Cardiology 10.1 Structures and Organization of the Cardiovascular System Flashcards
What is the central organ of the cardiovascular system
The Heart
What are the 2 parts of the pericardium
Fibrous Pericardium
Serous Pericardium
How does the pericardium function to protect the heart?
- Anchoring it in place
2. Prevent it from over stretching
What are the layers of the Serous Pericardium?
- Parietal
2. Visceral
What substance is between the 2 layers of the Serous Pericardium?
Lubricating Fluid
What are the 3 layers of the Heart?
- Epicardium
- Myocardium
- Endocardium
What layer is also a part of the Epicardium?
Visceral layer of the serous pericardium
How many chambers compose the heart?
4
What are the names of the chambers of the heart?
Right Atrium
Right Ventricle
Left Atrium
Left Ventricle
Where does the Right Ventricle pump blood too?
The lungs
Where does the Left Ventricle pump blood too?
The rest of the body.
What carries blood away from the heart?
Arteries
What carries blood to the heart from the rest of the body?
Veins
What does blood travel through when it is pumped from the Right Ventricle to the Lungs?
Pulmonary Artery
What does blood travel through when it returns to the heart from the lungs?
Pulmonary Vein
What valves are considered Atrioventricular Valves?
Tricuspid valve
Bicuspid valve
What valves are considered Semilunar valves?
Aortic Valve
Pulmonary Valve
Where does DEoxygenated blood enter the heart?
Right Atrium
By what 3 pathways can deoxygenated blood travel to the heart?
Superior Vena Cava
Inferior Vena Cava
Coronary Sinus
What chamber pumps blood into the Aorta?
Left Ventricle
What carries blood to the entire body from the left ventricle?
Aorta
How does blood flow through the body?
Blood flows into the right atrium, passes through the tricuspid valve to the right ventricle, then through the pulmonary valve into the pulmonary artery to the lungs. From the lungs through the pulmonary vein to the left atrium through the bicuspid valve into the left ventricle, then pumped through the aortic valve into the aorta to the rest of the body. Blood then returns via the Inferior/Superior vena cava to the right atrium.
The Vena Cava does what function in the body?
Drain deoxygenated blood from the lower body (inferior vena cava) and upper body (superior vena cava) into the right atrium.
What is blood flow through the myocardium known as?
Coronary circulation
What are the principal coronary vessels?
Left coronary artery
Right coronary artery
What collects the heart’s deoxygenated blood and returns it to the right atrium
Coronary sinus
In what structure does Cardiac Excitement normally begin?
Sinoatrial(SA) node
From the SA node, what is the next step in cardiac excitement?
Conducts through the atria, via Bachmann’s bundles, causing contraction.
What node is responsible for cardiac excitement of the ventricles?
Atrioventricular(AV) node
How is cardiac excitement transmitted from the AV node?
Through the AV bundle branches (bundle of his) to the Purkinje fibers
What are 3 discernable waves on an ECG?
P wave
QRS Complex
T wave
What does the P wave represent?
Atrial depolarization
What does the QRS Complex represent?
Ventricular Depolarization
What does a T wave represent?
Ventricular Repolarization
Why can we not discern Atrial Repolarization?
It is hidden by the QRS Complex. (ventricular depolarization)
How long is a cardiac cycle?
1 heartbeat (approx. 0.8 sec)
What are the 3 phase of a cardiac cycle?
- Relaxation Period
- Atrial Systole
- Ventricular Systole
During the relaxation phase, what percentage of the ventricle is filled with blood?
75%
What phase pushed the blood from the ventricles to the corresponding artery?
Ventricular Depolarization
What happens during Atrial Depolarization?
Atriums contract and the empty 25% of the ventricles are filled with blood.
What is the amount of blood pumped from the left ventricle to the aorta per minute called?
Cardiac Output.
What is the Cardiac Output formula?
Stroke Volume x Heart Rate
Approximately how much blood is ejected into systemic circulation per ventricular contraction?
70ml
What are the 5 main types of blood vessels?
- Arteries
- Arterioles
- Capillaries
- Venules
- Veins
What is the ability of local tissues to adjust blood flow (constrict or
dilate) into the area according to metabolic demands via vasodilators and vasoconstrictors.
Autoregulation
What are very thin vessels that form when capillaries unite?
Venules
Thin vessels that are formed by arteries branching down in size are called:
Arterioles
What are hair-like microscopic vessels found throughout the body called?
Capillaries
What connects arterioles and venules and are also known as exchange vessels?
Capillaries
What are thick triple layer vessels that carry blood away from the heart?
Arteries
What are designated vessels that return blood to the heart?
Veins
What is the total volume of blood contained in the veins and venules?
64%
Where does the slowest rate of blood flow take place and why?
Capillaries, to allow the exchange of substances and nutrients through vessel walls.
Excess lost fluid is returned to the circulatory system via what?
Lymphatic System
How much blood volume is typically in the cardiovascular system?
Normally 5 Liters (5.3 quarts)
What is defined as pressure exerted on the walls of vessels as the ventricles contract?
Blood Pressure
Where is blood pressure highest in the body?
The Aorta and large systemic arteries
What is vascular resistance?
