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23 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
Wall of the heart

Consists of three layers
The outer layer, or epicardium (visceral layer of pericardium, a serous membrane that forms the pericardial sac).

The middle layer or myocardium

The inner layer endocardium
list
list
.
Endocardium
3ct layers
-a simple squamous 
-endothelium 
subendothelial  loose connective tissue 
-Thick layer of dense connective tissue
-a simple squamous -endothelium 
-subendothelial  loose connective tissue 
-subendocardial layer
-a simple squamous
-endothelium
subendothelial loose connective tissue
-Thick layer of dense connective tissue
-a simple squamous -endothelium
-subendothelial loose connective tissue
-subendocardial layer
Myocardium
4ct
Middle layer is composed of cardiac muscle fibers
In atria myocardium is thin (low pressure)
In ventricles myocardium is thick, left 3 times thicker than right. Muscles are arranged in 2 layers superficial & deep. 
Cardiac muscles of the atria & ventri
Middle layer is composed of cardiac muscle fibers
In atria myocardium is thin (low pressure)
In ventricles myocardium is thick, left 3 times thicker than right. Muscles are arranged in 2 layers superficial & deep.
Cardiac muscles of the atria & ventricles are completely separated by the fibrous skeleton.
Myocardium
Contain 3 types of cardiocytes
1. Contractile cardiocytes which contract to pump blood through circulation.
2. Myoendocrine cardiocytes producing atrial natriuretic factor.
. Nodal cardiocytes
Sinoatrial node
Atrioventricular node
(Purkinje’s fibers
, present in subendocardium, are modified cardiocytes
Atrial & Ventricular cardiac muscle
Atrial cardiac fibers
Smaller average diameter  
T-tubules are few or absent
spherical granules
Atrial natriuretic factor
Smaller average diameter
T-tubules are few or absent
spherical granules
Atrial natriuretic factor
Atrial Natriuretic Factor
5ct
Stimulates diuresis
Stimulates natriuresis
Relaxes cardiovascular muscles by antagonizing the action of vasopressin and angiotensin II
Prevents sodium & water reabsorption from causing hypervolemia & hypertension.
ANF is released in response to the increased pressure across the atrial wall.
Epicardium
Epicardium
Serous covering external surface of heart / visceral
part of the pericardial sac

It consists of:
3ct
Cardiac Skeleton
A. Dense connective tissue is concentrated between atria & ventricles and act as electric insulator
B. Anchors cardiac muscle fibers, heart valves and major arteries
C. Three main parts of cardiac skeleton are
a. Annuli fibrosa, encircle atrioventricul
A. Dense connective tissue is concentrated between atria & ventricles and act as electric insulator
B. Anchors cardiac muscle fibers, heart valves and major arteries
C. Three main parts of cardiac skeleton are
a. Annuli fibrosa, encircle atrioventricular and arterial orifices
(aorta & pulmonary), composed of dense irregular connective tissue, with some elastic fibers & fat cells. They provide attachment to the leaflets of the valves.
Cardiac skeleton
Trigona fibrosa
Septum membranaceum: found in interventricular 
septum 
dense regular connective tissue 
which looks like aponeurosis
Trigona fibrosa
Septum membranaceum: found in interventricular
septum
dense regular connective tissue
which looks like aponeurosis
Cardiac valves
2 sets of valves
Cardiac valves
2 sets of valves
AV valves
Semilunar valves
AV valves
Semilunar valves
Cardiac Valves
Valves are anchored to heart musculature by =
dense connective tissue
Cardiac Valves
dense connective tissue, which
A. provide valves with greater tensile strength
B. extends into the core of chordae tendinae
Cardiac Valves
Dense connective tissue is covered by
areolar (loose) connective tissue,
covered on both sides by
endocardium lacking subendocardial layer.
Cardiac Valves
Endocardium on atrial surface is
thicker than on ventricular & contain more
list items
list items
SA
Bachmans Bundle
Ant-SA internodel Tract
Middle Internodal Tract
Posterior Internodal Tract
AV Node
Bundle of His
Left BB
RBB
Conduction pathways
Purkinje Fibers
list items
list items
Nodal fibers are
5ct
Diffuse
Irregularly arranged
Small nodal cardiocytes compared to myocardial cardiocytes
More connective tissue between cardiocytes
Intercalated discs not as apparent as in myocardial cardiocytes .
Capillaries not as abundant as in myocardial cardiocytes.
SA
Bachmans Bundle
Ant-SA internodel Tract
Middle Internodal Tract
Posterior Internodal Tract
AV Node
Bundle of His
Left BB
RBB
Conduction pathways
Purkinje Fibers
list items
list items
SA
Bachmans Bundle
Ant-SA internodel Tract
Middle Internodal Tract
Posterior Internodal Tract
AV Node
Bundle of His
Left BB
RBB
Conduction pathways
Purkinje Fibers
list items
list items

SA
Bachmans Bundle
Ant-SA internodel Tract
Middle Internodal Tract
Posterior Internodal Tract
AV Node
Bundle of His
Left BB
RBB
Conduction pathways
Purkinje Fibers
.
Sinoatrial Node
Sinoatrial Node
a: SA node, Low power
b: Medium power SA node showing irregular whorled network of small nodal fibers embedded in the bulky fibrocollagenous stroma.
c: High magnification SA node
d: Normal atrial muscle fibers
list
list
HEART. KEY:
A, atrium
; AT
adipose tissue
AVN
atrioventricular node
CM
cardiac
muscle; 
CT
connective tissue
DCT
dense connective tissue
En
endothelium
ID
intercalated disk
IEM
MV
mitral valve
PF
Purkinje fibers
SM
smooth muscle
V,
HEART. KEY:
A, atrium
; AT
adipose tissue
AVN
atrioventricular node
CM
cardiac
muscle;
CT
connective tissue
DCT
dense connective tissue
En
endothelium
ID
intercalated disk
IEM
MV
mitral valve
PF
Purkinje fibers
SM
smooth muscle
V,
ventricle
list
list
Bundle of His: BH
Right Bundle Branch: RBB
Myocardial  muscle 
Purkinje’s fibers:
describe =
Myocardial muscle
Purkinje’s fibers:
describe =
Large diameter striated muscle fibers with atypical intercalated discs.
Contain reduced no. of myofibrils located at periphery. Rich in glycogen & mitochondria
Positive reaction for acetylcholinesterase
Large diameter striated muscle fibers with atypical intercalated discs.
Contain reduced no. of myofibrils located at periphery. Rich in glycogen & mitochondria
Positive reaction for acetylcholinesterase
E.M.
Purkinje fiber
 Low power  2nd slide middle of slide

High power 3rd slide