Chapter 11 Part I: Cardiovascular System Flashcards
Cardiovascular System
Delivers oxygen and nutrients to cells of body tissue.
- Heart (muscular pump)
- Blood vessels (fuel line and transportation network)
Arteries
The vessels that lead away from the heart.
Veins
Have thinner walls than arteries and move deoxygenated blood toward the heart from the tissues.
Capillaries
The smallest vessels. They form the point of exchange for oxygen and nutrients into body cells and waste products coming from body cells.
Places to take pulse:
- Common carotid artery (on neck)
- Brachial artery (on arm)
- Radial artery (one of the most commonly accessible places that we can take pulse) (wrist area)
- Femoral artery (inguinal region)
- Popliteal artery (back of knee)
- Dorsalis pedis artery (top of foot)
- Posterior tibial artery (behind the ankle)
Diving wall between Right and Left atrium
Interatrial septum (plural septa)
Diving wall between the Right ventricle and the Left ventricle
Interventricular septum
Innermost layer facing the lumen space inside the ventricle of the heart
Endocardium
Thick muscular layer in the heart surrounding the atrium and ventricles
Myocardium
Outermost layers of the heart including the (inner) visceral pericardium and the (outer) parietal pericardium that forms the pericardial cavity (10-15 mL of fluid)
Pericardium
Pericardium
Double layered membranous structure.
Pericardial cavity
Helps lubricate and minimize friction between the visceral pericardium and the parietal pericardium as the heart is expanding and contracting.
Tricuspid valve (cusps are flaps of the valves):
Between the right atrium and right ventricle.
Pulmonary valve:
Between the right ventricle and pulmonary artery.
Mitral valve:
Between the left atrium and left ventricle.
Aortic valve:
Between the left ventricle and aorta.
Two phases of the heartbeat:
• Diastole: relaxation
• Systole: contraction
- The diastole-systole cardiac cycle occurs between 70 to 80 times per minute (100,000 times per day).
- The heart pumps 3 ounces of blood with each contraction. This means that about 5 quarts are pumped per minute (75 gallons an hour and about 2000 gallons a day).
Heart Sounds
Closure of valves associated with sounds “lubb-dubb, lubb-dubb”
Lubb
Closure of the tricuspid and mitral valves at the beginning of systole.
Dubb
Closure of the aortic and pulmonary valves at the end of systole.
Murmur
An abnormal heart sound caused by
improper valve closure.
Heart rate (HR)
70-80 per minute = 100,000 times per day
Volume
Each beat pumps out 3 oz of blood =
75 gallons per hr or 2,000 gallons per day
Diastole
Tricuspid or the mitral valve will open up to fill the ventricle. The relaxation phase of the ventricle or filling of the ventricular chambers.
Systole
The contraction phase of the heart beat or the left and right ventricles. Both the tricuspid and mitral valves will close, so that the ejection of the blood can happen through the opening of the pulmonary valve and the aortic valve.
Sinoatrial node (SA node)
The pacemaker of the heart.
Pacemaker
Origin of electrical impulse causing walls of the atria to contract and force blood into the ventricles (ending diastole).
Conduction System of the Heart
- Sinoatrial node (SA node)
- Atrioventricular node (AV node) (slight delay that allows both atria to contract completely in order to deliver blood to both ventricles).
- Atrioventricular bundle (Bundle of His) (AV bundle) (splits into the right bundle branch and into the left bundle branch).
- Right bundle branch will travel to the right ventricle.
- Left bundle branch will travel to the left ventricle (bundle branches usually terminate as the conduction fibers, conduction myofibers, or the purkinje fibers).
Atrioventricular node (AV node)
This sends the excitation wave to a bundle of specialized fibers called the atrioventricular bundle or Bundle of His.
Bundle of His
Helps form conduction myofibers that extend to ventricle walls and stimulate them to contract, beginning systole. A short rest period follows.
Pacemaker
The pacemaker begins wave of excitation again.
ECG or EKG (electrocardiogram)
The record used to detect electrical changes in heart muscle as the heart beats.
Electrocardiogram
- P wave = spread of excitation wave over the atria just before contraction;
- QRS wave = spread of excitation wave over the ventricles as the ventricles contract;
- T wave = electrical recovery and relaxation of ventricles.
- A heart attack (myocardial infarction or MI) can be recognized by an elevation in the S-T segment of the ECG. Thus, one type of MI is an S-T elevation MI or STEMI.
Superior vena cava (SVC) and Inferior Vena Cava (IVC) combined (plural form)
Venae cavae
Blood pressure (BP)
The force that blood exerts on arterial walls.
Blood pressure (BP) Measurement Tool
Sphygmomanometer
Blood Pressure (BP) is expressed as a fraction:
Systolic pressure / diastolic pressure
Example: 120 / 80 mmHg
Hypertension
- High blood pressure.
- When BP > 140/90 mmHg
Systolic
Pressure generated as blood is ejected from the heart during systole. (Highest blood pressure)
Diastolic
Pressure during ventricular relaxation. (Lowest blood pressure)
Mean Arterial Pressure (MAP)
Average between systolic and diastolic blood pressure.