Anatomy of the CVS 1 Flashcards
What is the cardiovascular system composed of?
Heart
Blood vessels
Lymphatics

What are the different kinds of blood vessels?
Arteries
Capillaries
Veins
What is the heart?
Muscular pump
What is the function of arteries?
Distribute blood from the heart
What is the function of capillaries?
Exchange nutrients
What is the function of veins?
Collect and return blood to the heart
What is the function of lymphatics?
Collect and return blood to the heart
Where is the heart located?
Middle mediastinum

Where are blood vessels located?
Everywhere apart from cartilage
Where are lymphatics located?
Everywhere apart from the brain and eyes
What are the different parts of the mediastinum?
Superior mediastinum
Inferior mediastinum
Anterior mediastinum
Posterior mediastinum
Middle mediastinum

Where is the superior mediastinum?
T4 to sternal angle and above, following, the first rib
Where is the inferior mediastinum?
Everywhere below the superior mediastimum (below the first rib)
Where is the anterior mediastinum?
In front of the heart
Where is the posterior mediastinum?
Behind the heart
What does the middle mediastinum contain?
The heart
What are the 2 main circulations of the cardiovascular system?
Pulmonary circulation
Systemic circulation
Where does pulmonary circulation go from?
Heart - lungs - heart
Where does systemic circulation go from?
Heart - body - heart
What additional circulations does the cardiovascular system contain?
Portal circulation
Lymphatic circulation
What is the most important portal circulation?
Hepatic portal circulation

What are portal systems?
Ones that begin in capillaries, narrows into a single channel (vein) and ends up in a different set of capillaries

What are the great vessels of the heart?
Superior and inferior vena cava
Aorta (ascending, arch, descending)
Pulmonary veins (2 left and 2 right)
Pulmonary trunk going into right and left pulmonary artery

What direction is the heart facing?
Directed towards the left
What are the consequences of the heart being directed towards the left?
Right side of the heart is facing anterior
Left side of the heart is facing posterior
What are the 3 parts of the aorta?
Ascending aorta
Aortic branch
Descending aorta
What does the ascending aorta supply?
Head and upper limbs
What does the descending aorta supply?
Abdomen and lower limbs
What vertebrae level is the aortic arch?
T4
What are the 3 vessels that the aortic arch braches into?
Bronchiocephalic artery (seperates into right common carotid and right subclavian artery)
Left common carotid artery
Left subclavian artery
What does the bronchiocephalic artery split into?
Right common carotid artery
Right subclavian artery
Which side of the aortic branch splits into the bronchiocephalic artery?
Right
Where is the apex of the heart?
Lowest part
What is seen in the anterior view of the heart?
Right atrium
Right ventricle

What is seen in the posterior view of the heart?
Left atrium
Left ventricle

Where is the base of the heart?
Opposite the apex (left atrium)

What chamber makes up the apex of the heart?
Left ventricle
What chamber makes the base of the heart?
Left atrium

Where does the apex of the heart lie?
Intecostal space 5 in the midclavicular line
What is A?

Right ventricle
What is B?

Right atrium
What is C?

Azygos vein
What is D?

Aorta
What is E?

Left atrium
What is F?

Right ventricle
What vertebrae does the heart lie between in recumbent position?
T5 and T8
What is the recumbent position?
Lying down
What is the surface anatomy of the apex?
5th left intercostal space in the midclavicular line

Where is the base located?
Wholy posterior, lying in front of the oesophagus
How does the heart compare in children?
Higher in children
What is dextrocardia?
Heart faces the right instead of the left
What is it called when the heart faces the right instead of the left?
Dextrocardia
What happens to the vertabrae level of the heart when you stand up?
It changes
What is found anterior to the heart?
Sternum and costal cartilage 4-7
What is found posterior to the heart?
Oesophagus
Descending aorta
Thoracic vertebrae 5-8
What is found lateral to the heart?
Lungs
Phrenic nerves
What is found inferior to the heart?
Central tendon of diaphragm
What is the vertebrae level of the sternal angle?
T4
What are the 3 layers of the heart wall?
Endocardium
Myocardiam
Epicardium

What is found after the epicardial layer?
Pericardial cavity
Parietal layer of serous pericardium
Fibrous pericardium

What is A?

Endocardium
What is B?

Myocardium
What is C?

Pericardial cavity
What is D?

Fibrous pericardium
What is E?

Parietal layer of serous pericardium
What is F?

