Ch. 13 Cardiovascular System Flashcards

1
Q

Functions of Heart

A
  • unidirectional flow of blood
  • back flow of blood is prevented by valves within the heart
  • two independent pumps that work independently but at same rate: one directs blood to lungs for gas exchange, other directs blood to body tissues for nutrient delivery
  • develops blood pressure through alternate cycles of the heart wall contraction and relaxation
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2
Q

Location and surface

A
  • lies in mediastinum
  • two thirds of mass lies to the left of the midline
  • apex: lower, pointed end by the tip of the left ventricles
  • base: broader, superior portion by the atria
  • surface projection is outlined shape of an organ on the surface of the body
  • anterior surface: deep to the sternum and ribs
  • inferior surface: rests mostly on the diaphragm
  • right border: faces the right lung
  • left border: faces the left lung
  • outline: connect the superior right point, superior left point, inferior left point, and inferior right point
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3
Q

Pericardium

A

Fibrous pericardium: superficial tough, 1 elastic layer, composed of dense irregular connective tissue. Prevents overstretching of the heart, provide protection, and anchors the heart to the mediastinum
Serous pericardium: thinner, more delicate layer that forms a double layer around the heart and divided into parietal and visceral pericardium
Pericardial fluid: slippery secretion of pericardial cells that reduces friction between the membranes as the heart moves

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4
Q

Heart wall

A

Epicardium: external layer, composed of mesothelium and connective tissue(fibro-elastic and adipose)
Myocardium: middle layer, muscular pumping layer, 95% of the heart wall (cardiac muscle)
Endocardium: inner layer, consists of a layer of endothelium covering connective tissue, continuous with the endothelium of the blood vessels connected to the heart (tight junctions)
Endocarditis: inflammation of endothelium

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5
Q

Cardiac muscle characteristics

A

Intercalated discs, desmosomes, Gap junctions

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6
Q

Heart surface markings (3 major grooves/ sulci)

A

Coronary sulcus: encircles most of the heart seperates the atria from the ventricles
Anterior interventricular sulcus: marks the external boundary between right and left ventricles
Posterior interventricular sulcus: marks the external boundary between ventricles on the posterior surface

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7
Q

Characteristics and functions

A
  • heart is the centre
  • arteries carry blood away and veins carry blood back to the heart
  • arteries are high in oxygen (except pulmonary arteries
  • veins carry low blood in oxygen (except pulmonary veins)
  • entering and leaving the heart are called great veins
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8
Q

Chambers of Heart

A

Two superior chambers
- right and left atria (weaker pumps)
- receive blood returning to the heart via the veins
Two Inferior chambers
- right and left ventricles (powerful pumps)
Pulmonary Pump
- right atrium and right ventricle, moves deoxygenated blood through the lungs (pulmonary artery)
Systemic Pump
- left atrium and left ventricle, pumps oxygenated blood to all systems (pulmonary vein)

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9
Q

Right Atrium (3 veins, lined by?, valve)

A
  • receives deoxygenated blood
  • superior vena cava: drains blood from parts of the body superior to the heart
  • inferior vena cava: collects blood from all parts of the body inferior to the diaphragm
  • coronary sinus: recieves blood fro most of the vessels draining the wall of the heart
  • anterior wall had muscular ridges called pectinate
  • interatrial septum (wall)
  • fossa ovalis: depression on the septum, remnant of the foramen ovate (close at birth)
  • blood flows from the right atrium into the right ventricle through the right atrioventricular valve (tricuspid valve)
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10
Q

Right Ventricle

A
  • inner surface lined with ridges called trabecule carneae
  • chordae tendineae connects the tricupsid valve to the papillary muscles
  • interventricular septum seperates the two ventricles
  • blood passes through pulmonary valve to lungs
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11
Q

