A & P Exam 2 Flashcards
What kind of muscle is in the heart?
Cardia: involuntary, striated
What type of tissue is in the heart?
Epithelial, connective, muscle, nervous
Can cardiac muscle contract without external stimulation?
Yes
Groups of cardiac muscle cells can adopt the contraction rate of the …… cell in the group
Most rapid
Pumps blood through vascular system Delivers O2 and nutrients to cells Transports hormones Delivers antibodies Removes waste products
Heart
How is the heart positioned in the chest?
In the center, a little to the left
The space between the two pleural cavities that contain the lungs
Surrounded by loose connective tissue
Mediastinum
What else besides the heart is in the mediastinum?
Trachea, esophagus, vascular structures, nerves, lymphatic structures
The mediastinum is fenestrated (holes) in what 3 species?
Dog, horse, sheep
Thin layer of serosal membrane that lines the thoracic cavity and covers the organs in it
Pleura
What types of pleura are there?
Visceral and parietal
Excessive fluid in a body cavity
Effusion
Excessive fluid in tissue
Edema
Blood in thoracic cavity
Hemothorax
What are the 4 layers of the heart?
Pericardium
Epicardium
Myocardium
Endocardium
Outermost layer of heart
Fibrous connective tissue
Protects the heart
Loosely attaches the heart to the diaphragm
Fibrous Pericardium
Parietal layer of the pericardium
Fused to the fibrous pericardium
Serous pericardium
Fluid filled cavity between the parietal and visceral layers of the serous pericardium
Pericardial space
Visceral layer of the serous pericardium
Epicardium
Excessive amount of pericardial fluid
Pericardial effusion
What are some causes of pericardial effusion?
Infection, inflammation, hemorrhage
Excessive pericardial fluid builds up and the heart becomes unable to expand
Cardiac tamponade
What is the TX for pericardial effusion?
Pericardiocentesis
Heart wall located inside the sac formed by the pericardium
Thickest layer of hear tissue
Myocardium
Membranous lining between the myocardium and chambers of the heart
Endocardium
The top or cranial portion of the heart
Base
The point or caudal portion of the heart
Top of the left ventricle
Points to the left
Apex
The largest and most visible parts of the atria from the outside of the heart
Auricles
What does auricle mean?
Ear
Long and narrow, thick walled, terminates at the apex of the heart
Left ventricle
Broader surface area, wraps around the left ventricle
Right ventricle
Borders of the ventricles are externally separated by what structure?
Contains fats and blood vessels that are part of the coronary circulation of the heart
Interventricular sulci (grooves)
What structure externally separates the atria from the ventricles?
Coronary groove
The myocardium (muscle of the heart) has its own blood supply called….
They branch off the aorta and supply oxygenated blood to the heart
Located in the coronary groove and Interventricular grooves
Coronary arteries
Coronary arteries branch into: arterioles > capillaries > venules > cardiac veins > ……. …….. which empties into the right atrium
Coronary sinus
These arteries emerge from the external rig ventricle as the pulmonary trunk
They quickly divide into right and left …….. arteries traveling to each lung
Pulmonary arteries
The pulmonary arteries emerge from the external right ventricle as the ………. ……….
This structures is larger and more curved than the vena cavae
Pulmonary trunk
The largest artery in the body
Aorta
The walls of the aorta are the thinnest or thickest of any blood vessel?
Thickest
The aorta emerges from the ……. …….. into the aortic arch
Left ventricle
The brachiocephalic trunk and left subclavian artery branch off the …… just after the ……. valve
Aorta
Aortic
What are the chambers of the heart
Right atrium, left atrium, right ventricle, left ventricle
Which chamber of the heart has the thickest walls to aid in forceful contraction?
Left ventricle
Do the valves of the heart work one way or both ways?
One way
The right atrioventricular valve is also called what?
It has 3 flaps
It connects the right atrium to the right ventricle
Tricuspid valve
The left atrioventricular valve is also known as what? (2)
It has 2 flaps
It connects the left atrium to the left ventricle
Mitral or bicuspid
What are the 2 semilunar valves?
Pulmonary valve: 3 flaps
Aortic valve: 3 flaps
What does lunar mean?
Moon
What valve in the heart has only 2 flaps?
Left AV, mitral, bicuspid
Valves have these that originate from a fibrous ring of the valve
Flaps
Increased blood pressure in the chambers during contraction forces flaps to
Open
The AV flaps are prevented from bending back into the atrium by the
Chordae tendinae
Chordae tendinae connect the free edges of the AV flaps to the ……… muscles.