Opposition to flow (lumen size)
What factors regulate blood flow and BP?
Cardiac Output (volume and contraction) Vascular Resistance
What are 3 ways that increase vascular resistance?
Vasoconstriction (smaller lumen) Weight gain (greater vessel length) High Hematocrit (higher viscosity)
What regulates blood flow to the body?
The Brain
3 main types of receptors that provide feedback are:
Proprioceptors
Baroceptors
Chemoreceptors
What are 2 main pathways for circulation of blood through the body?
Systemic arteries
Systemic Veins
What is the name for the route that blood takes from the heart to the lungs to pick up oxygen and back to the heart.
Pulmonary circulation
Where does the gas exchange take place to re-oxygenate blood?
Pulmonary capillaries
Four principle branches of the Aorta are:
Ascending Aorta
Arch of the Aorta
Thoracic Descending
Abdominal Descending
What arteries branch off the ascending aorta?
Left and right coronary arteries
What branches off of the arch of the aorta?
Brachiocephalic trunk
Left subclavian
Left carotid
What does the brachiocephalic trunk branch into?
Right carotid
Right subclavian
What major branch to the brain does the right subclavian give off before it passes into the axilla?
Right Vertebral Artery
Subclavian arteries branch further into what arteries?
Axillary
Brachial
Radial
Ulnar
Which arteries supply blood to the different parts of the arms?
Axillary : Shoulder
Brachial : Upper Arm
Radial : Lateral portion of the forearm, wrist, and hand
Ulnar : Medial portion of the forearm, wrist, and hand
The Thoracic Aorta has what main arteries that branch off of it?
Bronchial
Esophageal
Posterior intercostal
Superior phrenic
The Celiac trunk branches into:
Inferior Phrenic Artery
Common Hepatic Artery
Left Gastric Artery
Splenic Artery
The superior mesenteric artery supplies what parts of the body?
Small intestine, cecum, ascending and transverse colon, pancreas
The adrenal glands are supplied blood from what artery?
Suprarenal Artery
Kidneys get their blood from which artery?
Renal Artery
The Gonadal Arteries branch into:
Testicular or Ovarian Arteries
The Common Iliac Arteries branch from what main Artery?
Abdominal Aorta
What arteries supply the pelvis?
Internal Iliac arteries
What does the External Iliac arteries supply blood to?
Lower limbs
What are the 5 arteries that the External Iliac branch into?
Femoral Popliteal Anterior Tibial Posterior Tibial Medial and lateral plantar
The plantar arteries supply blood to what parts of the body?
Muscles and skin of the feet and toes
Lower abdominal wall, groin, external genitals, and the thigh are all examples of areas supplied by what artery?
Femoral Artery
Calf Muscles, patella, fibula, femur, posterior leg muscles and skin are examples of area supplied by this artery:
Popliteal Artery
The posterior tibial artery supplies blood to what?
muscles, bones, and joints of the leg and foot
The anterior muscles and skin of the legs, ankle joints and knee joint have their blood supplied by this artery:
Anterior Tibial Artery
What generates pressure to move blood through the veins back to the heart?
Respiratory pump
Skeletal muscle pump
Contractions of the Heart
What is the largest vein in the body?
Inferior Vena Cava
What 3 systemic veins carry deoxygenated blood back to the heart?
Coronary Sinus
Superior Vena Cava
Inferior Vena Cava
3 main veins that drain blood away from the head.
Internal Jugular
External Jugular
Vertebral Veins
Name the 3 superficial veins that drain the upper body.
Cephalic Vein
Basilic Vein
Median Antecubital Vein
Name the 5 Deep Veins that drain the upper body
Radial Veins Ulnar Veins Brachial Veins Axillary Veins Subclavian Veins
Where does blood circulation during Hepatic Portal circulation?
- Blood drains from the GI tract and spleen to hepatic portal vein
- is delivered to the liver to be processed and absorb substances from the GI tract
- Returns to systemic circulation via the hepatic vein
The superficial veins that drain the lower body are?
Greater Saphenous
Small Saphenous
Deep Veins that drain the lower body are:
Posterior tibial veins
Anterior tibial veins
Popliteal Veins
Femoral Veins
What are common arteries used to assess the pulse?
Radial Artery
Carotid Artery
Brachial Artery
Popliteal Artery
How is the pulse assessed?
By holding pressure on common arteries for one minute
What instrument is used to measure blood pressure?
Sphygmomanometer
What are considered normal blood pressure findings?
Systolic (top/first number) below 120 mm Hg
Diastolic (bottom/second number) below 80 mmHg
What pulse rate is considered bradycardia?
Below 60 BPM
What pulse rate is considered Tachycardia?
Above 100 BPM
As the heart ages, what is there an increased risk of developing?
CAD, CHF and atherosclerosis
When speaking of regular exercise, what is the amount that is considered essential to improve overall cardiovascular health?
20 minutes 3-5 times weekly
What are the benefits of exercise?
- Maintaining low resting heart rate
- Better control of blood pressure
- Decrease anxiety and depression
- Control weight
- Increase ability of body to absorb clots by fibrinolytic activity