Lecture 16: Histology of the Cardiovascular System Flashcards

1
Q

4 Functions of the cardiovascular system

A
  1. Maintenance of adequate blood flow (cardiac output)
  2. Delivery of oxygen, nutrients, hormones, electrolytes, and water to peripheral tissues
  3. Removal of CO2 and other metabolic waste products
  4. Maintenance of normal thermoregulation and glomerular filtration rate -> urine output
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2
Q

Normal vascular pattern

A

Artery - arteriole - metarteriole - capillaries - venule - vein

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3
Q

Endocardium

A

Endothelial lining of the heart chamber surface. Also covers the surface of valves. The subendocardium contains a thin layer of connective tissue.

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4
Q

Where are purkinje fibers found?

A

.Subendocardium

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5
Q

Myocardium

A

Cardiac muscle mass

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6
Q

Epicardium

A
  • Formed by a single layer of flattened epithelial cells, the mesothelium, supported by connective tissue including fat.
  • A similar mesothelial layer lines the opposing parietal surface of the pericardial sac
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7
Q

What lubricates the movement of the epicardium on the opposite parietal pericardium?

A

Mesothelial cells

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8
Q

The epicardium represents what layer of the pericardial sac?

A

Visceral

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9
Q

What is cardiac muscle called?

A

Mycardium

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10
Q

Is myocardium cross-striated?

A

Yes

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11
Q

Nucleus of myocardium

A

Single, centrally located

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12
Q

The intercalated discs of myocardium

A
  • gap junctions

- anchoring junctions

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13
Q

Myocardium contains what pigment

A

lipofuscin

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14
Q

Mitochondria in myocardium?

A

Yes, many.

Up to 20% cell volume

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15
Q

Because there are a lot of mitochondria in myocardium,

A

it requires a lot of O2

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16
Q

Epicardium is contiguous with the endocardium at the level of the

A

endocardial cushion

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17
Q

The cardiac skeleton consists of

A

4 bands of fibrous connective tissue that encircles the base of the pulmonary trunk, aorta, and AV valves

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18
Q

Purpose of the cardiac skeleton

A

Provides structural support to the heart

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19
Q

Fibrous trigon

A
  • Triangular mass of fibrous connective tissue

- Connects the aortic arterial ring and the left and right atrioventricular ring.

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20
Q

Differentiation of the fibrous trigon

A

Osseous differentiation and forms the Os Cordis, which is primarily seen in cattle

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21
Q

Three tunics of vessels

A
  • Tunica intima
  • Tunica media
  • Tunica adventitia/externa
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22
Q

Tunica intima of vessels

A
  • Innermost

- Endothelium, internal elastic membrane, subendothelial connective tissue

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23
Q

Tunica media of vessels

A
  • Middle

- Smooth muscle and elastic lamellae/fibers

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24
Q

Tunica adventitia of vessels

A
  • Outermost

- CT, principally collagen, may contain blood vessels, nerves, capillaries

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25
Vascular endothelium role in hemostasis
- Anti-thrombotic and pro-fibrinolytic in the normal state | - Pro-thrombotic and anti-fibrinolytic during injury
26
Vascular endothelium role in modulating perfusion
- Nitric oxide relaxes and causes vasodilation | - Endothelin causes vasoconstriction
27
Vascular endothelium role in inflammation
- Regulates the traffic of inflammatory cells - Produces pro-inflammatory cytokines - Control angiogenesis and tissue repair
28
Hemostasis
Arrest bleeding by the physiological properties of vasoconstriction and coagulation or by surgical means
29
Does the elastic artery have all three tunics?
Yes
30
Best example of an elastic artery
Aorta
31
Tunica media of elastic artery
Consists largely of repeating elastic lamellae
32
Tunica intima of elastic artery
Endothelium + loose CT
33
Tunica adventitia of elastic artery
Contains vasa vasorum to assist in supplying nutritional needs to thick tuncia media
34
In muscular arteries, tunica media is primarily
Smooth muscle
35
Thickest Tunica in muscular arteries is
tunica media
36
In cross section, muscular arteries generally have what appearance?
round
37
Muscular arteries generally have a prominant
internal elastic membrane
38
What is an example of muscular artery?
Femoral artery
39
In vascular smooth muscle, the cells are arranged
Circumferentially within the tuncia media
40
Vascular smooth muscle regulates
Diameter and tone (vasodilation/vasoconstriction)
41
Arterioles have how many layers of smooth muscle?
1-3
42
What has the greatest effect of blood pressure?
Arterioles
43
Arteriole nuclei
bulge into thelumen
44
Appearance of arteriole
Round
45
Do arterioles have an internal elastic membrane
Not if they are the smallest ones with 1 smooth muscle cell
46
Metarteriole
Terminal vessel | Has precapillary sphincters that can regulate flow to capillary bed
47
Pericytes are also called
rouget cells
48
Pericytes
Mesenchymal-like contractile cells that wrap around capillaries and venules to communicate with endothelial cells by physical contact and paracrine signaling
49
Pericytes have actin, myosin, tropomyosin?
Yes
50
Do pericytes have their own basal membrane?
Yes
51
Pericytes proliferate after
- Injury - May be replacement stem cell source - Important in angiogenesis (new vessel formation)
52
Capillaries
Thin walled tubes of mesenchymal origin
53
Capillaries in a cross section
Made of only one endothelial cell rolled into the tube
54
Capillaries represent
The site of exchange between blood and surrounding tissue
55
Capillary size
Diameter - 1-9 micro | Length - 0.25-1mm
56
Capillaries can be longer in
adrenal cortex, kidney medulla
57
Three classifications of capillaries
1. Continuous 2. Fenestrated 3. Discontinuous
58
What is the most common capillary
Continuous
59
Where are continuous capillaries found?
Muscle, brain, bone, lung | Blood-brain barrier and blood-testes barrier
60
Fenestrated capillaries
In tissues with substantial fluid exchange
61
Fenestrated capillaries are found
Intestinal villi, choroid plexus, ciliary process, glomerular capillaries
62
Discontinuous capillaries are found
In hepatic and splenic sinuses -> large molecules can exit (ex. RBC in spleen)
63
What is responsible for the filtration of plasma?
Renal glomerulus
64
Sinusoids are also called
discontinued or sinusoidal capillaries
65
Venules are called
Postcapillary vessels
66
Venules are very _____ vessels
Leaky
67
Do venules have smooth muscle?
Nope
68
What is possible in venules
Leukocyte diapedesis
69
Pressure in venules
5mm Hg
70
Veins compared to arteries
Large, wide lumen and thin walls
71
Are valves present in veins?
Yes
72
Tunica media in veins
thin
73
What is the thickest tunica in veins
Tunica adventitia
74
Vasa vasorum is present in what kinds of veins
large
75
Veins may be collapsed in
histological sections
76
Lymphatic vessels
Very thin wall, very low pressure, may contain valves
77
Why do lymphatic vessels appear clear?
No RBC in lymph