Chapter 18 Heart Flashcards

(78 cards)

0
Q

Heart location

A

Medastinum, 2/3 left of the midsternal line

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1
Q

Heart Structure

A

Fist sized
Apex pointing inferiorly
Base pointing superiorly

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2
Q

Pericardium

A

Double walled sac enclosing the heart

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3
Q

Fibrous pericardium

A

Loose fitting superficial membrane of tough dense connective tissue

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4
Q

Serous pericardium

A

Thin slippery inner membrane. 2 layers: parietal layer and visceral layer

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5
Q

Parietal later of serous pericardium

A

Lines the internal layer of fibrous pericardium

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6
Q

Visceral layer of serous pericardium

A

Deeper layer, outer wall of heart

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7
Q

Pericardial cavity

A

Between the layers of serous pericardium. Contains serous fluid

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8
Q

Heart wall layers

A

Epicardium- visceral layer of Serous pericardium

Myocardium- Mostly cardiac muscle, bulk of heart wall

Endocardium- simple squamous epithelium

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9
Q

Right atrium

A

Receives blood from Vena Cava

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10
Q

Right ventricle

A

Pumps blood to pulmonary trunk

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11
Q

Pulmonary trunk

A

Blood to the lungs

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12
Q

Left atrium

A

Oxygen rich blood from pulmonary veins

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13
Q

Pulmonary veins

A

Relieve oxygen rich blood from lungs

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14
Q

Left ventricle

A

Pumps blood to aorta

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15
Q

Aorta

A

Delivers oxygen rich blood to body

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16
Q

Septum

A

Partition dividing the heart longitudinally

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17
Q

Auricles

A

Small wrinkled appendages increasing atrial volume

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18
Q

Atrioventricular grooves ( Coronary Sulcus)

A

Seperate atria and ventricles; coronary vessels

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19
Q

Interventricular sulci

A

Grooves on outer surface of inter ventricular septum

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20
Q

Pectinate muscles

A

Muscle bundles on the internal surface

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21
Q

Fossa Ovalis

A

Shallow depression in interstitial septum. Remnant of foremen ovale

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22
Q

Ligamentum arteriosum

A

Between pulmonary trunk and aorta

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23
Q

Trabeculae carneae

A

Irregular muscle ridges in ventricular chambers

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24
Cordae tendinae
Collagen tendons anchoring the atrioventricular (AV) valve cusps to the papillary muscles
25
Papillary muscles
Cone like muscle fibers attached to inner ventricles
26
Atrioventricular valves (Blood From Atrium)
Tricuspid- Right valve, 3 cusps | Bicuspid(Mitral)- left valve, 2 cusps
27
Semilunar valves
Aortic SL valve- Left Ventricle | Pulmonary SL valve- Right ventricle
28
Pathway of blood | Pulmonary Circuit
Right ventricle pumps blood to pulmonary trunk, which carries it to lungs for gas exchange. Left Atrium receives oxygen rich blood from 4 pulmonary veins.
29
Pathway of Blood | Systemic circuit
Left ventricle pumps blood out the aorta to the body and heart. Aorta (thanks to branches) sends blood to body. Right atrium receives carbon dioxide blood from vena cava.
30
Thicken myocardium in what chamber?
Left ventricle bc of hardest work
31
Capillary beds
Gas exchange location in lungs
32
Coronary circulation | Arterial supply
From ascending aorta to coronary arteries: Left CA to Anterior interventricular artery and circumflex artery. Right CA to posterior interventricular artery and marginal artery
33
Middle cardiac vein
Posterior interventricular sulcus
34
Great cardiac vein
Anterior interventricular sulcus
35
Coronary sinus
Confluence of all coronary veins in the sulcus that dumps blood to right atrium
36
Angina pectoris
Pain in chest from lack of oxygen; | Weakened muscle not dead
37
Myocardial infarction
Heart attack; prolonged blockage of blood supply
38
Shape of cardiac muscle
Short fat and branching (interconnected)
39
Intercalculating disc
Junction btw branching cardiac cells that contain desmosomes and gap junctions
40
Desmosomes
Hold fiber cells together
41
Gap junctions
Allow action potential to conduct btw fibers
42
Because if interconnecting fibers and intercalculated discs, cardiac muscle functions as a..
Unit
43
Mitochondria is more numerous in
Cardiac muscle than skeletal
44
Cardiac Muscle Energy Source
Aerobic respiration Mitochondria reflecting aerobic resp Fuels: glucose, fatty acids,lactic acid
45
Action Potential of Myocardium contractile fibers
Depolarization Plateau Repolarization
46
Depolarization
1. Autorhythenic cells stimulate. Fast sodium channels open, leading to rapid depolarization 2. Slow calcium channels open, getting Ca++ 3. Sodium Channels close
47
Plateau
Slow calcium channels remain opened prolonging depolarizing
48
Repolarization
Calcium channels close, potassium channels remain open so potassium leaves
49
Myocardial Contraction Duration vs Skeletal
Much longer because of plateau of action potential (200msec vs 14-100)
50
Absolute refactory period
Greater than the contraction duration; prevents frequency wave summation and fatigue
51
Pacemaker potentials
Unstable resting potentials; | Constantly drift to threshold and AP
52
Fast opening calcium channels
Influx of calcium causes depolarization | No plateau
53
Repolarization Short
Calcium permeability decreases | Potassium increases
54
Sinoatrial Node
75 beats/min; Pacemaker Btw vena cava and right atrium
55
Atrioventricular node
40-60 Bpm | Inferior portion of interatrial septum
56
Atrioventricular bundle
Connection between atria and ventricles
57
Bundle branches
Right and left | Down interventricular septum to apex
58
Purkinje fibers
20-35 bpm | Spread superiorly into ventricular walls
59
Electrocardiogram
Recording of electrical activity in chest due to profiting AP in heart
60
P wave
Atrial depolarization
61
QRS Wave
Ventricular depolarization and atrial repolarization
62
T wave
Ventricular repolarization
63
P-Q interval
Atrial contraction occurs
64
S-T. Segment
Ventricular contraction
65
Arrhythmias
Irregular heart rhythm
66
Fibrillation
Rapid partial contractions | Need defibrillation to reset the pace
67
Cardiac cycle
1. Atrial systole 2. Ventricular systole 3. Ventricular diastole
68
Atrial systole
Atrial contraction | Atrial blood > ventricle
69
Ventricular contraction
Isovolumetric contraction- AV valves close, builds pressure Ventricular ejection- pressure makes SL valves open; blood out
70
Ventricular diastole (relaxing)
a. Lower pressure, all valves close | b. AV valves open, filling ventricles
71
Heart sounds
When valves close AV Valve- Lubb SL Valve- Dub
72
Incompetent valve
Valve doesn't close all the way, makes heart work harder
73
Valvular Stenosis
Valve doesn't open all the way, increased pressure
74
End Systolic Volume ESR
After systole, 50mL remaining
75
End diastolic volume
After filling, 120mL of blood in ventricle
76
Stroke volume
70mL
77
Cardiac output
Stroke volume X heart rate