Left Atrium

A
  • forms most of the base of the heart
  • receives oxygenated blood from the lungs via four pulmonary veins (two from each lung)
  • blood flows from the left atrium into the left ventricle through the atrioventricular valve (bicuspid/mitral valve)
  • interatrial septum seperates left and right atriums
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12
Q

Left Ventricle

A
  • thickest part of the heart, forms apex
  • contains trabeculae carneae and chordae tendinae
  • blood passes from the left ventricles into the aorta through the arotic valve
  • right and left coronary arteries branch from the ascending aorta to supply the walls of the heart
  • rest passes into the arch of aorta and descending aorta
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13
Q

Myocardial Thickness and Function

A
  • ventricles have thick walls as they pump blood at a higher pressure and over greater distances
  • left ventricle is three times thicker than right
  • both eject equal amounts of blood
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14
Q

Fibrous Skeleton of the Heart

A
  • dense connective tissue embedded in the walls of the heart
  • functions (4): prevent overstretching of valves, secure valves to the heart wall, point of insertion for bundles of cardiac muscle fibers, and provide electrical insulator between atria and ventricles
  • right atrioventricular fibrous ring, left atrioventricular fibrous ring, pulmonary fibrous ring, aortic fibrous ring
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15
Q

Atrioventricular (AV valve)

A
  • tricuspid valve between the right atrium and the right ventricle
  • bicuspid between the left atrium and left ventricle
  • chordea tendineae and associated papillary muscles permit flow but prevent backflow
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16
Q

Semilunar Valves

A
  • two SL valves each having three semilunar cusps
  • allow ejection of blood from ventricles into pulmonary trunk and aorta
  • prevent backflow of blood into heart
  • pulmonary valve: between pulmonary trunk and the right ventricle
  • aortic valve: between arota and left ventricle
17
Q

Systemic Circulation

A
  • receives oxygenated blood from the lungs
  • pumps this blood into the aorta which then continue to branch into arteries, arterioles, capillaries where nutrients, gases, wastes, ect are exchanged with surrounding cells
  • venules and systemic valves return the deoxygenated blood to the right atrium
18
Q

Pulmonary Circulation

A
  • right ventricle pumps blood into the pulmonary trunk which branches into the pulmonary arteries
  • this blood goes to the pulmonary capillaries where the blood becomes oxygenated
  • pulmonary veins carry the oxygenated blood to the left atrium
19
Q

Coronary Circulation

A
  • needed because can not reach myocardium or heart wall
    ascending aorta- coronary arteries
  • left:
    1. anterior interventricular artery: wall of both ventricles and interventricular septum,
    2. circumflex artery: wall of left atrium and ventricle
  • right:
    1. posterior interventricular artery: left and right posterior ventricles
    2. marginal artery: wall of right ventricle
  • anastomoses or collateral circuits for blood to reach heart tissue ex. coronary by-pass
20
Q

Cardiac Conduction System

A
  • during embryonic development about 1% of cardiac muscle fibers become autorhythmic cells; generate action potential
  • act as a pacemaker setting the contractile rhythm of the heart even if heart is separated from body and nerve are cut
  • form the cardiac conduction system of the heart that conduct action potentials throughout the myocardium
  • to spread the action potential throughout heart
21
Q

Components of Conduction System

A

SInoatrial node: heart’s natural pacemaker, initiates heartbeat (two atria contract at same time)
Atrioventricular node: action potential slows, provides time for atria to empty blood into ventricles
Atrioventricular bundle (bundle of His): only site where action potentials can conduct from the atria to the ventricles
Right and Left bundle branches: through interventricular septum toward the apex of the heart
Purkinje fibers: relay action potential to the contractile cells of ventricular myocardium
- can alter pace of contractions but not initiate contractions

22
Q

Heart Sounds

A

Auscultation: listening to the heart sounds with stethoscope
Lubb: first sound is due to blood turbulence cause by closing of the AV valves
Dupp: second sound due to blood turbulence cause by closing of the semilunar valves
- sounds are best heard over the chest at areas slightly away from the actual location of the valves