Exam 2: Remaining Material Flashcards
Pulmonary and aortic valves lack
Chordae tendineae and papillary muscles
Semilunar valves ______ during ventricular contraction
Open
Atrioventricular valves _____ during ventricular contraction
Close
Semilunar valves each contain
3 semilunar cusps
3 features of semilunar cusps
Nodules
Lunules
Pulmonary/aortic sinuses
Nodules
Central thickenings on free edge of cusp
**button on pocket
Lunules
Thin, crescentic part of cusps
**rim of pocket
Pulmonary/aortic sinuses
Spaces between cusps and walls of vessel
**inside pocket
Components of Fibrous skeleton of heart
Fibrous rings
L and R fibrous trigones
Membranous part of septal wall
Functions of fibrous skeleton
Structural framework for valves
Insulate electrical impulses
R and L coronary arteries arise from
Aorta — just superior to aortic valve
Blood pressure in coronary arteries is low due to
Position of the openings in aortic sinus
Right coronary artery branches
Sinuatrial nodal
Right marginal
Posterior interventricular
Coronary arteries lie deep to
Epicardium on surface of myocardium
Left coronary artery branches
Anterioe interventricular
Circumflex
Circumflex artery gives rise to
Left marginal artery
Coronary artery dominance
Which coronary artery gives rise to posterior interventricular artery
Most individuals have what side dominance
Right coronary dominance
Right coronary distribution
RA RV Diaphragmatic surface of LV Posterior 1/3 of IV septum Conduction system
Left coronary distribution
LA
Most LV
Part of RV
Anterior 2/3 of IV septum
Anastamoses occur on heart between
Right coronary and circumflex
Anterior and posterior interventricular arteries
Largest vein of heart
Coronary sinus
Coronary sinus lies within
Coronary sulcus
Drains into RA
5 tributaries of coronary sinus
Great cardiac Middle cardiac Small cardiac Posterior vein of Left ventricle Oblique vein of Left Atrium
Smallest veins of the heart
Venae cordis minimae
Run within walls of heart
Atherosclerosis
Deposition of lipid plaques on inner walls of arteries
Angina pectoris
Chest pain upon exertion
Symptom of partial occlusion of coronary artery branches
Myocardial infarction
Coronary artery branch becomes completely occluded
Most common sites for myocardial infarction
Anterior interventricular (MC)
Right coronary
Circumflex
Heart has its own ________ and does not require _______ to beat rhythmically
Contractile mechanism; nerve supply
Nerve supply necessary to
Alter rate of beating
Sympathetic activation on heart beat
Increases HR and strength of contraction
Dilates coronary arteries
Parasympathetic activation on heart beat
Decreases HR and strength of contraction
Constricts coronary arteries
2 division of cardiac plexus
Superficial
Deep
Superficial cardiac plexus location
Beneath arch of aorta, anterior to pulmonary trunk
Deep cardiac plexus location
Posterior to arch of aorta
Sympathetic innervation comes from
Sympathetic trunk (T1-4)
Parasympathetic innervation comes from
Vagus nerve
Conduction system of heart is NOT nerve tissue but is
Specialized cardiac muscle fibers
Sinuatrial node
Pacemaker of the heart
Sinuatrial node location
Upper end of crista terminalis
Atrioventricular node
Located in septal wall, above opening for coronary sinus
Atrioventricular bundle location
Within septal wall
Atrioventricular bundle divides into:
Right and left bundle branches
Right bundle branch
Enters septomarginal trabecula of RV
Left bundle branch
Enters papillary muscles of LV
Subendocardial plexus of conduction cells
Joined by branches of L and R bundle branch
Conduction impulse pathway
SA node—atrial wall—AV node—AV bundle—L and R bundle branches—subendocardial plexus—myocardium
Great vessels that exit the heart
Aorta
Pulmonary trunk
Great vessels that enter the heart
Pulmonary veins
SVC
IVC
Ligamentum arteriosum is the remnant of
Embryonic ductus arteriosus
Ligamentum arteriosum connects
Arch of aorta to left pulmonary artery at level of sternal angle
Left recurrent laryngeal nerve hooks under
Aortic arch, posterior to ligamentum arteriosum
Left recurrent laryngeal nerve prone to
Compression in an aortic aneurysm
Right recurrent laryngeal nerve hooks under
Right subclavian artery
Thoracic duct begins in abdomen as
Cisterna chyli
Cisterna chyli formed by
Intestinal, lumbar, and descending intercostal trunks
Thoracic duct passes through
Aortic hiatus and posterior mediastinum
Thoracic duct crosses over at
T5/6
After crossing to the left is passes posteior to
Left subclavian vein
Thoracic duct empties into
Junction of left internal jugular and subclavian veins
Thoracic duct drains entire body except
Right upper extremity
Right thoracic cavity
Right side of head and neck