • The amount of blood pumped by heart in 1 minute measured in liters/minute • stroke volume – amount of blood pumped in 1 beat • heart rate – number of beats per minute © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Review and Assessment True or False? 1. The ventricles contract in diastole. 2. Stroke volume is measured in beats/minute. 3. The epicardium is the inner heart layer. 4. Deoxygenated blood enters the left atrium. 5. The aortic valve is in the left ventricle. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. END © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Exit Ticket 1. The myocardium is the __________. a. sac surrounding the heart b. thick, muscular wall of the heart c. inner lining of the heart d. septum between the chambers of the heart 2. The bicuspid valve is located between the ____. a. right and left ventricles b. left atrium and left ventricle c. left and right atria d. left ventricle and the aorta © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. 3) Which of the following is NOT a function of the cardiovascular system? a. transportation of oxygen b. removal of carbon dioxide c. regulates body temperature d. provides support to the blood vessels © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. 4) In the cardiac cycle (contraction and relaxation), which stage is characterized by a period of relaxation? a. diastole b. systole c. diastolic pressure d. vasodilation © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Chapter 11: The Cardiovascular System Lesson 11.2 Regulation of the Heart Do Now • Grab your folders. • Turn Cellphones into the box. • Begin working on your “Learning the Key Terms” worksheet. • Chapter 11 Lesson 2 vocab is on page 381. • You have 8 minutes to complete the worksheet. • Turn in the worksheet to Mr. B when you are finished. • Take out your study guide for chapter 9 and chapter 10 and study if you are finished early. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Today’s Objectives 1. Describe the mechanisms that regulate the heart. 2. Describe different types of arrhythmia, or abnormal contractility conditions that can be detected via electrocardiogram. 3. Identify the components of the conduction system of the heart. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Regulation of the Heart • The heart is regulated by three different mechanisms. One inside the heart; the other two outside of the heart: • internal control of the heart • external control • the conduction system © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Internal Control of the Heart • sinoatrial node – – – – Known as the “pacemaker” or the SA Node*** Located at the top of the right atrium sends electrical impulse that tells the heart to beat tells heart to beat 60–100 bpm © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. External Control of the Heart • the cardiac center – sympathetic nerve system speeds up the heart rate*** – parasympathetic nerve system slows down the heart rate – Parasympathetic dominant branch at rest which is why your heart rate is low at rest. • the endocrine system – some hormones speed up the heart rate – Epinephrine and norepinephrine increases heart rate © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. The Conduction System • • • • SA node AV node bundle of His bundle branches– right and left • Purkinje fibers © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. The Conduction System • Conduction is the process of conveying or transmitting types of energy, such as electrical impulses***. • Includes two areas of nodal tissue and a network of conduction fibers. • These structures allow the electrical impulses formed by the SA node to travel to the ventricles, telling them to contract. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. The Conduction System • The electrical impulse travels to the left atrium and goes through the atrioventricular node (AV Node) • Once the electrical impulse leaves the AV node, it is carried through conducting fibers called the bundle of His. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Electrocardiogram • Known as an ECG or EKG – – – – Recording of the electrical activity of the heart It illustrates what is happening electrically depolarize–contract repolarize–relax © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Review and Assessment Match these words with 1–4 below: parasympathetic, EKG, SA node, sympathetic. 1. speed up 2. slow down 3. pacemaker 4. electrical activity of the heart © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Cardiac Arrhythmias • normal contractility condition – sinus rhythm – A normal healthy heart follows a steady rhythm. • abnormal contractility condition – arrhythmia • ventricle or atria contraction is not normal • A beat can arrive too soon or beat in an abnormal way. