Test 1: Wk1: 3 Heart and Vascular Histology - Norton Flashcards
4 Tissues of the Heart and Vascular Walls
1. Endothelium 2. Smooth muscle 3. Cardiac muscle 4. Connective tissue
Endothelium
Lines the heart and blood vessels but more than just a lining, it is a sophisticated tissue with multiple functions
5 Endothelium Functions
1 Provides a nonthrombogenic surface
2 Has antithrombotic and prothrombotic properties
3 Regulates vascular tone and blood flow
4 Plays several roles in inflammation and local immune responses
5 Secretes growth factors
How does endothelium regulate vascular tone and blood flow
flow by secreting factors that
stimulate smooth muscle contraction (endothelin 1, ACE) and
relaxation (NO, prostacyclin)
How does endothelium play a role in inflammation and immune response
in
venules induces specific leukocytes to migrate out of the circulation into
injured or infected tissues
Smooth muscle found in
Found in the walls of all vessels larger than capillaries and in
the endocardium
Smooth Muscle arranged
Arranged helically in layers
Smooth Muscle BP regulation
Blood pressure regulation: in small arteries and arterioles,
SMCs are connected by gap junctions and permit
vasoconstriction and vasodilation
Connective tissue made of
collagen and elastic fibers
collagen location
subendothelial layer, between smooth muscle layers
and in the outer covering
Elastic Fibers (elastin) located in
in elastic arteries, layered between
smooth muscle cells
Heart
Three major layers
1. Endocardium 2. Myocardium 3. Epicardium
Endocardium
Surface endothelium supported by a layer of fibroelastic
connective tissue + few smooth muscle fibers
Subendocardium
deep to the surface endothelium, connective
tissue (continuous with connective tissue in the myocardium)
which surrounds variable numbers of modified cardiac muscle
fibers that comprise the heart’s impulse conducting system
Myocardium
Tightly knit, contractile cardiac muscle fibers arranged spirally
around each heart chamber
Myocardium is much thicker in — than —
ventricles than atria
myocardium of LV is — thicker than RV
3x
Epicardium
Outermost layer
Epicardium composed of — which —
adipose tissue; cushions the heart
Epicardium contains
Coronary Vessels
Nerves
Connective Tissue
Epicardium covered by
Covered by simple squamous mesothelium
simple squamous mesothelium composes
Composes visceral and parietal pericardium
— cells secrete lubricant which reduces friction when the
heart moves during contraction and relaxation
Mesothelial cells secrete lubricant which reduces friction when the
heart moves during contraction and relaxation
Cardiac skeleton
Masses of irregular, dense
connective tissue, primarily in the
endocardium
Cardiac skeleton function
Anchors valves
Provides insertions for cardiac
muscle
Cardiac Skeleton surrounds
the two atrioventricular canals
cardiac skeleton separates
atria from the ventricles
Conducting system
Initiates the electrical impulse
for contraction
Conduction System spreads impulse through the
myocardium
Modified cardiac muscle fibers
form: 5
•
Sinoatrial node
Atrioventricular nodes
Atrioventricular bundle of His
Bundle branches right and left
Purkinje fibers
Purkinje fibers branches of
right and left bundles
Purkinje fibers located
in subendocardium of both ventricles
Purkinje fibers stain
pale
– have greater diameter than contractile muscle fibers
Purkinje fibers
Purkinje fibers have abundant — and sparse bundles of —
glycogen; myofibrils
Purkinje fibers merge with
contractile muscle fibers
— trigger waves of contraction through ventricles
Purkinje fibers
Cardiac muscle fibers are — like skeletal muscle, but they consist of individual
— cells rather than fused cells like in skeletal muscle
Cardiac muscle fibers are striated like skeletal muscle, but they consist of individual
cylindrical cells rather than fused cells like in skeletal muscle
Cells contain one or two central nuclei and are linked by adherent and gap junctions at
prominent —
Cells contain one or two central nuclei and are linked by adherent and gap junctions at
prominent intercalated discs
Mitochondria occupy — of the cell volume
40%
Sarcomeres of cardiac muscle are organized and function similarly to those of —
Sarcomeres of cardiac muscle are organized and function similarly to those of skeletal muscle
Contraction of cardiac muscle is —
Contraction of cardiac muscle is all or none
Impulses for contraction are initiated, regulated and coordinated by the — and
— nodes
Impulses for contraction are initiated, regulated and coordinated by the sinoatrial and
atrioventricular nodes
— nerves regulate the rate of contraction
autonomic
Vessels
Three major layers (tunics)
Intima
Media
Adventitia
Intima
endothelium, thin subendothelial layer of connective
tissue +/ SMCs, and internal elastic lamina, in larger vessels.
In large and medium veins, the intima folds to form valves
Media
alternating layers of smooth muscle and collagen or
elastic lamellae
Adventitia
connective tissue (type I collagen and elastic fibers), small vessels (vasa vasorum) and nerves
Arteries
Grouped by size and wall composition
Elastic arteries - largest
Muscular - medium
Small
Elastic arteries diameter
> 10mm
Elastic A Intima
Intima: Endothelium, connective tissue with smooth muscle
Elastic A Media
Media: Many elastic lamellae alternating with smooth muscle
Elastic A Adventitia
Adventitia: Connective tissue, thinner than media, with vasa
vasorum