\documentclass[10pt,a4paper]{article} % Packages \usepackage{fancyhdr} % For header and footer \usepackage{multicol} % Allows multicols in tables \usepackage{tabularx} % Intelligent column widths \usepackage{tabulary} % Used in header and footer \usepackage{hhline} % Border under tables \usepackage{graphicx} % For images \usepackage{xcolor} % For hex colours %\usepackage[utf8x]{inputenc} % For unicode character support \usepackage[T1]{fontenc} % Without this we get weird character replacements \usepackage{colortbl} % For coloured tables \usepackage{setspace} % For line height \usepackage{lastpage} % Needed for total page number \usepackage{seqsplit} % Splits long words. %\usepackage{opensans} % Can't make this work so far. Shame. Would be lovely. \usepackage[normalem]{ulem} % For underlining links % Most of the following are not required for the majority % of cheat sheets but are needed for some symbol support. \usepackage{amsmath} % Symbols \usepackage{MnSymbol} % Symbols \usepackage{wasysym} % Symbols %\usepackage[english,german,french,spanish,italian]{babel} % Languages % Document Info \author{huebee} \pdfinfo{ /Title (cardiac-muscle.pdf) /Creator (Cheatography) /Author (huebee) /Subject (Cardiac Muscle Cheat Sheet) } % Lengths and widths \addtolength{\textwidth}{6cm} \addtolength{\textheight}{-1cm} \addtolength{\hoffset}{-3cm} \addtolength{\voffset}{-2cm} \setlength{\tabcolsep}{0.2cm} % Space between columns \setlength{\headsep}{-12pt} % Reduce space between header and content \setlength{\headheight}{85pt} % If less, LaTeX automatically increases it \renewcommand{\footrulewidth}{0pt} % Remove footer line \renewcommand{\headrulewidth}{0pt} % Remove header line \renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit % This two commands together give roughly % the right line height in the tables \renewcommand{\arraystretch}{1.3} \onehalfspacing % Commands \newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour \newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols \newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns \newcommand{\tn}{\tabularnewline} % Required as custom column type in use % Font and Colours \definecolor{HeadBackground}{HTML}{333333} \definecolor{FootBackground}{HTML}{666666} \definecolor{TextColor}{HTML}{333333} \definecolor{DarkBackground}{HTML}{8456A3} \definecolor{LightBackground}{HTML}{F7F4F9} \renewcommand{\familydefault}{\sfdefault} \color{TextColor} % Header and Footer \pagestyle{fancy} \fancyhead{} % Set header to blank \fancyfoot{} % Set footer to blank \fancyhead[L]{ \noindent \begin{multicols}{3} \begin{tabulary}{5.8cm}{C} \SetRowColor{DarkBackground} \vspace{-7pt} {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}} } \end{tabulary} \columnbreak \begin{tabulary}{11cm}{L} \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Cardiac Muscle Cheat Sheet}}}} \\ \normalsize{by \textcolor{DarkBackground}{huebee} via \textcolor{DarkBackground}{\uline{cheatography.com/213422/cs/46430/}}} \end{tabulary} \end{multicols}} \fancyfoot[L]{ \footnotesize \noindent \begin{multicols}{3} \begin{tabulary}{5.8cm}{LL} \SetRowColor{FootBackground} \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}} \\ \vspace{-2pt}huebee \\ \uline{cheatography.com/huebee} \\ \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}} \\ \vspace{-2pt}Not Yet Published.\\ Updated 27th May, 2025.\\ Page {\thepage} of \pageref{LastPage}. \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}} \\ \SetRowColor{white} \vspace{-5pt} %\includegraphics[width=48px,height=48px]{dave.jpeg} Measure your website readability!\\ www.readability-score.com \end{tabulary} \end{multicols}} \begin{document} \raggedright \raggedcolumns % Set font size to small. Switch to any value % from this page to resize cheat sheet text: % www.emerson.emory.edu/services/latex/latex_169.html \footnotesize % Small font. \begin{multicols*}{3} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Anatomy of the Heart}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Right Chamber}}: Provides oxygen-poor blood through the Lungs} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Left Chamber}}: Provides oxygen-rich blood through the Body} \tn % Row Count 4 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Right Atrium}}: Oxygen-poor blood (from body) travels to the right {\emph{AV (Tricuspid) Valve}}} \tn % Row Count 6 (+ 2) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Right Ventricle}}: Oxygen-poor blood (right atrium) travels to the {\emph{Pulmonary Artery}} via the {\emph{Pulmonary (Semilunar) Valve}}} \tn % Row Count 9 (+ 3) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Left Atrium}}: Oxygen-rich blood (from lungs) travels to the left ventricle through the left {\emph{AV (Bicuspid/Mitral) Valve}}} \tn % Row Count 12 (+ 3) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Left Ventricle}}: Oxygen-rich blood (left atrium) travels to the {\emph{Aorta}} via the {\emph{Aortic (Semilunar) Valve}}} \tn % Row Count 15 (+ 3) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Heart Valves}}: Allows blood to flow in one direction} \tn % Row Count 17 (+ 2) % Row 7 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{High Pressure