Cardiovascular System Flashcards

1
Q

What does the circulatory system consist of? (3)

A

Heart

Blood vessels

Blood

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2
Q

What kind of circulatory system is in humans?

A

A closed system used to transport essential food, oxygen, nutrients and water to the cells of the body.

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3
Q

What does a closed circulatory system mean? (3)

A

The transport medium (blood) is contained in blood vessels and is not in direct contact with tissues.

The medium is under pressure as it is pumped around the body and returns directly to the heart.

This maintains pressure of the blood and ensures blood flows faster and blood flow can be directed.

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4
Q

What is the structure d the heart? (4)

A

It is hollow

Come-shaped muscular organ

Apex is at the bottom

Base is at the top

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5
Q

What is the position of the heart? (3)

A

Lies in the mediastinum of the thoracic cavity

Lies posteriorly to the sternum and between the lungs

Lies at an oblique angle, two thirds of which lie to the left of the bodies midline

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6
Q

Where is the apex of the heart positioned?

A

It is about 9cm to the left of the midline at the level of the 5th intercostal space

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7
Q

Where is the base of the heart positioned?

A

It extends to the 2nd rib.

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8
Q

What organ is inferiorly associated with the heart?

A

Diaphragm

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9
Q

What organ is associated superiorly to the heart? (4)

A

Aorta

Superior vena cava

Pulmonary artery

Pulmonary veins

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10
Q

What organ is laterally associated with the heart?

A

Lungs

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11
Q

What organs are located posteriorly to the heart? (6)

A

Oesophagus

Trachea

Left and right bronchus

Descending aorta

Inferior vena cava

Thoracic vertebrae

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12
Q

What organs are located anteriorly to the heart? (3)

A

Sternum

Ribs

Intercostal muscles

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13
Q

What are the three layers (structure) of the heart?

A

Pericardium (outer layer)

Myocardium (middle layer)

Endocardium (inner layer)

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14
Q

What is the purpose of serous fluid in the heart?

A

Lubrication

Allows layers to slide over eachother during each pump of the heart

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15
Q

What is the outer pericardium also known as?

A

Heart sac

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16
Q

What is the pericardium?

A

It is the outermost layer of the heart

Outer sac is fibrous

Inner sac is double layer of serous membrane

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17
Q

What is the two key characteristics of the outer fibrous sac of the pericardium?

A

It is continuous with the tunica adventitia (extra coat) of the blood vessels

Attached to the diaphragm below

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18
Q

What is the tunica externa?

A

It is the coating on the outer surface of the blood vessels

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19
Q

What is the tunica intima?

A

The most inner region of a blood vessel

Has endothelium, subendothelial layer was internal elastic lamina

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20
Q

What is tunica media?

A

The middle of the blood vessel, in between the tunica intima and tunica externa.

Has external elastic lamina

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21
Q

What is the purpose of an outer fibrous sac of the pericardium?

A

Prevents over-distension of the heart

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22
Q

What is the inner layer of the pericardium and explain the outer layer and how they both work? (4)

A

It consists of a double serous membrane

Outer layer is called the parietal pericardium and lines the fibrous sac

The inner layer is called the visceral pericardium and is adherent (attached) to the heart muscles

There is a potential space in between these that contain serous fluid and prevents friction

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23
Q

What lines the fibrous sac of the pericardium?

A

Parietal pericardium (outer layer)

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24
Q

What is adherent (attached) to the heart muscle?

A

Visceral pericardium (inner layer)

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25
Q

What is the pericardium?

A

It is the membrane enclosing the heart, consisting of an outer fibrous layer and an inner double layer of serous membrane

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26
Q

What is the myocardium composed of? (2)

A

Specialised cardiac muscle found only in the heart

It is striated and is not under voluntary control

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27
Q

What happens when an impulse is initiated in the heart in the myocardium?

A

It spreads from cell to cell (cellular communication) via the branches and intercalated discs

28
Q

What are the key features of the myocardium in the heart? (2)

A

It is thicker at the apex

The left ventricle has a thicker myocardium than the right because the right only has to pump blood to the lungs whereas the left has to pump around the whole body so needs to create more pressure.

29
Q

What is the network of specialist conducting fibres responsible for?

A

Transmitting the hearts electrical signals also running through the myocardium

30
Q

What separates the atria and ventricles and what is it’s key characteristic? (2)

A

They are separated by fibrous tissue that DOES NOT conduct electrical impulses.
Therefore it is up to the electrical conducting system to transmit impulses from the atria to the ventricles.

31
Q

What is the endocardium?

A

It is what lines the chambers and valves of the heart

32
Q

What does the endothelium consist of?

