Physiology (By:Malaika Sohail-IMDC) (Whatsapp KEY TO BDS: 03346072846)
Reference Book (GUYTON)
HEART • Properties of cardiac muscle • Cardiac muscle as syncytium and its significance (imp) • Phases of cardiac action potential (very very important) (graph from jaypee's) • Cardiac Cycle and graph (very very important) (guyton + BRS) • Jugular venous pressure and its waves • Waves of changing volume and pressure in right atrium and sounds of heart related to them • Ejection period, end diastolic volume, systolic volume, pre- load, after-load (important) • Aortic pressure curve and what is incisura? • Volume pressure changes in left ventricle (fig 9.9 and 9.10 from Guyton) (very very important) • Volume pressure diagram (most important) • Frank starling mechanism and its importance • Refractory period of cardiac muscle •Fig 9.8,9.10,9.11 • Control of heart by parasympathetic nerves (proffs) • Effect of hyperkalemia and hypocalcemia on heart muscles (very important) • Protodiastole and properties of cardiac muscle (firdous) • SA nodal Action potential (very very important) • Comparison of sinus and ventricular potential • Effect of sympathetic and parasympathetic on SA nodal action potential • Conductive system (very very important) • Internodal pathway • Importance of delay in AV node and cause of slow conduction • Figure 10.4 (Guyton) • Effect of sympathetic and parasympathetic on rhythmicity •Ectopic pacemaker • ECG graph, Characteristics of ECG lead • ECG leads & Einthoven triangle • Chest leads (from Guyton) (for MCQ and VIVA very important) • Augmented limb lead (viva and MCQs) • abnormalities in ECG in myocardial infarction (inverted U wave, elevated ST segment, deep QRS complex, inverted T wave, prolonged QT interval) • ECG intervals (very very important) • What is U wave and J point? • Left axis and right axis deviation (Firdous) • Abnormalities in P wave, QRS complex, T wave (Firdous) • Cardiac arrythmias classification (Specifically Jaypee) • Carotid sinus syndrome • Sick sinus syndrome (ganong) • Long QT syndrome • Heart block/AV blocks (1st,2nd,3rd degree) + graphs (very very important) • Stokes Adams syndrome (very very important) • Wolf Parkinson's syndrome (ganong) • Pulse deficit BDS • Premature contractions and compensatory pause • Paroxysmal tachycardia • Ventricular fibrillation and its causes (very very important) • Atrial flutter and fibrillation (difference) • Cardiac arrest