These muscles attach to the Interventricular septum
Papillary muscles
What 2 structures are the papillary muscles connected to?
Chordae tendinae and Interventricular septum
Band of tissue present in the right ventricle that originates at the Interventricular septum
Provides additional structural support to the wall of the right ventricle
Acts as a primary conduction path
Not attached to flaps of tricuspid valve
Moderator band
What chamber of the heart is the moderator band located in?
The right ventricle
This type of vessel leaves the heart and carries blood to systemic circulation or away from the heart
Arteries
This type of vessel carries blood from systemic circulation to the heart
Vessels
Nutrient and oxygen rich blood leaves the heart through the
Aorta
The aorta branches into smaller
Arteries
Arteries branch into
Arterioles
Arterioles branch into
Capillaries
At the capillary level, nutrients and O2 are exchanged for
Waste and CO2
Capillaries branch into
Venules
Venules branch into
Veins
This vein carries blood from the caudal part of the body to the right atrium of the heart
Caudal vena cava
This vein carries blood from the cranial part of the body to the right atrium
Cranial vena cava
The cranial and caudal vena cava carry what type of blood to the right side of the heart?
Deoxygenated
Veins typically carry deoxygenated blood with these 2 exceptions
Pulmonary veins
Umbilical vein
This vein carries oxygenated blood to the heart
Pulmonary vein
This vein carries oxygenated blood to the fetus
Umbilical vein
The heart pumps deoxygenated blood through the ………. …….. to the lungs to pick up O2.
Pulmonary artery
Oxygenated blood enters the left side of the heart through the
Pulmonary vein
Arteries typically carry what type of blood?
Oxygenated
2 arteries do NOT carry oxygenated blood
Pulmonary artery
Umbilical artery
This artery carries deoxygenated blood away from the heart to the lungs
Pulmonary artery
This artery carries deoxygenated blood away from the fetus
Umbilical artery
What chamber of the heart do the cranial and caudal vena cava empty into?
Right atrium
From the right atrium, blood flows to which chamber?
Right ventricle
From the right ventricle where does the blood go?
Lungs via the pulmonary artery
From the pulmonary arteries, blood passes through branching vessels to the pulmonary capillaries of the …., where O2 exchange takes place
Alveoli
Where does O2 exchange take place?
Pulmonary capillaries of the alveoli
Is the blood in the pulmonary veins oxygenated?
Yes
From the lungs where does the blood go?
What vessel carries the blood there?
Left atrium
Pulmonary vein
Where does the blood go from the left atrium?
Left ventricle
From the left ventricle, where does the blood go?
To the body via the aorta
These arteries, which branch from the aorta, deliver oxygenated blood to the lungs
Bronchial arteries
What is the valve that is located between the right atrium and right ventricle?
Right AV or tricuspid
What valve is between the right ventricle and pulmonary artery?
Pulmonary valve
What valve is located between the left atrium and the left ventricle?
Left AV, mitral, bicuspid
What valve is located between the left ventricle and the aorta?
Aortic valve
Problems with the right side of the heart cause blood to backup into the caudal vena cava which causes
Ascites, abdomen fills with fluid
Problems with the left side of the heart cause blood to backup where?
Into the lungs
Fluid in the lungs
Pulmonary edema
This type of pulmonary edema is caused by left heart failure
It is perihilar and symmetrical
Cardiogenic
Each complete contraction and relaxation of the heart is called a
Cardia cycle
What are the 2 main parts of the cardiac cycle?
Systole
Diastole
Part of cardiac cycle in which the heart is relaxed
Diastole
Atria relax and fill with blood to be ejected during systole
Atrial diastole
Ventricles relax and fill with blood to be ejected during the next systolic contraction
Ventricular diastole
Heart muscle contracts
Systole
Atria contract and blood is ejected from the atria to the ventricles
Atrial systole
Ventricles contract and blood is ejected from the ventricles to the arteries
Ventricular systole
Blood flow through the heart starts with atrial and ventricular …….
The AV valves are …… And the semilunar valves are ……..
Diastole
AV: open
Semilunar: closed
During atrial …… the contraction of the atria ejects even more blood into the ventricles
Systole
There is a slight …… between atrial systole and ventricular systole
Delay
When the ventricles enter systole, it causes the AV valves to …… And the semilunar valves to …..
