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37 Cards in this Set

  • Front
  • Back
What is the pericardium?
double walled sac that covers heart and proximal great vessels (ascending aorta)
what are the 2 layers of the pericardium?
1. fibrous pericardium (outer layer)
2. serous pericardium (just deep to bibrous) and it has 2 layers - parietal layer and visceral layer
what is pericarditis?
inflammation of the pericardium
what is pericardial effusion?
-fluid/blood/ infection of pericardial cavity
-congestive heart failure
-heart cant pump enough blood to organs/body
what is cardiac tamponade?
heart compression
Where is blood in the right atrium coming from?
It is venous blood from:
-SVC
-IVC
-coronary sinus
What does the auricle do?
it increases capacity of atrium
what valve connects the right atrium and right ventricle?
tricuspid valve
what layers make up the wall of the heart?
1. epicardium - visceral layer of serous pericardium
2. myocardium (cardiac muscle)
3. endocardium (most inner layer) - endothelium and loose c.t.
what is the heart skeleton?
Consists of plate of fibrous connective tissue between atria and ventricles
Fibrous rings around valves to support
Serves as electrical insulation between atria and ventricles
Provides site for muscle attachment
what does the spiral arrangement of the ventricular muscles do?
allows ventricular contraction to squeeze the blood upward from the apex of the heart
what is the first heart sound?
lub
Atrioventricular valves close at beginning of ventricular systole
what is the 2nd heart sound?
dub
closure of aortic and pulmonary semilunar valves at beginning of ventricular diastole
what is the occasional 3rd heart sound?
murmur (swish)
caused by turbulent blood flow
valve locations
what does the phrenic n. innervate?
1. diaphragm (via c3,4,5 - keeps the diaphragm alive!)
2. pericardium
What does the pericardiacophrenic a. and v. innervate?
Innervate pericardium via the internal thoracic a.
what 3 structures drain into the right atrium?
1. SVC
2. IVC
3. Coronary Sinus
What drains into the SVC?
head, neck and upper limb
What drains into the IVC?
abdominal viscera and lower limb (cable system)
What drains into the coronary sinus?
cardiac muscle - carrying deoxygenated blood
What muscle separates the smooth and rough atrial muscle from each other in right atrium?
Sulcus terminalis (exterior)
crista terminalis (interior)
What rough m. is in the r. atrium?
pectinate m.
What valve separates the r. atrium from the r. ventricle?
Tricuspid valve
What muscles make up the r. ventricle?
-papillary muscles
-chordae tendineae
-trabeculae carnae
Where is the moderator band located?
r. ventricle
Where does the blood move through and to after leaving the r. ventricle?
blood goes through the pulmonary semilunar valves to the pulmonary trunk to the pulmonary arteries (de 02) to the lungs
Where does blood go once it has received oxygen from the lungs?
blood goes from lungs to pulmonary veins (O2) to the left atrium
sinoartial (SA) node
primary pacemaker tissue
atrioventricular (AV) node
secondary pacemaker tissue
what is stenosis of the valves?
narrowing
what do the coronary arteries supply blood to?
coronary muscle
ischemic heart disease (thrombosis)
80% of all heart disease
Name other types of heart disease.
hypertensive heart disease
congenital heart disease
valvular heart disease
what do you treat ischemic heart disease with?
nitroglycerin
what is a myocardial infarction (MI)
necrosis due to local ischemia which is primarily caused by thrombi.
The complications of MI depend on:
location of MI and depth and size
-if occurs in distal end of artery it won't be as bad.
Treatments of ischemic heart disease:
bypass surgery
coronary artery stent placement