The heart system Flashcards
What is the region containing the heart?
Mediastinum. Located between lungs, sternum & thoracic
What are the Membranes surrounding the heart?
Pericardium:
Fibrous pericardium- outer connective tissue sheath.
Parietal layer- outer serous membrane is attached to fibrous pericardium.
between 2 layers is pericardial cavity with serous fluid.
Visceral Layer- inner serous membrane is attached to heart wall.
What are the 3 layers of the heart wall?
Epicardium- outermost Made of epithelial & connective
tissue
Myocardium- middle, thickest
* Made of cardiac muscle
Endocardium- innermost
* Made of endothelium (simple
squamous epithelium) &
connective tissue
What carries blood from cardiac veins to R Atrium?
Coronary sinus.
Returns blood to heart
Veins
Carries blood away from the heart
Arteries
the flow of blood between heart & lungs
Pulmonary circuit
The flow of blood between heart & body
Systemic circuit
What provides blood for myocardium?
Coronary arteries
Branches into the Ant. Interventricular branch
L coronary artery
Branches into posterior interventricular branch
R coronary artery
Returns blood from the myocardium
Coronary veins
Where is the great cardiac vein?
In interventricular sulcus
Where is the small cardiac vein ?
In coronary sulcus
Separates L&R atria
Interatrial septum
Separates L&R ventricles
Interventricular Septum
What are on the walls of atria?
Pectinate muscles
What are on the walls of ventricles ?
Papillary Muscles
What prevents return of blood to atria?
Atrioventricular Valves.
What is a complete sequence of contraction & relaxation?
Cardiac cycle
The contraction phase is called
systole
The relaxation phase is called
diastole
Maximum pressure in arteries during ventricular contraction and pushes blood out into the blood
Systolic Blood pressure
pressure in arteries when ventricles are in filling stage
Diastolic blood pressure
Normal blood pressure is
120/80
blood normally travels in
laminar flow
as cuff inflates above SBP, blood flow is
stopped
as pressure in cuff drops between SPB &DBP, blood pushed through compressed walls of arteries in
turbulent flow
vibrations in artery, heard via stethoscope
sounds of korotkoff
first sounds in stethoscope
Systolic blood pressure
when sounds cease
diastolic blood pressure
volume of blood pumped per min
cardiac output
resistance to blood flowing through arterioles
peripheral resistance
high blood pressure 140/90
hypertension
short duration- exercise, caffeine, nicotine
Acute
long duration, health concern. can harm arteries.
chronic
low blood pressure, may lead to fainting/dizziness
hypotension
blood pressure is influences by
gravity
Pressure in arteries of head & neck- lower
* Pressure in arteries of legs- higher
blood pressure is influenced by body
position. increases when standing: decreases when laying down
blood pressure is influenced by
exercise. increases with exercise:decreases with rest
MAP
Mean, Arterial pressure.
an average blood pressure
should fall between 70-110 mmHg
Blood flow in a vessel increases with increasing
PRESSURE
Blood flow in a vessel decreases with increasing
resistance.
Flow =
pressure/ resistance
Valves are flaps of tissues in
veins that prevent backflow of blood.
Damage to veins affects
Circulation in legs
walls of veins weaken with
age
establish rate of cardiac contraction
Nodal cells
connect nodes & distribute contractile stimulus through myocardium
Conducting cells
initiates electrical impulses in the heart
Sinoatrial node SA. located in sup R atrium. ‘
Generate a change in electrical voltage across cell membranes
conduction travels across atria, causing muscular contraction
reaches atrioventricular node.
slight delay allows completion of atrial contraction
AV node
electrical impulse travels to
bundle of his (AV bundle) —- right & left bundle branches– purkinjie fibers
stimulate cardiac muscle cells of ventricles to contract
purkinjie fibers
by placing electrode plates on the skin, electrical activity of the heart can be monitored
TRUE
AN electrocardiograph can record electrical activity and measures changes in voltage.
TRUE
small bump or deflection wave
represent atrial depolarization
P wave
Represents ventricular depolarization
QRS COMPLEX
REPRESENTS VENTRICULAR REPOLARIZATION
T wave
time between atrial depolarization & beginning of ventricular depolarization
PR interval
ST elevation may indicate one type of
heart attack