Histo Cardio Flashcards
Components of the epicardium
Mesothelial lining, loose connective tissue, Nerves, blood vessels to the myocardium
Components of the endocardium
Endothelium, subendothelial connective tissue, impulse-conducting system of the heart
What covers the external surface of the heart?
Mesothelial lining (simple squamous epithelial)
Lines the luminal surface of the heart
Endothelium
Thin sheath of connective tissue located directly underneath the endothelial lining
Subendothelial connective tissue
What supports the heart walls?
Fibrous skeleton
Parts of the fibrous skeleton
4 fibrous rings, 2 trigones
Surrounds the valve orifices
Fibrous rings
Connects the fibrous rings
Trigones
Name the 4 fibrous rings
FR of the pulmonary trunk/aorta, ring of the mitral/tricuspid valve (left and right atriventricular ring)
Connects the ring of the mitral valve and aortic fibrous ring
Left fibrous trigone
Connects the ring of the tricuspid valve and the pulmonary trunk fibrous ring
Right fibrous ring
Part of the interventricular septum that is devoid of cardiac muscle
Membranous part (dense irregular connective tissue)
What is the #1 location of septal defect?
Membranous part (dense irregular connective tissue
Composition of valves
Loose connective tissue covered with endothelium, with dense irregular connective tissue with elastic fibers for structural support
3 layers of the valves
Fibrosa, spongiosam, atrialis
Forms the dense irregular connective tisse connected to the corresponding fibrous ring
Fibrosa
Forms the loose connective tissue with large amounts elastic fibers
Spongiosa (acts as a shock absorber)
Covers the atrial aspect of the spongiosa
Atrialis ( rich in proteoglycans)
One of the most common valve pathologies
Mitral valve prolapse
What causes mitral valve prolapse?
Abnormal formation of structural proteins that form the valve (collagen/fibrillin)
What system regulates the heart rate?
ANS
What are hormone and chemical substances’ effect on the heart?
Change rate, and force of contraction
Cardiac muscle cells modified for the conduction of electrical impulses in a way similar to nerve cells
Purkinje fibers
Nodes/bundles of Purkinje fibers
SA/AV node, bundle of His
What are Purkinje fibers mainly composed of?
Glycogen
Caused by obstruction of coronary arteries, loss of blood supply to the cardiac muscle for more than 20 minutes
Myocardial infarction
Inflammation of the myocardium caused by infection/intoxication
Myocarditis
More common benign tumor of the heart
Myxoma
One of the most common tumor that spreads to the heart
Metastatic melanoma
One of the rare tumors that originate in the heart
Angiosarcoma