Behind Valve}}: Valve opens} \tn % Row Count 18 (+ 1) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{High Pressure In Front of Valve}}: Valve closed; does NOT open, ONLY opens in one direction} \tn % Row Count 20 (+ 2) % Row 9 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Chordae Tendineae}}: Tendinous fibers that connect AV valves to {\emph{Papillary Muscles}}, preventing {\bf{Everting}} of the AV valves during ventricular contraction} \tn % Row Count 24 (+ 4) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Connective Tissue}}: Dense fibrous ring that surrounds each heart valve and separates the atria from the ventricles, providing an anchor for the heart valves/cardiac muscle} \tn % Row Count 28 (+ 4) % Row 11 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Endocardium}}: Thin layer of endothelial tissue surrounding the inside of the heart chamber} \tn % Row Count 30 (+ 2) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Anatomy of the Heart (cont)}} \tn % Row 12 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Myocardium}}: Middle layer linked by {\emph{Intercalated Disks}}, forming 2 contacts: {\emph{Desmosomes and Gap-Junctions}}} \tn % Row Count 3 (+ 3) % Row 13 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Desmosomes}}: Responsible for clustering cells} \tn % Row Count 4 (+ 1) % Row 14 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Gap-Junctions}}: Allow low-resistant electrical flow between muscle cells, forming a {\emph{Functional Syncytium}}} \tn % Row Count 7 (+ 3) % Row 15 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Epicardium}}: Thin outer membrane containing a small volume of {\emph{Pericardial Fluid}}} \tn % Row Count 9 (+ 2) % Row 16 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Pericardial Fluid}}: Fluid that prevents heart from getting friction} \tn % Row Count 11 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Mechanical Events of the Cardiac Cycle}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Systole}}: Contraction and Emptying} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Diastole}}: Relaxation and Filling} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{End-Diastolic Volume}}: Blood volume left at the end of {\emph{Diastole}} (Maximum amount of blood held in chamber during the cycle)} \tn % Row Count 5 (+ 3) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Isovolumetric Ventricular Contraction}}: Chamber is closed (no blood can enter/leave); pressure {\bf{Increases}}} \tn % Row Count 8 (+ 3) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{End-Systolic Volume}}: Blood volume left after {\emph{Systole}} (Complete ejection)} \tn % Row Count 10 (+ 2) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Stroke Volume}}: Amount of blood pumped out {\bf{(End Diastolic Volume - End Systolic Volume)}}} \tn % Row Count 12 (+ 2) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Isovolumetric Ventricular Relaxation}}: Chamber is closed (no blood can enter/leave); Pressure {\bf{Decreases}}} \tn % Row Count 15 (+ 3) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Regulation of Cardiac Output}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Cardiac Output (C.O.)}}: Blood volume pumped (per minute) depending on the {\bf{heart rate}} and {\bf{stroke volume}}} \tn % Row Count 3 (+ 3) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Heart Rate}}: Regulated by {\bf{Parasympathetic}} and {\bf{Sympathetic}} Nervous Systems} \tn % Row Count 5 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Stroke Volume}}: Volume of venous blood return {\bf{(Intrinsically)}} and the {\bf{Sympathetic Nervous System (Extrinsically)}}} \tn % Row Count 8 (+ 3) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{C.O. Equation}}: C.O. = H.R. x S.V.} \tn % Row Count 9 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Heart Rate Regulation}}: Mainly controlled by autonomic input, affecting the hypersensitivity of SA node} \tn % Row Count 12 (+ 3) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Parasympathetic}}: {\bf{Vagus Nerve}} contributes to the SA/AV nodes and the contractile cells} \tn % Row Count 14 (+ 2) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Parasympathetic Input}}: Mediated by Acetylcholine (ACh), a neurotransmitter} \tn % Row Count 16 (+ 2) % Row 7 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Acetylcholine}}: Causes heart rate to decrease} \tn % Row Count 17 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Parasympathetic and Sympathetic Inputs}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/huebee_1748149322_sym.JPG}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Blood}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Blood Flow}}: Calculated by {\bf{Pressure Gradient}} and {\bf{Resistance and Viscosity}}} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Equation}}: F = (Delta) P/R} \tn % Row Count 3 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Flow Rate (F)}}: Blood volume going through a vessel **(Proportional to r\textasciicircum{}4\textasciicircum{})} \tn % Row Count 5 (+ 2) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{ Pressure Gradient (P)}}: Difference of pressure