cardiovascular anatomy Flashcards

1
Q

where is the heart located and how big is it?

A

located in the mediastinum (area of thoracic cavity between lungs)
it is fist-sized (250-350g)

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2
Q

what is the systemic vs. pulmonary circuit

A

systemic- heart pumping oxygenated blood to body, body bringing deoxygenated blood to heart
pulmonary- heart pumping deoxygenated blood to lungs, lungs bringing oxygenated blood to heart

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3
Q

what are the coverings of the heart called?

A

pericardium

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4
Q

coverings of the heart from outermost to innermost

A

fibrous pericardium
parietal pericardium
pericardial cavity (serous fluid)
visceral pericardium (“epicardium”)

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5
Q

what are the 3 layers of the heart

A
  • epicardium (visceral pericardium)= simple squamous+areolar
  • myocardium (cardiac muscle)
  • endocardium (membrane lining chambers)= simple squamous+areolar
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6
Q

explain the 2 atria

A

right atrium- receives blood from body

left atrium- receives blood from lungs

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7
Q

explain the 2 ventricles

A

right ventricle- receives blood from r. atrium

left ventricle- receives blood from l. atrium

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8
Q

what is the septum?

A

left side is separated from right side by a thick wall (SEPTUM)
L&R atria, L&R ventricles contract TOGETHER

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9
Q

what are heart valves?

A

flaps of endocardium=dense CT

=prevent backflow of blood

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10
Q

what are the atrioventricular valves (AV)

A
  • between atria and ventricles
  • prevent backflow
  • triscupid valve (between RA and RV)
  • biscuspid valve (between LA and LV)
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11
Q

what are the atrioventricular valves anchored to?

A

papillary muscles by chordae tendineae

=these strands of CT prevent collapse of valves when ventricles contract

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12
Q

what are the semilunar valves (SL)

A
  • between ventricles and large arteries of the heart
  • prevent backflow into ventricles from arteries leaving heart
  • pulmonary semilunar valve (between pulmonary trunk and RV)
  • aortic semilunar valve (between aorta and LV)
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13
Q

what is blood turbulence associated with?

A

valve closure

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14
Q

explain the sounds produced by the heart

A

2 distinct sounds
-“lubb” (S1) AV valve closure (following atrial contraction)
-“dupp” (S2) SL valve closure (following ventricular contraction)
faint third and fourth can be heart in healthy heart
S3= blood into ventricles
S4= atria contract

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15
Q

what is a heart murmur?

A

abnormal sounds heard during auscultation of the heart

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16
Q

3 blood vessels

A

arteries+veins+capillaries

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17
Q

what is the basic structure (3 layers) of blood vessels

A
  • tunica externa (superficial)= fibrous C.T
  • tunica media (middle)= smooth muscle&elastic C.T
  • tunica interna (deep)= endothelium, basement membrane, elastic membrane
18
Q

how many layers do capillaries have?

A

only one layer. endothelium with thin basement membrane

19
Q

explain arteries (blood flow, pressure, layers)?

A
  • blood AWAY from heart
  • most OXYGENATED
  • HIGH PRESSURE (elastic membrane facilitates stretching
  • THICK tunic media (smooth muscle allows constriction)
20
Q

types of arteries?

A

1) large arteries- (aorta) thick layer of elastic tissue, high pressure
2) distributing (muscular)- mid-sized, thick smooth muscle
3) arterioles- smallest, no externa, thin smooth muscle

21
Q

explain veins (blood flow, pressure, layers)?

A
  • blood TOWARD heart
  • most DEOXYGENATED
  • LOW PRESSURE
  • thin tunica media (less smooth muscle)
  • VALVES (prevent backflow)
  • venules (smallest)- no smooth muscle
22
Q

how does the venous system return blood to heart if pressure is low?

A
  • “skeletal muscle pump”= muscle contraction massages veins (valves prevent backflow)
  • “respiratory pump”- changes in thoracic and abdominal pressure
  • expansion of rib cage
23
Q

what are varicose veins?

A

valves do not close properly, weakened walls, inflammation

24
Q

explain capillaries?

A
  • SMALL (about diameter of one RBC)
  • form CAPILLARY BEDS
  • SITE of EXCHANGE (between blood and tissues)
  • endothelium ONLY, thin and permeable
25
what are capillary beds?
- networks of capillaries CONNECTING arterioles with venules - flow regulated by rings of smooth muscle called PRECAPILLARY sphincters - site of exchange, large surface area
26
what is the coronary sulcus? what sits there?
it separates the atria and the ventricles | -right coronary artery sits there
27
left and right coronary arteries?
arise from aorta and provide oxygenated blood to the heart tissue
28
when blood flow through a coronary artery is blocked, what happens?
spasm in smooth muscle of heart, heart attack
29
the right atrium receives blood from where?
deoxygenated blood from superior and inferior vena cava and from coronary sinus
30
what does the pulmonary trunk branch into?
left and right pulmonary arteries
31
pulmonary veins carry?
oxygenated blood
32
pulmonary arteries carry?
deoxygenated blood
33
why is the left ventricular wall so much thicker than the right?
thicker to enable the left ventricle to develop pressure to push blood through the large systemic circuit
34
function of the aortic semilunar valve?
blood leaves left ventricle through aortic valve into ascending aorta
35
where do coronary arteries originate from?
base of the ascending aorta
36
the coronary sinuses deliver deoxygenated blood to?
right atrium
37
what is a CAD?
partial or complete blockage of coronary circulation
38
what is myocardial infarction?
part of the coronary circulation becomes blocked and cardiac muscle cells die from lack of oxygen
39
brain can receive oxygenated blood from what 2 pairs of major arteries?
basilar artery | internal carotid artery
40
the basilar artery and internal carotid artery are connected by a ring shaped anastomosis called..
the circle of willis