Cardiac Histology Flashcards

1
Q

Smooth muscle characteristics

A

occurs as bundle or sheets of elongated fusiform cells with finely tapered ends

centrally located nucleus

no visible striations

interconnected by gap junctions

continuous contractions of low force

Rhythmic contraction that is inherent but responsive to ANS

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2
Q

During smooth muscle contraction what does the muscle anchor too

A

cytoplasmic densities/dense bodies

these are comprised of desmin and vimentin intermediate filaments

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3
Q

Characteristics of Cardiac muscle

A

Cells are short branched and Y shaped with 1-2 nuclei

extensive capillaries

Intercalated discs: transverse junctionsat the ends of cells that allow passage of electrical curent

Purkinje cells: modified cardiac muscle cells that act as the pacemaker for the heart

contain Lipofusion granules near nucleus of some cells, lysosomal residue

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4
Q

types of Pericardium

A

Fibrous pericardium: outer covering of dense connective tissue

Serous Pericardium:

  • Parietal layer on the inner surface of the fibrous pericardium
  • Visceral layer that covers the outer surface of the heart

pericardial cavity is the space between the parietal and visceral pericardium

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5
Q

Three layers of the heart wall

A

Endocardium
Myocardium (cardiac muscle)
Epicardium (visceral layer of serous pericardium)

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6
Q

Characteristics of Epicardium

A

Outermost layer of the heart wall

synonymous with visceral pericardium

Dense fibrocollagenous CT with elastic fibers lined with mesothelium

Branches of coronary arteries are embedded in the adipose tissue

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7
Q

Characteristics of Myocardium

A

thickest layer of the heart

Cardiocytes

Nodial cardiocytes (SA and AV node)

Myoendocrine cardiocytes

striations
intercalated disks
lipofuscin granules

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8
Q

Intercalated Discs characteristics

A

Specialized, interdigitating junctions between cardiocytes

at sites where cells meet end to end, always concide with Z lines

Bind cells, transmit forces of contraction and allow the spread of excitation

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9
Q

What are the three types of membrane to membrane contacts and what region are they found in

A
Transverse region (perpendicular):
Fascia adherens
-actin filaments at the ends of terminal sacromeres insert into junction

Demosomes: Provide anchorage for the intermediate filaments of the cytoskeleton

Longitudinal region (parallel)
Gap junctions: sites of low electrical fresistance
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10
Q

Diad T-Tubles characteristics

A

Diad= 1 T-tubule and 1 SR cistern

Fingerlike invaginations of sarcolemma

found at Z-lines

Permits uniform contraction of myofibrils within a single cardiocyte

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11
Q

How does parasympathetic and sympathetic fibers alter the nodes

A

Only modify the rate of intrinsic cardiac muscle contractiomn

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12
Q

order of Conducting system

A
Sinoatrial Node
AV node
AV bundle
R/L bundle branches
Purkinje fibers
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13
Q

Characteristics of the Purkinje Fibers

A

Specialized cardiac muscle cells that conduct electrical impulses that allow coordinated contraction

fewer myofibrils but an increase in glucogen

larger and typically seen at periphery of myocardium

they lack T tubules

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14
Q

What are Atrial granules

A

contain precursor of atrial natriuretic factor (ANF)
-ANF targets kidneys to decrease Na+ and H2O retention

these are found in Myoendocrine cardiocytes

these cells are found mainly in the right atrium less in the left atrium and the ventricles

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15
Q

How does the Endocardium differ in the ventricles and the atria

A

Ventricles: has a subendocardial layer

  • thin layer of CT with smooth muscle
  • merges with myocardium
  • contains branches of purkinje fibers

In atria: the subendocardial layer is lacking

  • purkinje fibers are typically closer to endothelium
  • and the layer is mixed in with the myocardium
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16
Q

Cardiac skeleton characteristics

A

Dense irregular CT located in the endocardium
anchors valves and surrounds AV canals to hold shape

contributes to the interventricular interarterial septa

extends into the valve cusps and chordae tendinae

serves as an insertion point for cardiac muscle

electrical insulator between the atria and the ventricles

17
Q

Heart Valves characteristics

A

core of fibroelastic CT covered by endothelium

continuous with the cardiac skeleton

Fibroelastic layer of endocardium condenses to form a valve ring
-creates central portion of valve