Heart Flashcards
Transverse Pericardial Sinus
Between pulmonary artery and aorta
use this space for bypass surgeries
Oblique Pericardial Sinus
Between pulmonary veins
Cul-de-sac
What makes up the apex?
Left ventricle
Where does the apex sit anatomically?
left 5th intercostal space
What makes up the base?
Left atrium
Fibrous Pericardium
1st layer of pericardium
fused to central tendon so heart won’t float around
Protects heart from over filling
Serous Pericardium
Parietal Pericardium
Visceral Pericardium
Pericardial cavity- sinuses
Pericardiocentesis
Fluid within the pericardial space that slows the heart down because it takes up space for the heart to beat
Sternocostal Heart surface
right ventricle
Pulmonary Heart Surface
left ventricle
occupies the cardiac notch
Diaphragmatic Heart Surface
Includes both ventricles but mainly the left ventricle
Superior border of the heart
right and left auricles/ atrium
Right border of the heart
right atrium
3rd costal cartilage to 6th costal cartilage
Inferior border of the heart
left ventricle
6th costal cartilage to 5th intercostal space
Left border of the heart
left atrium
5th intercostal space to 2nd costal cartilage
coronary sulcus
crown around top of heart
atrioventricular
ventricle and atrium separation
Anterior interventricular groove
between left and right ventricle on anterior of heart
Posterior interventricular groove
between left and right ventricle on posterior of heart
conus arteriosus
Part of Right Ventricle
Formed from the upper left angle of the right ventricle
where pulmonary trunk arises
Trabeculae Carneae
rough muscle on wall of ventricles
Interventricular septum
wall between left and right ventricle
membranous and muscular portion
Interatrial Septum
Wall of atrium
smooth because it was a blood vessel at one time
Interventricular Septum- Membranous Portion
Thinnest part of ventricular wall
Where VSD’s occur
Interventricular Septum- Muscular Portion
Thickest part of ventricular wall
Papillary Muscles
come from ventricle wall and connect to chordae tendinaea to open and close valves
When are valves of the heart open?
Diastole
When are valves of the heart closed?
Systole
Atrioventricular valves
Part of inflow
- Tricuspid valve (right)
- Mitral/Bicuspid valve (left)
Semi-lunar Valves
Part of outflow
- Aortic Valve (right)
- Pulmonary valve (left)
Pulmonary cusps
right
anterior
left
Aortic Cusps
right
posterior
left
Tendon of Conus Arteriosus
attaches aortic and pulmonary semi-lunar valves
Left Fibrous Trigone
attaches mitral valve and aortic semi-lunar vlave
Right Fibrous Trigone
attaches atrioventricular valves to aortic semi-lunar valves
Coronary Sinus
Main drain vein for the heart vessels into the right atrium
Great cardiac vein
In front/ anterior
drains into coronary sinus
Middle cardiac vein
in the middle back of the heart
drains into coronary sinus
Small cardiac vein
Off the right side of the heart
drains into coronary sinus
Anterior cardiac vein
sits right by right atrium
Drains directly into right atrium
Does the heart have somatic feeling?
No, but it does feel chemistry (i.e. stretch)
What nerve innervates the heart?
cardiac plexus
sympathetic trunk with vagus
cervical splanchinics
What level are the cervical splanchnics located at?
T1-T4
How are the valves located in the heart?
oblique line from 3rd costal cartilage to right 6th costal cartilage
Auscultatory area for Aortic Semi-lunar valve
right 3rd intercostal space
Auscultatory area for Pulmonary Semi-lunar valve
left 2nd intercostal space
Auscultatory area Tricuspid Valve
left 6th intercostal space
Auscultatory area mitral valve
left 5th intercostal space