Epicardium (visceral layer of serous pericardium)
What is the epicardium also known as?
Visceral layer of serous pericardium
What is the visercal layer of the serous pericardium also known as?
Epicardial cavity
What is the endocardium composed of?
Epithelium (simple squamous)
Basement membrane
Some connective tissue
What is the class of the epithelium of the endocardium?
Simple squamous
What does the endocardium form?
Valves
What layer forms valves?
Endocardium
What is the myocardium composed of?
Cardiac muscle
Branching fibres
Striated muscles, lots of mitochondria, single central nucleus
Rich capillary bed
What are characteristics of cardiac muscle?
Striated
Lots of mitochondria
Single central nucleus
What are myocytes connected by?
Intercalcated disks
What are myocytes?
Cell in cardiac muscle
Why are cardiac muscle bundles in different planes?
To close down chamber lumen during contraction
What is the epicardium composed of?
Connective tissue
Basement membrane
Epithelium
What is the class of the epithelium of the epicardial?
Simple squamous
What does the epicardium contain?
Main branches of coronary arteries
May be fatty
Where are the main branches of the coronary arteries contained?
Epicardium
What are the 4 heart chambers?
Right atrium
Right ventricle
Left atrium
Left ventricle
What is direction of blood flow controlled by?
Valves
What do valves do?
Control direction of blood flow
What is A?

Superior vena cava
What is B?

Inferior vena cava
What is C?

Right atrium
What is D?

Right ventricle
What is E?

Left ventricle
What is F?

Left atrium
What is G?

Left pulmonary veins
What is H?

Left pulmonary artery
What is I?

Aorta
What is J?

Right pulmonary artery
What is the right border of the heart?
Right atrium

What is the left border of the heart?
Left ventricle

What is the superior border?
Superior vena cava
Aorta
Pulmonary trunk

What is the inferior border?
Right ventricle
Left ventricle

How do valves work?
Passively
What prevents valve failure?
Chordae tendineae
Papillary muscles
What does the chordae tendineae and papillary muscles do?
Prevent valve failure (being turned inside out?
What are clinical abnormalities of valves?
Incompetence (widening)
Stenosis (narrowing)
What is incompetence of valves?
Widening
What is widening of valves called?
Incompetence
What is stenosis of valves?
Narrowing
What is narrowing of valves called?
Stenosis
What infection can affect valves?
Bacterial endocarditis
What are the valves connected to so when the heart contracts it spirals and twists?
Fibrous skeleton

What is the function of the fibrous skeleton?
When the heart contracts it spirals and twists

What valve is between the right atrium and right ventricle?
Tricuspid valve (right antrioventricular valve)
What valve is between the right ventricle and pulmonary trunk?
Pulmonary valve
What valve is between the left atrium and left ventricle?
Mitral valve (left atrioventricular valve)
What valve is between the left ventricle and aorta?
Aortic valve
What is A?

Chordae tendinae
What is B?

Papillary muscles
What is the mitral valve also known as?
Bicuspid valve
What are the 2 antrio-ventricular (AV) valves?
Tricuspid valve
Mitral valve
What are the 2 semi-lunar (SL) valves?
Pulmonary valve
Aortic valve
What valves have 3 cusps?
Pulmonary valve
Aortic valve
Tricuspid valve
What valves have 2 cusps?
Mitral valve
What is A?

Tricuspid valve
What is B?

Pulmonary valve
What is C?

Aortic valve
What is D?

Mitral valve
What is the fibrous cardiac skeleton composed of?
Dense connective tissue
Where does the fibrous cardiac skeleton lie?
Plane between the atria and ventricles
What is the function of the fibrous cardiac skeleton?
Structural support
Electrical insulation
What does the fibrous cardiac skeleton provide support to?
Antrioventricular septum
Roots of the great vessels
Anchorage for valves
Myocytes/capillary network
What does the fibrous cardiac skeleton provide electrical insulation to?
Atria from ventricles
Myocardium from great vessels
What supplies the heart with blood?
Coronary arteries
What are the 2 main coronary arteries?
Right and left

When does the coronary arteries recieve blood?
During diastole

Where are the coronary arteries located?
Epicardium
Where does the coronary arteries get blood from?
Aorta (first branch of the aorta)
What happens in relation to the coronary artery at systole and diastole?
At systole openings in aortic sinuses shielded by aortic valve cusps
At diastole elastic recoil of aorta closed aortic valve and blood enters coronary arteries

What does blockage of the coronary arteries lead to?
Heart attack
What is the heart held in place by?
The great vessels within the fibrous pericardium
What are the attachments of the heart?
Central tendon of diaphragm
Sternum
Roots of great vessels
What is the movement of the heart like within its attachments?
It is free to move
Whats is the heart lined by?
Serous pericardium
What is the serous pericardium made of?
Epithelium
What is the serous pericardium composed of?
Visceral layer
Parietal layer
Which layer of the serous pericardium is in contract with the heart?
Visceral layer
What is the visceral layer of the serous pericardium also known as?
Epicardium
What layer of the serous pericardium is not in contact with the heart?
Parietal layer
What is the parietal layer of the serous pericardium bound to?
Fibrous pericardium
What does the continuous structure of the serous pericardium (visceral and parietal layers) allow?
Freedom of movement for the heart during the cardiac cycle
What does the serous pericardium secrete?
Pericardial fluid
What does pericardial fluid act as?
Lubricant
What secretes pericardial fluid?
Serous pericardium