CARDIO VASCULAR SYSTEM Flashcards
delivers oxygen and nutrients to the body tissues and carries away wastes such as carbon dioxide via blood.
The cardiovascular system
directed toward the left hip and rests on the diaphragm, approximately at the level of the fifth intercostal space
apex
Its broad posterosuperior aspect, from which the great vessels of the body emerge, points toward the right shoulder and lies beneath the second rib.
base
The heart is enclosed by a sac called the
pericardium
The loosely fitting superficial part of pericardium, helps protect the heart and anchors it to surrounding structures, such as the diaphragm and sternum
fibrous pericardium
Deep to the fibrous pericardium is the slippery, two-layered
serous pericardium
The parietal layer of the serous pericardium, outside layer that lines the inner surface of the fibrous pericardium. a U-turn and continues inferiorly over the heart surface
parietal pericardium
The visceral layer of the serous pericardium, is the part of the heart also called the epicardium
visceral pericardium
is the innermost layer of the pericardium and the outermost layer of the heart wall
epicardium
Lubricating serous fluid is produced by the serous pericardial membranes and collects
between these serous layers.
This fluid allows the heart to beat easily in a relatively frictionless environment as the serous pericardial layers slide smoothly across each other.
serous fluid
Inflammation of the pericardium, often results in a decrease in the already small amount of serous fluid.
pericarditis
The heart walls are composed of three layers:
- the outer epicardium (the visceral pericardium just described)
- the myocardium
- and the innermost endocardium
consists of thick bundles of cardiac muscle twisted and whorled into ringlike arrangements, It is the layer that actually contracts
myocardium
are linked together by intercalated discs, which contain both desmosomes and gap junctions.
Myocardial cells
is a thin, glistening sheet of endothelium that lines the heart chambers. It is continuous with the linings of the blood vessels leaving and entering the heart.
endocardium
The heart has four hollow cavities, or chambers
two atria and two ventricles
are primarily receiving chambers
The superior atria
The superior atria are
primarily
receiving chambers
they are not important in the pumping activity of the heart. Instead, they assist with filling the ventricles.
superior atria
The inferior, thick-walled ventricles, or actual pumps of the heart
discharging chambers
forms most of the heart’s anterior surface
right ventricle
forms its apex
left ventricle
septum that divides the heart longitudinally where it divides the atria and the interventricular septum is referred to as the
interatrial septum
where it divides the ventricles
interventricular septum
side of the heart that works as the pulmonary circuit pump, receives oxygen-poor blood from the veins of the body through the large superior vena cava and inferior vena cava
right side
right side receives oxygen-poor blood and pumps it out through the
pulmonary trunk
The pulmonary trunk splits into 2, which carry blood to the lungs
right and left pulmonary arteries
Oxygen-rich blood drains from the lungs and is returned to the which side of the heart through the four pulmonary veins.
left side
Oxygen-rich blood drains from the lungs and is returned to the left side of the heart through
four pulmonary veins.
This circuit, from the right ventricle (the pump) to the lungs and back to the left atrium (receiving chamber), is called
pulmonary circulation
Its only function is to carry blood to the lungs for gas exchange and then return it to the heart.
pulmonary circulation
Oxygen-rich blood returned to the left atrium flows into the left ventricle and is pumped out to?
aorta
Oxygen-rich blood returned to the which atrium
left atrium
from ___, which the systemic arteries branch to supply essentially all body tissues.
aorta
After oxygen is delivered to tissues, oxygen-poor blood circulates from the tissues back to the right atrium via the
systemic veins
carry blood toward the heart
veins
carry blood away from the heart
arteries
This second circuit, from the left ventricle through the body tissues and back to the right atrium, It supplies oxygen- and nutrient-rich blood to all body organs, is called
systemic circulation
its walls are substantially thicker than those of the right ventricle and it is a much more powerful pump.
left ventricle
are located between the atria and ventricles on each side. These valves prevent backflow into the atria when the ventricles contract.
atrioventricular (AV) valves
The left AV valve, also called the mitral valve—consists of two flaps, or cusps, of endocardium.
bicuspid valve
The right AV valve, has
three cusps
the tricuspid valve
Tiny white cords, “tendinous
cords” anchor the cusps to the walls of the ventricles.
think of them as “heart strings”
chordae tendineae
The second set of valves, guards the bases of the two large arteries leaving the ventricular chambers.
semilunar valves
two large arteries leaving the ventricular chambers.
pulmonary semilunar valve and aortic semilunar valve
forces the heart to pump and repump the same blood because the valve does not close properly, so blood backflows.
incompetent valve
the valve cusps become stiff, often because of repeated bacterial infection of the endocardium (endocarditis).
valvular stenosis
branch from the base of the aorta and encircle the heart in the coronary sulcus (atrioventricular groove) at the junction of the atria and ventricles
coronary arteries
The functional blood supply that oxygenates and nourishes the myocardium is provided by
the right and left coronary arteries.
