THE HEART Flashcards
What is the heart?
- 2 pumps to circulate blood around the body
label the heart
labled drawing of the heart
myogenic
it can contract and relax rhythmically of their own accord
systole
heart contracting
distole
heart relaxes
Atrial systole (4)
- atrium walls contract
- blood pressure in atria increases
- pushes blood through bi & tri cuspid valves to ventricles
- ventricles are relaxed
Ventricular systole (4)
- ventricle walls contract
- blood pressure in ventricle increases
- forces blood up through semi-lunar valves into pulmonary artery and aorta
- blood cannot flow back bc tri & bi valves are closed by rise in pressure
Distole (5)
- ventricles relax
- volume of ventricles increases
- ventricle pressure falls
- semi-lunar valves shut to prevent backflow
- atria relax during systole so cycle can begin again with blood from vena cava and pulmonary veins
flow of blood through the left side of the heart (7)
- left atrium relaxes and receives oxygenated blood from pulmonary vein
- when full, pressure forces bi/tricuspid valve open
- relaxation of left ventricle drew blood from left atrium
- left atrium contracts pushing remaining blood into left ventricle through the valve
- left atrium relaxed and bicuspid valve closed left ventricle contracts
- strong muscle exerts high pressure
- pressure pushes blood out of heart through semi-lunar valves to aorta and closes bicuspid, preventing backflow
heartbeat (2)
- a complete contraction and relaxation of the entire heart
- atria contract at the same time, followed by the ventricles
what happens when a chamber of the heart relaxes/contracts (2)
- empties when contracted
- fills when relaxed
why is left ventricle thicker than the right? (2)
- the left has to pump blood around the entire body
- the right only has to pump the short distance to the fragile lungs
What are valves for?
- prevent backflow
when do valves open and shut in the cardiac cycle
diagram
sino-atrial node (3)
- cluster of cardiac cells
- acts as a pacemaker
- located in the right atrium
how electrical stimulation of the heart works? (7)
- electric stimulation occurs at SAN and spreads of atria causing contraction
- ventricles insulated by a thin layer of connective tissue
- so charge spreads to AVN (atrio-ventricular node)
- AVN delays impulse until atria has finished contracting
- AVN passes excitation down nerves of the bundle of His, left and right to the apex of the heart
- excitation travels through the purkinje fibres in the ventricle walls
- ventricles contract simultaneously, from the apex up
ECG
- electrocardiogram, voltage changes produced by heart
diagram explain points P, PR, QRS, T, TP (5)
- P wave shows voltage generated by SAN
- PR interval is time taken for excitation to spread from AVN to ventricles
- QRS complex shows depolarisation/contraction of the ventricles (more muscle, bigger wave)
- T is repolarisation of ventricular muscles
- TP/isoelectric line is the separating the two cycles
heart issues shown by ECG (4)
- Atrial fibrillation = rapid heart rate/ no P wave
- Post-heart attack = wide QRS complex
- Enlarged ventricle walls = QRS with greater voltage
- Insufficient blood supply = ST height change - could be blocked arteries
heart rate calculation
60/ distance between isoelectric lines = heart rate
pressure changes in blood vessels (7)
- highest in aorta/large arteries - rises and falls with ventricular contraction
- friction between blood and vessel causes progressive drop, also depends on whether dilated or constricted
- extensive capillary beds reduce bp as fluid leaks to surrounding tissues
- distance from the heart increases as bp lowers
- veins are not effected by ventricles so low bp
- veins have a large lumen, so blood flows faster than in capillaries
- blood is not returned to the heart rhythmically, but by massaging effect of surrounding tissues
Blood
45% cells in 55% plasma
Why are blood cells red?
- Red because pigment haemoglobin
Why are rbc unusual? (2)
- biconcave discs - thin middle reduces diffusion distance
- no nucleus - so more room for haemoglobin
Plasma (4)
- pale yellow liquid
- 90% water
- contains biological molecules, waste, hormones and proteins
- distributes heat