Introduction to the Circulatory System Flashcards

1
Q

What is the Circulatory System?

A
  • Made up of the cardiovascular system and the lymphatic system (both carry fluid)
  • Distributes gases and other molecules
  • Chemical signalling
  • Mediates inflammation and host defence response
  • Carries waste products from cells
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2
Q

What are the 3 main components of the Cardiovascular System?

A

Arterial system
Arteries carry blood away from the heart

Heart
The pump of the system

Venous system
Veins carry blood towards the heart

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3
Q

What are the 2 main circulations of the CVS?

A
  • pulmonary circulation
  • systemic circulation
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4
Q

What are the 3 layers of the heart?

A
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5
Q

What are the 4 chambers of the heart?

A
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6
Q

What are the Great Vessels of the heart?

A

Superior Vena Cava
Inferior Vena Cava
Pulmonary trunk
Pulmonary veins
Aorta

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7
Q

What are the 4 main Cardiac Valves?

A

ensure uni-directional blood flow

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8
Q

Describe Conduction System of the Heart?

A
  1. Electrical impulse starts spontaneously at sinoatrial node- Causing both atria to contract
  2. Travels to atrioventricular (AV) node at atrioventricular septum
  3. Travels down right and left bundles in interventricular septum
  4. Spreads out to myocardium through conducting fibres
    - Causing both ventricles to contract
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9
Q

7 Key principles of Arteries

A
  • Usually part of neurovascular bundle (NVB)
  • High pressure
  • Usually deep location compared to veins
  • Round lumen
  • Pulsatile
  • Carry oxygenated blood
  • Often divide (bifurcate or trifurcate)
    ‘Common’ or ‘trunk’ indicates it will definitely divide!
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10
Q

Name the 4 parts to the aorta

A

Ascending
Arch
(Descending) Thoracic
(Descending) Abdominal

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11
Q

How does the aorta work?

A
  • Arterial blood enters aorta first
  • Receives blood at high pressure during systole
  • Its elastic walls expand under this pressure
  • Elastic recoil maintains peripheral flow during diastole
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12
Q

Name the Branches of the Arch of Aorta

A

Brachiocephalic trunk
Left common carotid artery
Left subclavian artery

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13
Q

Basic Upper Limb Blood Supply

A
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14
Q

Basic Lower Limb Blood Supply

A
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15
Q

6 Places to Feel Peripheral Pulses

A
  • Carotid (bifurcation of common carotid artery)
  • Brachial artery (anterior to elbow joint)
  • Radial artery (radial side of palmar aspect of wrist)
  • Femoral artery (continuation of external iliac artery)
  • Popliteal artery (posterior to knee joint)
  • Dorsalis pedis artery (dorsum of foot)
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16
Q

What is Anastomosis?

A

Communications between arteries
Alternative pathway (or collateral circulation) for blood flow to supply the tissues distal to an arterial occlusion

17
Q

What is an end artery?

A
  • The ONLY arterial blood supply to a given area
  • Untreated occlusion of an end artery results in infarction of its territory
18
Q

8 Key Principles of the Veins

A
  • Usually part of neurovascular bundle (NVB)
  • Low pressure
  • Non- pulsatile
  • Carry deoxygenated blood
  • Drain blood away from a territory
  • Often follow arteries
  • Thin walls which collapse when empty
  • Have valves
19
Q

Describe 3 features aiding Venous Return

A

Venous blood flows back towards the heart, assisted by:
Venous valves
In limb veins, valves are present to ensure unidirectional flow back to the heart against gravity
Musculovenous pump
Contraction of skeletal muscles in the lower limb
Venae comitantes
Small veins run in pairs or more with an artery in a sheath
Arterial pulsation pushes venous blood along

20
Q

Describe the 2 sets of veins

A

Superficial veins
Smaller and run in superficial fascia
Drain into deep veins

Deep veins
Larger and run deep to deep fascia and in cavities

21
Q

Describe the 2 main Venous Systems

A

Portal venous system
Drains venous blood from the GI tract
And associated organs
To the liver

Systemic venous system
Drains venous blood from all other organs and tissues into the superior or inferior vena cava

22
Q

Function of the Capillaries

A
  • Form extensive vascular networks (Approx. 50,000 miles)
  • Lined with single layer of endothelium
  • Narrow lumen only allowing one red blood cell (erythrocyte) through at a time
  • Allow for exchange of gases, metabolites and waste products
23
Q

Describe Lymphatic Circulation

and lymph return

A
  1. Lymphatics carry lymph through lymph nodes
  2. Eventually lymph is returned into the central veins in the root of the neck
    Lymph from superficial lymphatics → deep lymphatics
    Lymph from right lymphatic duct → right venous angle
    Lymph from thoracic duct → left venous angle
24
Q

Where are landmarks for auscultation of the four cardiac valves?

A

Aortic Valve – Right 2nd intercostal space at sternal edge.
Pulmonary Valve – Left 2nd intercostal space at sternal edge.
Tricuspid Valve – Left 4th intercostal space at sternal edge.
Bicuspid (mitral) Valve – Left 5th intercostal space in mid-clavicular line

25
Q

What are the Main Functions of Cardiovascular System?

A
  • circulate blood
  • brings oxygen and other molecules (nutrients, hormones, etc.) to cells and tissues of the body
  • removes waste products (CO2) from cells and tissues, to take to organs which handle these
  • helps regulate body temperature
26
Q

Describe How Arterial Disease Occurs

A
  • High blood pressure
  • Clogging of arteries with atheroma plaques causing:
  • restriction of blood flow and oxygen supply to cells and tissues
  • Increased risk of blood clots that can potentially block blood flow
27
Q

Risk Factors for Cardiovascular Disease

modifiable- 9 non- 3

A

Modifiable
Smoking
Unhealthy diet
Physical inactivity
High blood pressure
Dyslipidaemia
Diabetes mellitus
Obesity
Excess alcohol consumption
Stress
Non-modifiable
Family history
Age
Sex differences

28
Q

Describe How Coronary Artery Disease (Ischaemic Heart Disease) Occurs

CAD

A

The heart muscle itself needs to be supplied with blood through the coronary arteries

A coronary artery (arteries) can become partially or completely blocked

Causing CAD (Ischaemic Heart Disease)

This can result in damage of cardiac muscle and impairment of heart function

29
Q

Name Other Non-ischaemic Heart Disease

A
  • Heart Valve Disease
  • Congenital Heart Disease
  • Intrinsic Disease of Cardiac Muscle (Cardiomyopathies)
  • Cardiac Infections (Endocarditis, Myocarditis, Pericarditis)
30
Q

List 7 Symptoms of Heart Disease

A
  • Sudden death
  • Chest pain
  • Shortness of breath
  • Swollen lower limbs
  • Palpitations
  • Dizziness
  • Loss of consciousness