Heart and vessel histology Flashcards

1
Q

What are the layers of the endocardium?

A

Simple squamous epithelium
Subendothelial CT
Subendocardial layer - conducting system

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2
Q

What junctions are contained in the intercalated discs?

A

Fascia adherents
Desmosomes
Gap junctions

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3
Q

Where are secretory cardiomyocytes found?

A

Atria

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4
Q

What are the two polypeptide hormones secreted by secretory cardomyocytes?

A

Atrial natriuretic factor (ANF/ANP)
Brain natriuretic factor (BNF)

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5
Q

What secretes the pericardial fluid in the epicardium?

A

Mesothelium

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6
Q

What are the functions of the fibrous skeleton of the heart?

A

Keeps the AV orifices and semilunar valves patent
Provides attachment to leaflets and cusps of valves
Provides attachment to myocardium
Form electrical insulator separating atria and ventricles

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7
Q

What are the 3 layers of AV valves?

A

Fibrosa - dense irregular CT
Spongiosa - loose CT
Ventricularis/atrialis - dense CT/elastic

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8
Q

What are the layers of the vascular wall?

A

Tunica intima
Tunica media
Tunica adventitia

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9
Q

What are the histological characteristics of the tunica intima?

A

Endothelium
Basal lamina
Subendothelial layer
Internal elastic membrane

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10
Q

What are the histological characteristics of the tunica media?

A

Circular layer of smooth muscle
Elastin
Reticular fibers
Proteoglycans
External elastic membrane

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11
Q

What are the histological characteristics of the tunica adventitia?

A

CT with collagen and elastic
Small vessels and nerves

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12
Q

Where is tunica adventitia thicker?

A

In venules and veins

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13
Q

Where is the tunica media thicker?

A

Arteries

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14
Q

What are the characteristic of large/elastic arteries?

A

Contain multiple sheets of elastic lamellae
No fibroblasts in tunica media
Thin adventitia

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15
Q

What are the characteristic of medium/muscular arteries?

A

More smooth muscle in the tunica media
Prominent internal elastic lamina
No fibroblasts in media
Thick adventitia with recognizable external elastic lamina

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16
Q

What is the characteristic of small arteries?

A

Less smooth muscle

17
Q

What are age related differences in the tunica intima?

A

Thinner in young children
Expanded in older persons due to fatty streaks
Atherosclerosis - hardening in older persons