Chapter 20 Heart Flashcards
What are the two circuits of heart circulation?
Pulmonary circuit
systemic circuit
What circuit receives O2 poor blood from body tissues, pumps blood to the lungs to pick up O2, and drops off CO2?
Pulmonary Circuit
What circuit receives blood from the right side of the heart?
pulmonary circuit
What circuit receives O2 rich blood from Lungs, pumps blood throughout the body to provide nutrients, and brings O2 poor blood back to the heart?
Systemic Circuit
Which circuit receives blood from the left side of the heart?
Systemic Circuit
What are the receiving chambers of the heart?
Atria
What heart chambers have pectinate muscles? (inner ridges, right wall)
Atria
What are flap like extensions of the atria?
Auricles
What are the pumping chambers of the heart?
Ventricles
What heart chambers have trabeculae carneae that help to forcefully eject blood (inferior walls)?
ventricles
What is the junction of the Atria and Ventricles in the coronary sulcus called?
Atrioventricular Groove
What separates the Left and right atria?
interatrial septum
What separates left and right ventricles?
Interventricular septum
The heart is the size of a ______ ____
Closed Fist
What is the medial cavity of the thorax, that includes vessels and ductwork?
Mediastinum
The heart is enclosed in the _____
Mediastinum
Heart positioning:
Above (rests on) _________
Anterior to _____
Posterior to ______
______ are lateral
diaphragm
vertebrae
sternum
lungs
The heart is _____ left of the midline
2/3rds
What is the blunt, rounded portion of the heart, at the left lower corner?
Apex
What is the super portion of the heart?
base
What are the three heart layers? (outer to inner)
Pericardium
Myocardium
Endocardium
What heart layer is a double layered, closed sac surrounding the heart?
Pericardium
What are the 2 pericardial layers? (Outer to inner)
Fibrous (out)
Serous (inner)
What pericardial layer is tough CT, prevents heart overdistention, and anchors in mediastinum?
Fibrous
What pericardial layer consists of two layers of slippery serous membrane fold?
Serous
What are the two layers of the serous membrane (of the pericardium)?
Parietal Pericardium
Visceral Pericardium
Which serous layer is the lining next to the fibrous pericardium?
Parietal Pericardium
Which serous layer is the lining that is consistent with the surface of the heart?
Visceral pericardium
What serous layer of the heart is known as the epicardium?
Visceral Pericardium
What space is filled with serous pericardial fluid to reduce friction that is between parietal and visceral pericardium?
Pericardial Cavity
What is the disease inflammation in the heart layers that is caused from painful rubbing?
Pericarditis
Causes of Pericarditis (4)
Viral infection
chest trauma
MI
Cancer
What can pericarditis lead to if untreated where the heart is compressed?
Cardiac Tamponade
What is the treatment for pericarditis?
Pericardiocentesis (needle Drain)
What is the thick middle layer of the heart?
Myocardium
What tissue is the myocardium made of?
Cardiac Muscle
What is the inner layer of the heart?
Endocardium
What tissue is the inner layer of the heart made of?
Simple Squamous Epithelium
What is called to get blood supply to the myocardium (feed first)?
Coronary Circulation
What vessels branch right above the Ascending aorta, in the coronary sulcus?
Left and right coronary arteries
What are the 3 divisions of the left coronary artery?
Anterior interventricular artery (left anterior descending)
Circumflex
Left marginal
What part of the coronary artery bring blood to the interventricular septum and anterior ventricular walls?
Anterior interventricular artery / left anterior descending
what part of the left coronary artery brings blood to the posterior heart?
Circumflex
what part of the left coronary artery brings blood to the lateral wall of the left ventricle?
Left Marginal
What are the two divisions of the right coronary artery?
Posterior interventricular artery
Right marginal Artery
what part of the right coronary artery brings blood to the heart apex and posterior ventricular walls?
Posterior interventricular artery
what part of the right coronary artery brings blood to the lateral right ventricle?
Right Marginal Artery
What structure empties blood into the right atrium (on the posterior of heart)?
Coronary Sinus
What are the three tributaries to the Coronary Sinus?
Great Cardiac Vein
Middle Cardiac Vein
Small Cardiac Vein
What area of the coronary sinus is located in the anterior interventricular sulcus, and drains to the left side of the heart?
Great Cardiac Vein
What area of the coronary sinus is located in the posterior interventricular sulcus?
Middle Cardiac Vein
What area of the coronary sinus runs along the right inferior margin?
Small Cardiac Vein
What vein directly empties into the anterior right atrium?
Anterior Cardiac Vein
What condition occurs from blockage of coronary artery circulation and involves chest pain due to temporary deficiency of blood to myocardium?
Angina Pectoris
What causes angina pectoris? (2)
Coronary Artery Spasm
Increased heart physical demands
In angina pectoris, myocardial cells become weak due to temporary lack of ____
O2
What are two ways to treat angina pectoris?
Rest
Nitroglycerin (Dilates BV)
What structures ensure 1 way blood flow?
Heart valves
There are no valves at what two places?
Vena Cava
Pulmonary Veins
There no valves at the vena cava and pulmonary veins due to ___________
atrial myocardial compression
(muscle wall prevents backflow)
What are the two main types of heart valves?
Atrioventricular
Semilunar
What heart valves have chordae tendineae that are attached to papillary muscles (for anchoring when closed) that prevent atrial backflow?
AV valves
What are the two AV valves?
Right AV/ Tricuspid
Left AV/ Bicuspid/ Mitral
Tricuspid valve has ____
3 cusps
Mitral Valve has _____
2 cusps
What heart valves prevent ventricular backflow?
SL valves
What are the two SL valves?
Pulmonary SL valve
Aortic SL valve
What SL valve empties blood into the pulmonary trunk to the pulmonary arteries?
Pulmonary SL valve
What SL Valve empties blood into the Aorta?
Aortic SL valve
What are the 3 parts of the aorta?
Ascending, Arch, Descending
What sound is made from closing of valves?
heart sounds
Heart sounds:
AV closes _____
SL closes _____
first (lub)
second (dub)
What are abnormal sounds due to valve issues?
Murmurs
What murmur is from a repump of blood/ backflow?
Incompetant
What murmur is from narrow/stiff and weak vessels?
Stenotic
Which ventricle is thicker?
left
Blood flow circuits altogether
- start at right atria
(this is notes)
right atria
tricuspid
right ventricle
Pulmon SL
Pulmon trunk
Pulmon arteries
LUNGS
pulmon veins
Left atrium
Bicuspid valve
Left ventricle
aortic SL
Aorta
SPLIT
1) body —> Sup/inf vena cava
2) coronary arteries –> heart tissue –> coronary sinus/cardiac veins
BACK TO RIGHT ATRIA