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124 Cards in this Set

  • Front
  • Back
What is the size and location of the heart
Size of a fist
located within the mediastinum and rests on the diaphragm
extends from the 2nd-7th rib
What are the dimensions of the heart?
14 cm long 9 cm wide and 6 cm thick
what covers the heart?
layered pericardium: visceral and parietal layer
what is the visceral pericardium made up of?
composed of a serous layer of thin connective tissue called the mesothelium with epithelium
responsible for secreting pericardial fluid for lubrication
what is the parietal pericardium layer made up of ?
fibrous layer made of dense irregular tissue that lines the walls of the heart
this enables restriction of expansion of the heart
what is the pericardial cavity?
the space between the parietal and visceral layers of the pericardium
How are the layers organized?
Fibrous (parietal layer)
Serous (visceral layer)
Pericardial Cavity
Connective Tissue
Heart Muscle
what are the borders of the heart
superior border
inferior border
left border
where is the superior border located?
it is the top of the triangle or the base and made up of the right and left atriums
What is the inferior border located?
wall of the right ventricle
where is the left border located?
next to the left ventricle
what are the superficial features of the heart?
Sulci
apex
base
what are sulci?
grooves where blood vessels that serve the heart are found there are 2 :coronary sulcus and interventricular suclus
where is the apex located rib and heart wise?
located 7.5 cm to the left of the midline and sits at the 5th intercostal
what is the function of coronary vessels?
provide oxygen and nutrients to the sides of the heart
what is found atop the base of the heart?
Contains exits for large blood vessels
Aorta and pulmonary trunk
what are the layers of tissue that make up the walls of the heart?
epicardium, myocardium and endocardium
where do the coronary veins carry blood?
run along the arteries and carry blood back to the right atrium
what is the epicardium composed of?
visceral pericardium composed of thin epithelium called mesothelium
what is the myocardium composed of?
Cardiac muscle tissue whose cells are called myocytes the thickness is dependent upon the chambers of the heart
what is the endocardium composed of?
2 tissues:
Loose connective tissue - endothelium which is continuous with the blood vessels and comes into contact with the blood as it is passed through the heart chambers
The Right Atrium
oxygen poor blood enters the heart from the vena cava (Superiorly from the head and inferiorly from the body) and coronary sinus
what is the fossa ovalis?
the point where the right and left atriums are physically connected
what is the tricuspid valve (atrioventricular) and where is it found?
The right atrium, prevents back flow into the atrium
what is the conus arteriosus?
where the blood will leave the right atrium
what is the ventricle proper?
the region of the right ventricle excluding the conus arteriosus and consists of myocardium
what are the chordae tendinae?
cord like structures that attach to the cusps of the valves

they attach to the papilary muscles
what is the interventricular septum?
mass of myocardium between the ventricles
how are the left chambers (atrium and ventricle) separated from each other?
by the bicuspid valves ( Left av cusps)
what is the function of the auricle of the right atrium?
increase the volume of the right atrium
what is the sinus of the venae cavae?
the opening where the vina cava comes in
what are the right chambers of the heart separated by?
the Right Atrioventriuclar Valves : Tricuspid valves
where does the left atrium recieve blood from?
the 4 pulmonary veins
what is the structural difference between the right and left ventricles?
the left ventricle has a thicker myocardium layer inorder produce enough force to pump blood to the whole body
where is the aortic semilunar valve found?
in the left ventricle
what is the "skeleton of the heart?
fibrous rings that encircle the valves of the heart - support, enclose bases of pulmonary artery and aorta
what are the branches of the left coronary artery?
Circumflex artery
Anterior interventricular artery/branch- brings blood to the right and left ventricles
what are the branches of the right coronary artery?
marginal branch
Posterior interventricular branch
what is an anastomoses?
joining of artery to artery which makes sure important organs receive a rich blood supply
where are anastamoses found?
In the brain and digestive tract
what is the purpose of the cardiac veins?
they return blood (o2 poor) to the Right Atrium
which cardiac veins come together to form the coronary sinus?
the Great cardiac vein
the small cardiac vein
what are the events of the cardiac cycle?
