Ch 19- Circulatory System: Heart Flashcards

1
Q

Two divisions of the cardiovascular system and what they do

A

Pulmonary- carries blood to the lungs for gas exchange and returns it to heart , supplied by right side of the heart

Systemic- supplies blood to the body including some parts of the lung, supplied by left side of the heart

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2
Q

pulmonary and systemic veins vs artery

A

artery- away from heart, P is deoxygenated, S is oxygenated

Veins- toward to the heart, P is oxygenated and S is deoxygenated

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3
Q

location of the heart and its structure

A

-located in the mediastinum
-base (wider where large vessels are attched)
-apex (tapered, pointy, tilts to left)

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4
Q

the pericardium layers of the heart

A

pericardium- double wall sac that encloses the heart- two layer below

fibrous pericardium- outer wall not attached to heart

serous pericardium two layers:
-parietal- lines fibrous pericardium
-visceral (epicardium)- covers heart surface

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5
Q

the heart layers

A

-epicardium (apart of pericardium visceral)
-myocardium (middle)
-endocardium (inner)

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6
Q

the spiral orientation that cause the ventricles to contract and enhance blood is

A

vortex of the heart

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7
Q

heart chambers

A

two upper:
left and right atria- receive the blood returning to the heart

Two lower-
left and right ventricles- RV wraps around LV in c shaped and they “pump” that eject blood

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8
Q

are the left and right ventricles the same in volume?

A

yes

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9
Q

Atrioventricular valves (av valves)

A

regulate the openings between atria and ventricles

R AV valve- tricuspid (three cusps)

L AV valve- mitral valve (two cusps)

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10
Q

chordae tendineae

A
  • strings on the valves which prevent bulging when ventricles contract
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11
Q

semilunar valves

A

-regulate blood flow from ventricles into arteries, both have three cusps:

-aortic: controls openings from L ventricle to aorta

and pulmonary valves -controls openings from R ventricle to the pulmonary trunk

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12
Q

blood flow through chamber system

A
  • blood enters the right atrium from superior and inferior venae cavae

-blood in right atrium flows in the right AV valve into the right ventricle

-contraction opens pulmonary valves and blood flows to the pulmonary trunk

-blood is released from right and left pulmonary arteries to the lungs where it unloads CO2 then loads O2

-blood returns from lungs into pulmonary veins and into the left atrium

-blood in left atrium flows into left ventricle by the AV valve

-contraction of ventricle forces aortic valve to open

-blood flows through aortic valve into aorta

-blood in aorta is distributed to the body where it unloads CO2 and loads CO2

-blood returns to right atrium from venae cavae

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13
Q

the coronary circulation (outside heart):

A

-branches off the ascending aorta
-supplies blood to both ventricles

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14
Q

angina pectoris

A

chest pain from blood flow obstruction

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15
Q

myocardial infarction

A

-sudden death of a patch of myocardium from long term circulation obstruction

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16
Q

structure of a cardiac muscle

A

-broad band
-filaments anchored to plasma membrane
-desmosomes to link cardiomyocytes together
-gap junctions for cells to flow through

17
Q

what does the conduction system do?

A

-coordinates the heartbeat

18
Q

conduction system

A

-SA node fires (pacemaker cells)

-excitation spreads through myocardium

-AV node fires (delay in signal conduction so ventricles can fill)

-excitation spread to AV bundle

-Subendothelial (fibres spread throughout ventricular myocardium)

19
Q

cycles of events in the heart

A

-systole- contraction
-diastole- relaxation

20
Q

Cardiac action potential

A

-Na inflow and channels open
-depolarization
-Na channels closes once depolarized and volatge peaks
-Ca2+ enters and prolongs depolarization of membrane creating a plateau
-Ca closes and K channels open with rapid outflow returns membrane to resting potention

21
Q

Cardiac action potential vs skeletal muscle action potential

A

-longer depolarization
-longer action potential
-creates a plateau
-longer refrac period

22
Q

order of ECG letter cycle

A

PQRST

(P , PR, QRS, QT, ST, T Wave is a noral ECG)

23
Q

P Wave and PR interval

A

P wave- SA node firing, atrial systole begins

PR interval- conduction through AV node because ventricle activation

24
Q

QRS complex and QT interval

A

QRS- ventricular depolarization, spike due to different thickness and shape of two ventricles

QT interval- duration of ventricular depolarization, shorter during exercise

25
ST and T wave
ST- ventricular systole T wave- ventricular diastole
26
ventricular fibrillation
-also known as arrhythmia -random electrical signals -heart isnt pumping blood, can be fatal
27
types of arrhythmia
-atrial fibrillation-chaotic depolarizations, common in elderly/ alcoholics -heart block- failure in cardiac conduction system, usually from disease or degeneration -premature ventricular contraction- extra beats, stress or lack of sleep
28
Cardiac cycle, heart sounds, blood flow
blood flow- movement caused by pressure and resistance cardiac cycle- on complete contraction and relaxation of all four chambers of heart, around 0.8 seconds heart sounds- -first sound: Lubb, S1, closure of AV valves second: Dubb, S2, closure of semilunar third: cant hear
29
ventricular filling phases
-rapid filing -slower filling -atrial systole
30
cardiac output equation and meaning
-the amount of blood ejected per minute -CO= SV x HR SV- stroke volume (ml/beat) HR- heart rate (beat/volume)
31
Tachycardia vs bradycardia
T- heart rate above 100 bmp from stress drugs disease or fever B- less then 60 bpm from sleep low body temp and trained athleetes
32
factors affecting heart rate and stroke volume
Increased HR- caffeine, epi and nor epi, glucagon Decreased HR- beta blockers Increased SV- caffiene, epi and nor epi, glucagon decreased SV- decreased preload
33
coronary artery disease
-plates that narrow arteries and decrease blood flow, walls thicken and lose elasticity risk factors: smoking obesity genetics age