Test 3 Material Flashcards
Circulatory System
- Cardiovascular System
- Lymphatic System
Cardiovascular System (Functions)
- Transportation
- Immunity & Protection
- Regulation
Cardiovascular (Transportation)
-Nutrients & Wastes
-Hormones
Cardiovascular (Immunity & Protection)
-Clotting
-Disease/infection
Cardiovascular (Regulation)
-PH
-Body Temp
-Fluid Levels
Cardiovascular System (Structures)
- Heart
- Blood Vessels
- Blood
Heart
-Roughly the size of your closed fist
-Sits almost in the middle of the chest in the mediastinum
-2/3rds of its mass is on the left attached to the diaphragm inferiorly
-Inferior portion is the apex
-Superior portion is the base
Heart (Functions)
Pump, adaptation to changes, homeostasis
Mediastinum
A mass of organs and tissues that separates the lungs
Mediastinum (Boundaries)
-Superiorly: First Rib
-Inferiorly: Diaphragm
-Anteriorly: Sternum (breastbone)
-Posteriorly: Vertebral Column (spine)
Mediastinum (Contains)
-Heart & it’s large vessels
-Trachea
-Esophagus
-Thymus & Lymph Nodes
-Connective Tissue
Pericardium
A 2 layered CT membrane that surrounds and protects the heart
What are the 2 layers of the Pericardium?
- Fibrous Pericardium
- Serous Pericardium
Fibrous Pericardium
-Most superficial
-Tough, inelastic, dense irregular CT
-Attaches to the diaphragm inferiorly, to the CT of the blood vessels superiorly
-It holds the heart in the mediastinum and allows for movement
Serous Pericardium
-Thinner, deep to the fibrous
-Forms a double layer around the heart (Parietal & Visceral layer)
Serous Pericardium (Outer Layer)
Parietal layer of the serous pericardium
-Fused to the fibrous pericardium
Serous Pericardium (Inner Layer)
Visceral Layer of the pericardium
-a.k.a. epicardium
-Attached to the heart muscle
What is another name for the visceral (inner layer) of the Serous Pericardium?
Epicardium
Parietal Cavity
-Space between the parietal and visceral layers of the pericardium
-Filled with pericardial fluid (thin layer of fluid to reduce friction)
What are the 3 Layers of the Heart Wall?
- Epicardium
- Myocardium
- Endocardium
Epicardium
-a.k.a visceral layer of the serous pericardium
-Simple squamous epithelium and CT
-Gives the outer surface of a smooth, slippery texture
Myocardium
-Cardiac muscle tissue
-Site of contraction
Endocardium
-Endothelium overlying a thin layer of CT
-Endothelium: Layer of simple squamous epithelium that lines the cavities of the heart, blood, blood vessels, and lymphatic vessels
-Provides smooth lining for the chambers and valves of the heart
Endothelium
Layer of simple squamous epithelium that lines the cavities of the heart, blood, blood vessels, and lymphatic vessels
Endocardium is made of of _________________ and __________.
Endothelium Cells, CT
How many heart chambers are there?
4
Heart Chambers
4 Heart Chambers
-2 Atria
-2 Ventricles
Atria
-2 superior chambers
-Receive blood from blood vessels (veins) returning to the heart
Ventricles
-2 inferior chambers
-Receive blood from the atria and eject it out into blood vessels (arteries)
Septa
-A dividing wall
-Interatrial Septum: divides the 2 atria
-Interventricular Septum: divides the 2 ventricles
Interatrial Septum
Divides the 2 atria
Interventricular Septum
Divides the 2 ventricles
Veins
Carry blood to the heart
Arteries
Carry blood away from the heart
Right Atrium
Receives blood from 3 veins
-Superior Vena Cava
-Inferior vena Cava
-Coronary Sinus
Blood passes from the right atrium through the right atrioventricular (AV) valve (a.k.a. tricuspid valve) into the right ventricle
What 3 veins does the right atrium receive blood from?