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Cardiac Arrhythmias • bradycardia – slow heart beat – less than 60 bpm • tachycardia – fast heart beat – above 100 bpm • premature atrial contraction (PACs) – atria contracts before SA node – Can be caused by caffeine or stress © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Cardiac Arrhythmias • atrial fibrillation – atria contract faster than 350 bpm • premature ventricular contractions (PVCs) – ventricles contract too soon • ventricular tachycardia (VT) – ventricles, rather than SA node, cause beat © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Cardiac Arrhythmias • ventricular fibrillation (VF) – ventricles contract faster than 350 bpm • heart block – impulse from SA node to AV node are delayed or blocked. • first–impulse delayed • second–intermittently blocked • third–completely blocked © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Defibrillators and Life-Threatening Arrhythmias • automatic external defibrillator (AED) – Produces an electric shock – stops heart and allows the heart to start normal rhythm – anyone can use one © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Review and Assessment Fill in the blanks with: Tachycardia, Atrial fibrillation, Bradycardia, or Defibrillator. 1. _______________ is fast heart beat. 2. _______________ is slow heart beat. 3. _______________ is atria beating more than 350 bpm. 4. A(n) _______________ stops the heart so it can reset. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. END © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Exit Ticket 1) The “pacemaker” of the heart is the _____. a. mitral valve b. atrioventricular node c. sinoatrial node d. bundle of His 2) Sympathetic nerve fibers stimulate the SA node, which ___. a. increases the heart rate. b. decreases the heart rate. c. causes the ventricles to contract. d. makes the heart rate irregular. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. 3) Which of the following is not considered a component of the heart conduction system? a. sinoatrial node b. epicardium c. Purkinje fibers d. atrioventricular node © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. 4) T or F: Conduction is the process of conveying or transmitting types of energy, such as electrical impulses. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Chapter 11: The Cardiovascular System Lesson 11.3 Blood Vessels and Circulation Do Now • Grab your folders. • Begin working on your “Learning the Key Terms” worksheet. • Chapter 11 Lesson 3 vocab is on page 396. • You have 8 minutes to complete the worksheet. • Turn in the worksheet to Mr. B when you are finished. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Today’s Objectives 1. Identify the differences among the three types of vessels. 2. Outline the flow of blood through the cardiopulmonary system. 3. Describe how blood flows from the arteries to the veins. 4. Describe how the veins return blood to the heart. 5. Describe the distribution of blood at rest and during exercise. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. • Intro – Three types of blood vessels form a closed loop of tubes that carry blood from the heart to the rest of the body and back to the heart. – Vessels: • Arteries • Capillaries • Veins – Subdivisions • Arterioles • Venules © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Blood Vessels and Circulation • • • • blood vessels: the transport network circulation: moving blood around the body taking vital signs know your numbers © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Blood Vessels: The Transport Network • structure and function of vessels © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. The Three Layers of Blood Vessels © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. • Tunica Intima – The innermost layer, composed of a single layer of squamous epithelial cells. – Provides a smooth, frictionless surface that allows blood to flow smoothly through the vessel. • Tunica Media – The middle layer of blood vessels – Directed by the sympathetic nervous system to increase (vasodilation) and decrease (vasoconstriction) blood flow. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. • Tunica Externa – Outermost layer of the blood vessels – Composed of fibrous connective tissue, which provides support and protection. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Differences Between Arteries and Veins • Arterial vessels carry blood away from the heart*** – Must withstand large amounts of pressure when the heart contracts • Arteries have the thickest, strongest, most elastics walls***. • Venous system carries blood back to the heart. – Veins do not deal with large amounts of pressure. – Walls are thinner and less elastic. – Contains 65% of the blood in the body. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Differences between Arteries and Veins © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Capillaries • Capillaries are the smallest and most numerous vessels in the body***. • Capillaries are called exchange vessels because oxygen and carbon dioxide gas exchange occurs between the capillaries and tissues. – gas moves between tissue and blood • capillary bed – network of exchange vessels • precapillary sphincters – close off capillary bed as needed – Controls the blood flow © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Circulation: Moving Blood around the Body • The circulatory system is an extensive network of blood vessels that stretches 60,000 miles within the body. • cardiopulmonary circulation – The right side of the heart pumps oxygen-poor blood to the lungs, and the left side of the heart pumps oxygen rich blood to the rest of the body – Pulmonary artery*** – between heart and lungs • systemic circulation – between heart and body – Circulates oxygen, hormones, water, and other nutrients to tissues, and then carries carbon dioxide and was products back to the heart. