Lecture 14 - Cardiovascular System Flashcards

1
Q

What are the characteristics/ functions of the heart

A
  • > two side-by-side pumps that work at the same rate and pump the same volume of blood
  • > blood flow within the heart os unidirectional because of four valves within the heart
  • > generates BP through alternative cycles of the heart wall’s contraction (systole) and relaxation (diastole)
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2
Q

What is blood pressure

A
  • > the force of the blood pushing against the inside wall of blood vessels
  • > a minimum BP is essential to circulate blood throughout the body
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3
Q

Arteries vs Veins

A

Arteries

  • > carries oxygenated blood from the lungs to the heart, to the rest of the body/body tissues

Veins

  • > transport deoxygenated blood from capillaries/rest of body to the heart and then to the lungs
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4
Q

Capillaries

A

blood vessels involved in gas exchange between oxygenated & deoxygenated blood

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5
Q

Pulmonary vs Systemic circulation

A

Pulmonary

  • > right side of the heart and the pulmonary arteries and veins; convey blood to the lungs for oxygenation and back to the left side of the heart

Systemic

  • > left side of the heart and arteries and arteries and veins; conveys oxygenated blood to the body tissues and deoxygenated blood back to the right side of the heart
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6
Q

Which structures contribute to pulmonary circulation vs systemic circulation

A
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7
Q

Position of the heart within the mediastinum

A
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8
Q

Explain what the pericardium is and what is does

A
  • > a tough sac that encloses the heart
  • > restricts heart movements
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9
Q

The pericardium is composed of what?

A

2 main parts

  1. Fibrous pericardium - > outter covering of dense connective tissue
  2. Serous pericardium - > thin, delicate, moist membrane which is composed of 2 pars
  3. 1 - Parietal Layer - > lines outter surface of serous pericardium (attaches directly uner the fibrous pericardium)
  4. 2 - Visceral layer (epicardium) - > covers the outer surface of the heart (small space between the parietal and visceral layers is called the pericardial cavity)
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10
Q

Anatomy of the heart wall; Explain each layer

A

*superficial to deep*

  1. Epicardium - > consists of the visceral layer of the serous pericardium and areolar connective tissue
  2. Mycardium - > cardiac muscls; thickest of the three layes
  3. Endocardium - > internal surface of the heart chambers and external surface of the heart valves
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11
Q

Explain the structure of a cardiac muscle

A
  • > branched shape (Y-shape)
  • > single, central nucleus
  • > striated (actin and myosin fibres)
  • > connected by intercalcated discs
  • > functional syncitium (mass of cells that merge together and work together)
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12
Q

Explain the cardiac vortex

A
  • > atrial muscles are arranged in a figure-8 patten around the smaller atria
  • > ventricular muscles are wrapped around and between the large ventricles
  • > this allows for the blood to actually move in a specific direction when the heart contracts (intead of just queezing the blood out and in)
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13
Q

External anatomy of the heart

A

Consists of ….

• 4 hollow chambers (artia & ventricles separated by coronary sulcus)

  • > 2 smaller and superior atria (sing. atrium)
  • > 2 larger, inferior ventricles
  • The infro anterior borders of the atria form a muscular extension called the auricles
  • anterior/posterior interventricular sulcus
  • > runs between reigh/left ventricles and from the coronary sulcus to the apex (bottom tip) of the heart
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14
Q

What are the valves found within the heart

A
  1. Right atrioventricular (tricuspid)
  2. Pulmonary semilunar
  3. Left atrioventricular (bicuspid or mitral)
  4. Aortic Semilunar
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15
Q

What are the three veins that drain into the right atrium and explain the journey of the blood out the atrium

A
  1. Superior vena cava
  2. Inferior vena cava
  3. Coronary sinus
    - > dexoygenated venous blood (delivered by the three structures above) flows from RA through the right artioventricular valve
    - > the right at.vent. valve is forced closed when the right ventrivle begins to contract, preventing blood backflow into RA
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16
Q

General characteristics of the right ventricle

A
  • > receives deox venous blood from R.Atrium
  • > the inner wall of each ventricle displays large, irregular muscular ridges called trabeculae carneae
  • > typically 3 mucles projections inside R.Vent called papillary muscles which are anchors for chordae tendonae
  • > deoxy blood must pass through the conus arteriosus (smooth tube which leads/ directs blood to PSL Valve) and pulmonary semilunar valve before being sent to heart
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17
Q

What separates the right and left ventricles

A

the interventricular septum

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18
Q

chordae tendonae

A
  • > thin strands of connective tissue (made up of collagen fibres) which are anchored by the papilary muscles
  • > attaches to three cusps of the R.atrioventricular valve (tricuspid)
  • > cusps are triangular flaps that hang down into the ventricle
  • > chorade tendonae prevents the cusps from prolapsing into right atrium when r.ventricle contracts
19
Q

Semilunar valves

A
  • > 2 of them: pulmonary and aortic
  • > located in the roof of the right and left ventricles
  • > each valve is made up of 3 semilunar cusps
  • > no chordae tendonae
  • > when ventricle contracts, blood pushes cusps against arterial trunks
  • > when ventricle relaxes, some blood flows back towards the ventricle as the valve closes
20
Q