1. atria contract , ventricles relax
2. Ventricles contract, atria relax
what is the contraction of the heart chamber called?
systole
what is the relaxation of the heart chamber called?
Diastole
what produces heart sounds?
vibrations due to the opening and closing of the atrioventriclar valves (AV)
How are cardiac muscle fibers connected to each other?
by intercalated discs - membrane
what is a syncytium?
a meshwork of muscle fibers that are interconnected by intercalated discs which allow for and electrical signal to spread simultaneously
what is the cardiac conduction system?
functions to initiate and conduct impulses through the myocardium
How does the cardiac conduction system work?
SA Node--> AV Node --> Delay in transmission to the ventricles--> Purkinje Fibers--> simotanous contraction
what is the SA node?
Sinoatrial node which are impulse generating tissue also refered to as Pacemaker
What are AV bundles?
masses of grouped Purkinje Fibers
What are Purkinjie Fibers?
specialized myocardial cells that conduct an electrical impulse creating a coordinated contraction of the myocardium
why is there a delay in transmission to the ventricles by the AV nodes?
it enables the atria to empty their blood into the ventricles before the ventricles contract
what is an ECG?
An electrodaridogram which records elecrical changes of the myocardium during the cardiac cycle
what is the P wave of an ECG?
measures electrical spread through the atrium
what is the QRS complex?
measures the spread of activity from AV Nodes to the Ventericular myocardium
what is the T Wave?
represents the ventricles going back to a relaxed uncontracted state
what is the heart beat affected by?
physical exercise, body temperature, contractions of varios ions
what Nervous system branches are the SA and AV nodes innervated by?
parasympathetic nerve fibers (reduce heart rate)

Sympathetic increase heart rate
what center regulates automatic impulses?
the Cardiac center located in the Medulla Oblongota
what is a blood vessel?
a closed circuit of tubes
what is an arteriole?
a small artery that leads into the capillary bed
what are the smallest blood vessels?
Capillaries which consist only of tunica intima (interna)
what is the structure of an artery, arteriole and vein?
Tunica intima (interna)
Tunica Media
Tunica Externa (adventita)
what is the tunica intima?
consists of an epithelium which is continuous with the endothelium that lines the heart
what is the tunica media?
middle layer of muscular tissue that receive innervations from the Para & sympathetic nervous system
what is the tunica externa?
made of dense irregular tissue and holds the blood vessel in place on various organs
Walls of Arteries and Arterioles
Carry?
Made of?
walls adapted to carry high pressure blood away from the heart

walls made of endothelium, smooth muscle and connective tissue, elastic tissue
where are elastic arteries found and what are they called?
close to the heart and are known as conducting arteries
what is vaso vasorum?
blood vessels of the blood vessels
Walls of the Capillaries
single layer of epithelium cells
what are capillary pores?
openings between the plasma membrane that allow exchanges of materials between blood and tissues
What is teh difference between contiunous capillaires and Fenestrated?
Fenestrated have larger pores for protiens to move though while continuous (regular) capillaries do not
what controls the blood flow into a capillary ?
precapillary sphincter
what types of exchanges go on in capillaries?
gasses nutrients and metabolic byproducts
what is an arteriovenous anastamosis?
when the blood goes directly from the artery to the vein
what type of blood are veins adapted to deal with?
low pressure blood
what are the smallest veins called?
venuoles connect to the cappilary beds and then merge to form veins
where do veins carry blood?
02 poor blood to the heart
what are the similarities between arteries and veins?
wall structure and layers
but they are thinner and contain less muscle and elastic tissue
what is the purpose of valves in veins?
extensions of endothelium which help to prevent back-flow
what does the movement of blood depend on in veins?
skeletal muscle tissue because BP is so low
what is the Pulmonary Circulation of Blood through the heart?
It replenishes the blood with oxygen adn removes carbon dioxide before the blood is passed to the body
What is the path of pulmonary circulation?
