Cardiovascular Flashcards
heart location
located on left side of the thorax and apex is found at the point of maximal impulse (PMI) which is between the midclavicular line and between the 5th and 6th ribs
what side of the midline is the heart mostly found on?
the left side, because of its tilting action as it contracts
right atrium
receives deoxygenated blood through the superior vena cava and inferior vena cava and the coronary sinus and then sends that blood to the right ventricle through the tricuspid valve.
right ventricle
receives blood from the right atrium, then sends blood out through pulmonary semilunar valves through to the pulmonary arteries towards the lungs to be oxygenated
left atrium
blood enters through the right and left pulmonary veins and into the left ventricle through the bicuspid valve
left ventricle
blood enters through the bicupsid valve and exits out of the aortic semilunar valve and around the rest of the body.
layers of the heart wall
epicardium, myocardium, endocardium
what does the epicardium contain?
visceral pericardium (connects the epicardium to the pericardium), large blood vessels, FCT and adipose tissues
myocardium
makes up most of the thickness of the heart wall and is thicker on the left side because the left ventricle is responsible for pushing more blood around the body, so needs more space
what does the endocardium contain?
is squamous epithelium, FCT, small blood vessels and Purkinje fibres
pericardium
sack around the heart itself that provides protection and for the heart to move around when contracting
structure of pericardium
fibrous pericardium and a parietal layer of the serous pericardium and then the pericardial cavity separates the pericardium from the heart wall
atrioventricular valves
name of valves that bring blood from the aortas into the ventricles
diastole
when blood is moving INTO the heart and atrioventricular valves are open
systole
when blood is moving OUT of the heart; atrioventricular valves are closed but semilunar valves are open
chordae tendinae
attach to the papillary muscles to close the atrioventricular valves during systole; “heartstrings”
papillary muscles
around the atrioventricular valves that close them during systole and open them during diastole; stimulated by built up pressure
function of coronary arteries
pumps blood that is used for the hearts own needs
branches of left coronary artery
circumflex artery and anterior inter-ventricular artery
what layer of the heart wall do all the coronary blood vessels run through?
epicardium
how does blood drain back in the coronary system?
- on the right side, blood drains into the small cardiac vein
- on the left side it drains into the great cardiac vein
- both then drain into the coronary sinus which enters the right ventricle before being reoxygenated.
features of cardiac muscle
- muscle cells in the heart
- centred nuclei
- many mitochondria
- connected with intercalated discs (ICDs) like adhesion belts, desmosomes, gap junctions
intercalated discs
connect cardiac muscle cells; adhesion belts, desmosomes and gap junctions
adhesion belts
link the actin to actin between cells so the cardiac cells contract simultaneously
desmosomes
link cytokeratin with cytokeratin to stabilise the cardiac cells when they contract
conduction pathway function
the pathway that the contraction runs through the heart
what is the conduction pathway?
- starts at SA node in the right atrium which tells the heart when to contract
- then leads down the, right atrium, the interatrial bundle and internodal pathways to the AV node and AV bundle which move the contraction across to the ventricles
- ends with Purkinje fibres
Purkinje fibres
- controls the contraction of the ventricles and used to carry electrical signals and carry a charge.
- are specialised cardiac cells, with glycogen stores, mtiochondria and many gap junctions
major arteries from heart to foot
- common iliac artery
- external iliac artery
- femoral artery
- popliteal artery
- posterior tibial artery
- plantar arch
major veins from the foot to the heart
- plantar venous arch
- posterior tibial vein
- popliteal vein
- great saphenous vein
- femoral vein
- external iliac vein
- common iliac vein
layers of blood vessel wall
tunica intima, tunica media and tunica adventitia
tunica intima
- closest layer of the blood vessel to the lumen
- contains endothelium, sub-endothelium (loose FCT) and internal elastic lamina (IEL) in arteries
internal elastic lamina (IEL)
a condensed sheet of elastic tissue that sits in the tunica intima of arteries NOT in veins; needed so the arteries can expand the most for contractions
tunica media
- second layer of blood vessel
- made of smooth muscle
- thicker in arteries because of increased pressure
tunica adventitia
- last layer of blood vessel
- contains heaps of collagen to prevent the vessel from expanding too much
- includes vaso vasorum in large blood vessels, lymphatics and autonomic nerves
vaso vasorum
the vessels inside of large blood vessels that supply blood to the vessel itself because of how large the vessel is; runs through tunica adventitia
order of classes of blood vessels
aorta - arteries - arterioles - capillaries - venules - veins - venae cavae
do veins or arteries tend to contain more elastin? why’s that?
arteries; to make them more flexible for contractions and blood flow regulation
capacitance vessels
veins that hold extra blood in the body
what prevents the overextension of capacitance vessels?
the thicker tunica adventitia which holds many collagen fibres to stop the vessel growing too massive and
how does blood move in veins?
- valves prevent backflow
- skeletal muscles around veins squeeze the veins to push the blood upwards
capillaries
- the site of exchange between blood and tissues
- spread out into bed to increase SA and have more blood flow through
- thin vessel walls