In a failing heart, these maintain hemodynamic stability for short periods until they fail.
What are catecholemines?
The primary determinant of SVR.
What is arteriolar tone? (arteriolar resistance, arteriolar pressure). It's the arterioles, folks!
The plateau phase that lasts 0.2-0.3 seconds follows this.
What is the spike in the cardiac action potential?
This structure is located in the septal wall of the right atrium, just anterior to the opening of the coronary sinus.
What is the AV node?
The Phase or name of activation (opening) of the voltage-gated Na+ channels in the cardiac action potential.
What is the Upstroke. (Spike, depolarization)
These two opioids used in surgery can depress cardiac conduction.
What are fentanyl and sufentanil?
The formula, EDV - ESV / EDV gives us this.
(End diastolic volume - End systolic volume) / End diastolic volume
What is the formula for Ejection Fraction (EF)?
The abrupt opening of voltage-gated sodium channels, is represented on the cardiac action potential image as this.
What is the spike or depolarization?
These are three factors that affect preload.
What are:
blood volume, Posture, intrathoracic pressure, pericardial pressure, vneous tone, rhythm, atrial contraction, heart rate, SVR
Potent inhaled anesthetics depress this structure and function.
What is SA node automaticity?
This local anesthetic preferentially binds to open or inactivated sodium channels, making it more cardiotoxic.
What is bupivicaine? (Marcaine)
These are three factors that affect preload.
What are:
blood volume, Posture, intrathoracic pressure, pericardial pressure, vneous tone, rhythm, atrial contraction, heart rate, SVR
The primary route for calcium entry into a cardiac, skeletal, or muscle cell.
What are L-type calcium channels?
In an intact heart, equated to ventricular wall tension during systole, or is also the arterial impedance to ejection.
What is afterload?
This is the mechanism of action of dobutamine.
What is Beta1 / Beta2 adrenergic receptor agonist?
This ion-based classification of drugs is often employed peri-operatively as antihypertensives or anti-arrhythmics.
What are calcium channel blockers? (verapamil, lisinopril)
A few examples of endothelium-derived factors that are metabolically active.
What are nitric oxide, prostatcyclin, thromboxane A2, protein C, Thrombobodulin, tissue plasminogen activator?
Under anesthesia, decreasing Ca++ entry into cardiac cells is caused by this anesthetic.
What are inhalational agents? (Sevoflurane, Desflurane, Forane, or volatile anesthetic action on cardiac cells)
The vessel that is the blood supply to the inter-ventricular septum.
What is the left coronary artery?
This is a drug that raises sarcoplasmic reticulum calcium levels by inhibiting the Na/K pump.
What is Digoxin? (Lanoxin, Dig)
The enzyme system that places Ca++ back into the sarcoplasmic reticulum and causes the relaxation of actin and myosin bridges.
What is the Ca++ - Mg++ - ATPase pump?
The nervous system that primarily controls the systemic vasculature.
What is the sympathetic?
Specific calcium channels that are affected during depolarization of the cardiac cycle.
What are T-type and L-type calcium channels.
This is the formula for MAP.
What is:
Diastolic pressure + (pulse pressure/3)
or
MAP = DP + 1/3(SP – DP)
Phase 3 in the cardiac action potential represents this.
What is repolarization?