9. Histology of the Cardiovascular system Flashcards

1
Q

What are the 3 layers of the heart wall?

What are the 3 layers of a blood vessel wall?

A
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2
Q
A
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3
Q

Descrobe the features of the layers (tunica) of the vessel wall?

A

1 - Tunica intima

  • Endothelium (simple squamous)
  • Basal lamina
  • Subendothelial CT
  • Internal elastic lamina (fenestrated for movement of nutrients from lumen into inner BV layer).

2 - Tunica media = SM layer with collagen fibres & elastin, external elastic lamina.

3 -Tunica adventitia

  • Fibroelastic tissue (collagen & elastin)
  • Vasa vasorum in large vessels (150um - thicker than diffusion distance from lumen)
  • Nervi vascularis (nerves of vessels).
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4
Q

Describe the histology of the 3 layers of the heart wall.

A
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5
Q
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6
Q

What are myocardial cells? Histology?

A

Myocardial Cells

  • Single, striated muscle cells with myofibrils (overlapped actin & myosin myofilaments).
  • Linked by intercalated discs = specialized stepped cell junctions.
  • Composed of desmosomes (macula adherens), fascia adherens & gap junctions.
  • Gap junctions: chemical communication for synchronised contraction.
  • Usually single central nucleus, some cells binucleate; clear perinuclear region.
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7
Q

What are Purkinje Fibres?

Histological structure?

A

Purkinjie Fibres

  • Modified cardiac muscle cells involved in conduction of the contractile impulse.
    • 4* faster than cardiac myocytes.
    • Large, irregular, big & round nucleus, fewer myofibrils (located in periphery) large amounts of glycogen (pale, homogenous).
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8
Q

What is the histology of the cardiac valves?

3 layers?

A

Heart Valves

  • Fibrous rings of the fibrous skeleton of the heart made of dense irregular connective tissue.
  • All the valves are fibrous extensions of the rings covered by continuation of the endocardium.
  • 3 Layers:
  1. Spongiosa
  2. Fibrosa
  3. Ventricularis
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9
Q

In a table summarise the key histological features and functions of the different blood vessels: arteries, arterioles, capillaries, veins and venules.

A
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10
Q

What is the nerve supply to all vessels?

Exception?

Do veins or arteries have a larger diameter?

A

All vessels except capillaries have an autonomic nerve supply.

Veins have larger diameter than paired artery due to bigger return volume.

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11
Q

How can you distinguish an artery from a vein in histological cross section?

A
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12
Q

What are Pericytes?

Function?

A

Pericytes = undifferentiated, fibroblast-like cells

  • Long branching processes that surround vessels to give support & stability.
  • Contractile filaments to control BV diameter & regulate BF.
  • Communicate with endothelial cells via gap junctions.
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13
Q

What are the 3 types of capillaries?

  • Where are they each found?
  • What are the macrophages of the liver sinusoids called? What space do they cover?
A
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14
Q

What are each of these capillaries?

A
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15
Q

What is the histology of lymphatic capillaries and vessels?

  • Capillary function? Vessel function?
  • What does the thoracic duct drain? into what?
  • What does the right lymphatic trunk drain? Into what?
A

Lymphatic capillaries & vessels

  • Capillary fn: collect excess ECF & wandering lymphocytes
  • Vessel fn: lymph flow.
  • Structure:
    • Blind-ended tubes, similar to veins (more valves), muscle movement drives flow.
    • Endothelium with incomplete BM, capillaries have no media & thin collagen layer (adventitia), larger vessels have muscle bundles & more CT.
  • Thoracic duct drains most lymphatic vessels → drains into LSCV at jn of LIJV.
  • Right lymphatic trunk drains RUQ lymphatic vessels → drains into RSCV at jn of RIJV.
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16
Q

Summary Table

A
17
Q
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17
Q
A