ch 19 review questions Flashcards
the heart is in a space called
pericardial cavity (mediastinum)
the lungs are in a space called the
pleural cavity
what are the superior chambers of the heart
atria
thinner than ventricles
what are the inferior chambers of the heart
ventricles
thicker than atria
the pericardial cavity is filled with
pericardial fluid
the pericardial has what kind of layers
parietal layer superficially
visceral layer deep
the base of the heart is on the
right side
superior to apex
the apex of the heart is on the
left side of the heart
inferior to base of heart
the heart muscle has four layers
fibrous pericardium
epicardium
myocardium
endocardium
tendinous cords attach the valve to
the papillary muscles
tendinous cords are also called
chordae tendinae
the myocardium is the muscle of the
heart
does the job of the heart
pulmonary circuit
carries blood to lungs for gas exchange and back to heart
systemic circuit
supplies oxygenated blood to all tissues of the body and returns it to the heart
valves of the heart
atrioventricular (AV) valve
connect the atrium and the ventricle
valves of the heart
right AV (tricuspid) valve
usually has 3 cusps
valves of the heart
left AV valve (mitral valve)
usually has 2 cusps
valves of the heart
semilunar valves (pulomary and aortic)
controls flow from ventricles into great arteries (aorta and pulmonary trunk)
valves of the heart
pulmonary valve
connects the right ventricle with the pulmonary trunk
valves of the heart
aortic valve
controls the opening between left ventricle and aorta
valves of the heart
interventricular sulcus
Two inferior chambers that eject blood into the arteries;
separated from each other by
oxygen poor blood
has more CO2 than O2 in the blood
oxygen rich blood
more O2 than CO2 in the blood
flow of blood
- oxygen poor blood from the body enters the right atrium through the superior and inferior vena cava
- oxygen poor blood then flows through right AV valve into the right ventricle
- contraction of right ventricle forces pulmonary valve open
- oxygen poor blood goes through the pulmonary trunk and pulmonary arteries to the lungs to unload CO2 and load O2
- oxygen rich blood returns from lungs via pulmonary veins to left atrium
- oxygen rich blood in left atrium flows through left AV valve into left ventricle
- contraction of left ventricle simultaneously with contraction of the right ventricle forces aortic valve open
- oxygen rich blood goes through the aortic valve into ascending aorta to distrubute oxygen to the body
mediastinum
is in the space in the thoracic cavity between the left and right lungs
systole
contraction of the heart
diastole
relaxation of the heart
ventricular systole
contraction of the ventricles
atrial systole
contraction of the atria
stroke volume
the amount of blood ejected from the ventricles
but after contraction not all the blood in the ventricles is ejected
the amount left in ventricles is called the
end-systolic volume (ESV)
end-systolic volume (ESV)
the amount of blood left in ventricles after contraction
end-diastolic volume (EDV)
blood that remains in the ventricles after contraction of the ventricles
cardiac output
the amount of blood ejected by each ventricle in 1 minute
isovolumetric contraction
ventricles are contracted but do not eject blood because cardiomyocytes exert force, but the blood cannot go anywhere
isovolumetric relaxtion
semiunar valves are closed and AV valves have not yet opened, so no change in blood volume
pressure
causes flow
resistance
opposes flow
during contraction (systole) the pressure
increases
during relaxtion (diastole) the pressure
decreases
atrial diastole
relaxtion of atria
pressure gradient
pressure difference between 2 points
action potential of cardiac muscle
- voltage gated Na+ channels open
- Na+ inflow depolarizes the membrane and triggers the opening of still more Na+ channels, creating a positive feedback cycle and a rapidly rising membrane voltage
- Na+ channcels close when the cell depolarizes and the voltage peaks at nearly +30 mV
- Ca2+ entering through slow Ca2+ channels prolongs depolarization of membrane, creating a plateau
Plateau falls slightly because of some K+ leakage but most K+ channels remain closed until end of plateau - Ca2+ channels close and Ca2+ is transported out of cell
K+ channels open and rapid K+ outflow returns membrane to its resting potential
cardiac muscle has a long absolute refractory period of
250 ms compared to 1 to 2 ms in skeletal muscle
absolute refractory period prevents
summation and tetanus
summation and tetanus
would stop the pumping action of the heart
ventricular filling
ventricles expand and their pressure drops below that of the atria
edema
congested heart failure
the swelling of the body
congested heart failure (CHF)
results from the failure of either ventricle to eject blood effectively
if it the CHF of the left ventricle then blood will be back up in the
lungs causing pulmonary edema
if it is the CHF of the right ventricle then blood will be back up in the
vena cava causing systemic or generalized edema
(swelling of the body)
heart sounds are caused by the
turbulence of blood in the blood vessels and the movement of heart muscles
heart sounds
S1: first sound (lubb) louder and longer
happens when AV valves close during the isovolumetric contraction
heart sounds
S2: second sound (dupp) softer and sharper
happens when the semilunar valves close during isovolumetric relaxation