CARDIOVASCULAR Flashcards
▪ Pericardium—a double-walled sac
▪ Fibrous pericardium is loose and superficial
▪ Serous membrane is deep to the fibrous pericardium and composed of two layers
1. Parietal pericardium: outside layer that lines the inner surface of the fibrous pericardium
2. Visceral pericardium: next to heart; also known as the epicardium
▪ Serous fluid fills the space between the layers of pericardium, called the pericardial cavity
Coverings of the heart
WHAT ARE THE Walls of the heart
- Epicardium
▪ Outside layer; the visceral pericardium - Myocardium
▪ Middle layer
▪ Mostly cardiac muscle - Endocardium
▪ Inner layer known as endothelium
WHAT ARE THE Four chambers of the heart
Atria (right and left)
▪ Receiving chambers
▪ Assist with filling the ventricles
▪ Blood enters under low pressure
•Ventricles (right and left)
▪ Discharging chambers
▪ Thick-walled pumps of the heart
▪ During contraction, blood is propelled into circulation
▪ Separates the two atria longitudinally
Interatrial septum
▪ Separates the two ventricles longitudinally
Interventricular septum
Heart functions as a double pump
▪ Arteries carry blood away from the heart
▪ Veins carry blood toward the heart
Double pump
▪ Right side works as the pulmonary circuit pump
▪ Left side works as the systemic circuit pump
•Heart functions as a double pump
▪ Arteries carry blood away from the heart
▪ Veins carry blood toward the heart
Double pump
▪ Right side works as the pulmonary circuit pump
▪ Left side works as the systemic circuit pump
▪ Blood flows from the right side of the heart to the lungs
and back to the left side of the heart
▪ Blood is pumped out of right side through the pulmonary trunk, which splits into pulmonary arteries and takes oxygen-poor blood to lungs
▪ Oxygen-rich blood returns to the heart from the lungs via pulmonary veins
Pulmonary circulation
WHAT TYPE OF CIRCULATION
▪ Oxygen-rich blood returned to the left side of the heart
is pumped out into the aorta
▪ Blood circulates to systemic arteries and to all body tissues
▪ Left ventricle has thicker walls because it pumps blood to the body through the systemic circuit
▪ Oxygen-poor blood returns to the right atrium via systemic veins, which empty blood into the superior or inferior vena cava
Systemic circulation
•Heart Valves
▪Allow blood to flow in only one direction, to prevent backflow
▪ Atrioventricular (AV) valves—between atria and ventricles
▪ Left AV valve: bicuspid (mitral) valve
▪ Right AV valve: tricuspid valve
▪ Semilunar valves—between ventricle and artery
▪ Pulmonary semilunar valve
▪ Aortic semilunar valve
•Heart Valves
▪Allow blood to flow in only one direction, to prevent backflow
▪ Atrioventricular (AV) valves—between atria and ventricles
▪ Left AV valve: bicuspid (mitral) valve
▪ Right AV valve: tricuspid valve
▪ Semilunar valves—between ventricle and artery
▪ Pulmonary semilunar valve
▪ Aortic semilunar valve
•AV valves - ATRIOVENTRICULAR
▪ Anchored the cusps in place by chordae tendineae to
the walls of the ventricles
▪ Open during heart relaxation, when blood passively fills the chambers
▪ Closed during ventricular contraction
•Semilunar valves
▪ Closed during heart relaxation
▪ Open during ventricular contraction
▪Valves open and close in response to pressure changes in the heart
AV valves
▪ Anchored the cusps in place by chordae tendineae to
the walls of the ventricles
▪ Open during heart relaxation, when blood passively fills the chambers
▪ Closed during ventricular contraction
Semilunar valves
▪ Closed during heart relaxation
▪ Open during ventricular contraction
▪Valves open and close in response to pressure changes in the heart
▪Blood in the heart chambers does not nourish the myocardium
▪The heart has its own nourishing circulatory system consisting of:
▪ Coronary arteries—branch from the aorta to supply the heart muscle with oxygenated blood
▪ Cardiac veins—drain the myocardium of blood
▪ Coronary sinus—a large vein on the posterior of the
heart; receives blood from cardiac veins
Blood also empties into the right atrium via the coronary sinus
—branch from the aorta to supply the heart muscle with oxygenated blood
▪ Coronary arteries
—drain the myocardium of blood
▪ Cardiac veins
—a large vein on the posterior of the
heart; receives blood from cardiac veins
Coronary sinus
▪Intrinsic conduction system of the heart
▪ Cardiac muscle contracts spontaneously and
independently of nerve impulses
▪ Spontaneous contractions occur in a regular and continuous way