from the beginning compared to the end of a vessel} \tn % Row Count 8 (+ 3) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Resistance (R)}}: Resistant of flow {\bf{(Proportional to 1/r\textasciicircum{}4\textasciicircum{})}} {\emph{(3 Factors)}}:} \tn % Row Count 10 (+ 2) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{(1) Blood Viscosity}}: Blood friction due to plasma protein (conc.) and red blood cell count} \tn % Row Count 12 (+ 2) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{(2) Vessel Length}}: Blood friction along vessel walls {\bf{(Proportional to length)}}} \tn % Row Count 14 (+ 2) % Row 7 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{(3) Vessel Radius}}: Blood friction along vessel walls {\bf{(Inversely Proportional to 1/r\textasciicircum{}4\textasciicircum{})}}} \tn % Row Count 16 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Baroreceptors}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Baroreceptor Reflex}}: Regulates cardiac output and total peripheral resistance} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Baroreceptors}}: Mechanoreceptors detect blood pressure through force of the pressure} \tn % Row Count 4 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Baroreceptor Reflex (High BP)}}: Decrease heart rate, stroke volume, arteriolar, and venous vasodilation} \tn % Row Count 7 (+ 3) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Baroreceptor Reflex (Low BP)}}: Increase heart rate, stroke volume, arteriolar, and venous vasodilation} \tn % Row Count 10 (+ 3) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Local Physical Control}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Temperature}}: Inversely proportionate to Arteriolar Smooth Muscle Tone} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Myogenic Response}}: Arteriolar smooth muscle contract when stretched} \tn % Row Count 4 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Intrinsic (Local) Metabolic Changes (Control)}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Local Metabolic Changes}}: Cause dilation in smooth muscle tone via {\bf{Mediators (Nitric Oxide)}}} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{O2 Concentration}}: Decreases as metabolism increases (Inverse)} \tn % Row Count 4 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{CO2 Concentration}}: Increases as metabolism increases (Proportional)} \tn % Row Count 6 (+ 2) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{pH}}: CO2 increases and blood pH lowered by Lactic Acid} \tn % Row Count 8 (+ 2) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Extracellular K+ Concentration}}: Increased neuronal activity exceeding Na+/K+ ATPase} \tn % Row Count 10 (+ 2) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Osmolarity}}: Increase solute concentration} \tn % Row Count 11 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Adenosine}}: Released when metabolism is increased} \tn % Row Count 13 (+ 2) % Row 7 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Prostaglandins}}: Derived from fatty acid metabolism} \tn % Row Count 15 (+ 2) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Histamine Release}}: From damaged tissues, causing vasodilation and inflammation} \tn % Row Count 17 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Anatomy of the Heart}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/huebee_1747974947_heart.JPG}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Electrical Activity of the Heart}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Autorhythmicity}}: Self-generated rhythmic activity from cardiac muscle cells that produce {\emph{Pacemaker Activity}}} \tn % Row Count 3 (+ 3) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Pacemaker Cells}}: Clustered into {\bf{Nodes}}, regulating rate and coordination of contractions} \tn % Row Count 5 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Pacemaker Activity}}: 1\% of cardiac muscle ({\emph{Autorhythmic and Intrinsically}}) that self-generate AP at a regular frequency via {\emph{Pacemaker Potentials}}} \tn % Row Count 9 (+ 4) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Contractile Cells}}: 99\% of the cardiac muscles that are responsible for pumping but {\bf{DO NOT}} self-generate AP} \tn % Row Count 12 (+ 3) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Autorhythmic Cells}}: Cyclically generate AP (through heart) to trigger rhythmic contractions} \tn % Row Count 14 (+ 2) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Nodes}}: Clusters of cells that produce pacemaker activity} \tn % Row Count 16 (+ 2) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Sinoatrial (SA) Node}}: Cluster of pacemaker cells (right atrium), firing {\bf{70}} AP per minute {\emph{(Fastest)}}} \tn % Row Count 19 (+ 3) % Row 7 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Atrioventricular (AV) Node}}: Cluster of pacemaker cells (right atrium), firing {\bf{50}} AP per minute ({\emph{Slower}})} \tn % Row Count 22 (+ 3) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Bundle of His}}: Pacemaker cells (AV node) that branches to the left/right ventricles} \tn % Row Count 24 (+ 2) % Row 9 