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45 Cards in this Set

  • Front
  • Back

Layers of the heart

* Epicardium - thin outer layer


* Myocardium - middle muscle layer


* Endocardium - thin inner layer

4 heart chambers

* Atria (R&L)


* Ventricles (R&L)


4 valves in the heart

* Atrioventricular (AV)


- tricuspid (right)


- bicuspid (left)



* Semilunar


- pulmonary (right)


- aortic (left)

Septa

Partitions separating right and left sides of heart


* Interatrial


* Interventricular

Ischemia

Inadequate supply of oxygen to tissue


* often caused by partial obstruction of coronary artery

Myocardial infarction

Heart attack, caused by complete obstruction of coronary artery or prolonged ischemia

Cardiac cycle

One complete contraction (systole) & relaxation (diastole) of heart



Contraction ➡️ systole


Relaxation ➡️ diastole


Electrical conduction system

Specialized cells that initiate and distribute electrical impulses throughout the myocardium to coordinate cardiac cycle


* Sinoatrial (SA) node (pacemaker) initiates electrical impulses

Electrocardiogram (ECG)

A graphic record of heart's electrical activity during cardiac cycle

Origin of the heart sounds

* First heart sound: "lubb"(Ventricles contract, AV valves close)* Second heart sound: "dupp"(Ventricles relax, semilunar valves close)

Heart rate

Number of heartbeats per minutr

Cardiac output

Volume of blood pumped by heart in 1 minite

Pulse

Palpable rhythmic throbbing caused by alternating expansion and contraction of an artery as blood passes through

Blood pressure

Force exerted by blood on walls of blood vessels

Sphygmomanometer

Blood pressure cuff

Systolic

Pressure in arteries during contraction of ventricles

Diastolic

Arterial pressure during relaxation of ventricles

Pulmonary circulation

* carries blood from right ventricle of heart to lung


* Carbon dioxide is removed; oxygen is picked up


* Oxygenated blood returns to left atrium of heart

Systemic circulation

* carries oxygenated blood and nutrients from left ventricle to body cells


* Returns deoxygenated blood with carbon dioxide and wastes from cells to right atrium

Arteries

* carry oxygenated blood away from heart to tissues


* Thick walls to withstand high-pressure


* Aorta is largest artery

Arterioles

Small branches of arteries that join capillaries

Veins

* return deoxygenated blood from tissues to Heart


* Thin walls, low pressure


* Blood is moved by skeletal muscle movement, valves that prevent backflow, and pressure changes in cavities in breathing

Venules

Small veins that join capillaries

Capillaries

* microscopic, one-cell-thick vessels that connect arterioles and veins


* Site of gas exchange between blood and body tissues

Blood vessel structure

Layers:


* Tunica adventitia - (outer) connective tissue


* Tunica media - (middle) smooth muscle and elastic fibers


* Tunica intima - (inner) single layer endothelial cells, basement membrane, connective tissue, and elastic internal membrane

Lumen

Internal space of a blood vessel, through which blood flows

Valves

Thin membranous leaflets in veins prevent backflow of blood

Antecubital fossa

Shallow depression in arm anterior to and Below Bend of elbow


* site of Major veins, and thus first choice for venipuncture



- H shaped antecubital veins (70%of population)


- M shaped antecubital veins

H shaped pattern of antecubital veins

* Median cubital vein 🥇


* Cephalic vein 🥈


* Basilica vein 🥉

M shaped pattern of antecubital veins

* Cephalic vein


* Median vein 🥇


* Median cephalic vein 🥈


* Median basilica vein 🥉


* Basilica vein

Erythrocytes

* Red blood cells


* Carry oxygen and carbon dioxide


* Produced in bone marrow

Leukocytes

* White blood cells


* Formed in bone marrow and lymphatic tissue


* Types:


- granulocytes


- agranuoocytes

Thrombocytes (platelets)

Essential to coagulation

ABO blood group system

* 2 antigens (A & B)


* 4 blood types (A, B, AB, & O)

Rh blood group system

* Based on the "D" antigen (also called Rh factor)



* Rh positive (Rh ➕)


-RBCs have the D antigen



* Rh negative (Rh ➖)


- RBCs lacks the D antigen

Serum

* fluid portion of blood remaining after clotting


* Can be separated from clot by centrifugation


* Does not contain fibrinogen (used up in clotting)

Plasma

* fluid portion of whole blood separated from the RBCs, WBCs, and platelets by centrifugation


* Contains fibrinogen

Hemostasis

Stoppage of bleeding after injury

Coagulation factors

Proteins required for coagulation

Types of coagulation factors

* Enzyme precursors - precursor protein that becomes enzymes when activated



* Cofactors - proteins that accelerate enzymatic reactions in coagulation process



* Substrates - substances acted on and changed by enzymes

Extrinsic pathway

* Extrinsic - Outside bloodstream


* Initiates the coagulation process

Intrinsic pathway

* Intrinsic - inside bloodstream


* Produces thrombin on the surface of activated platelets

Fibrinolysis

* Process by which fibrin is dissolved


* Ongoing process:


- dissolves clots that form in intact vessels, reopening them


- removes homo static clots from tissue as healing occurs

The lymphatic system functions

* returns tissue fluid to bloodstream


* Protects body by removing microorganisms and impurities


* Processes lymphocytes


* Delivers fats absorbed from the small intestine to bloodstream

Lymph flow

* Lymph (fluid) - excess tissue fluid that filters into lymphatic capillaries



* Capillaries join to form larger vessels that empty into terminal vessels:


- right lymphatic duct


- thoracic duct


* These two ducts empty into large veins in upper body


* Fluid is moved by skeletal muscle contraction


* Fluid passes through lymph nodes that filter out impurities