heart Flashcards
location of heart
mediastinum the cavity between 2 pleural cavities and rest on the superior surface of diaphragm
position of heart
posterior to costal cartilage
posterior to sternum anterior to vertebral column
5th ICS
covering of the heart
parietal pericardium - fibrous layer -epithelial layer pericardial cavity heart wall -epicardium -myocardium -endocardium heart chamber
components of the heart wall
epicardium outermost layer of epithelial tissue
myocardium middle layer of cardiac muscle
endocardium inner layer of endothelial cells
internal anatomy
left side must generate 4-6 times more pressure to push blood through the systemic circuit compared to the right side and the pulmonary circuit
heart valve- atrioventricular valve
AV-pressure of incoming blood opens valve , blood moves into ventricle
chordae tendineae loose
papillary muscle relaxed
AV valve open when atrial pressure > ventricular pressure
when ventricles contract blood moves upward, pressure increases, thus valve closes
chordae tendineae tense to prevent eversion of valve into atria and back flow of blood
papillary muscle contract to tense chordae tendineae
AV valve closes when atrial pressure< ventricular pressure
heart valve- semilunar
SL valve open when ventricular pressure > arterial pressure
SL valve open when the ventricles contract and push blood against valve
SL valve close when arterial pressure > ventricular pressure
SL valve close when ventricles relax and blood in arteries attest to move backwards and is caught in the cusps of the valve
coronary circulation- arteries
myocardium doesn’t receive oxygen or nutrients from blood there it gets it from coronary artery
ventricles relax & ventricular pressure drops below arterial pressure, arterial blood flows back towards to the ventricles, as it flows backwards within the aorta it moves into the coronary arteries
left coronary artery gives rise to anterior inter ventricular artery and supplies oxygenated blood to the anterior ventricles
right coronary artery supplies the right atrium and gives rise to the posterior inter ventricular artery which supplies oxygenated blood to the posterior ventricles
coronary circulation- veins
great cardiac veins drains deoxygenated blood from the anterior ventricles
middle cardiac vein drains the posterior ventricles
all veins all drain into the coronary sinus empties into the right atrium
unidirectional pathway
SVC, IVC & coronary sinus pass blood to right atrium, into right ventricle via tricuspid valve, into pulmonary trunk via pulmonary SL valve passing pulmonary arteries to the lungs to be oxygenated, It returns to the heart via 4 pulmonary veins, into left atrium, passing mitral valve into ventricle, into the aorta through aortic SL valve, oxygen rich blood is delivered to the body tissues and then returns to the heart
innervation of the heart
mechanical activity of the heart always begins with electrical activity
intrinsic conduction system
myocardium includes pacemaker cells:
unstable resting membrane potential
continually depolarise to generate AP
all cardiac muscle cells have special electrical connections , AP can be conducted to adjacent muscle cells and so on, allows coordinated activity of entire myocardium
pacemaker cells form the intrinsic conduction system
sinoatrial node- depolarise
atrioventricular node- depolarise pauses at AV node
atrioventricular bundle- connects atria to ventricles
bundle branches- depolarisation through interventicualr septum
purkinje fibres- depolarise the ventricular myocardium
extrinsic innervation
ANS modify the activity of the heart
cardiac centre of medulla oblongata
cardioacceletory centre
increases both heart rate and force of contraction
symph input via thoracic spinal cord to the SA and AV nodes, ventricular myocardium, coronary arteries