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Circulation: Moving Blood around the Body © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Review and Assessment True or False? 1. Systemic circulation moves blood to lungs. 2. Capillaries are exchange vessels. 3. The tunica intima is the innermost layer. 4. Arteries move blood away from the heart. 5. Veins move blood toward the heart. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Cardiac Circulation • You know that oxygen is supplied to the body by the arteries, which carry blood away from the heart. • What supplies the heart with oxygen? © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. • The oxygen rich blood that nourishes the heart is supplied by the right and left coronary arteries. • coronary arteries – Left • Divides into two arteries that supply oxygenated blood to the anterior, lateral, and posterior walls of the heart. – Right • Two main branches that supply blood to the inferior and posterior walls of the heart. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Hepatic Portal Circulation • Examine how nutrients such as carbohydrates, fat, and protein are stored and released in the bloodstream. • Hepatic Portal Circulation maintains proper levels in the blood – carbohydrate – fat – protein © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Arteries © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Veins © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Fetal Circulation • Process by which an unborn infant receives oxygen and nutrients and disposes of waste products. • The infant receives oxygen and nutrients from the mother’s blood through one large umbilical vein. • Waste products are cleared through the two umbilical arteries in the placenta • Most blood enters through the ductus venous vein. • Deoxygenated blood returns to the placenta via the umbilical arteries. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Taking Vital Signs • taking your pulse – find radial, carotid or brachial artery – count beats for 15 seconds, multiply by 4 • measuring blood pressure – stethoscope, sphygmomanometer (pressure cuff) – systolic/diastolic pressure – Systolic pressure occurs when the left ventricle contracts***. – Diastolic pressure occurs when the left ventricle is relaxed***. Joseph Dilag/Shutterstock.com, Ilya Andriyanov/Shutterstock.com © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Know Your Numbers • weight – body mass index–weight to height • blood pressure – Average pressure for an adult should be systolic/diastolic–110/70 mmHg – Any pressure in excess of 140/90 mmHg should consult with a doctor. • cholesterol – LDLs – “bad” cholesterol (Lousy) – HDLs – “good” cholesterol (Healthy) © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Review and Assessment Match these words with 1–4 below: foramen ovule, cholesterol, pulse, blood pressure. 1. systolic/diastolic 2. fetal circulation 3. LDLs and HDLs 4. carotid artery © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. END © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Chapter 11.3 St udy Questions • Please answers the following questions: • #’s 2, 3, 4, 6, 11, 15, 17, & 18 © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Exit Ticket 1) Which vessel has the thickest, strongest, and most elastic walls? a. artery b. capillary c. exchange vessel d. vein © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Exit Ticket 2) Blood is carried to the lungs by the ____. a. pulmonary vein b. pulmonary artery c. aorta d. inferior vena cava © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. 3) The arteries carry blood ____. a. away from the heart b. to the lungs c. to the lungs only d. to the heart 4) The smallest, most numerous vessels in the body are the ____. a. venules b. arterioles c. capillaries d. veins © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. 5) Blood pressure measured when the left ventricle contracts is called ____ pressure. a. diastolic b. stroke c. systolic d. mean © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Chapter 11: The Cardiovascular System Lesson 11.4 Heart Disease Do Now • Grab your folders. • Begin working on your “Learning the Key Terms” worksheet. • Chapter 11 Lesson 4 vocab is on page 403. • You have 8 minutes to complete the worksheet. • Turn in the worksheet to Mr. B when you are finished. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Today’s Objectives • Identify several common types of heart diseases and disorders and their symptoms. • Explain the causes of and remedies for different heart conditions. • List and discuss strategies for preventing heart disease. