CH 22 - Heart Flashcards
Superficial Anatomy
Pulmonary Circuit
Carries DEOXYGENATED blood to lungs for gas exchange; from right side of the heart to the left side of the lungs w/ pulmonary arteries. Back to the
Pericardial Sac
Conical sac of fibrous tissue surrounding the heart and the roots of the great blood vessels
Pericardial Cavity
between heart and pericardial sac; contains pericardial fluid
Parietal Pericardium
lines pericardial sac
Visceral Paricardium
Epicardium, covers the heart
Base
Region where the major arteries and veins connect
Apex
tip of the heart
Coronary Sulcus
Groove between the aria and the ventricles
Interventricular Sulcus
depression between the ventricles
Right Atrium
Receives blood from Systemic circuit
Right Ventricle
discharges blood from the pulmonary circuit
Left Atrium
receives blood from pulmonary circuit
Left Ventricle
discharges blood from systemic circuit
Superior Vena Cava
Returns blood from upper systemic organs to the right atrium
Inferior Vena Cava
Returns blood from lower systemic organs to the right atrium
Pulmonary Trunk
carries blood to the lungs from right ventricle
Pulmonary Veins
Returns blood from the lungs to the left atrium
Ascending Aorta
carries blood to the systemic organs from the left ventricle
Aortic Arch
A bend in the aorta that allows vessel to branch to the upper body before descending to the lower body
Ligamentum Arteriosus
Remnant of the fetal vascular connection between the pulmonary trunk and the aortic arch
Sectional Anatomy
Interventricular Septum
heart wall between left and right ventricles
Right Atrioventricular Valve
(Tricuspid Valve) controls movement of blood between the right atrium and right ventricle
1st “Lubb” sound when closing
Pulmonary Semilunar valve
controls movement of blood between the right ventricle and the pulmonary circuit
2nd “Dupp” sound when closing
Left Atrioventricular Valve
(Bicuspid valve, mitral valve)
controls movement of blood between the left ventricle and the left atrium
Aortic semilunar Valve
controls movement of blood between the left ventricle and the systemic circuit
Chordae Tendinae
Tendonous fibers that grab the cusps of the atrioventricular valves
Papillary muscles
Cardiac muscle that connects to the Chordae Tindinae
Trabeculae Carne
Deep grooves and folds in the ventricles
Fosa Ovale
Remnant of the fetal opening between right and left atria
Fetal heart and circulation
Foramen Ovale
Opening between right and left atria
Ductus Atreriosus
Vascular connection between pulmonary trunk and aortic arch
Ligamentum Ateriosus
Rement of the fetal vascular connection between pulmonary trunk and aortic arch
Umbilical Artery
carries oxygen poor blood(deoxygenated) from the fetal internal illiac arteries to the placenta of the mother
Umbilical Vein
Carries oxygen rich blood (oxygenated) from the placenta of the mother to the inferior Vena Cava of the fetus
Placenta
contains two parallel and separate blood capillary networks.
1 - connects to the mother
2 - connects to the fetus
Coronary Circulation
Coronary Arteries
originate at the base of the ascending Aorta
Right Coronary Artery
Follows Coronary Sulcus
Right Marginal Artieries
Extends along right border
Posterior Descending Artery
Within the posterior interventricular sulcus
Left Coronary Artery
follows coronary sulcus
Anterior Descending Artery
within the anterior interventricular sulcus
Circumflex artery
follows coronary sulcus; fuses with the right coronary artery
Left Marginal Artery
(Obtuse)
extends along left border
Right Posterolateral Artery
extends posterior, lateral to the posterior interventricular sulcus
Coronary Veins
(Cardiac Viens)
most empty into the coronary sinus and then the right atrium
Anterior Cardiac Veins
Adjacent to right marginal arteries anteriorly, empty directly into the right atrium anteriorly
Right marginal Cardiac Vein
adjacent to the right border of the right ventricle; either connects to the small cardiac vein or empties directly into the lateral right atrium
Small Cardiac Vein
between the right atrium and ventricle posteriorly; empties into the coronary sinus
Posterior Descending Vein
(Middle Cardiac Vein)
Adjacent to posterior descending arteries
Great Cardiac Vein
Adjacent to anterior descending arteries, empties into the coronary sinus
Left Marginal Cardiac Vein
Extends along left border adjacent to left marginal (obtuse) artery
Posterior Cardiac Vein
Adjacent to posteriorolateral artery
Coronary Sinus
in posterior coronary sulcus; empties into the right atrium
Heart Wall
Epicardium
(Visceral Pericardium)
Covers exterior to heart
consists of a mesothelial (Simple Squamous) and connective tissue layer
Myocardium
Muscular wall of the heart
contains cardiac muscle, connective tissue, blood vessel, nerves
Endocardium
Covers interior of heart
Consists of an endothelial (simple squamous) layer
Cardiac Muscle
Cardiac Muscle Cell
Short cells with single nuclei
Intercalated disc
Sites of membrane bonding at ends of adjacent cardiac muscle cells
Endomysium
Fibrous connective tissue connecting cardiac muscle cells together side by side
Cardiac Pumping and muscle contraction
Heart as a pump
Cardiac cycle
Period between one heart beat and the next
Blood moves from one chamber to the next when the pressure in the first chamber exceeds that in the second
Atrial Relaxation
Causes a decrease in atrial pressures
As the atrial pressures become less than the venous pressures, blood moves from the veins to the atria
Ventricular Relaxation (Diastole)
Causes rapid decrease in ventricular pressure
Semilunar valve closes when the ventricular pressure becomes less than atrial pressure
–> The Atrioventricular valves open and blood moves from the atria to the ventricles.
Diastolic pressure differences between the atria and the ventricles causes about 70% of ventricular filling
Atrial Contraction
Causes rapid increase in atrial pressure
The atrial pressure increases –> more blood moves from the atria to the ventricles
Ventricular Contraction (Systole)
Causes rapid increase in ventricular pressure
The ventricular pressure more than arterial pressures –> the semilunar valves open and blood moves to the arteries.
–> Atrioventricular valves close
Coordination of Cardiac muscle Contraction
Atria must contract from the appendages toward Av Valves
Ventricles must contract from the apex toward semilunar valves
Contraction coordinated by specialized cells
Nodal Cells
membranes depolarize spontaneously and cyclically
Pacemaker cells - cycle the fastest
Sinoatrial Node (SA Node)
(Node)
In posterior wall of right atrium
–> produces intrinsically ~80-100 action potential p/m
Atrioventricular Node (AV Node)
(Node)
In flood of right artium near ventricle –> produces intrinsically ~40-60 action potential p/m
Conduction Fibers
(Fiber)
In the atrial wall connected with the AV Node
AV Bundle
(Bundle)
Travels along interventricular septum
Bundle Branches
(Bundle)
Travels along Interventricular septum and radiate across inner surface of the right and left ventricles
Purkinje Fibers
(Fiber)
Branches to contractile cells
Conduction Pathway
(Pathway)
SA Node -> Atrial conduction fibers -> AV Node -> AV Bundle -> bundle branches -> purkinje fibers
Electrocardiogram (EKG)
Measures electro-activity of the heart
P-Wave
(Electrocardiogram wave)
Depolarization of the Atria
QRS Complex
(Electrocardiogram wave)
Depolarization of the ventricles
T-Wave
(Electrocardiogram wave)
Repolarization of the ventricles
PR -interval
(Electrocardiogram wave)
Prolonged by damage to conduction system or AV Node
QT Interval
(Electrocardiogram wave)
Prolonged damage to conduction system, ischemia, or myocardial damage