Layers of the heart - ANSpericardium
myocardium
endocardium
pericardium - ANSoutermost layer: fibrous and serous
fibrous
-outer sack that anchors the heart
serous
-inner, fluid secreting membrane with two layers
-parietal (lines inner surface of fibrous sac)
-visceral (AKA epicardium) lines myocardium
-among the two is the pericardial area, with 10-30ml of fluid to provide the coronary heart space
to relax and agreement
myocardium - ANSi. Thick, center muscular layer that makes up the bulk of the coronary heart
wall
ii. Composed of cardiac muscle cells and is chargeable for the coronary heart's ability to
contract
endocardium - ANSi. Thin layer of tissue that lines the internal surface of heart muscle and
coronary heart chambers
ii. Extensions and folds of this tissue bureaucracy the valves of the heart.
4 number one traits of the heart - ANSautomaticity
excitability
conductivity
contractility
automaticity - ANSi. Specific to the pacemaker cells; potential to generate their very own
electrical impulse spontaneously
excitability - ANSAbility of ALL cardiac cells to respond to an electrical impulse
conductivity - ANSi. Ability of ALL cardiac cells to conduct an electrical impulse
contractility - ANSi. Specific to muscle cells; ability to reason cardiac muscle contraction
, electrons/ions accountable for depolarization/repolarization of the heart muscle - ANSPotassium
i. Primary ion within the cell
ii. Plays a function in depolarization and repolarization
Sodium
i. Primary ion outside the mobile
ii. Major role in depolarization
sodium-potassium pump - ANSi. Actively transports ions throughout the membrane in
opposition to the electrochemical gradient
ii. In a resting cardiac cellular, there are more terrible ions at the inside than the outside. This is
a resting, or polarized cellular. No electric activity is going on and there's an isoelectric (directly)
line on ECG
depolarization - ANSi. When a cellular is stimulated, potassium starts offevolved to leave the
cell, growing permeability to sodium
ii. Sodium rushes in, causing the interior of the cell to be greater tremendous than terrible
iii. Contraction is a mechanical method that FOLLOWS the electrical occasion of depolarization
repolarization - ANSi. Sodium-potassium pump activated to transport sodium out of the cell and
circulate potassium returned into the mobile
ii. Inside will become extra poor again
Positive, bad, and biphasic deflection - ANSi. Positive deflection: electric cutting-edge flowing in
the direction of the superb pole
ii. Negative deflection: electric powered modern flowing towards the poor pole
iii. Biphasic deflection: contemporary flowing far from each poles
ST segment - ANSST represents early ventricular repolarization
Measure .04 (one field) from J factor...
Elevation or despair is taken into consideration bizarre if displacement is extra than 1mm from
baseline
causes of ST elevation - ANSi. MI (STEMI)
ii. Coronary artery spasm (prinzmetal angina)
iii. Acute pericarditis
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