Heart dissection Flashcards

1
Q

How does the heart appear at a posterior view?

A

the left and right are swapped around

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2
Q

Where is the tricuspid valve located?

A

between the right atrium and right ventricle

-

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3
Q

What is the role of the tricuspid valve and bicuspid valve?

A

make sure blood flows in a forward direction from the atrium to ventricle
prevent back-flow of blood

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4
Q

What is the structure of the tricuspid valve?

A

Has 3 flaps that open and close, allowing the blood to flow from right atrium to ventricle in heart.

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5
Q

What are the 2 AV valves?

A

Tricuspid

Mitral (Bicuspid)

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6
Q

Where is the mitral/bicuspid valve located?

A

between the left atrium and left ventricle

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7
Q

What is the structure of the mitral/bicuspid valve?

A

have 2 flaps in the heart which lies between the left atrium and ventricle

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8
Q

What are the layers of the heart?

A

epicardium
Myocardium
Endocardium

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9
Q

What is the endocardium?

A

Smooth frictionless lining- simple endothelium

- Inner layer of the heart which protects valves and heart chambers

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10
Q

What is the pericardium?

A

the membrane enclosing the heart, consisting of an outer fibrous layer and an inner double layer of serous membrane.
-produces pericardial fluid

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11
Q

What does the pericardial fluid do?

A
  • Lubrication to minimise friction generated by the heart as it contracts
  • If cavity dries up- causes Pericarditis- acquired defect
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12
Q

What is the myocardium?

A

Thick middle layer of the heart

Muscular tissue/cardiac- which serves the pump oxygenated blood around the body

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13
Q

What is the function of the right atrium?

A

recieves deoxygenated blood from body and pumped to right ventricle

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14
Q

What is the function of the right ventricle?

A

pumps deoxygenated blood back to lungs

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15
Q

What is the function of the left atrium?

A

recieves oxygenated blood from the lungs and pumps to ventricle

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16
Q

What is the function of the left ventricle?

A

pumps oxygenated blood around the body

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17
Q

What is the coronary blood vessels?

A

When the aorta branches off into 2 main coronary blood vessels known as arteries.- left and right
These then branch off into smaller arteries -

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18
Q

What is the role of the coronary blood vessels?

A

supplies oxygen rich blood to the entire heart and heart muscle

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19
Q

What are the 3 openings of the heart?

A

superior vena cava
Fossa ovalis
Inferior vena cava

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20
Q

What is the function of the superior vena cava?

A

large vein

which returns deoxygenated blood from the head and neck to the heart

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21
Q

What is the function of the inferior vena cava?

A

returns deoxygenated blood from lower body to the heart

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22
Q

What is the fossa ovalis/coronary sinus?

A

brings deoxygenated blood to right atrium from the heart

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23
Q

Why is the left side of the heart much stronger?

A

left ventricle is more developed

-a greater force is needed to push blood through the systemic circulation

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24
Q

What is the function of the left and right coronary blood vessels?

A

supply the heart muscle with oxygen rich blood.

