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32 Cards in this Set

  • Front
  • Back
Where is the heart located?
In the thorax, between the lungs. It is bounded by the diaphragm, lungs, esophagus, descending aorta and sternum.
What is the size of the heart?
About that of a fist, weight = 250-300g
What are the great vessels located above the heart?
The superior vena cava, the inferior vena cava, pulmonary artery, pulmonary vein & aorta.
Name of the sac enclosed by the heart
Pericardium
Three layers of tissue that form the heart wall
1. outer layer = epicardium
2. middle layer = myocardium
3. inner layer = endocardium
Internal cavity of the heart is divided into 4 chambers
1. Right atria
2. Left atria
3. Right ventricle
4. Left ventricle
systemic veins receive what from the right atrium?
deoxygenated blood
pulmonary veins receive what from the left atrium?
oxygenated blood
The right atrium contains...
1. Fossa ovalis
2. Openings of CVC, IVC and the coronary sinus opening
3. SA
4. AV
What is fossa ovalis?
An oval depression on the lower part of the septum of the right atrium; it is a vestige of the foramen ovale, the communication between the 2 atria of the foetal heart. If it remains open, then blood will shunt from left atrium to right because of pressure.
The Anterior surface shows parts of each of the four chambers of the heart.
1. Right Atrium
2. Left Atrium
3. Right Ventricle
4. Left Ventricle
The three borders of the heart
1. Right border made up of the right atrium
2. Inferior border made up of the right atrium, right ventricle and left ventricle
What makes the diaphragmatic surface of the heart?
The left and right ventricles.
What chamber makes up the base of the heart?
The left Atrium. When the body is in the supine position, the heart rests on its base and the apex of the heart (the tip of the left ventricle) projects up and to the left.
What are the two categories of Valves of the heart?
1. Atrioventricular valves
2. Semilunar valves
What are the valves part of the Atrioventricular valves?
1. Tricuspid valve: between the right atrium and ventricle
2. Mitral valve: between the left atrium and ventricle
What the valves part of the Semilunar valves?
1. Pulmonary valve: between the right ventricle and the pulmonary artery
2. Aortic valve: in the outflow tract of the left ventricle (controlling flow to the aorta)
What do the two categories of valve do?
When the ventricles contract, atrioventricular valves close to prevent blood from flowing back into the atria. When the ventricles relax, semilunar valves close to prevent blood from flowing back into the ventricles.
Normal path of blood flow?
1. Blood from systemic circuit
2. Venae cavae
3. Right atrium throw the tricuspid valve
4. Right ventricle throw the pulmonary valve
5. Pulmonary trunk
6. Pulmonary arteries
7. Alveolar capillaries (lungs)
8. Pulmonary veins
9. Left atrium throw mitral valve
10. Left ventricle throw the aortic valve
11. Aorta
12. Blood to systemic circuit
Major vessels?
1. Superior & Inferior Vena Cava
2. Pulmonary trunk
3. Left & Right pulmonary arteries
4. Left Right Pulmonary veins
5. Aorta
Why does the cardiac muscle has an extension network of blood vessels to bring oxygen to the contracting cells and to remove waste products?
The myocardium of the heart wall is a working muscle that needs a continuous supply of oxygen & nutrients to function with effficiency.

Source: The right and left coronary arteries, branches of the ascending aorta, supply blood to the walls of the myocardium, capillaries, coronary veins, coronary sinus, which opens into the right atrium.
What are the different coronary arteries?
1. Aorta
2. Right coronary artery
3. Right marginal branch
4. Left main coronary artery
5. Left circumflex branch
6. Left anterior descending branch
Where does the left coronary artery (LCA) supply blood to?
To the left ventricle and left atrium.
Where does the left anterior descending artery supply blood to?
To the front of the left side of the heart

It supplies a major portion of the ventricular septum, including the right and left bundle branches of the myocardial conduction system, and the anterior and apical portions of the left ventricle.
Where does the circumflex branch supply blood?
To the lateral side and back of the heart

It supplies blood to the left ventricle and left atrium
The right coronary artery (RCA) divides into:
1. The right posterior descending
2. The right marginal arteries
Where does the right coronary artery supply to?
1. Right atrium
2. Right ventricle
3. SA Node
4. Bottom portion of both ventricles and back o the septum
Innervations of the heart
COP (cardiac output)= SV (amount of blood pumped by each ventricle/min) X HR
What is controlled by the Autonomic Nervous system ( parasympathetic & sympathetic)?
The strength and frequency of the heart beat
The effect of the sympathetic nerves
1. At the SA node is an increase in Heart rate
2. The effect on the muscle is a progressive rise of pressure within the ventricle, thus increasing stroke volume
What provides the parasympathetic control to the heart?
The Vagus
Why is the effect of the vagus at the SA node is the opposite of the sympathetic nerves?
1. It decreases the heart rate
2. It also decreases the excitability of the tissue around the AV node and this results in slower transmission

Strong Vagal stimulation here may produce AV block