4. Why are coronary arteries so easily blocked by floating embolisms? 5.One of the first diagnostic tools used at the hospital was an electrocardiogram (EKG or ECG), which reflects the electrical activity of the cardiac muscle. We know that the atrial contract first (the P wave) and then, after a brief delay, the ventricles contract (the QRS complex). Given that the heart does not have any nerves to stimulate the cardiac muscle cells, how is the timing of contraction coordinated? 6.Before his untimely death, Peter's Uncle Ben was diagnosed with a heart murmur. His primary care physician caught it during a routine checkup. Instead of the normal lub-dub heart sound, she heard a sloshy wobble in place of the lub. The heart sounds are made by the snapping shut of the heart valves. Which of Uncle Ben's valves might have been leaking? Is that sloshy sound heard during atrial or ventricular systole? Is the dub sound heard during atrial or ventricular diastole? 7.The cardiologist jokingly blamed Aunt May for Ben's heart murmur because she "tugged at his heart strings." How did his heart strings-or chordae tendinae actually support his atrioventricular valves? 7.This time, Aunt May needed quintuple bypass surgery. How does this procedure differ from open-heart valve surgery and from implantation of an artificial pacemaker? Explain the differences between the conditions that these procedures correct. 8.Explain how an angioplasty and the implantation of a stent can also serve as good treatment options for some heart attacks. Integrative Challenge Question 9.Which steps could someone like Peter's boss, J. J. Jameson, take to lower his risk of heart attack?

Human Anatomy & Physiology (11th Edition)
11th Edition
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Author:Elaine N. Marieb, Katja N. Hoehn
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Chapter1: The Human Body: An Orientation
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4. Why are coronary arteries so easily blocked by floating embolisms? 5.One of the first diagnostic tools used at the hospital was an electrocardiogram (EKG or ECG), which reflects the electrical activity of the cardiac muscle. We know that the atrial contract first (the P wave) and then, after a brief delay, the ventricles contract (the QRS complex). Given that the heart does not have any nerves to stimulate the cardiac muscle cells, how is the timing of contraction coordinated? 6.Before his untimely death, Peter's Uncle Ben was diagnosed with a heart murmur. His primary care physician caught it during a routine checkup. Instead of the normal lub-dub heart sound, she heard a sloshy wobble in place of the lub. The heart sounds are made by the snapping shut of the heart valves. Which of Uncle Ben's valves might have been leaking? Is that sloshy sound heard during atrial or ventricular systole? Is the dub sound heard during atrial or ventricular diastole? 7.The cardiologist jokingly blamed Aunt May for Ben's heart murmur because she "tugged at his heart strings." How did his heart strings-or chordae tendinae actually support his atrioventricular valves? 7.This time, Aunt May needed quintuple bypass surgery. How does this procedure differ from open-heart valve surgery and from implantation of an artificial pacemaker? Explain the differences between the conditions that these procedures correct. 8.Explain how an angioplasty and the implantation of a stent can also serve as good treatment options for some heart attacks. Integrative Challenge Question 9.Which steps could someone like Peter's boss, J. J. Jameson, take to lower his risk of heart attack?
Braude, S., Goran, D., and Maxfield, S. 2011. Case Studies for Understanding the Human Body, 2nd Edition. Boston: Jones
and Bartlett Publishers. pp 51-53.
Peter couldn't understand why his spider sense was tingling. His wife Mary Jane had forgiven him, yet again. His
boss, Mr. Jameson, had given him back his job, yet again. And his nemesis, the Goblin, was trapped in a secure
vortex, yet again. Peter was shaken from his reverie as a musical chime replaced the tingling on his hips.
"Parker here."
"Peter, where have you been? Aunt May is in the hospital again. She's had another heart attack."
Mary Jane's voice had the familiar combination of concern and irritation.
"Sorry, I got stuck at work. I'll swing right over to the hospital."
Pater's Aunt May embodies the essence of unconditional love and has become a beloved icon because of her big
heart. But to her cardiologist, a big heart is a dangerous sign of weakening cardiac muscle.
Transcribed Image Text:Braude, S., Goran, D., and Maxfield, S. 2011. Case Studies for Understanding the Human Body, 2nd Edition. Boston: Jones and Bartlett Publishers. pp 51-53. Peter couldn't understand why his spider sense was tingling. His wife Mary Jane had forgiven him, yet again. His boss, Mr. Jameson, had given him back his job, yet again. And his nemesis, the Goblin, was trapped in a secure vortex, yet again. Peter was shaken from his reverie as a musical chime replaced the tingling on his hips. "Parker here." "Peter, where have you been? Aunt May is in the hospital again. She's had another heart attack." Mary Jane's voice had the familiar combination of concern and irritation. "Sorry, I got stuck at work. I'll swing right over to the hospital." Pater's Aunt May embodies the essence of unconditional love and has become a beloved icon because of her big heart. But to her cardiologist, a big heart is a dangerous sign of weakening cardiac muscle.
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