AV: shut
Semilunar: open
When the ventricles stop contracting and enter diastole, the semilunar valves ……
Shut
The pressure in the ventricles drops, allowing ……. to open
AV valves
What is unique about cardiac muscle cells?
They contract without any external stimulation
Groups of cardiac muscle cells adopt the contraction rate of the
Most rapid cell in the group
Does the heart need nervous input for the muscle cells to contract?
No
What does the nervous system modify?
Contraction rate and strength
The impulse for a heartbeat comes from where?
Sinoatrial node
Specialized area of cardiac muscle cells located in the right atrium deep to the endocardium
Pacemaker
Generates electrical impulses that triggers repeated beating of the heart
Contraction rate of the muscle cells in this area is faster than those in the walls of the atria or ventricles, therefore it “sets the pace”
Sinoatrial node (SA node)
Charge inside the cell is different than the charge outside the cell. This is called
Membrane potential
The inside of the cell is more negatively charged than the outside of the cell
There is more …… outside the cell and more ……. inside the cell
Outside: sodium
Inside: potassium
Sodium channels open causing sodium to flow in
As these positively charged ions enter the cell, this makes the charge inside the cell more positive
The charge inside the cell has now changed from net negative to net positive
This change is charge is called
Depolarization
Depolarization of cardiac cells in the …. node generates an electrical impulse which travels across the atria to the AV node
SA node
This causes contraction of the cardiac cells
Depolarization
The …… node will then depolarize and generate an electrical impulse which travels down the bundle of His and up the purkinje fibers
AV node
This allows for systole of the heart
Depolarization
Soon after sodium channels open, they close
Now potassium channels open
Since there is more potassium inside the cell, it will flow out
As these positively charged ions leave the cell, this changes the charge back to net negative charge inside the cell
This is called
Repolarization
When the cells are repolarizing, the heart is in
Diastole
When sodium and potassium are on opposite sides of the cell than they were originally, this pump will pump 3 sodium ions out of the cell at the same time it pumps 2 potassium ions back into the cells
Now the cell is ready to depolarize again
Sodium/potassium pump
When sodium channels allow sodium to rush into the cell, these channels also also open in the sarcolemma (plasma membrane) and the sarcoplasmic reticulum (ER)
Calcium
The increase of calcium in the cells allows for …… filaments to bind to …… filaments and slide across each other, shortening the cell and causing contraction of the cell
Myosin and actin
The impulse from the SA node travels quickly down the muscle fibers to the …… node located in the interatrial septum
Atrioventricular node
From the AV node, electrical impulses spread through the ……….
These are fibers in the ventricles that travel down the Interventricular septum to the bottom of the ventricles
Bundle of His
These fibers carry impulses from the Bundle of His up into the ventricular myocardium
Purkinje fibers
Impulse also spread across this from the Bundle of His
Moderator band
Ventricle contraction of systole begins at the …. of the heart and travels to the …..
Starts at apex up to base
After ……… systole, AV valves snap shut and semilunar valves pushed open
Blood is ejected from the ventricles into the pulmonary artery and aorta
Ventricular
This sound is heard at the closure of the AV valves at the beginning of the ventricular systole
“Lub”: S1
Mitral valve is loudest where?
L side of chest
Tricuspid valve is best heard where?
R side of heart
This normal heart sound is at the closure of the semilunar valves at the beginning of ventricular diastole
“Dub”: S2
The S2 sound (dub) is best heard where?
L side of chest
The only two heart sounds heard in small animals are
S1 and S2
These heart sounds can only be heard in large animals along with S1 and S2
S3 and S4
Heart sound heard in large animals
Sound of rapid ventricular filling
S3
Heart sound heard in large animals
Sound of contraction of atria
S4
There are several bypasses in the fetal circulation, why?
The fetus receives oxygenated, filtered blood from the mother through the placenta.
Keeps most blood out of pulmonary circulation and liver circulation
Oxygenated blood flows from the placenta through the
umbilical vein
What other vein besides the umbilical vein in the body carries oxygenated blood?
Pulmonary vein
In the fetus: Oxygenated blood from the umbilical vein flows through the liver and this structure which allows some blood to bypass the liver into the caudal vena cava.
Ductus venosus
In the fetus: most of the blood from the right atrium can flow where to bypass the lungs?
Directly into the left atrium through the foramen ovale