week 3+4 - cardiovascular Flashcards
what muscle is heart made from
myocardium
contraction of ventricle
systole
relaxation of ventricle
diastole
what makes up the thoracic cage?
4 components
ribs, costal cartilage, sternum, thoracic vertebrae
mediastinum
central compartment of thorax between lungs
thoracic plane
imaginary line between sternal angle and T4 and T5
sternal angle
joint between manubrium and body of sternum
superior mediastinum
o,t,a,v,p,v,t,s
oesophagus
trachea
arch of aorta and branches
superior vena cava and tributanes
L + R phrenic and vagus nerves
thoracic duct
sympathetic chains
anterior mediastinum
fat
thymus
middle mediastinum
heart
pericardium
posterior mediastinum
da,o,t,a,s
descending aorta and branches
oesophagus
thoracic duct
azygos system of veins
sympathetic chains
phrenic nerves
supplies diaphragm
nerve roots from C3, C4, C5
azygos system of nerves
drains posterior thoracic wall
h shaped
sympathetic chains/trunk
sympathetic nervous system
external to spinal column
adjacent to vertebral bodies
one on each side of body
thoracic duct
lymphatic vessel for return of chyle/lymph to systemic venous system
drains lymph from lower limbs, abdomen and left side of body
pericardium
membrane that covers heart
2 layers
fibrous outer layer
inner thin serous layer
fibrous pericardium
continuous w great vessels adventitia
blended w central tendon of diaphragm
rigid structure
serous pericardium
analogous (similar to) pleural membrane
double layer - visceral and parietal
functions of pericardium
protection from infection
fixes heart in place and limits motion
lubrication
prevents rapid overfilling of heart
cardiac tamponade
blood/fluid accumulates in pericardium
compresses heart so ventricles can expand fully
pericarditis
inflammation of pericardium
dissecting aortic aneurysm
aortic dissection is a serious condition in which a tear occurs in the inner layer of the body’s main artery (aorta). Blood rushes through the tear, causing the inner and middle layers of the aorta to split (dissect)
acute myocardial infarction
life-threatening condition that occurs when blood flow to the heart muscle is abruptly cut off, also known as a heart attack
Pericardiocentesis
a procedure done to remove fluid that has built up in the sac around the heart (pericardium). It’s done using a needle and small catheter to drain excess fluid
superior vena cava (R)
de-oxygenated blood to right atrium from above heart
inferior vena cava (R)
de-oxygenated blood to right atrium from below heart
pulmonary trunk (R)
exits right ventricle, de-oxygenated blood to lungs
pulmonary veins (L)
enter left atrium on posterior
oxygenated blood from pulmonary circulation
4 veins - R/L superior/inferior
aorta (L)
leaves heart, carries high pressure blood to systemic circulation
epicardium
connective tissue layer over heart (protective)
endocardium
layer of epithelium and connective tissue that lines heart and covers valves
cardiac muscle
is striated
doesn’t require stimulation from nervous system
one stimulus causes whole heart to contract - syncytium
intercalated discs
separate sarcoplasm of adjacent cardiac muscle cells
allows electrical excitations to pass through gap junctions
what function does the fibrous skeleton have
prevents valve openings from collapsing or distending
provides base for attachment for leaflets and cusps of valves
forms electrical barrier between the atria and ventricles, preventing contracting together
AV orifice
right, tricuspid valve between atria and ventricle
AV node
electrical relay station between the atria and ventricles
located in the posteroinferior region of the interatrial septum near the opening of the coronary sinus.
crista terminalis
origin of the pectinate muscles. The sulcus terminalis (on the external surface) acts as a surface marking for the internal crista terminalis.
fossa ovalis
An embryological remnant of the foramen ovale. The foramen ovale is a hole between the two atria in a foetal heart.
interatrial septum
fibromuscular wall between the left and right atrium. The fossa ovalis and AV node is located here
opening of coronary sinus
main cardiac vein that drains deoxygenated blood
pectinate muscles
parallel ridges in the wall of the atrium
right auricle
muscular pouch that acts to increase the capacity of the atrium
SA node
pacemaker of the heart. It is located in the posterior wall of the right atrium, inferolateral to the opening of the superior vena cava, along the superior part of the crista terminalis
sulcus terminalis
shallow depression marking the point of fusion between the venous part of the right atrium and the true right atrium. The crista terminalis sits on the internal surface on this structure
chordae tendineae
attach to cusps of AV valves and papillary muscles of ventricle
hold valves in place and prevent reflux
conus arteriosus
anterosuperior region of the right ventricle from which the pulmonary trunk arises
IV groove
on external surface of heart
demarks division between ventricles
IV septum
fibromuscular wall between ventricles
moderator band
thick muscular structure that arises from IV septum and ends at right papillary muscle
shortcut for impulses
pulmonary valve
semilunar valve between right ventricle and pulmonary trunk
trabeculae carneae
irregular muscular columns found on internal surface of ventricles
aortic valve
semilunar valve between left ventricle and aorta
atrioventricular valves
prevent backflow from ventricles into aorta during systole
increased pressure forces valves shut w tight seal
tricuspid on right (tri=rit)
bicuspid on left
semilunar valves
prevent backflow into ventricles from great vessels in diastole
3 cusps shaped like pockets, backflow fills sinuses causing them to balloon and close valve
heart sounds
AV valves closing - lub
semilunar valves closing - dub
LCA
supplies - left atrium, most left ventricle, some right ventricle, anterior IV septum, SA node (40% population)
2 branches
anterior IV branch
circumflex branch
RCA
supplies - right atrium, most right ventricle, some left ventricle, posterior IV septum, SA node (60% population)
myocardial infarction (heart attack)
coronary artery blocked
myocardium becomes ischaemic
heart attack treatment
primary percutaneous intervention - stent to widen vessel
thrombolytics or fibrinolytics
coronary artery bypass graft
blood vessels have 3 layers
tunica intima - single layer of endothelial cells on thin connective tissue, main barrier to plasma proteins, secretes vasoactive products
tunica media - smooth muscle of varying thickness (elastic + collagen)
tunica adventitia - tethers vessels in place, in large arteries contains own small blood vessel network (vasa vasorum)
elastic arteries
tunica media rich in elastin
expand (systole) and recoil (diastole) to maintain flow and pressure
conduit arteries
tunica media relatively thicker than lumen compared to elastic
contains more smooth muscle to prevent collapse at sharp bends (elbow)
arterioles
narrow and large numbers = resistance
proximal have lots of layers of smooth muscle
distal have 1-3 layers of smooth muscle
arteriovenous anastomosis
only found is skin and nasal mucosa
lots of sympathetic nerves
nasal mucosa - warm inspired air
skin - regulate temp