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41 Cards in this Set

  • Front
  • Back

Left Coronary artery

anterior interventricular branch


circumflex branch


Supply: ventricles and left atrium

Right coronary artery

sinoartrial nodal branch


atrioventricular nodal branch


Right marginal branch -> right ventricle


Posterior interventricular branch

Caridac Veins

Coronary sinus


Great cardiac vein (from apex) into sinus


Middle cardiac vein int posterior interventricular goove.


Small cardiac vein (between right atrium and ventricle).


Posterior vein of left ventricle.


Left marginal vein



Fetal Circulation

Placent as connection between mom and baby.


Umbilical Vein in the umbilical cord through the umbilicus.


Left branch of the portal vein -> ductus venosus -> inferior vena cava.


Inferior cava -> right atrium through foramen ovale -> left atrium -> left ventricle.


Left ventricle throught aortic arch to head and arms -> superior vena cava -> right atrium.


Right atrium -> inferio cava -> left ventricle.

Fetal circulation

Pulmonary trunk -> pulmo arteries -> pulmo veins -> left ventricle.


Through ductus arteriosum -> aortic arch -> umbilical artieries back to placenta.



Innervation of heart

Autonomic Fibers


Cardiac plexus -> symapa and para


F: Electrical conducting system


Atrial and ventricular myocardium


Cornary vasculature

Parasympathetic fibers

Vagus N CN X


F: Decrease in heart rate


Decrease of cardiac contraction



Sympathetic fibers

T1 - T5


Left sympathetic trunk, Right sympathetic trunk


F: Incresing heart rate


Increasing force of contraction

Function of Cardiac Skeleton

Fibrous structural support for the heart chambers.


F: Anchors heart valve cusps to interior walls. Prevents them from malfunctioning.


F: atrioventricular valves and semilunar valves opened.


F: Connects heart muscles and separates the artia from ventricles.


F: Electrical insulator

Anatomy of cardiac skeleton

Fibers from collagen and elastic fibers.


Made of four rings, two trigones and one ligament.



Atrioventricular bundel

Collection of heart muscle cells specialized for elevtical conduction.


F: Transmits electrical impulses from AV node to the the apex via the bundle branches.



Bundle of His

Left and right bundle branches that run along the interventricular septum.


Left Branch: left ant and left post fascicles.


It gives of fibers call Purkinje fibers that give impulses to ventricular muscle.



bundle of his

Conducting system of Heart

5 Elements


Sinoatrial node


Atrioventricular node


Bundle of his, with left and right branches


Terminal strands

Sinoatrial Node

Pacemakeer of the heart


Location: Superior to sulcus terminalis of right atrium next to opening of vena cava.


F: Governs sinus rhythm


F: If it fails the atrioventricular node can become pacemaker.


Inn: atria of the heart

Atrioventricular node

Continues the action potential


L: right atrium, next to septal cusp of tricuspid valve.


Inn: atria of the heart

Bundle of His

superior edge of interventricular septum to septal muscle portion of apex


Divides into left and right bundles

Right Bundle Path way

Emerges in the right ventricular endocardium


Near the base of the anterior paillary muscle

Right Bundle Path way

Emerges in the right ventricular endocardium


Near the base of the anterior paillary msucle

Left bundle of his

Anterior & posterior fascicles


Medial fascicle activates septal myocardium

.

Outer layer pericardiumq

Fibrous layer, consists of dense connective tissue.


Attached to central tendon of the diaphram via the pericardiacophrenic ligament.


Attach to the ligaments of sternum.


F: Stops the heart from overfilling.


Outer layer pericardium

Fibrous layer, consists of dense connective tissue.


Attached to central tendon of the diaphram via the pericardiacophrenic ligament.


Attach to the ligaments of sternum.


F: Stops the heart from overfilling.



Serous layer

Inner layer of pericardium.


Direct contact with the pericardial fluid.


Mesothelial layer (simple epethilium tissue) runs directly over the external surface of the heart known as visceral pericardium.

Pericardial cavity

Pericardial fluid in here.


Allowing for the two surfaces to be lubricated and rub against another.

Blood supply

Pericardiocophrenic arteris


Internal thoracic arteries


Blood suply

Pericardiocophrenic arteris


Internal thoracic arteries



Inn of pericardium

Phrenic N

Mediastinum

Area in midline of thorax that is surrounded by left and right pleural sacs.


Divided into Superior and inferior mediastinum


Inferior media: anterior middle and posterior

Superior mediastinum

First rib unti horizontal plane of T4


Esophagus, trachea and Thymus.


Vagus N, Left recurrent layrngeal

Anterior infreior mediastinum

T4 until diaphragm at level T9


It extends posteriorly from sternum to fibrous pericardium.

Middle inferior mediastinum

T4 -T9/T10


Phrenic Nerve


The heart and pericardium


ascending aorta, pulmonary trunk

Posterior inferior mediastinum

T4 to T12


All of the above structure exept heart and pericardium.


Azygos venous system, esophageal plexus and so on.



Anterior view of Heart (Structures)

Aortic Arch


Pulmonary trunk


left pulmonary arteriy, and veins


anterior interventricular sulcus


coronary sulcus


right atrial appandage


cardiac apex


left ventricle, right ventricle





Posterior view of Heart (Structures)

right pulmonary arteriy


inferior vena cava


coronary sinus


right and left ventricle


posterior interventricular sulcus


Left and right pulmonary veins


left and right atrium

Right ventricle

Supraventricular crest


septomarginal trabecula


Trabeculae carneae


tricuspid valve


chordae tendineae


pailary muscles


conus arteriosus


pulmonary valve


Right ventricle

Supraventricular crest


septomarginal trabecula


Trabeculae carneae


tricuspid valve


chordae tendineae


pailary muscles


conus arteriosus


pulmonary valve



Left ventricle


Aorta with left and right coronary artery


Left coronary artery -> anterior inter and circumflex


Thick walls


Mitral valve



Left ventricle


Aorta with left and right coronary artery


Left coronary artery -> anterior inter and circumflex


Thick walls


Mitral valve



Left atrium


Posterior Side


4 Pulmonary veins



Right Venticle


Much thinner walls


Tricuspid valve