Vena Cava + coronay sinus bring o2 poor blood to the right atrium--> right ventricle--> Pulmonary trunk--> pulmonary arteries (L&R)--> Capillaries--> O2 rich blood returns to heart by way of pulmonary Veins-> Left Atrium
what type of blood do pulmonary arteries carry?
oxygen poor blood
what type of blood do pulmonary veins carry?
oxygen rich blood
What is the systemic circuit?
Delivers oxygen rich blood to the body
what is the blood pathway in the systemic circuit?
LA--> LV--> Ascending aorta--> Aortic Arch--> Descending Aorta--> Systemic arteries and veins--> Right Atrium
what 3 blood vessels are found off of the Aortic arch?
Brachiocephalic
left common carotid
left subclavian
what are the divisions of the descending aorta?
thoracic aorta
abdominal aorta
what are the left and right devisions of the abdominal aorta?
Right and left common iliacs arteries
what are the branches of the subclavian Artery?
Vertebral- brain , come together with internal carotid to form an anatamosis
Thyrocervical trunk- serves neck
what are the branches of the common carotid arteries?
Internal and External
what are the branches of the brachial artery?
Radial and Ulnar
what anastamosis forms between the ulnar and radial arteries?
the palmar arches
(superficial and Deep)
what is the carotid sinus
found at the base of the internal carotid and contains chemoreceptors that help to regulate heart rate and respiration
what does the superior phrenic artery serve?
the superior surface of the diaphragm
what does the inferior phrenic artery serve?
inferior surface of the diaphragm
what are the 3 unpaired arteries off the abdominal aorta?
Celiac trunk
Superior and inferior mesenteric
what are the divisions of the celiac trunk?
left gastric artery
Top) Splenic artery
Botm) common hepatic artery
what body parts does the celiac trunk serve?
the liver spleen and stomach
what does the superior mesenteric serve?
the stomach duodenum and pancreas small intestine
what does the inferior mesenteric serve?
lower colon and rectum
the superior and inferior mesenteric form an _________ to make sure the intestines get a good supply of blood.
Anastomoses
what are the paired arteries in the abdominal area?
phrenic
suprarenals- R&L adrenal gland
renals- kidney
lumbars
gonadals
what do the right and left common iliac arteries serve?
pelvic organs gluteal region and leg
what are the branches of the common illiac artery?
the internal and external iliac
what is the external iliac known as inferioally as it crosses the illiac?
the femoral artery
what are the continuations of the femoral artery as it moves inferior?
Femoral artery--> popiliteal artery--> which branches to form the posterior and anterior tibial artery--> which branches to from the plantar arches
where are superficial veins located?
in the fascia under the skin
what veins are responsible for draining the head neck and brain?
Jugular veins (internal, external, vertebral)
what do the brachiocephalic veins form?
the superioir vena cava
what are the major superficial veins that drain the arm and sholder?
Basilic (underside of arm) and Cephalic (anterior and radial side)
Basialar vein + Brachial Vein = ______
axillary vein
Axillary Vein + Cephalic Vein = _____
subclavian veins
what vein is often used as a site of venipuncture?
the median cubital vein
Basalic vein + Cephalic Vein --> _____
medial cubital vein
what veins drain the abdominal and thoracic walls?
brachiocephalic and azygos veins (drains right thoracic region)
what does the azygos vein branch off into?
hemizygos veins which drains the left side of the thoracic region
where does blood from the abdominal viscera (stomach small intestine pancreas and spleen) enter?
the hepatic portal
what is the hepatic portal?
a place of filtration and monitoring of the blood takes place before it is returned to heart by way of the inferior vena cava
what is the pathway of the hepatic portal system?
Blood contiaing high food chemicals and nutrients from abdominal viscera --> Hepatic portal Vein--> Liver--> Hepatic Vein--> Inferior vena cava
how do the veins from the plantar arches reach the inferior vena cava?
Plantar arches--> Small Saphenous Vein + Posterior Tibial Vein = Popelitial as you travel superiorly turns into femoral vein and is joined by the Great saphenous vein --> Femoral vein-> External Iliac + Internal Iliac --> common illiac --> Inferior Vena Cava