General characteristics of left atrium

A
  • > oxygenated blood from lungs travels thru pulmonary veins to l.atrium
  • > left atrium is separated from left venticle by left atrioventrical valve (AV valve or mitral valve)
  • > this valve ony has 2 triangular cusps
  • > this valve is forced shut when the left ventricle contracts (similar process to r.atrioventrical valve)
21
Q

shapes of the valves of the heart

A
22
Q

Why is the left ventricular wall 3x bigger than the right ventricular wall

A
  • > the left ventricle has to pump blood to the entire body (except lungs) and therefore has to generate more force to send it a greater distance
23
Q

What is the aorta

A

largest vessel in the body and has three regions: ascending aorta, aortic arch and decending aorta

24
Q

What are the three main arterial branches of the aortic arch

A
  1. Briachiocephalic trunk (supplies blood to right head & R.upper limb)
    - > splits into right common carotid (head) and right subclavian (R.upper limb)
  2. Left common carotid (left head)
  3. Left subclavian (left upper limb)
    - > the decending aorta supplies blood to the rest of the body (both limbs and viscera)
25
Q

Auscultation

A

the action of listening to heart valve sounds

  • > we don’t put the stethescope directly over the valve but a little bit down/upstream of it because sound travels differently through blood and tissues
26
Q

Explain the cardiac conduction system

A
27
Q

Explain coronary arteries

A
  • > coronary arteries feed heart healthy blood
  • > the right and left coronary arteries travel within the coronary sulcus and supply heart wall muscle with healthy blood
  • > small branches off the ascending, just above the aortic semilunar valve
28
Q

Explain coronary veins

A

venous return of blood from the heart wall muscle occurs through three major veins

  1. Great Cardiac Vein - > runs alongside the anterior interventricular artery
  2. Middle cardiac vein - > runs alongside the posterior interventricular artery
  3. small cardiac vein - > travels close to the marginal artery

*all three drain into coronary sinus; that drains into R.Atrisum*

29
Q

what are the only structures that go againts the vein = deox blood; artery = oxygenated blood

A

Pulmonary Artery - > only artery that carries deoxygenated blood

Pulmonary Vein - > only vein that carries oxygenated blood

30
Q

Anatomy of blood vessels

A
  • > the three classes of blood vessels are arteries, capillaries and veins
  • > Arteries carry blood away from the heart and becme progressively smaller as they branch into artierions and finaly result into capillaries
  • > veins return blood to heart and become progressively larger as they exit capillaries and merge into venules and veins
31
Q

Explain blood vessel tunics

A

both artery and vein walls have three layers called (from outter to inner)

  • > tunica externa (adventitia)
  • > tunica media
  • > tunica intima

*arteries have smaller lumen and tunica externa, bigger tunica media*

*veins have bigger lumen and turnica externa, smaller turnica media*

32
Q

Function of tunica externa

A

*adventitia*

TE is conective tissue that helps anchor the blood vessel to an organ; larger blood vessels require their own blood supply; smaller arteries that supply the larger arteries are called vasa vasorum

33
Q

Function of Tunica media

A

comprised of circularly arranged smooth muscle; sympathetic input causes the smooth muscle to contact, resulting in vasocontriction; parasympathetic input results in vasodilation

34
Q

Functions of tunica intima

A

*interna*

composed of an endothelium (simple squamous epithelium lining the inside of the arteries and veins) and a subendothelium layer of areolar connective tissue

35
Q

Types of arteries

A
  1. Elastic arteries
  2. Muscular arteries
  3. Arterioles
36
Q

Elastic arteries

A
  • > larges of the three types of arteries
  • > the elastic fibres present in all three tunics allow these arteries to stretch under the increased pressure generated by bloodflow from the heart
  • > elastic arteries branch into muscular arteries
37
Q

Muscular arteries

A
  • > medium diameter arteries
  • > posess elastic fibres in two concentric rings between the three tunics:
    1. Internal elastic lamina (IEL) which separates the tunica intima and tunica media
    2. External elastic lamina (EEL) which separates the tunica media and tunica externa
38
Q

Arterioles

A
  • > smallest arteries; have less than 6 layers of smooth muscle in their tunica media
  • > sympathetic innervation to the muscle fiber cells of the tunica media causes vasoconstriction resulting in elevation of BP
  • > parasympathetic innervation causes vasodilation and a lowering BP
39
Q

capillaries

A
  • > smallest of all blood vessels
  • > diametre only slightly larger than erythrocyte
  • > wall consists solely of the tunica intima (a single layer of endothelial cells)
  • > only type of blood vessel where metabolic exchange can occur between blood and cells outside of bloodstream
40
Q

Types of capillaries

A
  1. Continuous - > most common type; endothelial cells form a contiuous and complete lining (no holes) aided by the presence of tight junctions
  2. Fenestrated - > endothelial cells that have small “holes” to allow fluid exchange between blood and interstitial fluid
  3. Sinusoid - > have big gaps between endothelial cells that promotes transport of larger molecules and cells to and from blood (how dying RBC leave blood stream to get recycled)
41
Q

venules

A
  • > smallest veins
  • > companion vessels with arteioles
  • > smallest ones are located at the distal end of a capillary bed and are called postcapillary venules
  • > venules merge to form veins
42
Q

veins

A
  • > smaller and medium-sized veins travel with muscular arteries
  • > larger veins travel with elastic arteries
  • > BP in veins is too low to overcome gravity so they posess valves which prevent backflow (only lower have of body veins)
  • > at rest the body’s veins hold 60% of the body’s blood; veins function as blood resevoir
43
Q

skeletal muscle pump

A

the process in which the contraction of muscles also pumps blood towards the heart; this can help in bloods efforts to fight gravity