▪ Atrial cells beat 60 times per minute
▪ Ventricular cells beat 20−40 times per minute
▪ Need a unifying control system—the intrinsic conduction system (nodal system)
▪Intrinsic conduction system of the heart
▪ Cardiac muscle contracts spontaneously and
independently of nerve impulses
▪ Spontaneous contractions occur in a regular and continuous way
▪ Atrial cells beat 60 times per minute
▪ Ventricular cells beat 20−40 times per minute
▪ Need a unifying control system—the intrinsic conduction system (nodal system)
▪Intrinsic conduction system of the heart (continued)
▪ Two systems regulate heart activity
▪ Autonomic nervous system
▪ Intrinsic conduction system, or the nodal system
▪ Sets the heart rhythm
▪ Composed of special nervous tissue
▪ Ensures heart muscle depolarization in one direction only (atria to ventricles)
▪ Enforces a heart rate of 75 beats per minute
▪Intrinsic conduction system of the heart (continued)
▪ Two systems regulate heart activity
▪ Autonomic nervous system
▪ Intrinsic conduction system, or the nodal system
▪ Sets the heart rhythm
▪ Composed of special nervous tissue
▪ Ensures heart muscle depolarization in one direction only (atria to ventricles)
▪ Enforces a heart rate of 75 beats per minute
▪Intrinsic conduction system of the heart (continued) ▪Components include:
▪ Sinoatrial (SA) node
▪ Located in the right atrium
▪ Serves as the heart’s pacemaker
▪ Atrioventricular (AV) node is at the junction of the atria and ventricles
▪ Atrioventricular (AV) bundle (bundle of His) and bundle branches are in the interventricular septum
▪ Purkinje fibers spread within the ventricle wall muscles
▪Intrinsic conduction system of the heart (continued) ▪Components include:
▪ Sinoatrial (SA) node
▪ Located in the right atrium
▪ Serves as the heart’s pacemaker
▪ Atrioventricular (AV) node is at the junction of the atria and ventricles
▪ Atrioventricular (AV) bundle (bundle of His) and bundle branches are in the interventricular septum
▪ Purkinje fibers spread within the ventricle wall muscles
rapid heart rate, over 100 beats per minute
▪ Tachycardia—
▪—slow heart rate, less than 60 beats per minutes
Bradycardia
Cardiac cycle and heart sounds
▪ The cardiac cycle refers to one complete heartbeat, in
which both atria and ventricles contract and then relax ▪ Systole = contraction
▪ Diastole = relaxation
▪ Average heart rate is approximately 75 beats per minute
▪ Cardiac cycle length is normally 0.8 second
Cardiac cycle and heart sounds
▪ The cardiac cycle refers to one complete heartbeat, in
which both atria and ventricles contract and then relax ▪ Systole = contraction
▪ Diastole = relaxation
▪ Average heart rate is approximately 75 beats per minute
▪ Cardiac cycle length is normally 0.8 second
▪ Heart is relaxed
▪ Pressure in heart is low
▪ Atrioventricular valves are open
▪ Blood flows passively into the atria and into ventricles ▪ Semilunar valves are closed
)
Atrial diastole (ventricular filling)
Cardiac cycle and heart sounds (continued
▪ Ventricles remain in diastole
▪ Atria contract
▪ Blood is forced into the ventricles to complete ventricular filling
▪Atrial systole
Cardiac cycle and heart sounds (continued)
▪ Atrial systole ends; ventricular systole begins
▪ Intraventricular pressure rises
▪ AV valves close
▪ For a moment, the ventricles are completely closed chambers
Isovolumetric contraction
▪ Ventricles continue to contract
▪ Intraventricular pressure now surpasses the pressure in the major arteries leaving the heart
▪ Semilunar valves open
▪ Blood is ejected from the ventricles
▪ Atria are relaxed and filling with blood
Ventricular systole (ejection phase)
Cardiac cycle and heart sounds
▪ Ventricular diastole begins
▪ Pressure falls below that in the major arteries
▪ Semilunar valves close
▪ For another moment, the ventricles are completely closed chambers
▪ When atrial pressure increases above intraventricular pressure, the AV valves open
Isovolumetric relaxation
▪
▪—longer, louder heart sound caused by the closing of the AV valves
Lub -
Heart sounds
▪—short, sharp heart sound caused by the closing of the semilunar valves at the end of ventricular systole
Dup
Heart sounds
What do u call the
▪ Amount of blood pumped by each side (ventricle) of
the heart in 1 minute
Cardiac output (CO)
What do u call the
▪ Volume of blood pumped by each ventricle in one contraction (each heartbeat)
▪ About 70 ml of blood is pumped out of the left ventricle with each heartbeat
Stroke volume (SV)