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Heart Disease • Intro – Cardiovascular diseases account for one in six deaths in the United States – approximately 2,200 deaths per day. – Someone will have a heart attack or chest pain every 25 seconds! – Heart disease costs the United States $300 billion dollars annually. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Heart Disease What we’re going to cover: – – – – valve abnormalities diseases ending in -itis heart failure diseases of the arteries © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Valve Abnormalities • Heart murmurs – Can be heard from “whooshing” or “swishing” sounds when listening through a stethoscope. – Caused when valves do not close properly – Common in younger children – Usually do not require treatment • Valvular stenosis – narrowed, stiff heart valve – Makes the heart work harder to pump blood through the smaller than normal valve opening. • mitral valve prolapse – mitral valve does not fully close • Shortness of breath, palpitations (rapid heartbeat) – Valve can be replaced or repaired © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Diseases Ending in -itis • Remember: -itis refers to inflammation • pericarditis – inflammation of heart sac – Causes the heart to rub against the sac that surround the heart. – Can cause stabbing heart pain. – Treatment: medication. • myocarditis – inflammation of heart muscle – Symptoms similar to the pericarditis • endocarditis – inflammation of heart lining and valves – Can cause life threatening complications if left untreated © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Heart Failure • Condition where the heart cannot pump blood to meet the oxygen needs of the body, or the heart muscle becomes stiff and has difficulty filling with blood.*** • fluid backs up in – lungs – liver – limbs – gastrointestinal tract – Can cause swelling in lower extremities, and frequent urination. • Treatment includes: diuretics (prevents water retention) or if severe enough heart transplant • Common causes: coronary artery disease, infections. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Diseases of the Arteries • Remember: arteries transport blood through the body. • Aneurysms – to the right – weakened artery bulges, may break – Can be caused by hypertension, high cholesterol, smoking. – Common locations in the aorta, brain, and intestines. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. • coronary artery disease – Narrowing of one or more of the coronary arteries from a buildup of plaque. – Atherosclerosis – hardening of the arteries*** • Caused by high blood pressure, smoking, high glucose levels, high cholesterol diet. – angina pectoris (chest pain) • Caused by lack of oxygen – Ischemia • Caused by lack of blood flow to the heart. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Heart Attack • myocardial infarction – plaque completely blocks a cardiac artery*** – Symptoms include chest tightness, crushing pain, shortness of breath • treatment – aspirin as soon as symptoms appear – 20–60 minute window for treatment – Damage can be irreversible © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Heart Attack © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Heart Disease • Hypertension – “high blood pressure”*** – blood pressure above 140/90 mmHg – Called the “silent killer” because of a lack of symptoms***. • peripheral vascular disease – lack of circulation in legs caused by narrowing of arteries in the legs. – Symptoms include pain and fatigue in the lower extremities. – African-American at greater risk. • stroke – blockage of brain blood flow*** • ischemic stroke – one artery blocked • hemorrhagic stroke – artery ruptures • transient ischemic attack (TIA) – temporary lack of blood supply. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Review and Assessment True or False? 1. Hypertension is 120/80 mmHg. 2. Aspirin helps in a heart attack. 3. An aneurysm is a weakened artery. 4. Myocarditis affects the heart wall. 5. In a heart murmur the valves do not close properly. © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. END © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. Exit Ticket 1) Atherosclerosis is also known as hardening of the ______. a. veins b. blood vessels c. arteries d. athero © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. 2) T or F: Heart failure is a condition in which the heart cannot adequately pump blood to meet the carbon dioxide needs of the body. 3) Hypertension is also called _____. a. low blood pressure, “the silent killer” b. low blood pressure, “the quick killer” c. high blood pressure, “the silent killer” d. high blood pressure, “the quick killer” © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. 4) A stroke occurs when _____. a. when the arteries narrow b. when blood flow to the brain stops c. when blood flow to the heart stops d. when the heart does not receive oxygen © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only. 5) A myocardial infarction, commonly known as a _________ __________, occurs when _______ completely blocks an artery. a. ischemic stroke; blood b. heart murmurs; cholesterol c. heart attack; plaque d. heart attack; collagen © Goodheart-Willcox Co., Inc. Permission granted to reproduce for educational use only.