Chapter 15 Cardiovascular Flashcards
The circulatory system is an internal transport system of ___ from cells
Waste products such as carbon dioxide, hydrogen, urea and ammonia
The circulatory system allows for two way exchange between the body and the environment, what are the two?
Lungs and gastrointestinal tract
Circulatory system gets its oxygen and drops off it carbon dioxide as waste through the ___
Lungs
The circulatory system uses the GI tract to reabsorb nutrients from the ___ of our intestine.
Lumen
Circulatory system consists of what two parts?
Heart and vessels
The over all function of the circulatory system is to help maintain what?
Homeostasis
The circulatory system helps maintain internal homeostasis by maintaining what four things?
Temperature
pH
Glucose levels
Calcium
Location of the heart
Mediastinum
The four chambers of the heart
Right atrium
Right ventricle
Left atrium
Left ventricle
Coverings of the heart: the outermost layer that protects the heart, anchors the heart and prevents overfilling.
Fibrous pericardium
What type of pericardium divides the two the two heart layers
Serous pericardium
Layer of the heart that lines the surface of the fibrous pericardium
Parietal pericardium
Layer of the heart that lines the epicardium or surface of the heart
Visceral pericardium
Contains serous fluid
Pericardial cavity
Inflammation of the pericardium
Pericarditis
Decrease of serous fluid
Heart rubs against pericardial sac
Pericardial friction = muffled sound
Too much fluid
These are causes of what
Pericarditis
- Pressure on the heart muscle which occurs when the pericardial space fills up with fluid faster than the pericardial sac can stretch
- fluid seeps into cavity and heart is compressed
- removal by needle into cavity
- too much fluid
Pericardial tamponade
Layers of heart wall:
- visceral pericardium
- connective tissue covered by epithelium with blood vessels lymphatics and nerves
- outer layer
Epicardium
Layers of heart wall:
- middle layer
- thick layer of cardiac MUSCLE
- thickest in left ventricle
- receives a rich supply of vasculature, nerves and lymphatics
Myocardium
Layers of heart wall:
- inner layer
- smooth inner lining of epithelium and connective tissue with elastin and collagen inside the heart that lines the chambers and covers the valves
Endocardium
this is also in the linings of blood vessels connected to the heart
- Works together to separate the atrial syncytium from the ventricle syncytium.
- rings around valves provide attachments for the valves, muscles fibers, prevent excessive dilation ventricular contractions
Fibrous skeleton
Pulmonary circuit: receives deoxygenated blood from the body and heart wall and sends to the lungs
Right atrium and ventricle
Systemic circuit: sends oxygenated blood to body and heart wall
Left atrium and left ventricle
Brings in all blood from the diaphragm up (head neck arms)
Superior vena cava
Returns all blood from the diaphragm and down
Inferior vena cava
Drains blood from the cardiac veins that supple the heart wall itself
Coronary sinus
Heart valves: right Atrioventricular valve (AV valve)
Tricuspid valve
Left atrioventricular valve (AV valve)
Bicuspid valve
Anchor tricuspid and bicuspid
Chordeae tendineae
Attach chordeae tendineae to heart muscles called
Papillary muscle
When blood leaks back into the atrium it’s called
Mitral valve prolapse
Step one of heart circulation
Right atrium
Step two of heart circulation
Tricuspid valve (Lubb sound when valve closes)
Third part of circulatory
Right ventricle
Fourth part of circulatory
Pulmonary valve
Fifth part of circulatory
Pulmonary artery
Sixth part of circulatory
Lungs
Seventh part of circulatory
Pulmonary veins
Eighth part of circulatory
Left atrium
Tenth part of circulatory
Left ventricle
Twelfth part of circulatory
Ascending aorta
What are the three large arteries from the aortic arch
Brachiocephalic artery
Carotid artery
Subclavian artery
Circulation of blood to and from the body
Systemic circulation
Which ventricle uses systemic circulation
Left ventricle
Circulations of blood to and from the lungs
Pulmonary circulation
Which ventricle pumps blood to the longs for gas exchange via pulmonary circulation
Right ventricle
Circulation of blood to and from the heart muscle (myocardium)
Coronary circulation
Coronary circulation to the myocardium
Base of aorta -> coronary arteries -> myocardium
Coronary circulation from the myocardium
Myocardium -> coronary veins -> coronary sinus -> right atrium
Two __ arteries branch off the aorta continue to become small capillaries to supply blood to the myocardial tissue
Coronary
___ blood that goes to the coronary sinus and empties into the right atrium
Deoxygenated
- Lack of sufficient blood flow
- Thrombus
- Doesn’t allow oxygen or nutrients to get to myocardial cells
- Blood clots
Ischemia
-pain due to ischemia
Angina
Death of heart tissue due to ischemia
Infarction
Volume of blood pumped per minute
Cardiac output
One complete heart beat is a
Cardiac cycle
Contraction phase
Systole
Relaxation phase
Diastole
Cardiac muscle general characteristics
- slightly striated
- single nucleus
- branched
- intercalated discs
- involuntary
- Specialized heart fibers that depolarize (contract) faster than the the other heart fibers.