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Purkinje Fiber}}: Small pacemaker cells ({\emph{Bundle of His}}), spreading through ventricular myocardium, firing {\bf{30}} AP per minute {\emph{(Slowest)}}} \tn % Row Count 27 (+ 3) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Interatrial Pathway}}: Cardiac cells that carry pacemaker activity (Right atrium -\textgreater{} Left atrium)} \tn % Row Count 29 (+ 2) % Row 11 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Internodal Pathway}}: Cardiac cells that transmit pacemaker activity from the SA node to the AV node} \tn % Row Count 32 (+ 3) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Electrical Activity of the Heart (cont)}} \tn % Row 12 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{AV Nodal Delay}}: 100ms delay in AV Node conduction, ensuring that the ventricles contract after atrial contraction} \tn % Row Count 3 (+ 3) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Mechanical Events of the Cardiac Cycle Diagram}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/huebee_1747977562_sys.JPG}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Parasympathetic Release of Acetylcholine}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{SA Node}}: Higher permeability to K+, delaying inactivation of K+ channels, causing {\bf{Greater Hyperpolarization}} and {\bf{Slow K+}} of pacemaker potential} \tn % Row Count 4 (+ 4) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{AV Node}}: Higher permeability to K+, reducing excitability and delay response to input from SA Node} \tn % Row Count 7 (+ 3) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Atrial Contractile Cells}}: Reduces Ca2+ permeability and strength of contraction} \tn % Row Count 9 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Sympathetic Release of Norepinephrine}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Sympathetic Nerves}}: {\bf{Increase}} heart rate by supplying the SA/AV Nodes and ventricles via {\bf{Norepinephrine}} through {\bf{Beta-Adrenergic}} receptors} \tn % Row Count 4 (+ 4) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{SA Node}}: Lower K+ permeability speeds up inactivation K+ channels leading to {\bf{Less Hyperpolarization}} and faster K+} \tn % Row Count 7 (+ 3) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{AV Node}}: Increase conduction velocity, reduce AV nodal delay, and slightly increase Ca2+ permeability} \tn % Row Count 10 (+ 3) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Bundle of His \& Purkinje Fibers}}: Similar actions as the AV Node} \tn % Row Count 12 (+ 2) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Atrial/Ventricular Contractile Cells}}: Increase contractile strength via increasing Ca2+ permeability} \tn % Row Count 15 (+ 3) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Basic Organization}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Arteries}}: Large vessels that carry blood away from the heart} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Arterioles}}: Small (Diameter) vessel branches from arteries that lead to the organs} \tn % Row Count 4 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Capillaries}}: Smallest (Diameter) vessels formed when arterioles branch} \tn % Row Count 6 (+ 2) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Venules}}: Vessels that form when capillaries join together} \tn % Row Count 8 (+ 2) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Veins}}: Large (Diameter) vessels formed by merging venules} \tn % Row Count 10 (+ 2) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Microcirculation}}: Collection of arterioles, capillaries, and venules} \tn % Row Count 12 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Functions}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Arteries}}: Channel for low resistance blood flow due to {\bf{Pressure Reservoir}}} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Pressure Reservoir}}: Driving force during {\bf{Ventricular Diastole}} due to elasticity of artery walls {\bf{(Elastin)}}, which can expand and store pressure} \tn % Row Count 6 (+ 4) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Arterioles}}: Vascular resistance in circulatory system regulates cardiac output and arterial pressure, both {\bf{Intrinsically and Extrinsically}}} \tn % Row Count 9 (+ 3) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Capillary Exchange}}: Exchanges materials between blood and interstitial space} \tn % Row Count 11 (+ 2) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Interstitial Fluid}}: Same composition as arterial blood} \tn % Row Count 13 (+ 2) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Exchange}}: Through (1) {\bf{Diffusion}} and (2) {\bf{Bulk Flow}}} \tn % Row Count 15 (+ 2) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Diffusion}}: Blood moving down its concentration gradient} \tn % Row Count 17 (+ 2) % Row 7 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Bulk Flow}}: Maintains fluid balance between blood and extracellular space; permits flow of plasma {\bf{(NOT proteins/blood cells)}}} \tn % Row Count 20 (+ 3) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Ultrafiltration}}: Bulk flow in {\bf{tissues}}} \tn % Row Count 21 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Reabsorption}}: Bulk Flow in {\bf{capillaries}}} \tn % Row Count 22 (+ 1) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Veins}}: Reservoir for blood and channel for blood flow to heart} \tn % Row Count 24 (+ 2) % Row 11 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Venous Capacity}}: Volume of blood veins can withstand} \tn % Row Count 26 (+ 2) % Row 12 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Venous Return}}: Volume of blood entering each atrium per minute} \tn % Row Count 28 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Factors That Influence Bulk Flow}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{(1) Capillary Blood Pressure (P\textasciitilde{}c\textasciitilde{})}}: Pushes fluid from capillaries to the interstitial fluid} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{(2) Plasma-Colloid Osmotic Pressure (π\textasciitilde{}p\textasciitilde{})}}: Draws water into capillaries from interstitial fluid via protein concentration} \tn % Row Count 5 (+ 3) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{(3) Interstitial Fluid Hydrostatic Pressure (P\textasciitilde{}IF\textasciitilde{})}}: Pushes fluid into capillaries from the interstitial fluid} \tn % Row Count 8 (+ 3) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{(4) Interstitial Fluid-Colloid Osmotic Pressure (π\textasciitilde{}IF\textasciitilde{})}}: Draws water out of capillaries to the interstitial fluid} \tn % Row Count 11 (+ 3) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Ultrafiltration}}: Positive net pressure} \tn % Row Count 12 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Reabsorption}}: Negative net pressure} \tn % Row Count 13 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Net Pressure}}: (P\textasciitilde{}c\textasciitilde{} + π\textasciitilde{}IF\textasciitilde{}) - (P\textasciitilde{}IF\textasciitilde{} + π\textasciitilde{}p\textasciitilde{})} \tn % Row Count 15 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Blood Pressure Abnormalities}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Hypertension }}: High BP above 140/90 mmHg} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Primary Hypertension}}: 90\% of cases, unknown} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Secondary Hypertension}}: 10\% of cases, occurs 2nd to 1st} \tn % Row Count 4 (+ 2) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Hypotension}}: Low BP below 100/60 mmHg} \tn % Row Count 5 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Pacemaker Activity of Cardiac Cells}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/huebee_1747976251_act.JPG}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Pacemaker Activity of Cardiac Autorhythmic Cells}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/huebee_1747975428_act.JPG}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Electrical Activity of the Heart (Cont.)}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Excitation-Contraction Coupling}}: Ca\textasciicircum{}2+\textasciicircum{} entry into the cytosol differs from that in skeletal muscle cells} \tn % Row Count 3 (+ 3) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Dyhydropyridine Receptors}}: Voltage-gated Ca\textasciicircum{}2+\textasciicircum{} channels in cardiac T-Tubules} \tn % Row Count 5 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{AP Invades T-Tubule Membranes}}: {\emph{Dyhydropyridine Receptors}} open, letting Ca\textasciicircum{}2+\textasciicircum{} enter the cytosol} \tn % Row Count 8 (+ 3) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Ca\textasciicircum{}2+\textasciicircum{} Entry}}: Triggers more Ca\textasciicircum{}2+\textasciicircum{} release from the SR; both sources of cytosolic Ca\textasciicircum{}2+\textasciicircum{} drive contraction strength based on Ca\textasciicircum{}2+\textasciicircum{} concentration (Proportional to \# of cross-bridges)} \tn % Row Count 12 (+ 4) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Electrocardiogram (ECG)}}: Records heart's electrical activity (AP) via surface voltage differences to detect abnormalities} \tn % Row Count 15 (+ 3) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{ECG Waveforms (P-Wave)}}: {\emph{Depolarization}} of the {\emph{Atria}}} \tn % Row Count 17 (+ 2) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{ECG Waveforms (QRS-Complex)}}: {\emph{Depolarization}} of the {\emph{Ventricles}}} \tn % Row Count 19 (+ 2) % Row 7 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{ECG Waveforms (T-Wave)}}: {\emph{Repolarization}} of the {\emph{Ventricles}}} \tn % Row Count 21 (+ 2) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{ECG Waveforms (PR-Segment)}}: AV Node Delay} \tn % Row Count 22 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Electrocardiogram Waveforms}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/huebee_1747977102_cardio.JPG}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Heart Sounds}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Lub}}: {\emph{Low-pitched}}, soft and relative long {\bf{(AV Valves closes)}}} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Dup}}: {\emph{High-pitched}}, sharp and short sound {\bf{(Semilunar Valves closes)}}} \tn % Row Count 4 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Murmurs}}: Uncommon heart sounds (cardiac disease) from turbulent blood flow through broken valves} \tn % Row Count 6 (+ 2) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Stenotic Valve}}: {\bf{Does NOT OPEN Completely}}; Producing {\bf{Whistling}} sounds} \tn % Row Count 8 (+ 2) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Insufficient Valve}}: {\bf{Does NOT CLOSE Properly}}; Producing {\bf{Swishing}} sounds} \tn % Row Count 10 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Stroke Volume Regulation}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Extrinsically}}: {\bf{Sympathetic Nervous System}} controls neural activity} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Intrinsically}}: {\bf{Venous Blood Return}} (Volume)} \tn % Row Count 4 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Function of Both Factors}}: Increase SV by raising contraction strength} \tn % Row Count 6 (+ 2) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Intrinsic Control}}: The {\bf{Frank-Starling Law of the Heart}} (End-diastolic volume and SV)} \tn % Row Count 8 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Frank-Starling Curve}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Sympathetic Stimulation}}: Shifts the Frank-Starling curve to the left} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{At End-Diastolic Volume}}: Increase Ca2+, which increases contractile force and SV} \tn % Row Count 4 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Heart Failure}}: Decrease cardiac contractility and shifts curve downward and to the right} \tn % Row Count 6 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Frank-Starling Curve (Graph)}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/huebee_1748152858_frank.JPG}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Volume Differences}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/huebee_1748152917_vol.JPG}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Sphygmomanometer}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Sphygmomanometer}}: Used to measure {\bf{Systolic}} and {\bf{Diastolic}} pressure by listening to sound of blood} \tn % Row Count 3 (+ 3) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Pressure \textgreater{}120 mmHg}}: No blood flow and no sound} \tn % Row Count 4 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Pressure between 120-180 mmHg}}: Turbulent blood flow and intermittent sounds} \tn % Row Count 6 (+ 2) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Pressure \textless{}80 mmHg}}: Smooth blood flow and no sound} \tn % Row Count 8 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Pressure Throughout the Systemic Circulation}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Left Ventricular Pressure}}: Between 0 mmHg {\bf{(During Diastole)}} to 120 mmHg {\bf{(During Systole)}}} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Arterial Pressure}}: Fluctuates between 120 mmHg {\bf{(Systolic)}} to 80 mmHg {\bf{(Diastolic)}}} \tn % Row Count 4 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Arteriolar Pressure}}: Large pressure drop {\bf{(Systolic to Diastolic convert to Non-Pulsatile Pressure)}}} \tn % Row Count 7 (+ 3) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Pressure}}: Decline at slower rate (When blood flows through capillaries and venous system)} \tn % Row Count 9 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Arterial Pressure}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Pulse Pressure}}: Difference between {\bf{Systolic and Diastolic pressure}}} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Mean Arterial Pressure}}: Regulated by blood pressure reflexes} \tn % Row Count 4 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Mean Arterial Pressure}} Diastolic Pressure + 1/3 Pulse Pressure} \tn % Row Count 6 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Arterial Pressure (Graph)}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/huebee_1748155242_press.JPG}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Factors Influencing Venous Return}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Sympathetic Activity}}: Causes vasoconstriction, increasing venous pressure/return} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Skeletal Muscle Activity}}: Skeletal muscles contract, squeezing veins and increases venous pressure} \tn % Row Count 5 (+ 3) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Venous Valves}}: Prevent backflow (In lumen of large veins)} \tn % Row Count 7 (+ 2) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Respiratory Activity}}: Chest pressure decreases during respiration, increasing pressure between veins and lower body/chest} \tn % Row Count 10 (+ 3) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Cardiac Suction}}: Below 0 mmHg during ventricular contraction, increasing venous pressure and pulling venous blood into atria} \tn % Row Count 13 (+ 3) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} % That's all folks \end{multicols*} \end{document}