-Superior Vena Cava
-Inferior vena Cava
-Coronary Sinus
Blood passes from the right atrium through the _________________________ into the right ventricle
right atrioventricular (AV) valve (a.k.a. tricuspid valve)
Right Ventricle
-Receives blood from the right atrium
-The cusps of the right A-V valve are connected to the tendon-like cords called chordae tendineae
-Chordae tendineae are anchored to the ventricular wall by papillary muscles
-Blood is ejected by the right ventricle through the pulmonary semilunar valve into the pulmonary trunk
-The pulmonary trunk divides into the right and left pulmonary arteries
Left Atrium
-Receives blood from the pulmonary veins
-Blood passes from the left atrium through the left atrioventricular (AV) valve (a.k.a. bicuspid valve, mitral valve) into the left ventricle
Left Ventricle
-Thickest chamber of the heart
-Receives blood from the left atrium
-The cusps of the left A-V valve are connected to the tendon-like cords called chordae tendineae
-Chordae tendineae are anchored to the ventricular wall by papillary muscles
-Blood is ejected by the left ventricle through the aortic semilunar valve into the aorta
-Some of the blood in the aorta flows into the coronary arteries which supply the heart with oxygen-rich blood
Heart Valves
-Atrioventricular (a.k.a. tricuspid & bicuspid/mitral) Valves
-Pulmonary & Aortic Semilunar Valves
Atrioventricular (a.k.a. tricuspid & bicuspid/mitral) Valves
-When blood flows into the atria, it increases pressure in the atria
-The pressure opens the AV valves allowing blood to flow into the ventricles
-When the ventricles contract, the increased pressure forces the AV valves closed
-The papillary muscles contract to prevent the valves from being forced open in the opposite direction
Pulmonary & Aortic Semilunar Valves
-When the ventricles contract, they increase pressure in the ventricles
-This pressure closes the AV valves and opens the pulmonary and aortic valves
-Blood is ejected into the arteries (pulmonary and aorta)
-When the Ventricles relax, blood in these arteries starts to flow back toward the heart
-This fills the cusps of the semilunar valves and they close
Heart Sounds
-‘Lub-Dub’
-‘Lub’: The sound made by the blood turbulence associated with the closing of the AV
-‘Dub’: The sound made by the blood turbulence associated with the closing of the semilunar valves
‘Lub’ (Heart Sound)
The sound made by the blood turbulence associated with the closing of the AV
‘Dub’ (Heart Sound)
The sound made by the blood turbulence associated with the closing of the semilunar valves
Pulmonary Circulation
-Function of the right side of the heart
-Deoxygenated blood returns from body tissues and enters the right atrium
-Gets pumped into the right ventricle which ejects the blood into the pulmonary arteries
-These blood vessels take the deoxygenated blood to the lungs to clear the CO2 and pick up the O2
-The blood (now oxygenated) returns from the lungs via pulmonary veins and enters the left atrium
Systemic Circulation
-Function of the left side of the heart
-Oxygenated blood returns from the lungs and enters the left atrium
-Blood is pumped into the left ventricle which ejects the blood into the aorta and out to body tissues
-Tissues use the O2 and release CO2 which eventually makes its way back to the right atrium (now deoxygenated)
Coronary Circulation
-The heart needs its own circulation - the coronary circulation
-Coronary arteries branch off from the aorta and encircle the heart
-The heart gets its blood supply between beats
The Conduction System of the Heart
-Specialized cardiac muscle cells generate their own AP’s - they are called autorhythmic fibres because they are self-excitable
-They form structures that set the rhythm of the APs that cause contraction and they form a conduction system
-The conduction system is the pathway along which the APs progress through the heart
-The APs propagete through this conduction system in a specific sequence
APs propagete through conduction system in a specific sequence
- SA node
- Atria
- AV node
- Bundle of His
- Bundle branches
- Purkinje fibres
- Ventricles
SA (Sinoatrial) Node
-In right atrial wall
-It repeatedly generates APs which propagate through the atria via gap junctions causing atrial contraction and ejection of blood into the ventricles
-The APs travel throughout the atria and reach the AV node
The AV (Atrioventricular) Node
-From the AV node, the APs enter the bundle of His (a.k.a. atrioventricular bundle)
-The APs conduct along the right and left bundle branches which extend along the interventricular septum to the apex of the heart
-Purkinje fibres very quickly conduct the APs upward through the ventricles causing ventricular contraction and ejection of blood into the arteries
Electrocardiogram (ECG)
-As the APs move through the heart, they can be detected on the surface of the body
-Problems can be identified based on the shape and timing of the tracing
The Cardiac Cycle
-All of the events associated with one heart beat
-Systole: contraction phase
-Diastole: relaxation phase
-In each cycle, the atria and ventricles alternately contract pushing blood through the chambers of the heart and out of the heart
Systole
Contraction Phase
Diastole
Relaxation Phase
Cardiac Output
-The amount of blood the heart ejects each minute
-Different factors factors will affect HR and SV - there are limits as to how low they can go
Heart Rate (HR)
Number of times the heart beats in 1 min
Stroke Volume (SV)
Amount of blood ejected from each ventricle with each beat
How to calculate Cardiac Output (CO)
Heart Rate x Stroke Volume
Average HR
72 bpm
Average SV
70ml
Average CO
5L/min
Factors affecting Heart Rate
Heart rate must adjust to meet blood flow demands
Factors that regulate HR
- ANS
- Hormones/Ions
- Other
ANS
-The control center in the medula oblangata gets input from sensory receptors and high brain centres (e.g. limbic system and cerebral cortex)
-Based on input, the control centre increases or decreases the frequency of APs in the SyNS and the PaNS
Increased SyNS
Increased HR
Increased PaNS
Decrease HR
Hormones/Ions
-Epinephrine/norepinephrine: increase HR & contractility
-Thyroid hormones: increase HR and contractility
-Sodium & potassium: needed for normal APs - elevated blood levels decrease HR
-Elevated levels of calcium: increase HR & contractility
Epinephrine/Norepinephrine
Increase HR & contractility
Thyroid Hormones
Increase HR and contractility
Sodium & Potassium
needed for normal APs - elevated blood levels decrease HR
Elevated Levels of Calcium
Increase HR & Contractility
Other Factors
-Age
-Sex
-Fitness Level
-Body Temp
What are the 3 factors that maintain equal stroke volume?
- Preload
- Contractility
- Afterload
Factors Affecting Stroke Volume
-The left and right ventricles need to eject the same volume of blood
-3 Factors help to maintain equal stroke volume
1. Preload
2. Contractility
3. Afterload