Lesson 1 Flashcards

1
Q

What are the heart’s three general functions?

A
  • Electrical - specialized cells have the properties of
    creating electrical impulses
  • Mechanical - cardiac muscle cells have the property of
    contracting
  • Endocrine - atrial muscle cells secrete Atrial Natriuretic Peptide (ANH) and B-type Natriuretic
    Peptide (BNP)
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2
Q

What are 5 properties of myocardial cells?

A
  • Automaticity – the ability to initiate electrical impulses
  • Conductivity – the ability to transmit electrical impulses from one cell to another
  • Excitability – the ability to respond to electrical impulses
  • Extensibility – the ability to stretch
  • Contractility – the ability to contract
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3
Q

Where is the anterior interventricular sulcus?

A

This groove runs from the superior to inferior
surface. This sulcus is the demarcation line of the left and right ventricles.

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4
Q

Where is the posterior
interventricular sulcus?

A

The anterior interventricular sulcus continues around the apex to the posterior surface and becomes the posterior interventricular sulcus.

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5
Q

Where is the atrioventricular sulcus?

A
  • At the base of the heart, this groove goes around the heart. This sulcus is also known as the corona (crown) sulcus, as it
    resembles a crown around the heart.
  • Within the heart, the atrioventricular valves and
    cardiac skeleton are found in the atrioventricular sulcus.
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6
Q

What is the crux cordis?

A

Posteriorly, the point at which the interatrial sulcus, the posterior interventricular sulcus
and the atrioventricular sulcus intersect.

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7
Q

Where is the cardiac skeleton found?

A

Within the interventricular
septum

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8
Q

What is the purpose of the cardiac skeleton?

A
  • Provide an attachment for the atrial and ventricular muscles
  • Anchor the 4 valves of the heart
  • Electrically insulate the myocardium of the ventricles from the atria
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9
Q

What/where is the right fibrous trigone or central fibrous body of the cardiac skeleton?

A
  • The triangular formation, between the aortic valve and medial parts of the tricuspid valve opening
  • The right fibrous trigone is the strongest portion of the cardiac skeleton
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10
Q

Where is the left fibrous trigone of the cardiac skeleton?

A

It is smaller in size and is formed between the aortic valve and anterior leaflet of the mitral valve.

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11
Q

Where is the tricuspid annulus of the cardiac skeleton?

A

The part of the cardiac skeleton that serves as an attachment for the tricuspid valve.

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12
Q

Where is the bicuspid annulus of the cardiac skeleton?

A

The part of the cardiac
skeleton that serves as an attachment for the bicuspid (mitral) valve.

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13
Q

Where are the aortic annulus and pulmonary annulus of the cardiac skeleton?

A

These are strong collagenous tissues which support the aortic and pulmonary valves.

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14
Q

Where is the membranous interventricular septum of the cardiac skeleton?

A

This is the inferior extension of the right fibrous trigone that is anchored to the interventricular septum.

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15
Q

What are the 4 main components of the cardiac skeleton?

A
  • Membranous Interventricular Septum
  • Annulus
  • Left Fibrous Trigone
  • Right Fibrous Trigone (Central Fibrous Body)
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16
Q

Describe the arrangement of cardiac muscles.

A
  • The muscle fibers of the heart are arranged in a spiral fashion with the vortex at the apex.
  • With this arrangement of the fibers, expulsion of blood from the chambers is very efficient.
17
Q

What are the three layers of the heart?

A
  • Epicardium
  • Myocardium
  • Endocardium
18
Q

Describe the epicardium.

A
  • The outermost layer of the heart and is composed of simple squamous cells lined with collagen, elastic fibers, and other connective tissue.
  • has a rich blood supply because the coronary arteries run along its surface.
  • also known as the visceral layer of the pericardium.
19
Q

What are the three main
characteristics of cardiac muscle?

A
  • Branched
  • Joined at complex junctions called intercalated discs, which form a cellular network
  • Contain centrally located nuclei
20
Q

What are desmosomes?

A

Contains adherence, which holds cells together.

21
Q

What are gap junctions?

A

Membrane channels that allow ions to pass from one cell to another.

22
Q

What is a sarcomere?

A

The distance between two successive Z-lines.

23
Q

Describe the make-up of myocardial cells.

A
  • Myocardial cells consist of about 300-700 myofibrils
  • There are about 200-1000 myosin filaments in each myofibril and 6 actin filaments around each myosin filament
24
Q

What are the A-band and I-band?

A
  • The A-band is the dark portion of the sarcomere, where actin and myosin overlap
  • The lighter portion only contains actin and is called the I-band
25
Q

What is the sarcolemma?

A

A thin membrane that encloses the muscle cell

26
Q

What are Transverse tubules (T-tubules)?

A

Deep invaginations of the sarcolemma that cross myofibrils and allow electrical impulses to quickly enter the cell

27
Q

What is the sarcoplasmic reticulum?

A

Regulates calcium ion concentration within
the muscle cell. Calcium ions are essential to contraction.

28
Q

What are the terminal cisternae?

A

Enlarged areas of the sarcoplasmic reticulum surrounding the T-tubules that serve as reservoirs for calcium ions

29
Q

Actin filaments have 2 regulatory proteins; what are they?

A
  • Tropomyosin - is a
    double-stranded and helical-coiled protein
  • Troponin is a globular protein which has 3
    subunits:
    1. TnC – a calcium binding subunit
    2. TnI – subunit that inhibits muscle contraction
    3. TnT – subunit that connects the troponin complex to tropomyosin and actin
30
Q

Describe the structure and function of the endocardium.

A
  • innermost layer of tissue which lines the heart
  • composed of endothelial cells that rest on a thin layer of
    connective tissue known as the basement membrane
  • lines the chambers, creating a slick environment, which decreases the resistance of blood flow and prevents clot formation
  • valves of the heart are also formed from the endocardium
  • prevents ions and other components of the blood from interfering with the sensitive ionic composition
    of the myocardium