normal cardiac anatomy Flashcards
normal PAP (pulmonary artery pressure)
15-25 mmHg
normal aorta pressure
120/80
normal lv systolic pressure
<120
normal diastolic lv pressure
3-12
normal RA pressure
2-8 mmHg
normal rv pressure
2-8 mmhg
normal rv systolic pressure
15-25
what is the outer layer of the pericardium called
fibrous pericardium
what is the inner layer of the pericardium called
serous pericardium
heart wall most outer layer
epicardium
muscle layer of the heart is called
myocardium also the center layer
most inner layer of the heart wall
endocardium
tricuspid valve leaftlets
medial
posterior
anterior
mitral valve leaflets
anterior
posterior
pulmonic valve leaflets
right and left posterior
anterior
aortic valve leaflets
non/left/right coronary cusp
normal ivc diastolic diameter
1.2 - 2.1 cm
normal TV orifice
7-9 cm2
normal PV orifice
<2.0 cm2
what are the 4 pulmonary veins
right upper and lower
left upper and lower
normal LA pressure
2-12 mmhg
normal MV orifice
4-6 cm2
normal AV orifice
<2 cm
the left coronary artery branches into…
left anterior descending artery and left circumflex artery
the LAD or left anterior descending arter supplies blood to what wall
septal, anterior, apex walls
the circumflex artery supplies blood too
the posterior wall and the atria
the right coronary artery branches off too
the acute marginal artery and posterior descending artery
the AM or Acute marginal artery supplies blood too..
the right ventricle
the PDA or posterior descending artery supplies blood too
the inferior portion of the heart
3 branches off the aortic arch
brachiocephalic
left subclavian
left common carotid
where is the aorta isthmus
area between the left subclavian artery and the ligamentum arteriosum
what is the isovolumic contraction time
PREcedes systole all 4 valves are closed
what is isovolumic relaxation time
immediately precedes diastole
all valves are closed
normal heart rate
60-100 bpm
stroke volume
volume of blood ejected with each heart beat
SV=EDV-ESV
cardiac output
volume of blood the LV pumps out each minute
CO=SVxHR
cardiac index
cardiac output with body surface area accounted for
CI=CO/BSA
preload
the volume in the heart at the end of diastole
frank starling law
the more blood that enters the ventricle during diastole the greater the force of contraction
or increased myocardial fiber length means increased tension
interval strength relationship
the longer the interval between heartbeats the stronger the contraction to eject blood
afterload
the resistance the heart must pump against
inotropic force
contractility of the heart muscle of the force
chronotropic
rate of the contraction or HR
heart conduction pathway
- SA node
- AV node
- bundle of his
- left and right bundle branhes
- purkinjie fibers
what is repolarization
myocardial relaxation
Normal blood pressure
<120/<80
The coronary sinus empties into..
The right atrium
Where is the thebesian valve located
Between the coronary sinus and the right atrium
Eustachian valve
Normal embryonic remnant at the junction of the infeior vena cava and RA
The chiari network
Normal embryonic remnant
Web like structure that appears as a mobile, thin membrane in the RA near IVC
The RA appendage
From embryonic RA
Pouch like extension off the RA broad and triangular
Normal PA pressure in end diastole
4-12 mmhg
identify the anterior and posterior TV leaflets
- posterior
- anterior
identify the right coronary cusp and non coronary cusp
- RCC
- NCC
identify the AMVL and PMVL
- AMVL
- PMVL
identify the right post PV leaflet and left posterior PV leaflet
- right posterior
- left posterior
identify the RCC, LCC, NCC
- RCC
- LCC
- NCC
indentify septal TV, Ant TV leaflets
AMVL and PMVL
- anterior TV cusp
- septal TV cusp
- AMVL
- PMVL
The posteriomedial pap is supplied by which coronary artery
The RCA
Normal fractional shortening
> 25%
great cardiac vein drains
the anterior myocardium
the middle cardiac vein drains
the posterior myocardium
the left cardiac vein drains
the posterior surface of the LV
anterior cardiac vein drains
the right atrium and the anterior portion of the RV
Normal tapse
> 1.7 cm
Ef equation
Lvidv-lvisv/lvidv
X100
When is the lvot measured
Mid systole
When is the sinotubular junction, sinus of valsalva, and ao root
End diastole
Normal sinus of valsalva
3 to 3.4
Normal sino tubular junction
2.6 to 2.9 cm
Normal dp/dt
> 1200
Normal stroke volume range
70-100 ml
Normal co range
4-8 l/min
Normal mv peak velocity
.6 - 1.3
Normal tv peak velocity
.3 - .7
Pv normal peak velocity
.6 - .9