- pacemaker
- located in the upper right atrial wall
- near entrance of superior vena cava
SA Node
Heart rate can by increased by
- increase in sympathetic nervous system signals
- increase in blood epinephrine
Heart rate can decrease by
Increase in parasympathetic nervous system nerve signal (vagus nerve)
Spread depolarization(contraction) atria and contracts simultaneously and also carry impulses to the AV node.
Junctional fibers
- a group of specialized heart fibers that recover the SA node signal
- located in the right atria ( lower part of interatrial septum)
- delays signals to atrium can contract
- relays signals to the ventricle via AV bundle
AV Node
- specialized cardiac muscle fibers that carries the message from the AV node down into the interventricular septum and divides left and right branches that then give rise to the purkinje fibers
AV bundle
Conduction system of the heart in order
SA node -> AV node -> AV bundle -> purkinje fibers
- excess calcium
- increases heart action
- prolonged contraction
Hypercalcemia
- low calcium
- depresses heart action
Hypocalcemia
- excess potassium
- decrease the rate and force of contraction
Hyperkalemia
- Low potassium
- may block heart impulses
- heart could stop
Hypokalemia
Vagus nerve decreases heart contractions
Parasympathetic fibers
Autonomic nerve impulses regulated by
Medulla oblongata
The circulatory system is an internal transport system of ___ to cells
Oxygen, water, minerals and glucose
What receptor reflex detects rising blood pressure and sends impulses to the cardio inhibitor center in the medulla oblongata
Baroreceptor reflex
ECG is a representation of the ___ ___ of the heart
Electrical activity
Which wave is atrial depolarization
P wave
QRS Complex is the
Ventricular depolarization
Which wave is Ventricular repolarization
T wave
A point other than the SA node initiating a stronger impulse
Ectopic focus
SA node and another site are acting together as pacemakers triggering two contractions
Extrasystole
Heartbeat is abnormally slow
Bradycardia
Heartbeat is abnormally fast
Tachycardia
Rapid irregular contraction of the heart
Fibrillation
What causes fibrillation
Blocked coronary artery
A jolt of electricity that fixes fibrillation
Defibrillation
Atria and ventricles beating at different rates
Dysthymia
Blood vessels that lead blood away from the heart
Arteries
Blood vessels that lead blood to the heart
Veins
Inner layer of endothelium that has a smooth surface to prevent damage to platelets and red blood cells
Tunica intima
Middle layer of vessel made of mostly smooth muscle with elastic tissue regulated by sympathetic fibers
Tunica media
Outer layer of vessel made of connective tissue that attaches vessels to nearby organs
Tunica externa
Blood leaves the heart ventricles
-> arteries -> arterioles -> capillaries -> venules -> veins -> to the atria of the heart
Order of blood flow through the vessels
Arteries have the ___ walls and ___ blood pressure
Thickest; highest
Alternate expanding and recoil of arterial wall in response to blood pressure change
Pulse
Rate of left ventricle contraction
Radial pulse rate
Strong pulse means
High blood pressure
Weak pulse means
Low blood pressure
Connection to arterioles and venules
Capillaries
Capillaries have one layer called the
Tunica interna
Only vessels that contain pores that allows change of gas and nutrient between blood and tissues
Capillaries
Have smallest diameter but greatest total cross sectional area having it be the lowest velocity of blood flow
Capillaries
Where exchange takes place in capillaries
Capillary bed
No exchange between arterioles and venules
Capillary shunt
Thin slits between adjacent endothelial cells that cause more metabolically arctics tissue and more capillaries
Capillary permeability
Regulate blood flow and open when cells need oxygen and nutrients
Prevail lady sphincters
Caused by hydrostatic pressure and pushes fluid out of capillary bed into the internal space
Filtration
Caused by osmotic pressure and pulls fluid back into the capillary bed Dom the interstitial space
Reabsorption
Plaque build up due to cholesterol and other substances
Atherosclerosis
Walls get damaged and lose elasticity
Arteriosclerosis
Abnormal widening or ballooning of a portion of an artery due to weakness in the wall
Aneurysm
Inflammation of veins
Phlebitis
Clotting results
Thrombophlebitis
Veins stretch and distend due to back pressure due to gravity; valves lose ability to prevent back flow
Varicose veins
Measurement of blood leaving the left ventricle per minute
Cardiac output
Measuring the cardiac output
Heart rate x stroke volume
The number of beats per minute
Heart rate
The amount of blood leaving the left ventricle per contraction
Stroke volume
Thickness of liquid
Viscosity
Mechanical control of blood pressure
Cardiac output