Ch. 18- The Heart Flashcards
Take blood away from the heart
Arteries
Bring blood back to the heart
Veins
The smallest blood vessel. Functions in gas exchange and distributing nutrients
Capillaries
The region between the pleural sacs; contains the heart and all of the thorax except the lungs
Mediastinum
What is the largest blood vessel?
Aorta
What layer prevents overfilling of the heart with blood?
Fibrous pericardium
What 2 layer membrane contains the pericardial fluid in between?
Serous pericardium
What is the role of the pericardial fluid?
Allows the heart to beat without friction
Inflammation of tissues around the heart
Pericarditis
What is the average heart rate in a person?
75 beats/min
What are the three layers of the heart?
Epicardium
Myocardium
Endocardium
Prevents backflow into atria during ventricular contraction
Atrioventricular valves
Prevents backflow from aorta and pulmonary trunk into the ventricles
Semilunar valves
Proteins that pull cell together tightly
Desmosomes
Allow ions to pass from one cell to another
Gap Junctions
Links one cell to the next via actin myofilaments
Mechanical junctions
Oxygen storage molcule
Myoglobin
Systole is…
Contraction
Diastole…
Relaxation
Heart Rate=
Systole/Diastole
Normal heartbeat is triggered by what?
Sinoatrial node
Normal heartbeat is also referred to by
The Sinus Rhythm
How long is the cardiac cycle?
0.8 seconds
What is the pacemaker of the heart?
Sinoatrial node
True or False.
Myocytes are autorhythmic
True
The study of electrical activity of cells is called…
Electrophysiology
Resting membrane potential is…
-60 mVolts
Is the RMP stable or unstable?
Unstable
Rapid up and down voltage shift
Action potential
Loss of polarity (becomes more +)
Depolarization
Membrane polarity (-) regained
Repolarization
What type of cells have unstable resting potentials called pacemaker potentials
Autorhythmic cells
During the pacemaker potential, what is the value shift of milliVolts?
-60 to -40
Why does the heart beat every 0.8 seconds?
Because the SA node has an unstable pacemaker potential
What does the right side of the heart do?
It receives oxygen-poor blood from the body tissues and then pumps this blood to the lungs to pick up oxygen and get rid of carbon dioxide
What does the left side of the heart do?
It receives the oxygenated blood returning from the lungs and then pumps this blood throughout the body to supply oxygen and nutrients to body tissues
The right side of the heart participates in what circuit?
Pulmonary circuit
The left side of the heart participates in what circuit?
Systemic circuit
Through what 3 veins does blood enter the right atrium?
Superior vena cava, inferior vena cava, coronary sinus
What is the role of the atrioventricular valves (AV)?
Prevent back flow into the atria when the ventricles contract
What is the role of chordae tendineae and where do they attach?
They attach to each AV valve flap and they anchor the cusps to the papillary muscles protruding from the ventricular walls
What kind of cell junctions does cardiac muscle contain (specifically intercalated discs)?
Desmosomes and gap junctions
Cardiac pacemaker cells are a part of the intrinsic conduction system and have what kind of testing potential?
Unstable
Spontaneously changing membrane potentials in the heart
Pacemaker potentials
At what membrane potential does the Ca2+ channels open?
-40mV
What happens at the AV node?
The impulse is delayed about 0.1 seconds before moving through the rest of the system
What is the only electrical connection between the atria and ventricles?
AV bundle (bundle of His)
What is an arrhythmia?
Irregular heart rhythms
A condition of rapid and irregular or out of phase contractions in which control of heart rhythm is taken away from the SA node by rapid activity in other heart regions
Fibrillation
Cardiac output is…
The amount of blood pumped out by each ventricle in 1 min
Cardiac output equals
HR X SV
Stroke volume equals…
End diastolic volume (EDV) - End systolic volume (ESV)
How much does each ventricle pump out per heartbeat?
70 ml
The degree to which cardiac muscles are stretched before they contract
Preload
What is the stroke volume amount?
70 ml/beat
Cardiac output is approximately…
5.25 L/min
What nerve secretes acetylcholine to slow SA node firing and regulate heart beat?
Vagal nerve
During sympathetic stimulation the heart beats…
Faster
What is normal blood pressure?
115-120/70-80 mmHg
Does thyroxine increase or decrease HR?
Increase
Left side failure of the heart results in
Pulmonary edema
Right side failure of the heart results in
Peripheral congestion
Occurs when blood supply to tissue is deficient
Ischemia
What does the foramen ovale do in a fetus?
Shunts blood from right to left atrium