heart Flashcards

1
Q

function of pericardium

A

Shock absorber
prevents over expansion when blood increases
limits heart movements

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2
Q

fibrous pericardium

A
  • Outermost layer

- anchor heart to diaphragm and the great vessels

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3
Q

Serous pericardium

A
  • —Parietal layer attached to fibrous pericardium

- –Visceral layer attached to surface of the heart and aorta, pulmonary trunk, vena cavae

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4
Q

The lines of reflection between visceral and parietal pericardium form ..

A

two pericardial sinuses… oblique and transverse

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5
Q

Pericardial cavity filled with

A

10-20 mls of serous pericardial fluid

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6
Q

function of pericardial fluid

A

lubricates pericardial cavity and prevents friction as the heart beats

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7
Q

Transverse pericardial sinus.. where is it

A

Ant to the SVC and post to the Ascending

aorta and Pulmonary Trunk

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8
Q

Transverse pericardial sinus.. seperates

A
arterial vessels (A, PT)
and the venous vessels (SVC, PV)
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9
Q

the pericardium neurovasculature… arterial blood

A

Internal thoracic - Musculophrenic and
pericardiophrenic branches

Descending thoracic aorta from
bronchial, oesophageal and superior
phrenic arteries

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10
Q

the pericardium neurovasculature… venous blood

A

Venous drainage to azygous system

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11
Q

the pericardium neurovasculature… nerves

A

Phrenic nerve to fibrous

vagus and sympathetic trunks to serous
pericardium / visceral

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12
Q

epicardium
what is it
what is it made up of

A

visceral layer of pericardium

apidose and fibroelastic tissue

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13
Q

myocardium

A

muscle

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14
Q

endocardium
cells
covers

A

endothelial cells

smooth lining covers valves

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15
Q

Infective Endocarditis

A

Bacterial infection in valves, septum, chordae tendinae

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16
Q

Myocarditis

A

Often caused by viral infection

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17
Q

the fibrous skeleton of heart

A

Cardiac muscle fibers are

anchored to the ‘’ ‘’

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18
Q

skeleton of heart pt 2

A

Framework of dense collagen forms four fibrous rings

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19
Q

skeleton of heart surrounds

A

orifices of the valves

2 rings and 2 coronets

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20
Q

sulci

A

grooves on surface of heart containing coronary blood vessels and fat

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21
Q

coronary sulcus

A

Encircles heart and marks the boundary between the atria and the ventricles

22
Q
  1. anterior interventricular sulcus

2. posterior interventricular sulcus

A
  1. Marks the boundary between the ventricles anteriorly

2. ‘’ ‘’ posteriorly

23
Q

where do the two coronary arteries branch off

A

aorta above aortic semilunar valve

24
Q

Left coronary artery arises from

A

L post aortic sinus

25
Q

Left coronary artery passes foward

A

between left auricle and conus arterisus

26
Q

Circumflex branch supplies

A

left atrium and ventricle

27
Q

functions of skeleton of heart

  • prevents
  • attaches
  • provides
A
  • over dilated of valves
  • leaflets and cusps
  • electrical insulation of atria and ventricles
28
Q

what drains into the great cardiac vein

A

Posterior, the oblique vein, middle and small cardiac veins

29
Q

what drains into the coronary sinus

A

great cardiac vein

30
Q

where does the coronary sinus empty to

A

right atrium

31
Q

relations of Right phrenic nerve pt1

A
  1. passes anteriorly over lat part of R subc artery
  2. Enters the thorax via the superior thoracic inlet
  3. Descends anteriorly along the R lung root
32
Q

relations of left phrenic nerve pt1

A
  1. passes anteriorly over med part of L subc artery
  2. ’’ same as R
  3. ’’ ‘’ L lung root
33
Q

relations of Right phrenic nerve pt2

A
  1. courses along pericard. of R atrium
  2. pierces diaph. at opening for IVC
  3. innervates inf surface of dia.
34
Q

relations of left phrenic nerve pt2

A
  1. crosses aortic arc & goes around vagus n
  2. courses along peric. of L vent.
  3. pierces and innervates inf surface of dia.
35
Q

relations of right vagus nerve

A
  1. form post vagal trunk
  2. gives off R recurrent lar. nerve @ R subc art b4 descending post to peric
  3. enter abdomen via oesophageal hiatus of dia.
36
Q

relations of Left vagus nerve

A
  1. form ant vagal trunk
  2. gives of L rln @ aortic arc b4 ‘’
  3. ’’
37
Q

the vagus nerves also give..

A

cardiac branches which innervate to regulate heart rate

38
Q

what does the crista terminalis do

A

separates the smooth from the ridged wall

39
Q

right atrium has sinus venarum which is..

A

large quadrangular cavity between the SVC and the IVC

40
Q

the fossa ovalis is a remnant of

A

embryonic inter-atrial circulation

41
Q

tendon of todaro

A

a thickened ridge of the cardiac fibrous skeleton…

continuation of valve of IVC

42
Q

right atrium wall is

A

smooth but the remaining wall is ridged with pectinate muscles

43
Q

right ventricle seperated from r atrium by

A

tricuspid atrioventricular valve

44
Q

right ventricle is opening by

A

contraction of papillary muscles pulling on chordae tendineae

45
Q

left atrium wall

A

post and ant wall is smooth

46
Q

what is the forman ovale

A

impression on spetal wall corresponding of fossa ovalis of R atrium

47
Q

left atrium receives blood

A

4 pulmonary veins

48
Q

left ventricle opened by

A

contraction of ant and post papillary muscles pulling on chordae tendineae

49
Q

wall of left ventricle is

A

thickest part of heart

50
Q

in the left ventricle the outflow to aorta is controlled by…

A

aortic valve (semilunar valve)