Exam 2 Flashcards
Cardiovascular system
Base of the heart
Superior. Major vessels. 1.2 cm to left. 3rd costal cartilage.
Apex of the heart.
Pointed tip. Inferior. 12.5 cm from base. 7.5 cm to left. 5th intercostal space.
The heart is a ___ sided pump with ____ chambers
2 ; 4
Right atrium _____ blood ____
receives ; from systematic circuit
Right ventricle ____ blood ______
pumps ; into pulmonary circuit
Left atrium _____ blood _____
receives ; pulmonary circuit
Left ventricle _____ blood _____
pumps ; into systematic circuit
The heart is located in the ______ and is enclosed by the ________
mediastinum ; pericardial cavity
Mediastinum
space or region in thorax between 2 pleural cavities (between the lines)
Pericardium
Sac like structure wrapped around heart
Fibrous pericardium
outermost layer; dense fibrous tissue that extends to sternum and diaphragm
Serous pericardium
2 layers. outer layer lines fibrous pericardium. inner serous layer covers surface of heart
Pericardial cavity
space between serous layers; 15-50 mL of pericardial fluid, lubricates movement of heart
Cardiac tamponade
excess accumulation of pericardial fluid
Epicardium
Visceral layer of serous pericardium.
Myocardium
middle layer
Endocardium
innermost layer, simple squamous epithelium and areolar tissue. covers chambers, vessels, and heart valves.
Atrial musculature
Located in myocardium. wrap around atria in figure 8 pattern
Ventricular musculature
In myocardium. surrounds both ventricles.
Cardiac muscle
Smaller than skeletal. 10-20 um diameter; 50-100 um length, intercalated discs. intercellular connections. single, centrally located nucleus. striated. almost totally dependent on aerobic metabolism (needs oxygen for energy). Abundant mitochondria and myoglobin (Stores O2). extensive capillaries.
Intercalated discs
branching interconnections between cells. attached by desmosomes and gap junctions.
Gap junctions
allow action potentials to spread cell to cell; allows all interconnected cells to function together as single unit = a functional syncytium
Auricle of each atrium
expandable pouch
Coronary sulcus
Anterior view. groove separating atria and ventricles
Ligamentum arteriosum
Anterior view. fibrous remnant of fetal connection between aorta and pulmonary trunk
Pulmonary veins
Posterior view. return blood to left atrium
superior and inferior venae cavae
posterior view. retuning blood to right atrium
Coronary sinus
Posterior view. returns blood from myocardium to right atrium.
posterior inter-ventricular sulcus
posterior view. groove between 2 ventricles
Left and right coronary arteries
arise from ascending aorta; fill when ventricles are relaxed (diastole)
Myocardial blood flow may increase to ___ times the resting level during maximal exertion
9
Right coronary artery
-right atrium, parts of both ventricles, parts of cardiac (electrical) conducting system. follows the coronary sulcus (groove between atria and ventricles) main branches: 1. marginal arteries (right ventricle supply) 2. posterior inter ventricular artery (posterior depending) - this runs in posterior IV sulcus; supplies IV septum
Left coronary artery
supplies left ventricle, left atrium, inter-ventricular septum. -main branches: 1. anterior inter ventricular artery (left anterior depending artery): follows anterior IV septum, supplies IV septum. 2. circumflex artery: follows coronary sulcus to the left, meets benches of right coronary artery posteriorly; marginal artery off circumflex supplies posterior of left ventricle.
Coronary circulation - veins (anterior)
- great cardiac vein ( in anterior IV sulcus): drains areas supplied by the anterior IV artery, empties into coronary sinus
- anterior cardiac veins: drain anterior surface of right ventricle, empty directly into right atrium
Coronary circulation - veins (posterior)
- coronary sinus- expanded vein that empty into right atrium
- posterior vein of left ventricle - drains area supplied by circumflex artery
- middle cardiac vein - drains area supplied by posterior IV artery; empties into coronary sinus
- small cardiac vein: drains posterior of right atrium/ ventricle, empties into coronary sinus.
Blood flow through the coronary circuit is maintained by changing _____ and _____
blood pressure ; elastic rebound
left ventricular relaxation
pressure decreases, aortic walls recoil (elastic bound) pushing blood in both directions (forward into systematic circuit and back into coronary arteries)
left ventricular contraction
forces blood into aorta, elevating blood pressure, stretching aortic walls
Atrium
receives blood
Ventricle
pumps blood out of heart
Right and left atria are separated by the _____
interatrial septum
Right and left ventricles are separated by the ______
interventricular septum
Semilunar valves
at exit from each ventricle; allow only one-way blood flow from ventricle out into aorta or pulmonary trunk
Right atrium
receives Deoxygenated blood from vena cava and coronary sinus. (from systematic circuit) -fossil ovals: eminent of fetal foramen ovale that allowed fetal blood to pass between atria; closes at birth. passes to right ventricle to pulmonary circuit.
Left atrium
receives oxygenated blood from pulmonary veins. sends to left ventricle to systematic circuit.
pectinate muscles
muscular ridges located inside both atria along the anterior atrial wall and in the auricles
right ventricle
thinner wall; minimal effort. receives blood from right atrium through tricuspid valve or right atrioventricular valve, with contraction blood exits through left pulmonary valve (semilunar) into pulmonary trunk
left ventricle
much thicker than right. 4-6 times the pressure of right; sends blood to entire systematic circuit. reduces right ventricular volume, aiding its emptying. receives blood from left atrium through mitral valve or bicuspid. with contraction blood exits through aortic valve (semilunar ) into the ascending aorta.
trabecular carnae
muscular ridges inside both ventricles
Valve structure: cusps attach to tendon-like connective tissue bands called _____
chorde tendineae
chorde tendineae are anchored to thickened cone shaped _____
papillary muscles
moderator band
thickened muscle ridge providing rapid conviction path; tenses papillary muscles just before ventricular contraction; prevents slamming or inversion of AV valve
Artia have ____ workloads. walls ______
similar; about the same thickness
Venticles have _____ workloads
different.