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Epicardium
Covers the outer surface of the heart.
Myocardium
Middle layer; contracting muscle.
Endocardium
Innermost layer; lines inner chamber and heart valves.
Pericardium
Encases and protects the heart from trauma and infection.
Parietal Pericardium
Tough fibrous membrane that attaches to the sternum, thoracic vertebrae and diaphragm.
Visceral Pericardium
Thin membrane that attaches to the heart.
Pericardial Space
Space holding 5-20 ml of fluid that lubricates the pericardial surfaces.
Right Atrium
Receives deoxygenated blood from the body via SVC and IVC.
Right Ventricle
Receives blood from the RA and pumps it to the lungs via Pulmonary Artery.
Left Atrium
Receives oxygenated blood from the lungs via the 4 pulmonary veins.
Left Ventricle
Largest and most muscular chamber; pumps oxygenated blood into systemic circulation via aorta.
Atrio-Ventricular Valves
Valves between the atria and the ventricles.
Semilunar Valves
Open when ventricles contract and prevent blood from flowing back into ventricles.
Bicuspid or Mitral Valve
Located at the left side of the heart.
Tricuspid Valve
Located at the right side of the heart.
Pulmonic Valve
Between RV and Pulmonary Artery.
Aortic Semilunar Valve
Between LV and Aorta.
Sinoatrial Node (SA node)
Pacemaker of the heart; initiates each heartbeat.
Atrioventricular Node (AV node)
Receives electrical impulse from the SA node.
Bundle of HIS
Fuses with AV node to form another pacemaker site.
Purkinjie Fibers
Spread waves of depolarization through ventricles.
Coronary Arteries
Supply the myocardium with blood.
S1 Heart Sound
Heard when the AV valve closes.
S2 Heart Sound
Heard when the semilunar valve closes.
CK-MB
Most definitive marker for cardiac damage; rises within 4-6 hours.
LDH
Rises within 1-2 days; if LDH 1 is higher than LDH 2 = MI.
Troponin I
Rises within 3 hours post myocardial infarction.
Myoglobin
Rises after 1 hour post myocardial injury.
Cardiac Catheterization
Best test for cardiac pathology; determines patency of the artery.
Digoxin Toxicity
Signs include vomiting, anorexia, nausea, diarrhea, abdominal pain.
ACE Inhibitors
Drugs that lower blood pressure by preventing the conversion of angiotensin I to angiotensin II.
Cardiogenic Shock
Condition characterized by low blood pressure and decreased tissue perfusion.
S3 Heart Sound
Associated with congestive heart failure (CHF).
Pulmonary Artery
Carries deoxygenated blood from the right ventricle to the lungs.
Aorta
Largest artery that carries oxygenated blood from the left ventricle to the body.
Pulsus Paradoxus
Decreased blood pressure during inspiration; indicative of cardiac tamponade.
Dressler's Syndrome
Acute pericarditis occurring 2-3 weeks post myocardial infarction.
Endocarditis
Inflammation of the inner lining of the heart and heart valves.
Arrhythmias
Irregular heartbeats caused by problems with electrical signaling in the heart.
Pacemaker
Device used to regulate the heart rate in patients with arrhythmias.
Vagal Maneuver
Technique used to slow a fast heart rate by stimulating the vagus nerve.
Valvular Heart Disease
Disorders affecting one or more of the heart valves.
Peripheral Vascular Disease
Affects blood vessels outside the heart and brain.
Raynaud's Phenomenon
Vasospastic disorder causing color changes in response to temperature or stress.
Venous Disorders
Conditions affecting the veins, including thrombophlebitis and varicose veins.
Aneurysm
Outward bulging of a vessel due to weakness in the vessel wall.
Hypertension
High blood pressure; can cause various health issues.
Nicotine Replacement Therapy
Used to help people stop smoking.
Buerger's Disease
A type of vascular disease that affects blood flow to the limbs.
Ankle Brachial Index
Test used to measure blood flow to the legs; helps diagnose peripheral artery disease.
Digoxin
Medication used to treat heart conditions; can cause toxicity.
Thromboangiitis Obliterans
Condition causing blood vessel inflammation; often associated with smoking.
Cholesterol
A waxy substance found in blood; high levels can lead to heart disease.
NSAIDs
Non-steroidal anti-inflammatory drugs used to reduce pain and inflammation.
Pacemaker ID Card
Identification card for patients with pacemakers.
Anticoagulants
Medications to prevent blood clots.
Fibrinolytic Drugs
Medications used to dissolve blood clots.
Troponin T
Another marker used to diagnose myocardial infarction.
Lifestyle Modification
Changes in daily habits to improve health and well-being.
Cardiac Rehab
Program to help improve the health and well-being of people with heart problems.
Cyanosis
Bluish discoloration of skin due to low oxygen levels.
Electrolytes
Minerals in the body that affect many bodily functions including heart rhythm.
Myocardial Infarction (MI)
Heart attack; occurs when blood flow to the heart is blocked.
Sodium Restriction
Limiting sodium intake to reduce blood pressure.
Diuretics
Medications that help reduce fluid buildup in the body.
EKG
Test that records the electrical activity of the heart.
Pulse Rate
Speed of the heartbeat, measured in beats per minute.