A

Flattened squamous epithelium

33
Q

What is the purpose of the flatted squamous epithelium in the endothelium of the heart?

A

It allows a smooth passage of blood flow inside the heart and prevents blood clotting.
It is continuous with the tunica intima in the blood vessels

34
Q

How is the inferior of the heart divided into the right and left hand side?

A

By the septum

35
Q

What is the septum composed of?

A

It is myocardium covered by endothelium.

36
Q

How are atrioventricular valves formed?

A

They are formed by double folds of endocardium strengthened by a little fibrous tissue

37
Q

What is the right atrioventricular valve also known as?

A

Tricuspid valve

38
Q

What is the left atrioventricular valve also known as?

A

Bicuspid valve

39
Q

How does blood go from the atrium into the ventricles?

A

The valves open under pressure in the atrium

40
Q

How does the valves close after blood travels from the atrium into the ventricles?

A

The pressure forces them shut

41
Q

What structure prevents valves opening upwards?

A

Chordae tendineae

42
Q

Why are valves extended inferiorly and open downwards?

A

Have papillary muscles

43
Q

What are papillary muscles?

A

Extensions of myocardium

44
Q

Describe pulmonary circulation? (3)

A

Deoxygenated blood returns to the heart via the superior and inferior vena cava into the right atrium.

It passes through the tricuspid valve into the right ventricle

It leaves the right ventricle via the pulmonary arteries and goes to the lungs for reoxygenation. Carbon dioxide is also exchanged via diffusion

45
Q

Describe systemic circulation? (3)

A

The oxygenated blood leaves the lungs and enters the left atrium via the pulmonary vein

It passes through the bicuspid valve into the left ventricle

It is forced into the aorta via the semi lunar valves for deliverance around the body to the tissues

46
Q

What is the sinoatrial node? (3)

A

It is a small mass of specialised called that lie in the walls of the right atrium near the opening of the superior vena cava generating regular impulses initiating contractions.

It is known as the pacemaker

Control depolarisation and repolarisation

47
Q

What is the atrioventricular node? (3)

A

It is a mass of neuromuscular tissue that is situated in the wall of the atrial septum near the atrioventricular valves.

Imposes slight delay allowing atria to fully contract and empty of blood before the ventricles contract.

It then passes signal to Bundle of His

48
Q

What is the Bundle of His? (4)

A

It is made of purkenji fibres

It is a conducting tissue running down septum

Branches travelling town septum to apex

Fibres spread up ventricle walls and causes contraction of ventricles from apex upwards to push blood up and out of the heart. The ventricles completely empty.

49
Q

What is a key characteristic of specialised cells in the myocardium?

A

It is able to initiate contractions without the need for outside stimuli (nervous or hormonal)

50
Q

What two circulating hormones does the heart respond to?

A

Adrenaline

Thyroxine

51
Q

How many bpm can the atrioventricular node produce without the use of SA node?

A

40-60bpm at a slower rate

52
Q

Where is the cardiovascular centre located?

A

Medulla oblongata

53
Q

What does the cardiovascular centre do?

A

It controls the rate and force of cardiac contraction

54
Q

What does the Cardiac Acceleratory Centre (CAC) do?

A

It stimulates the heart

- increases heart rate and contractility

55
Q

What does the Cardiac Inhibitory Centre (CIC) do?

A

It inhibits the heart

- parasympathetic stimulus along the vagus nerve decreases the heart

56
Q

What factors affect heart rate?

A
Gender
Autonomic activity
Age
Hormones
Exercise
Temp
Emotion
57
Q

What is the sequence of the cardiac cycle?

A

Atrial systole
Ventricular systole
Compete cardiac diastole

58
Q

What is atrial systole?

A

Contraction of the atria

59
Q

What is ventricular systole?

A

Contraction of the ventricles

60
Q

What is cardiac diastole?

A

Relaxation of the atria and ventricles

61
Q

What is cardiac output?

A

It is the amount of blood ejected from each ventricle every minute

62
Q

What is stroke volume?

A

The amount of blood ejected from each ventricle on every contraction

63
Q

How do you worn out cardiac output?

A

Cardiac output = stroke volume x heartbeat

64
Q

What is venous return?

A

It is the flow of blood back to the heart. Need steady-state conditions, venous return must equal cardiac output.

65
Q

The force of contraction of the left ventricle is not sufficient to force the blood back to the heart. Other factors assist this: (4)

A

Position of the body

Muscular contraction

Respiratory pump

Suction of the heart

66
Q

What is blood vessels made of?

A

Connective tissue and muscle

The inner layer of blood vessels are formed of endothelium