Ch.20: THE CARDIOVASCULAR SYSTEM: THE HEART Flashcards
Where is the heart located in the body?
-it rests on the diaphragm, near the midline of the thoracic cavity
The heart lies in the mediastinum, what is this?
an anatomical region that extends from the sternum to the vertebral column, from the first rib to the diaphragm, and between the lungs
Picture the shape of the heart, what is the tip of the left ventricle (lower chamber of the heart) called? Where is it directed?
apex is directed anteriorly, inferiorly, and to the left
What is the base of the heart made of and where is it located?
- heart’s posterior surface
- formed by the atria (upper chambers) of the heart, mostly the left atrium
The heart has several surfaces and borders, where is the anterior surface located?
deep to the sternum and ribs
The heart has several surfaces and borders, where is the inferior surface located?
part of the heart between the apex and right border and rests mostly on the diaphragm
The heart has several surfaces and borders, where is the right border located?
faces the right lung and extends from the inferior surface to the base
The heart has several surfaces and borders, where is the left border (pulmonary border) located?
faces the left lung and extends from the base to the apex
What is the pericardium? What are its two parts?
membrane that surrounds and protects the heart
1) superficial fibrous pericardium
2) deep serous pericardium
In terms of the pericardium, explain the superficial fibrous layer:
- composed of tough, inelastic, dense irregular connective tissue
- its open end is fused to connective tissues of blood vessels entering/leaving heart
- prevents overstretching, provides protection, and anchors heart in mediastinum
In terms of the pericardium, explain the deep serous layer and the two layer within it:
- thinner, more delicate membrane that forms double layer around heart
- outer parietal layer: fused to the fibrous pericardium
- inner visceral layer: (epicardium) one layer of heart wall and adheres to heart
What is pericardial fluid, where is it located and what is its function?
- thin film of lubricating serous fluid
- between parietal and visceral layers of serous pericardium
- reduces friction between layers of the serous pericardium as the heart moves
What does the pericardial cavity contain?
pericardial fluid
What are the three layers of the heart wall? Explain them.
1) epicardium (external layer): has 2 tissue layers
- outermost layer: visceral layer of the serous pericardium
- innermost layer: variable layer of delicate fibroelastic tissue and adipose tissue
2) myocardium (middle layer): pumps heart, made of cardiac muscle tissue
3) endocardium (inner layer): thin layer of endothelium overlying thin layer of connective tissue
- provides smooth lining for heart chambers and covers heart valves
What are the 4 chambers of the heart?
1) Left atria
2) Right atria
3) Left ventricle
4) Right ventricle
What do the atria do and what do the ventricles do?
- atria receive blood from blood vessels returning blood to the heart, called veins
- ventricles eject blood from the heart into blood vessels called arteries
What is an auricle and where is it located? What does it do?
- wrinkled pouchlike structure on anterior surface of each atrium
- slightly increases capacity of atrium to hold more blood
What are sulci on the heart?
- series of grooves containing coronary blood vessels and fat
- each one marks boundary between heart chambers
What is the coronary sulcus, what boundary does it mark?
encircles most of the heart and marks the external boundary between the superior atria and inferior ventricles
What is the anterior interventricular sulcus, what boundary does it mark?
shallow groove on the anterior surface of the heart that marks the external boundary between the right and left ventricles
What is the posterior interventricular sulcus, what boundary does it mark?
marks the external boundary between the ventricles on the posterior aspect of the heart
Where is the right atrium? Where does it receive blood from? Describe the walls of the right atrium.
- forms the right border of the heart
- receives blood from 3 veins: the superior vena cava, inferior vena cava, and coronary sinus
- inside of posterior wall is smooth; inside of anterior wall is rough due to presence of pectinate muscles
What is the interatrial septum?
thin partition between the right atrium and left atrium
What is the fossa ovalis?
oval depression, remnant of the foramen ovale, an opening in the interatrial septum of the fetal heart that normally closes soon after birth
What is the tricuspid valve/right atrioventricular valve?
a valve where blood passes from the right atrium into the right ventricle, consists of 3 leaflets or cusps
Where is the right ventricle? What does it contain?
- forms most of the anterior surface of the heart
- contains ridges formed by trabeculae carneae
- cusps of tricuspid valve are connected to chordae tendineae, which are connected to papillary muscles
- blood passes from it through pulmonary valve into pulmonary trunk, which divides into pulmonary arteries and carries blood to lungs
What is the interventricular septum?
-separates the right ventricle from the left ventricle
Arteries always take blood away from the heart. Veins always return blood to the heart. True or False
True
Where is the left atrium? Where does it receive blood from? What does it contain?
- forms most of the base of the heart
- receives blood from lungs through 4 pulmonary veins
- has a smooth posterior wall
Blood passes from the ___ atrium into the ___ ventricle through the bicuspid (mitral) valve (left atrioventricular valve), which, has __ cusps. Blood passes from the left ventricle through the ___ valve into the ascending aorta.
Some of the blood in the aorta flows into the ____ arteries, which branch from the ascending aorta and carry blood to the heart wall. The remainder of the blood passes into the arch of the aorta and descending aorta (thoracic aorta & abdominal aorta).
- left, left ventricle, 2
- aortic
- coronary arteries
Where is the left ventricle located? What does it contain?
- thickest chamber of the heart, forms the apex of the heart
- contains trabeculae carneae and chordae tendineae that anchor cusps of bicuspid valve to papillary muscles
During fetal life, what temporary vessel shunts blood from the pulmonary trunk into the aorta? (so only a small amount of blood enters the nonfunctioning fetal lungs). When it closes after birth, what does it leave behind?
- ductus arteriosus
- leaves the ligamentum arteriosum, which connects the arch of the aorta and pulmonary trunk
Which chambers are thicker and why?
- the thin-walled atria deliver blood under less pressure into the adjacent ventricles
- because the ventricles pump blood under higher pressure over greater distances, their walls are thicker