exam 2 Flashcards
Oxygenated Blood top
veins, LA, LV, aorta, ateries
Deoxygenated Blood Bottom
vena cava, veins, RA, RV, arteries
Layers of the heart
pericardium (fibrous, parietal, [fluid layer], visceral), myocardium (muscular), endocardium
Chambers
two atrias, two ventricles
Valves
into and out of ventricles
Two atrioventricular valves
tricuspid and bicuspid (mitral)
Two semilunar valves:
pulmonary and aortic
heart location
in the middle mediastinum
: protects the heart and anchors it
the pericardium
is a very dense and non-flexible connective tissue
fibrous pericardium
the serous pericardium contains
the parietal and visceral layers
attached to fibrous layer
parietal layer
outer surface of the heart wall.
(epicardium) visceral layer
lubricates the space between the visceral and parietal pericardium.
pericardial fluid
the endocardium contains
endothelium (simple squamous epithelial tissue)
right atrium and right ventricle, deoxygenated blood from the body to the lungs for oxygenation
right heart
eft atrium and left ventricle, oxygenated pulmonary blood from the lungs to the body
(systemically)
left heart
which heart is stronger
left heart
“top part of the heart” has a weak or strong pump
weak
the main pump for the pulmonary and systemic circuits.
“bottom part of the heart”: right and left ventricles
blood flow goes from
high to low pressure
what controls blood flow
the valves of the heart
- allow blood to flow from atria into ventricles.
- prevent blood flowing from ventricles to atria
atrioventricular valves
- allow blood to flow from ventricles into arteries.
- prevent blood flowing from arteries to ventricles
Outflow (semilunar) valves
right side of heart contains what AV valve
tricuspid
left side of heart contains what AV valve
bicuspid valve or mitral valve
are strong, fibrous connections between the valve leaflets and the papillary muscles
chordae tendinae
attach to the cusps of the atrioventricular valves via the chordae tendineae and contract to prevent inversion or prolapse of these valves on systole (or ventricular contraction).
papillary muscles
Cardiac Muscle Tissue
striated, one nucleus, fibers are shorter and branched, and connect/communicate via gap junctions in intercalated discs
Contractions of the heart (heartbeats) are controlled by specialized cardiac muscle cells called pacemaker cells that directly control heart rate.
autorhythmicity
_____% of all of the muscle cells of the heart form cardiac conduction system.
1
spontaneously depolarize a certain amount of time after repolarizing
myocytes
the pacemaker of the heart
the SA node (sinoatrial)
the SA node location
right atrial wall below superior vena cava
cardiac conduction order
SA node, AV node, AV bundles (bundle of HIS), right and left bundle branches (located on interventricular septum), Purkinje fibers, regular myocardium in ventricles
_____ period in cardiac muscle is longer than the contraction
refractory
atrial depolarization on ECG
P
atrial repolarization+ ventricular depolarization on ECG
QRS
ventricular repolarization on ECG
T
relaxation phase
diastole
contraction phase
systole
: atria contract, the ventricles relax.
atrial systole
: ventricles contract, atria relax.
Ventricular systole
Changing blood flow causes the valves
to ______
open and shut (shutting produces the heart sounds)
volume of blood ejected from the left (or right) ventricle every beat.
Stroke volume (SV):
SV x heart rate (HR)
Cardiac output (CO):
difference between the CO at rest and the
maximum CO the heart can generate
cardiac reserve
Average cardiac reserve is _____ times resting value.
4-5
Carry and control the flow of blood.
vessel function
carry blood away from the heart
arteries
site of nutrient, waste, gas exchange
capillaries
carry blood towards the heart
veins
force exerted in lumen
drops as blood moves through the blood vessels
usually measured in the larger conducting arteries
Pulses due to heart contractions
pressure
is the higher pressure caused by ventricular systole
systolic BP
is the lower pressure from the blood itself
Diastolic BP
1/3 (systolic BP – diastolic BP) + diastolic BP
Mean arterial pressure (MAP)
is the amount of blood per time reaching organs
(tissues of the body).
blood flow
is the sum of many factors which oppose the flow of blood
resistance (vessels)
blood flow, blood pressure, and peripheral resistance are related by
Ohms Law
equation for BP
BP= Flow x Resistance
Resistance depends on
Blood viscosity (x)
Blood vessel length (x)
Blood vessel diameter (1/d4)
Only blood vessel diameter is
readily adjustable
Types of blood vessels
arteries, veins, capillaries
Large elastic arteries (>1 cm)
medium muscular arteries (0.1 – 10 mm)
arterioles (< 0.1 mm)
arteries
Venules are small veins (< 0.1 mm)
Vessel Structure
veins
3 layers which comprise the vessel wall
tunics
epithelial tissue and basement membrane
Tunica interna (intima)
Smooth muscle and elastic tissue
tunica media
Elastic and Fibrous connective tissue
tunica externa
the 3 tunicas (are/are not) present in capillaries
not
- High levels of elastic tissue
- Large and close to heart
- Thin walls compared to lumen diameter
- Store energy of ventricular systole to keep blood moving in diastole
elastic arteries
- High levels of smooth muscle tissue
- Maintain blood pressure for more distal areas
muscular arteries
elastic aorta and arteries (stretch/recoil) during ventricular contraction
stretch
elastic aorta and arteries (stretch/recoil) during ventricular relaxation
recoil
vessels supplying blood to the same area.
* Provides collateral circulation (an alternative
route) for blood to reach a tissue.
Anastomosis:
- Control blood flow to capillaries
- primary “adjustable nozzles”
- greatest drop in pressure occurs
arterioles
thinner walls
less muscle and elastic tissue
veins
veins operate at much (higher/lower) pressures.
* in venules (16 mmHg) is less
than half in arterioles (35 mmHg)
* just 1-2 mmHg in some larger veins.
Valves to keep blood flowing in (many/only 1 direction.)
lower, only 1 direction
Contain a large percentage of the blood volume (about 64% at rest)
venous reserve
they function as blood reservoirs
venous reserve
constricting the veins allows a greater volume of
blood to flow to skeletal muscles.
Venoconstriction
Venous return: aided by
- Pressure
- Venous valves
- Skeletal muscle pump
- Respiratory pump (breathing)
Autoregulation is controlled through
______ loops and the ANS
negative feedback
baroreceptors in arch of aorta and carotid sinus
receptors
vessels (vasodilate or vasoconstrict)
Heart (increase or decrease CO)
effectors
Another type of sensory receptor important to the process of autoregulation of BP are the
chemoreceptors
chemoreceptors are in
carotid bodies (located close to baroreceptors of carotid sinus, and aortic bodies (located in the aortic arch)
Chemoreceptors repsond to
Hypoxia (low O2), hypercapnia (high CO2), or
acidosis (high H+)
Systemic blood vessel walls (constrict/dilate) to increase blood flow
dilate
Pulmonary blood vessels (constrict/dilate)
constrict
the RAAS system eventually leads to
the retaining of water increasing blood pressure+volume
Atrial Natriuretic Peptide (ANP)
- released by cells of the cardiac atria.
- leads to loss of water to lower blood pressure
what provides collateral circulation (an alternative
route) for blood to reach a tissue.
anastosmosis