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38 Cards in this Set

  • Front
  • Back

8 characteristics of the heart

1) Branching fibers


2) Striated


3) Intercalated discs


4) Single, centrally located nuclei


5) Abundant mitochondria


6) Lipid droplets


7) Cytoplasmic granules (atria) ANF


8) Sarcoplasmic reticulum and T-tubules form diads instead of triads

What are the 3 cell-to-cell proteins of intercalated discs?

- Adherens junctions


- Desmosomes


- Gap junctions

What role do desmosomes serve in cardiac muscle?

Mechanical couple the cells to synchronize them, like the swimmer squirting water through his hands

Atrial natriuretic factor (6)

- When there is high blood volume, the atria release ANF


- ANF acts on kidney telling it to decrease Na+ reabsorption into the blood


- Fluid follows Na+ concentration by osmosis, exiting the blood to the kidney


- Blood volume decreases


- Urine output increases


- Also vasodilates blood vessels

Karykinesis

Hypertrophy of the heart, when cells undergo mitosis without cytokinesis (never split)

Cardiomyopathy


What


4 types

Inability of the heart muscle to contract properly and pump enough blood to meet demands of the body




1) hypertrophic


2) dilated


3) restrictive


4) ischemic

Dilated cardiomyopathy (2)

- When the heart can't build enough pressure (force) to push blood out


- will have blood back up

Restrictive cardiomyopathy

- Movement of heart is restricted due to damage to the cells


- heart won't be able to relax enough to fill

Ischemic cardiomyopathy

Blockage of coronary blood vessels

4 consequences of cardiomyopathy

1) Misalignment of myocytes


2) Disruption of electrical impulses


3) Sarcomere mutations (genetic)


4) Fibrosis (damage) of myocardium

Layers of the heart, from superficial to deep

1) Fibrous


2) Parietal layer of serous pericardium


3) Pericardial cavity


4) Visceral layer of serous pericardium


5) Myocardium


6) Endocardium

Tunica adventitia of heart

Fibrous pericardium


Continuous with the adventitia of the vessels

Tunica media of heart

Myocardium

Tunica intima of heart


Made up of what?

Endocardium


Endothelial cells and CT with smooth muscle

Subendocardial layer of heart

Contains the conduction system

What is the fibrous pericardium made up of?

Dense and loose CT

What are the parietal and visceral layers of the serous pericardium made up of?

Loose CT and serous mesothelium

Coronary arteries


Location?


When is it easier for them to fill? Why?


What consequence does effusion of the pericardial cavity have for them?

Epicardium into the myocardium




Easier to fill during diastole bc the myocardium is relaxed and looser




Effusion makes it harder for them to fill, so the heart won't be getting enough blood

What is the fibrous skeleton made up of?

Dense, irregular CT

What types of cells are AV valves made up of? Why is this good?


What else are they made up of?

Endothelial cells


They're not sticky so things can float by




Collagen and elastin

What are the 3 layers of the AV valves?

Spongiosa - endothelium - atrial side


Fibrosa - CT


Ventricularis - endothelium - ventricular side

What type of tissue is the SA node?


What are 5 characteristics of it?

Myocytes, despite looking nothing like the others




Thin


Irregular


Few striations


Pale


Surrounded by collagen and elastin

What type of tissue are Purkinje fibers?


What are 5 characteristics of them?

Myocytes




1) Pale


2) Large cells


3) Intercalating discs


4) Glycogen


5) Myofibrils are in the peripheral part of the cell

What 4 parts of the heart do the sympathetic nerves innervate?

1) SA node


2) AV node


3) Directly on atria and ventricles


4) Dilates coronary vessels

What 5 parts of the heart do the parasympathetic nerves innervate?

1) SA node


2) AV node


3) Atrial walls


4) Interatrial septum


5) Vasoconstricts coronary vessels

Which controls ventricular contractility (degree to which ventricles contract), sympathetic or parasympathetic?


How does it do this?

Sympathetic




By opening or closing Ca2+ channels

What is the average heart beat of a healthy person?


What is the default rate of the SA node?


What compensates for this difference?

Average rate = 60 bpm


SA node = 100 bpm


Parasympathetic is constantly telling the heart to slow down

Which types of blood vessel has the lowest compliance?

Arterioles

Vasovasorum


What it does


Where it's located

Brings blood to the different layers of the blood vessel


In the tunica adventitia

Metarteriole

An arteriole venous anastomosis


Going from any artery to a vein without an intermediate capillary bed

Pericytes

Contractile cells which act as precapillary sphincters

Pre-capillary sphincters


What


Controlled by sympathetic or parasympathetic innervation?

Pulsate to allow for more or less blood to enter capillary beds


Controlled by sympathetic nerves

3 types of capillaries




What 3 characteristics differentiates them from one another?

1) Continuous


2) Fenestrated


3) Sinusoid




Thickness of basement membrane


Permeability of basement membrane and endothelia cells


How things are transported through endothelial cells



Continuous capillaries

Tight junctions which create a very selective barrier




Brain - blood brain barrier


Testes - don't want immune system seeing developing sperm, will identify as not self


Exocrine glands


Nervous tissue


Muscle


Lungs

Fenestrated capillaries

Have pores for to allow a small amount of proteins to pass through




Endocrine glands


Kidney


Gut

Sinusoidal capillaries

Very holey basement membrane and endothelial cells -> no tight junctions, making it very permeable




Spleen


Liver


Bone marrow


Endocrine glands

What is the consequence of the basement membrane getting thicker, such as in diabetes?


Which 3 places is this a concern?

It's harder for nutrients to pass through




Kidney


Retina


Skin

What are the roles of endothelial cells in the blood vessels?

1) Semipermeable barrier between blood and tissue


2) Mediate bidirectional exchange


3) Non-thrombogenic surface, don't produce clots


4) Regulate local vascular tone and blood flow by releasing factors which stimulate vasoconstriction and dilation


5) Play a role in inflammation and immune response