Chapter 20 Flashcards

1
Q

Fibrous pericardium (what layer, tissue, function)

A

Superficial
DICT
Prevents overstretching of heart, provide protection, anchor heart to mediastinum

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2
Q

Serous pericardium

A

Deep
Parietal (outer)/visceral (inner) layer

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3
Q

Epicardium

A

Inner visceral layer of the serous pericardium

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4
Q

Layers of heart wall

A

Epicardium (visceral layer of serous pericardium)
Myocardium
Endocardium

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5
Q

Fossa ovals (what/where)

A

Remnant of foramen ovale (interatrial septum) in right atrium

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6
Q

Trabeculae carnae

A

I’m right ventricle
raised bundles of cardiac muscle fibers

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7
Q

Chordae tendineae

A

In ventricles
Tendonlike cords connected to cusps of tricuspid/bicuspid valve and to papillary muscles in ventricles

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8
Q

Ductus arteriosus

A

In fetus connects pulmonary trunk to aorta so only small amount of blood goes to non functioning fetal lungs

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9
Q

Ligamentum arteriosum

A

Ductus arteriosus (pulmonary trunk to aorta) closes and leaves this remnant

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10
Q

Fibrous rings

A

Supper the four valves of the heart and are fused to one another DCT

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11
Q

Semilunar valves

A

Aortic and pulmonary valves

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12
Q

How does blood not back flow into venae cavae (R) or the pulmonary veins (L) without a valve

A

When Artis contract it compresses and nearly collapses the weak walls of the veins so not much blood can escape

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13
Q

Left coronary artery divides into and what they supplu

A

Anterior interventricular branch (supplies walls of ventricles)

Circumflex branch (supplies L ventricle and L atrium)

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14
Q

Right coronary artery branches into and what they supply

A

Posterior interventricular branch (supplies walls of ventricles)

Marginal branch ( R ventricle)

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15
Q

Coronary sinus

A

Vascular sinus in coronary sulcus on post heart that deoxygenated blood from myocardium flows into

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16
Q

Intercalated discs (what/contain)

A

Sarcolemma thickening that holds ends of cardiac MF
Desosomes (hold fibers together)
Gap junctions (AP to conduct)

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17
Q

What is larger/more numerous in cardiac muscle fibers than skeletal

A

Mitochondria

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18
Q

Sarcoplasmic reticulum in cardiac vs skeletal (and what it means)

A

Cardiac is smaller=less Ca2+ reserve

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19
Q

What percent of CMF are autonomic fibers

20
Q

Two functions of autonomic fibers

A

Pacemaker: set rythym of electrical excitation

Form cardiac conduction system: provide path for each cycle of cardiac excitation to progress through heart (chambers contract in right order)

21
Q

Conduction system sequence

A

SA node (atria contract)

AV node (slow down AP to allow atria to empty all blood)

AV bundle (AP from atria to ventricles)

R/L bundle branches (to apex)

Purkinje fibers (rest of ventricles to contract them)

22
Q

AP occurs steps

A

Depolarization: voltage gated Na+ open (in)

Plateau: voltage gated Ca2+ open (in)
Voltage gated K+ open (out)
=Balanced

Repolarization: voltage gated K+ open (out)

23
Q

Contractile resting membrane potential

24
Q

Is contraction or refractory longer in CMF

A

Refractory

25
ATP production in cardiac muscle
Aerobic cellular respiration in mitochondria
26
Electrocardiograph determines
If conducting pathways is normal If heart is enlarged If certain regions are damaged Cause of chest pain
27
P wave
Atrial depolarization
28
QRS complex
Ventricular depolarization
29
T wave
Ventricular repolarization
30
End diastolic volume
Volume in ventricle after atria contract 130mL
31
Isovolumetric contraction
Beginning of ventricular systole where all valves are closed
32
End systolic volume
Volume left in ventricles after ventricular systole 60mL
33
Stroke volume
Volume ejected by each ventricle equals EDV minus ESV 70mL
34
Dicrotic wave
Rebound of blood off cusps in aortic valve
35
Isovolumetric relaxation
All 4 valves closed during relaxation period right after ventricular systole
36
Lubb
S1 Louder/longer Blood turbulence when AV valves close after ventricular systole
37
Dubb
S2 Blood turbulence associated with closure of SL valves at beginning of ventricular diastole
38
Cardiac output
Volume of blood ejected from left ventricle into aorta or right ventricle into pulmonary trunk Stroke volume x HR = CO
39
Average cardiac output
70mL/beat x 75beats/min = 5.25mL/min
40
How long for all blood to flow through pulmonary and systemic circuit
1 minute
41
Cardiac reserve
Difference between a persons maximum cardiac output and CO at rest Average 4-5x resting value
42
Regulation of stroke volume
Preload: greater preload=increase force of contraction (more=better) Contractility: strength of contraction at any preload (more=better) (+/- inotropic agents affect this) After load:pressure that must be overcome before SL valve opens (less after load=easier)
43
How do psymp NI reach heart
R/L vagus (X) nerves
44
Epinephrine and norepinephrine on heart
Increase pumping effectiveness Released by adrenal medulla
45
Increase in K+, Na+, and Ca2+ on heart
K/Na: decrease HR/contractility Ca: increase HR/strengthens heartbeat