week 4 Lesson 1- Cardiac Flashcards

(56 cards)

1
Q

What is the structure of the pericardium

A

Fibrous and tough outer layer of the heart
Double layer
Inside the layer there is fluid which prevents friction on organs when the heart beats

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2
Q

What is the function of the inferior Vena cava

A

Blood from the lower body to the heart DEOXYGENATED TO RA

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3
Q

What is the function of the superior Vena cava

A

Collects blood from upper body E.g. head to the heart DEOXYGENATED TO RA

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4
Q

Where does the blood go in the heart from the pulmonary veins

A

To the LA

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5
Q

what is the function of pulmonary veins

A

Oxygenated blood from the lungs pumped to LA , blood to move around the body

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6
Q

Once the blood leaves the LV where does it go

A

Through the AORTA then around the body

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7
Q

Which contains higher pressure, arteries or veins and why

A

Arteries. Take blood away from the heart to pump it around the body

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8
Q

Which side is thicker in the heart

A

Left

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9
Q

What is the function of the papillary muscles

A

Pull down on tendons which hold/ close valves open/closed

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10
Q

Where is the semi lunar valve located

A

Before pulmonary artery after the Right side

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11
Q

How many parts are in the tri and bicuspid valves

A

Tri-3
Bi-2

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12
Q

What is different from AV valves and semi lunar valves

A

Semi lunar valves don’t have any attachments which AV valves do- tendons with capillary muscles attached

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13
Q

Name all the valves and their type of valves

A

AV VALVES- bicuspid and tricuspid valve
SEMI LUNAR- pulmonary valve and aortic valve

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14
Q

What is the function of valves

A

To prevent the back flow of blood

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15
Q

Name the order of the right side of the heart

A

Superior vena cava
RA
tricuspid valve
RV
Pulmonary valve
Pulmonary artery
Lungs

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16
Q

Name the order of the left side of the heart

A

pulmonary veins
LA
bicuspid valve
LV
aortic valve
Aorta
Body

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17
Q

How does blood enter coronary arteries

A

Via coronary osteom (seen in aorta)

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18
Q

From the aorta coronary ostium, what is the blood like, how does this relate to its function

A

High pressure
Oxygenated
Blood can circulate around coronary arteries

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19
Q

At rest, how much o2 unbind from bloodu in cardiac muscle

A

75%
In exercise, oxygen demand can only be met by increased bloody flow and not increased extraction

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20
Q

How can we increase blood flow

A

Via vasodialation- lumen dialatea to allow more blood to flow

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21
Q

What increase when vasoconstriction accurs

A

Pressure increases
Blood flow decreases - pressure stips blood flow

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22
Q

Why is vasodialation good
Why is constriction sometimes bad

A

Allows more blood to flow so more oxygen to bind to working muscles
- reduce blood flow

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23
Q

How is the heart muscle different to other types of muscles

A

It has branching

24
Q

What does branching of heart muscle allow

A

Interconnections between each other and the branches called INTERCOLATED DISC

25
What are found in the intercolated discs
Gap junctions Desomosones
26
Define gap junction
Membrane bound proteins from adjacent cells line up to form a channel which allow diffusion of small ions and molecules
27
What does cardiac muscle have more of
Mitochondria- don’t undergo anaerobic respiration
28
Define desomosones. What does this allow
Act like rivets, act like a unit and stick themselves together, they don’t pull apart. Allowing contraction as one unit, all together instead of squeezing individually
29
What is located between muscle fibres of the cardiac muscle. What does this allow
Connective tissue skeleton Allows to rapture itself and move things across
30
What is a refractory period is
Can’t be another AP generated
31
What is periods of relaxtation called
Diastole
32
What are periods of contraction called
Systole
33
What structure allows the spreading of electrical activity through the heart
Gap junctions
34
How does the structure of the cells in the heart allow spreading events to accur
Specialised myocites have unstable membrane potentials. Intrinsic control (internal) so can depolarise.
35
What initiates the start of the cardiac stable and why
Sinoatrial node as it’s the most u stable
36
What occurs after sinoatrial node starts the cycle
Atrioventricular node, bundle of his (AV bundle) this bundle branches and purkinjie fibres. (Transmits the depolarisation down)
37
Describe how the cardiac cycle occurs
P wave= atrial depolarisation/systole of the SA node spreads across atria causing contraction. Impulse prevented from moving into ventricles by CT skeleton/ gap junctions QRS= ventricular depolarisation/ systole and atrial depolarisation/systole Depolarisation of AV node spreads down to bundles of HIS, bundle branches spreading to purkinjie fibres in ventricular apex
38
What is the name of the structure which receives the depolarisation last in the cardiac cycle
Purkinjie fibres
39
what do chemoreceptors monitor
CO2 , O2, ph change (acidicity)
40
What do baroreceptors detect
Pressure changes ^
41
Where are baroreceptors found
Aortic arch Carotid sinus
42
What do baroreceptors respond to
Stretch of blood vessels
43
What do chemoreceptors help to do
Match cardiac output to rate of ventilation
44
Once baroreceptors have been stretched, what occurs
Increase impulses sent to cardiovascular centre of the medulla oblongata -CV centre has cardioscceleratory centre (accelerator) and a cardioinhibitory centre (brake) -sympathetic outputs from cardioaccelaratory centre travels down cardiac nerve to SPEED UP -parasympathetic outputs from cardioinhibitory centre travel down vagal nerve to SLOW DOWN
45
At rest what is the normal heart rate and how
60-70bpm as it’s continuously slowed (vagal tone) from 100bpm
46
What hormones modify the cardiac cycle
Adrenaline Noradrenaline
47
Does neural control and hormonal control last longer
Neural control is quick and short lasting Longer hours are influences from hormones to co-ordinate heart
48
Define stroke volume
Volume of blood leaving the heart per beat (70ml at rest)
49
What is cardiac output
Vol of blood leaving heart per minute SV x HR
50
Name the different nodes in the heart
SA NODE AV NODE
51
Describe the P wave
Atrial systole Depolarisation of SA node spreads across atria causing contraction. Impulse prevented from moving into ventricles by CONNECTIVE TISSUE SKELETON/ lack of gap junctions
52
Describe the QRS wave
Ventricular systole and atrial diastole Depolarisation of AV node spreads to bundle of his, bundle branches and purkinjie fibres in the ventricle apex
53
What if the T wave
Ventricular repolarisation
54
Name neural control receptors and their function
Chemoreceptors- co2, o2, ph change Baroreceptors- pressure change
55
What normally initiates ventricular contraction
Purkinjie fibres
56
How is the heart myogenic
It can beat on its own