Chapter 19 Part 2 Flashcards
surface arteries of the heart that generally follow the sulci
Epicardial coronary arteries
branch of the left coronary artery that follows coronary sulcus
Circumflex artery
major branch of the left coronary artery that follows the anterior interventricular sulcus
Interventricular arteries
supply blood to the myocardium and other components of the heart
Coronary arteries
area where vessels unite to form interconnections that normally allow blood to circulate to a region even if there may be partial blockage in another branch
Anastomosis
Is anastomosis considered dangerous in coronary arteries?
Yes; coronary artery blockage often results in death of the cells (myocardial infarction) supplied by the particular vessel
results from a lack of blood flow (ischemia) and oxygen (hypoxia) to a region of the heart, resulting in death of the cardiac muscle cells
Myocardial infarction
known vasodilator, and endothelium-derived releasing factor, which also relaxes the smooth muscle in the tunica media of coronary vessels
Nitroglycerine
Dissolves blood clots during MIs
Streptokinase
Anticoagulant used during MIs
Heparin
ability of cardiac muscle to initiate its own electrical impulse that triggers the mechanical contraction that pumps blood at a fixed pace without nervous or endocrine control
Autorhythmicity
bulk of the cardiac muscle cells in the atria and ventricles that conduct impulses and contract to propel blood
Myocardial contractile cells
specialized cells that transmit electrical impulses throughout the heart and trigger contraction by the myocardial contractile cells
Myocardial conducting cells
helps support the synchronized contraction of the muscle
Intercalated discs
known as the pacemaker, a specialized clump of myocardial conducting cells that has the highest inherent rate of depolarization that then spreads throughout the heart
SA Node
receives the impulse from the SA node, pauses, and then transmits it into specialized conducting cells within the interventricular septum
AV node
group of specialized myocardial conductile cells that transmit the impulse from the AV node through the interventricular septum
AV Bundle
specialized myocardial conductile cells that arise from the bifurcation of the atrioventricular bundle and pass through the interventricular septum
AV bundle branches
specialized myocardial conduction fibers that arise from the bundle branches and spread the impulse to the myocardial contraction fibers of the ventricles
Purkinje fibers
surface recording of the electrical activity of the heart that can be used for diagnosis of irregular heart function
Electrocardiogram
component of the electrocardiogram that represents the depolarization of the atria
P wave
component of the electrocardiogram that represents the depolarization of the ventricles and includes, as a component, the repolarization of the atria
QRS complex
component of the electrocardiogram that represents the repolarization of the ventricles
T wave
special paddles to apply a charge to the heart from an external electrical source in an attempt to establish a normal sinus rhythm; effectively stops the heart so that the SA node can trigger a normal conduction cycle.
External automated defibrillator
period of time between the onset of atrial contraction (atrial systole) and ventricular relaxation (ventricular diastole)
Cardiac cycle
period of time when the heart muscle is relaxed and the chambers fill with blood
Diastole
period of time when the heart muscle is contracting
Systole
unusual heart sound detected by auscultation; typically related to septal or valve defects
Murmur
sound created by the closing of the atrioventricular valves during ventricular contraction
Lub sounds (S1)
sound of the closing of the semilunar valves during ventricular diastole
Dub sound (S2)
What is the formula for cardiac output (CO)?
HR x SV
What is the relationship between exercise and heart rate?
Exercise increases heart rate
What are the 2 cardiovascular centers?
Cardioinhibitory and cardioaccelerator
autonomic reflex that responds to stretch receptors in the atria that send impulses to the cardioaccelerator area to increase HR when venous flow into the atria increases
Atrial reflex
autonomic reflex in which the cardiac centers monitor signals from the baroreceptor stretch receptors and regulate heart function based on blood flow
Baroreceptor reflex
series of autonomic reflexes that enable the cardiovascular centers to regulate heart function based upon sensory information from a variety of visceral sensors
Cardiac reflexes
What 5 factors increase cardiac output?
Thyroid hormone, calcium, epinephrine/norepinephrine, nicotine, caffeine
What factors decrease cardiac output?
Acidic environment, low temperatures, potassium
What factors affect stroke volume?
Preload, contractility, afterload
portion of the primitive heart tube that will eventually develop into the right ventricle
Bulbus cordis
area near the head of the embryo where the heart begins to develop 18–19 days after fertilization
Cardiogenic area
two strands of tissue that form within the cardiogenic area
Cardiogenic cords
stage in which lumens form within the expanding cardiogenic cords, forming hollow structures
Endocardial tubes
one of the three primary germ layers that differentiate early in embryonic development
Mesoderm
portion of the primitive heart tube that eventually becomes the anterior portions of both the right and left atria, and the two auricles
Primitive atrium
singular tubular structure that forms from the fusion of the two endocardial tubes
Primitive heart tube
portion of the primitive heart tube that eventually forms the left ventricle
Primitive ventricle
develops into the posterior portion of the right atrium, the SA node, and the coronary sinus
Sinus venosus
portion of the primitive heart that will eventually divide and give rise to the ascending aorta and pulmonary trunk
Truncus arteriosus
Explain the flow of blood through the cardiac veins as they return deoxygenated blood to the coronary sinus or the right atrium directly.
Coronary arteries, capillaries, venules, cardiac veins, sinus venosus, right atrium