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25
Where do the right and left coronary artery branch from?
branch off the aorta
26
What is the function of the aorta?
Main artery which carries oxygenated blood from left ventricle to the body takes 5% of hearts daily output
27
What are the 2 mains valves in the heart?
AV- mitral and tricuspid | Semi lunar- pulmonary and aortic
28
What is the function of the 4 valves of the heart?
passive | -ensure blood flows around the heart in the correct direction
29
What is the structure of the semi-lunar valve?
- 3.5 moon shaped cups
30
What is the action of the SL valves?
1. when ventricle is full of blood , ventricle contracts 2. pressure rises , blood is pushed up against semilunar valve forcing them open 3. ventricles relax , blood flows back down due to gravity , filling cups of semilunar valve forcing them to close 4. semilunar valve stops blood falling back to ventricle
31
What is the AV valves made of?
flaps of connective tissue
32
What is the action of the AV valve?
1. atrium contracts 2. pushes AV valve open and blood comes into ventricle 3. ventricle contracts papillary muscle contracts and chordae tendinae tighten preventing valve from everting into atria
33
What is the main function of the chordae tendinae?
Holds AV valve in place | -Tension is put on the AV valves during ventricular contraction to stop eversion by the chordae tendinae
34
What is the difference between AV and SL valves?
AV valves have muscle in then which is the chordae tendinae attached to the papillary muscle
35
What is lub ?
AV valve shut
36
What is dub?
SL valve shut
37
What are the 2 phases of cardiac cycle?
Systole (contractions) | Diastole (relaxation)
38
What is the differences between cardiac and skeletal muscle?
Skeletal muscle fibres have several peripheral nuclei and cardiac have a single central nucleus 2. Skeletal muscle fibres do not branch however cardiac do 3. Cardiac muscle are joined via gap junction - intercalated discs- forming syniticum
39
What is a syncitium
Sheet of muscle where the individual cells are connected vis gap junctions they form 2 - one around atria and other around ventricle- joined by the bundle of his
40
What is the pulmonary artery function?
Carries deoxygenated blood away from the (right ventricle) heart to the lungs
41
What is the pulmonary vein?
carries oxygenated blood back to the heart via into the left atrium
42
What are the units of blood pressure?
mmHg
43
How do you measure blood pressure/.
Using a sphygmomanometer
44
How is blood pressure test carried out?
1. Wrap a cuff around the arm - locate the brachial artery. 2. Apply a stethoscope so you are able to hear the sounds of korotkoff 3. Inflate the cuff to around 150mmHg- putting pressure on the brachial artery 4. Apply enough pressure until the artery has collapsed 5. When you have collapsed that artery- you are above the systolic pressure 6. The pressure is released from the cuff until the point at which there is some blood flow= systolic pressue 7. The pressure is further reduced and more blood will flow through the artery which is being collapsed less and less 8. Eventually a point is reached when blood flow is no longer restricted= Diastolic pressure
45
How else can the systolic and diastolic pressure be determined?
By listening to blood flow in the artery below the cuff- these are the sound of korotkoff
46
What are the sounds of korotkoff?
- When the artery is collapsed you can not hear anything as no blood flowing - When the pressure starts to decrease at the systolic pressure- will hear a soft intermittent tapping sound- first hear the sound - As you decrease the pressure more- louder and more continuous rushing sound - Then there is no turbulent blood flow and no constricting blood vessel= the sound has now died away,- you are at diastolic pressure- dies away
47
What is the brachial artery?
superficial blood vessel in the upper arm
48
Why is there variation in the readings of blood pressure from different people?
- Age | - Different diet/lifestyle/activities
49
Why is there variation in the readings of blood pressure from different people?
- Age | - Different diet/lifestyle/activities
50
What is an ECG?
Electrocardiogram
51
What does the ECG measure?
recording on the body surface of the electrical events in the heart (atrial and ventricular depolarisation and repolarisation)
52
What is a normal blood pressure?
120/80
53
Explain the shape of a normal ECG in terms of the events of the cardiac cycle?
§
54
What does the gap between the P and Q wave mean?
How long it takes the action potential to get through the Bundle OF His
55
What does S-T mean?
How long is the ventricle contraction
56
What does T- mean?
Ventricle relacxing- repolarisation
57
How is heart block presented in the ECG?
Some P waves are not transmitted thus the QRS and T waves are not present
58
how is congenital long QT syndrome presented in ECG ?
- It is a genetic defect causing Na ion channels to stay open . distance from Q - T is long meaning ventricles stay open
59
What is the irregularities of the ECG?
1. Heart block 2. Ventricular Fibrillation 3. Congenital Long -QT syndrome 4. Variable QT interval
60
What is ventricular fibrillation?
is a series of very high frequency uncoordinated contractions (>300 bpm)
61
What is Heart block?
A complete break in the system (Bundle of His)
62
What can defects in the system result in?
cardiac arrhythmias - Bradycardia <60 bpm - Tachycardia > 100 bpm
63
What is the variable QT interval?
represents the time of ventricular activity including both depolarisation and repolarisation. It is measured from the beginning of the QRS complex to the end of the T wave.
64
What are Purkinje fibres?
One of the specialized cardiac muscle fibers, part of the impulse-conducting network of the heart, that rapidly transmit impulses from the atrioventricular node to the ventricles
65
What is the diameter of the purkinje fibres?
70-80um
66
What is the diameter of cardiac muscle
10um in diamter | 50-200um in length