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24 Cards in this Set

  • Front
  • Back
What hormone does the heart secrete?
Atrial naturietic peptide/factor (ANF/ANP)
-made in atrial myocytes
-secreted in response to atrial wall stretch
-blocks Na resorption in renal tubules

In Heart failure, Ventricles can make ANP (called BNP when measured in blood).
Three layers of heart
Epicardium (visceral pericardium)
Myocardium
Endocardium
Cardiac myocyte characteristics
Striated muscle
Central nuclei
Branching
Intercalated discs
Skeletal muscle characteristics
Striated muscle
Peripheral nuclei
Non-branching
Intercalated disc functions
Weld cells together structurally and electrically using:
desmosomes
hemidesmosomes
tight juncttions
Myocardial interstitial matrix
contains elastic tissue to help the heart relax
Cardiac valve layers
1) Spongiosa
2) Fibrosa

Valve leaflefts are not vascularized; they receive nutriotion through endothelia on surface
How does SA node connect to AV node?
Atrial muscle tissue conducts the impulse
what are the layers of a blood vessel?
1. Intima - single layer of endothelium
2. Media - smooth muscle cells/pericytes, connective tissues
3. Adventitia - fibroblasts, vasa vasorum, loose connective tissue
what type of collagen in blood vessels?
Type III
Vasa vasorum contents
lining endothelial cells
Mesothelium
Line the peritoneal cavity, pericardial, thoracic
Endothelial functions
Permeability barrier
Antithrombotic surface
Metabolic
-vasoactive factors
-inflammatory mediators
Growth control of blood vessels
Specialized structures of endothelial cells
Junctions - desmosomes, tight-jctns
Pinocytic vesicles - e.g. for LDL
Pores and diaphragms - sinusoids
Antithrombotic products of endothelial functions
Heparin
Prostacyclin
Thrombomodulin
TPA - stops MIs, strokes
Prothrombotic products of endothelial functions
vWF
Tissue factor
PAI-1 (plasminogen inhibitor 1)
Metabolic functions and products of endothelial tissue
Metabolic
1) Vasoactive
-NO
-Endothelin
-Angiotensin II and bradykinin
-Prostaglandin: prostacyclin, thromboxane
2) Inflammation
-selectins and integrin receptors
-cytokines - IL-11, IL-8, TNF-α
3) Connective tissue synthesis
Growth control in endothelial functions
1) SELF
-contact inhibition
-VEGF
2) Smooth muscle cells
-heparins
-PDGF
-shear stress
Function of elastic arteries
Compliance
Function of muscular arteries
Distribution
Function of Venules
Inflammation
Function of veins
Collection
Layers of blood vessels
endothelium
internal elastic lamina
media
adventitia
Etiology of atherosclerosis
tunica intima becomes injured
endothelium produce cellular adhesion molecules (CAMs) that promote binding of monocytes and T cells to the endothelial surface
-also decreases NO
LDL, VLDL bind to tunica intima, taken into myointimal space, oxidized by macrophages.