Heart Flashcards
pericardium (two components)
fibrous and serous
serous pericardium is made of what three parts
parietal
visceral
pericardial cavity
arterial supply of pericardium
internal thoracic
musculophrenic
thoracic aorta
venous supply of pericardium
tributaries of the brachiocephalic
pericardiocentesis should be performed at
5th or 6th intercostal space
The 5th or 6th intercostal space is a good location for pericardiocentesis because
cardiac notch (left lung) and shallower notch (left pleural sac) are exposed
transverse thoracic plane
at the sternal angles
superior mediastinum contains
trachea
upper parts of great vessels
inferior mediastinum contains
anterior, middle, posterior parts
inferior mediastinum (middle) contains
heart
inferior mediastinum (posterior) contains
all structures that vertically transverse the thorax
heart chamber three layers
endocardium
myocardium
epicardium (formed from the visceral layer of pericardium)
pericardium and heart layers
pericardium fibrous serous parietal pericardial cavity serous visceral heart epicardium (serous visceral pericardium) myocardium endocardium (innermost lining inside heart)
myocardium (made of)
cardiac muscle cells
connective tissues
endocardium (made of)
endothelium
areolar tissue
partietal pericardium (made of)
dense fibrous layer
aerolar tissue
mesothelium
epicardium - visceral pericardium (made of)
mesothelium
aerolar tissue
fibrous skeleton consists of
four fibrous rings (two rings + two coronets)
fibrous rings cover what structures in the heart
valve
two trigones
membranous portions (interatrial, interventricular, atriventricular septa)
fibrous skeleton of the heart provides
attachment for the leaflets and cusps
attachment for the myocardium
forms an electrical insulator (allow atria and ventricles to contract independently)
anterior wall RA
rough, composed of pectinate muscles
posterior wall RA
smooth, thin-walled (also called) sinus venarum
interior structures inside RA
right AV (atrioventricular) orifice sulcus terminalis (terminal groove) crista terminalis (terminal crest) coronary sinus (opening) interatrial septum oval fossa openings for IVC and SVC
posterior wall LA
larger, smooth, thicker-wall than the RA
anterior wall LA
smaller auricle containing pectinate muscles
interior structures inside LA
four pulmonary veins (entering posteriorly on smooth wall)
interatrial septum
heart valves
atrioventricular (AV)
semilunar
atrioventricular valves are located
between atria and ventricles
blood pressure closes atrioventricular valves during
ventricular contraction
prevents atrioventricular valves from swinging into the atria
papillary muscles that tense chordae tendineae
what are the semilunar valves
pulmonary and aortic tricuspid valves
purposes of the semilunar valves
prevent backflow from pulmonary trunk and aorta
which valves have no muscle
semilunar (pulmonary and aortic)
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)
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)
venous drainage
coronary sinus (mainly) small veins that enter into RA (partly)
main vein of the heart
coronary sinus
runs along wide venous channel that runs from left to right in posterior part of coronary sulcus
coronary sinus
coronary sinus receives what vein(s) from the left end
great cardiac vein
coronary sinus receives what vein(s) from the right end
middle cardiac vein
small cardiac vein
vein(s) that open into the coronary sinus
left posterior ventricular vein
left marginal vein
RCA origin
right aortic sinus
RCA anastomoses
circumflex
anterior IV branches of the LCA
what originates from RCA
SA nodal (in 60%)
RT marginal
posterior IV
AV nodal (67%)
RCA RT marginal anastomoses
IV branches
LCA origin
left aortic sinus
what originates from the LCA
SA nodal (circumflex branch - 40%) anterior IV circumflex left marginal (circumflex branch) posterior IV (33%)
RCA posterior IV anastomoses
anterior IV branch of LCA
LCA anastomoses with
RCA
LCA anterior IV anastomoses
posterior IV branch of RCA
LCA circumflex anastomoses
RCA
LCA LT marginal anastomoses
IV branches
LCA posterior IV anastomoses
anterior IV branch of LCA