The coronary arteries branch from the base of the aorta and encircle the heart in the
coronary sulcus (atrioventricular groove)
The coronary arteries and their major branches
- the anterior interventricular artery circumflex artery on the left
- the posterior interventricular artery and marginal artery `on the right
The myocardium is drained by several ____, which empty into an enlarged vessel on the posterior of the heart called the coronary sinus.
cardiac veins
empties into the right atrium, posterior of the heart
coronary sinus.
the myocardium is deprived of oxygen often result in crushing chest pain
angina pectoris
the oxygen-deprived heart cells may die, forming an area called an
infarct
or MI, is commonly called a “heart attack” or a “coronary.”
myocardial infarction
which act like brakes and gas pedals to decrease or increase the heart rate, depending on which division is activated.
autonomic nervous system
that is built into the heart tissue and sets its basic rhythm like a drummer sets the beat for a rock band playing a song.
intrinsic conduction system, or nodal system
This system causes heart muscle depolarization in only one direction—from the atria to the ventricles.
intrinsic conduction system, or nodal system
located in the right atrium, one of the most important parts of the intrinsic conduction system is a crescent-shaped node of tissue called
sinoatrial (SA) node
which spread within the myocardium of the ventricle walls.
Purkinje fibers
at the junction of the atria and ventricles
atrioventricular (AV) node
the atrioventricular (AV) bundle (bundle of His) and the right and left bundle branches located in the
interventricular septum
any damage to the AV nod can partially or totally block the ventricles from the control of the SA node. the ventricles begin to beat at their own rate, which is much slower, some or all of the time.
heart block
or lack of an adequate blood supply to the heart muscle, may lead to fibrillation
Ischemia
a rapid, uncoordinated quivering of the ventricles, makes the heart unable to pump any blood and so is a major cause of death from heart attacks in adults.
fibrillation
is a rapid heart rate (over 100 beats per minute).
Tachycardia
is a heart rate that is substantially slower than normal (less than 60 beats per minute).
Bradycardia
refers to the events of one complete heartbeat, during which both atria and ventricles contract and then relax.
cardiac cycle
period of contraction of the ventricles of the heart that occurs between the first and second heart sounds of the cardiac cycle
Systole
the relaxation of the heart during which its cavities expand and fill with blood
diastole
We will consider the cardiac cycle in terms of events occurring during five periods
- Atrial diastole (ventricular filling)
- Atrial systole
- Isovolumetric contraction
- Ventricular systole (ejection phase)
- Isovolumetric relaxation
cardiac cycle period where heart completely relaxed, Pressure in the heart is low, the AV valves are open, and blood is flowing passively through the atria into the ventricles. The semilunar valves are closed.
- Atrial diastole (ventricular filling).
cardiac cycle period where the ventricles continue to contract, causing the intraventricular pressure to surpass the pressure in the major arteries leaving the heart. This causes the semilunar valves to open and blood to be ejected from the ventricles. During this phase, the atria are again relaxed and filling with blood.
- Ventricular systole (ejection phase)
cardiac cycle period where the ventricles remain in diastole as the atria contract, forcing blood into the ventricles to complete ventricular filling.
- Atrial systole.
cardiac cycle period where atrial systole ends, and ventricular systole begins. The initial rise in intraventricular pressure closes the AV valves, preventing backflow of blood into the atria. For a moment, the ventricles are completely closed chambers.
- Isovolumetric contraction
cardiac cycle period where as ventricular diastole begins, the pressure in the ventricles falls below that in the major arteries, and the semilunar valves close to prevent backflow into the ventricles.
- Isovolumetric relaxation.
heart sounds are often described by the two
syllables
“lub” and “dup”
The first heart sound is caused by the closing of the AV valves. -longer and louder
“lub”
The second heart sound occurs when the semilunar valves close at the end of ventricular systole. - short and sharp
“dub”
Abnormal or unusual heart sounds are called
heart murmurs
if a valve does not close tightly, a swishing sound will be heard after that valve has (supposedly) closed
valved is incompetent
traces the flow of current through the heart
electrocardiograph (ECG)
The first wave, which follows the firing of the SA node, is the __. small and signals the depolarization of the atria immediately before they contract.
Pwave.
which results from the depolarization of the ventricles, has a complicated shape. It precedes the contraction of the ventricles.
QRS complex
results from currents flowing during the repolarization of the ventricles.
T wave
is the amount of blood pumped out by each side of the heart
Cardiac output (CO)
Cardiac output (CO) is the product of
heart rate (HR) and the stroke volume (SV)
is the volume of blood pumped out by a ventricle with each heartbeat.
stroke volume (SV)