Heart Flashcards

(53 cards)

1
Q

pericardium (two components)

A

fibrous and serous

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2
Q

serous pericardium is made of what three parts

A

parietal
visceral
pericardial cavity

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3
Q

arterial supply of pericardium

A

internal thoracic
musculophrenic
thoracic aorta

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4
Q

venous supply of pericardium

A

tributaries of the brachiocephalic

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5
Q

pericardiocentesis should be performed at

A

5th or 6th intercostal space

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6
Q

The 5th or 6th intercostal space is a good location for pericardiocentesis because

A

cardiac notch (left lung) and shallower notch (left pleural sac) are exposed

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7
Q

transverse thoracic plane

A

at the sternal angles

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8
Q

superior mediastinum contains

A

trachea

upper parts of great vessels

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9
Q

inferior mediastinum contains

A

anterior, middle, posterior parts

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10
Q

inferior mediastinum (middle) contains

A

heart

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11
Q

inferior mediastinum (posterior) contains

A

all structures that vertically transverse the thorax

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12
Q

heart chamber three layers

A

endocardium
myocardium
epicardium (formed from the visceral layer of pericardium)

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13
Q

pericardium and heart layers

A
pericardium 
  fibrous 
  serous parietal
  pericardial cavity 
  serous visceral 
heart
  epicardium (serous visceral pericardium) 
  myocardium
  endocardium (innermost lining inside heart)
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14
Q

myocardium (made of)

A

cardiac muscle cells

connective tissues

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15
Q

endocardium (made of)

A

endothelium

areolar tissue

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16
Q

partietal pericardium (made of)

A

dense fibrous layer
aerolar tissue
mesothelium

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17
Q

epicardium - visceral pericardium (made of)

A

mesothelium

aerolar tissue

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18
Q

fibrous skeleton consists of

A

four fibrous rings (two rings + two coronets)

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19
Q

fibrous rings cover what structures in the heart

A

valve
two trigones
membranous portions (interatrial, interventricular, atriventricular septa)

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20
Q

fibrous skeleton of the heart provides

A

attachment for the leaflets and cusps
attachment for the myocardium
forms an electrical insulator (allow atria and ventricles to contract independently)

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21
Q

anterior wall RA

A

rough, composed of pectinate muscles

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22
Q

posterior wall RA

A

smooth, thin-walled (also called) sinus venarum

23
Q

interior structures inside RA

A
right AV (atrioventricular) orifice
sulcus terminalis (terminal groove)
crista terminalis (terminal crest)
coronary sinus (opening)
interatrial septum
oval fossa
openings for IVC and SVC
24
Q

posterior wall LA

A

larger, smooth, thicker-wall than the RA

25
anterior wall LA
smaller auricle containing pectinate muscles
26
interior structures inside LA
four pulmonary veins (entering posteriorly on smooth wall) | interatrial septum
27
heart valves
atrioventricular (AV) | semilunar
28
atrioventricular valves are located
between atria and ventricles
29
blood pressure closes atrioventricular valves during
ventricular contraction
30
prevents atrioventricular valves from swinging into the atria
papillary muscles that tense chordae tendineae
31
what are the semilunar valves
pulmonary and aortic tricuspid valves
32
purposes of the semilunar valves
prevent backflow from pulmonary trunk and aorta
33
which valves have no muscle
semilunar (pulmonary and aortic)
34
RCA (right coronary artery) supplies
``` RA RV (most) LV (part - diaphragmatic surface) IV septum (part - posterior one 3rd) SA node (60% population) AV node (80% population) ```
35
LCA (left coronary artery) supplies
``` LA LV (most) RV (part) IV septum (anterior two 3rds - incl AV bundle thru septal branches) SA node (40% population) ```
36
venous drainage
``` coronary sinus (mainly) small veins that enter into RA (partly) ```
37
main vein of the heart
coronary sinus
38
runs along wide venous channel that runs from left to right in posterior part of coronary sulcus
coronary sinus
39
coronary sinus receives what vein(s) from the left end
great cardiac vein
40
coronary sinus receives what vein(s) from the right end
middle cardiac vein | small cardiac vein
41
vein(s) that open into the coronary sinus
left posterior ventricular vein | left marginal vein
42
RCA origin
right aortic sinus
43
RCA anastomoses
circumflex | anterior IV branches of the LCA
44
what originates from RCA
SA nodal (in 60%) RT marginal posterior IV AV nodal (67%)
45
RCA RT marginal anastomoses
IV branches
46
LCA origin
left aortic sinus
47
what originates from the LCA
``` SA nodal (circumflex branch - 40%) anterior IV circumflex left marginal (circumflex branch) posterior IV (33%) ```
48
RCA posterior IV anastomoses
anterior IV branch of LCA
49
LCA anastomoses with
RCA
50
LCA anterior IV anastomoses
posterior IV branch of RCA
51
LCA circumflex anastomoses
RCA
52
LCA LT marginal anastomoses
IV branches
53
LCA posterior IV anastomoses
anterior IV branch of LCA