Exam #3: Heart I Flashcards
What is the Pericardium? Where does it attach & what does it contain?
- Double-walled fibroserous sac around the heart
- Attached to the sternum
- Contains the phrenic nerve
What is the Fibrous Pericardium?
- Fuses the pericardium to the central tendon of the diaphragm (anchor)
- V. inelastic/ thick
What is the Serous Pericardium?
- Thin capillary layer of oily fluid that prevents friction
What is the Parietal Pericardium?
Fused to the internal surface of the fibrous pericardium
What is the Visceral Pericardium?
Epicardium
What is the Pericardial Cavity?
- Potential space between the parietal pericardium and visceral layer
- Contains a supply of serous fluid
Transverse Pericardial Sinus
- Located posterior to the aorta & pulmonary trunk, but anterior to the SVC
- A space where a finger can be inserted
- Attachment point for CABG
Oblique Pericardial Sinus
- A wide recess posterior to the heart
- Anterior to the SVC, IVC, & pulmonary veins
Pericardiocentesis
- Insert needle into infrasternal angle (left of xiphoid process) or lingula to drain the pericardial sac in cardiac tamponade
Pericardial Effusion
Fluid accumulation in the percaridal sac
Apex
- Left Ventricle
- Located @ the left 5th intercostal space
- Midclavicular line
Base
- Posterior portion of the heart that sits toward the vertebral column
- Esophagus is just posterior between heart & thoracic vertebrae
- Left atrium & sinus venarum
Sinus Venarum
Smooth portion of the right ventricle
Sternocostal Surface
- Anterior surface of the heart
- Right ventricle (sits just posterior to the sternum)
Diaphragmatic Surface
- Portion of the heart that sits on the central tendon
- Left ventricle mostly, w/ minor contribution from the right ventricle
Right Border
- Right 3rd costal cartilage to right 6th costal cartilage
- Right atrium
Inferior Border
- Right 6th costal cartilage to left 5th intercostal space
- Right ventricle & apex of left ventricle
Left Border
- Left 5th intercostal space to left 2nd intercostal space
- Left ventricle & left auricle
Superior Border
- Left 2nd costal cartilage to right 3rd costal cartilage
- Left & Right Auricle
Left Auricle
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Conus Arteriosus
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Right Auricle
- Ear-like conical muscular pouch that projects from the right atrium
- Increases the capacity of the right atrium
Coronary Sulcus
- Atrioventricular (groove between the atria & ventricles)
- Coronary arteries sit in this groove
Anterior Interventircular Groove
- Groove between the right & left ventricles (anterior)
- Deep structure is the interventricular septum
Posterior Interventricular Groove
- Groove between the right & left ventricles
- Sits on the diaphragmatic surface
Opened Right Atrium
- Superior & Inferior Vena Cava
- Sinus Venarum
- Crista Terminalis
- Pectinate Muscles
- Interatrial Septum
- Fossa Ovalis
- Opening for the coronary sinus
- Tricuspid Valve
Superior Vena Cava
Blood draining into the heart from superior to the diaphragm
Inferior Vena Cava
Blood draining into the heart from inferior to the diaphragm
Sinus Venarum
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Crista Terminalis
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Pectinate Muscles
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Interatrial Septum
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Fossa Ovalis
Only seen in the RA
Tricuspid Valve
Valve between the RA & RV
Chordae Tendineae
Tendons of the tricuspid valve
Papillary Muscle
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Conus Arteriosus
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Semilunar Valve
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Moderator Band
Specialized muscle cells that conduct the cardiac impulses
Describe the surface of the left atrium.
- Very smooth w/ few pectinate muscles
Bicuspid Valve
- Mitral Valve
- Opening from the LA to LV
Aortic Vestibule
- Outflow part of the left ventricle
- Area just prior to the aortic semilunar valves is the most clinically significant part b/c it is the thinnest–> most common area for VSD
Trabeculae Carneae
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Semilunar Valve
Aortic
Pulmonary
What causes heart sounds?
Blood flow hitting a closed valve
Lub Sound
- AV valves (tricuspid & mitral)
- Inflow
Dub
- Semilunar valves
- Outflow
Pulmonic Valve
- Right ventricle into the pulmonary artery
- Stethoscope at Left 2nd intercostal space
Aortic Valve
- Left ventricle into the aorta
- Stethoscope at right 2nd intercostal space
Mitral Valvue
- Left atrium to the left ventricle
- Stethoscope at apex/ left 5th intercostal space
Tricuspid Valve
- Right atrium to right ventricle
- Stethoscope at right sternal border