Anatomy of the Heart Flashcards

1
Q

What is the shape and function of the heart?

A

The heart is cone-shaped and functions as a muscular pump.

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2
Q

Where is the heart located?

A

The heart is located in the mediastinum, protected by the ribs and sternum, between ribs 2-5, to the left of the midline.

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3
Q

Where does the apex of the heart lie?

A

The apex lies in the 5th intercostal space in the midclavicular line.

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4
Q

What are percussion and auscultation used for in relation to the heart?

A

Percussion (tapping) and auscultation (listening) are used to examine heart sounds, including the apex beat.

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5
Q

What is the pericardium?

A

The pericardium is the sac that covers the heart, made up of an outer fibrous layer and an inner serous pericardium.

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6
Q

What is the fibrous pericardium?

A

The fibrous pericardium is the inelastic, strong outer layer made of dense connective tissue, anchoring the heart and preventing overfilling.

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7
Q

What is the serous pericardium?

A

The serous pericardium is a double-layered membrane, with the parietal layer lining the fibrous pericardium and the visceral layer (epicardium) adhering to the heart surface.

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8
Q

What is the pericardial cavity?

A

The space between the parietal and visceral layers of the serous pericardium, containing fluid to reduce friction during heartbeats.

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9
Q

What is pericarditis?

A

Inflammation of the lining around the heart (pericardium).

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10
Q

What is cardiac tamponade?

A

Compression of the heart due to excess fluid in the pericardial sac.

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11
Q

What are the three layers of the heart wall?

A

Endocardium (inner layer), Myocardium (middle muscular layer), Epicardium (outer layer, visceral serous pericardium).

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12
Q

What is the clinical relevance of the heart wall layers?

A

Endocarditis is inflammation of the endocardium, and myocardial infarction (heart attack) occurs when blood supply to the heart is blocked.

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13
Q

Why is the left ventricular wall thicker than the right?

A

The left ventricle pumps blood to the entire body, requiring higher pressure than the right ventricle.

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14
Q

What is the fibrous skeleton of the heart?

A

Connective tissue bands between the atria and ventricles that electrically separate them and support the heart valves.

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15
Q

What is the function of the atrioventricular (AV) valves?

A

To prevent backflow of blood: Tricuspid (right) and Mitral/Bicuspid (left) AV valves.

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16
Q

What are the semilunar valves?

A

Valves located between the right ventricle and pulmonary artery (pulmonary valve) and between the left ventricle and aorta (aortic valve).

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17
Q

What is valve stenosis?

A

Narrowing of a heart valve, which restricts blood flow.

18
Q

What is valve regurgitation?

A

A condition where heart valves do not close properly, causing backward blood flow.

19
Q

What are the chordae tendineae?

A

Heart strings that connect the heart valves to the papillary muscles, preventing valve inversion.

19
Q

Describe the flow of deoxygenated blood through the heart.

A

Deoxygenated blood enters through the vena cava, flows through the right atrium, tricuspid valve, right ventricle, and pulmonary valve, then to the lungs via the pulmonary arteries.

20
Q

Describe the flow of oxygenated blood through the heart.

A

Oxygenated blood returns from the lungs via the pulmonary veins, flows through the left atrium, mitral valve, left ventricle, and aortic valve into the aorta and systemic circulation.

21
Q

What is coronary circulation?

A

Blood flow to the heart muscle, supplied by the left and right coronary arteries.

22
Q

What does the left coronary artery (LCA) supply?

A

The LCA supplies blood to the left side of the heart, including the left atrium and ventricle.

23
Q

What does the right coronary artery (RCA) supply?

A

The RCA supplies the right ventricle, atria, and nodes responsible for heart conduction.

24
What is coronary atherosclerosis?
Narrowing and blockage of coronary arteries, restricting blood flow to the heart.
25
What is the cardiac conducting system?
A system of non-contractile cells that initiate and conduct electrical impulses, coordinating heartbeats.
26
What fibers make up the cardiac plexus?
The cardiac plexus consists of sympathetic, parasympathetic, and visceral afferent fibers.
27
What do sympathetic fibers do in heart function?
Increase heart rate and contraction strength, and dilate coronary vessels.
28
What do parasympathetic fibers do in heart function?
Decrease heart rate and participate in cardiac reflexes.
29
How does fetal circulation differ from normal circulation?
Fetal circulation bypasses the lungs and liver, receiving oxygen and nutrients from the placenta via the umbilical vein.
30
How many metal circulations are there?
3
31
What are the three fetal circulation shortcuts?
1. Foramen ovale (right atrium to left atrium). 2. Ductus arteriosus (pulmonary trunk to aorta). 3. Ductus venosus (umbilical vein to inferior vena cava, bypassing liver).
32
What does the foramen oval bypass?
Bypasses right ventricle and pulmonary system.
33
What does the ductus arterioles bypass?
Bypasses the pulmonary system and the left side of the heart.
34
What does the ductus venous bypass?
The liver.
35
What happens when a newborn takes their first breath?
3 things: - Lungs expand - LA pressure increases - Umbilical cord tied
36
What happens when the lungs of a newborn expand?
Blood rushes into pulmonary circulation - causes oxygen levels to rise - constricts ductus arteriosus.
37
What happens to a newborn when the LA pressure increases?
Foramen ovale closes to become fossa ovalis.
38
What happens to a newborn when the umbilical cord is tied?
Umbilical vessels close - ductus venous fibroses
39
What does the ductus venous in a foetus become?
Ligamentum venosum
40
What does the foramen ovale in a foetus become?
Fossa ovalis
41
What does the ductus arterioles in a foetus become?
Ligamentum arteriosum