heart Flashcards

1
Q

what does the mediastinum contain

A

heart, pericardium and origins of great vessels

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2
Q

what is the function of the pericardium

A

-supports and protects the heart
- limits overfilling of the heart

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3
Q

what make up the pericardium

A

Fibrous and serious layer

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4
Q

fibrous is the
serous is the

A

outer layer
inner layer

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5
Q

serous can be divided into

A

parietal and visceral layers

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6
Q

parietal…

A

lines the inner surface of fibrious pericardium

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7
Q

visceral…

A

adheres to the surface of the heart

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8
Q

what is the pericardial cavity

A

has small amount of serous fluid

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9
Q

what are the layers of the heart

A

epicardium, mayocardium and endocardium

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10
Q

what are the main vessels of the heart

A
  • arch of aorta
  • superior and inferior vena cava
  • right and left pulmonary veins
    -pulmonary trunk
  • right and left coronary artery
  • coronary sinus
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11
Q

what make the arch of aorta

A
  • Brachiocephalic trunk
  • left common carotid
  • left subclavian
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12
Q

pulmonary trunk is connected to the…by what…

A

arch of aorta
ligamentum arteriosum

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13
Q

what make up the pulmonary trunk?

A

left and right pulmonary arteries

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14
Q

what are the 3 branches of the right coronary artery

A
  • sinoatrial nodal artery
  • right marginal artery
  • posterior interventricular artery
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15
Q

what are the 2 branches of the left coronary arteries

A

-anterior interventricular artery
- circumflex artery

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16
Q

what does the anterior interventricular artery give rise to

what does the circumflex artery give rise to

A

diagonal branches

left obtuse marginal artery

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17
Q

what percentage of coronary artery gives off to the posterior interventricular artery

A

67%= right
15%= left
18%= codom

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18
Q

Coronary sinus

A

drains into the right atrium

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19
Q

what does the coronary sinus give off

A

great cardiac vein
middle cardiac vein
small cardiac vein
posterior cardiac vein

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20
Q

what vein of what chamber drains directly into the right atrium

A

anterior vein of the right ventricle

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21
Q

what does the cardiac plexus innervate

A

heart, coronary vessels and conduction system

22
Q

sympathetic innervation of the cardiac plexus causes

A
  • increase in heart rate and force contraction
  • dilates coronary vessles
  • POSTgang cell is in the cervical and upper thoracic paravertebral ganglia
23
Q

parasympathetic innervation of cardiac plexus causes

A

-decrease heart rate and force of contraction
- constricts coronary vessels
- POST ganglionic cell bodies is= intramural ganglia in walls of the heart

24
Q

what are the four key features of the heart

A
  • atria
  • ventricles
  • atrioventricular valves
  • semilunar valves
25
when do AV valves open
when arterial pressure is higher than pressure in the ventricles
26
when do semilunar valves open
when ventricular pressure is higher than pressure in the aorta
27
steps of the cycle
- late diastole - atrial systole - isovolumeric ventricular contraction - ventricular ejection - isovolumic ventricular relaxation
28
what if the flow of blood in the heart
1. Vena cavas, coronary sinuses, anterior vein of right ventricle 2. right atrium 3. opening of tricuspid 4. right ventricle 5. opening of pulmonary semilunar valve 6. pulmonary trunk 7. pulmonary arteries 8. lungs 9. pulmonary veins 10. left atrium 11. opening of bicuspid 12. left ventricle
29
function of the auricle
increase volume of blood atria can hold
30
what are the 5 features of the right atrium
- pectinate muscle - crista terminalis - opening for svc, ivs, coronary sinus - valves for ivc and coronary sinus - fossa ovalis
31
where does the SA node lie
superior end of crista terminalis between the right atrium and SVC
32
what are the 6 features of the right ventricle
- trabeculae carneae - conos arterious - tricuspid - chordae tendineae - moderator band - papillary muscles
33
what does trabeculae do
muscle ridges
34
function of conous arterious
outflow tract of the right ventricle leading to the pulmonary trunk
35
function of chordae tendinae
prevents erosion of the AV valves into the atria during contraction
36
function of moderator band
carries portion of heart conduction system
37
function of papillary muscle
anterior, posterior and septal
38
features of left atrium
left auricle openings of pulmonary veins
39
features of left ventricle
- thicker walls - high arterial pressure - trabeculae carneae - papillary muscles - chordae tendineae - outflow tract
40
what is the outflow tract of the left ventricle
aortic vestibule which leads to ascending aorta
41
what forces the tricuspid valves to close during ventricular contraction
pooling of blood around margin of cusps
42
papillary muscle contract causing...
tensing of chordae which prevents cusps from inverting into the right atrium
43
what are the two bicuspsids
anterior and posterior
44
what are the 2 semilunar valves
pulmonary and aortic
45
pulmonary semilunar valve is and has
b/w right ventricle and pulmonary trunk left right and anterior cusps
46
aortic semilunar valve has
left right and posterior cusps right and left cusps have openings for coronary arteries
47
both semilunar valves have
3 cusps nodules lunules sinuses ( aortic sinus and pulmonary trunk sinus )
48
what regulates the cardiac conduction system
sympathetic and parasympathetic system
49
SA node is the
pacemaker of the heart initiates and regulates impules for contractions of the heart
50
AV node...
can generate action potentials spontaneously intrinstic pacemaker rate is slower than SA
51
AV bundle is the
bridge b/w myocardium of atria and ventricles and also splits into right and left
52
right and left fibers branch into the
purkinje fibers