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55 Cards in this Set

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External Anatomy of the Heart

Ligamentum Arteriosum


Right Auricle


Right ventricle


Interventricular Sulcus


Coronary Sulcus


Left auricle


Left ventricle


Apex


Pulmonary artery


Pulmonary veins


Aorta


Vena Cava

Internal Anatomy of the Heart

R/L Atrium


R/L ventricle


Interarterial septum


Interventricular septum


Bicuspid AV valve


Tricuspid AV valve


Pulmonary Valve


Aortic Valve


Trabeculae Carnae


Papillary Muscles


Cordae tendinae


Pectinate muscle


Fossa Ovalis


Ligamentum Arteriosum


The Great Vessels

Superior Vena Cava


Inferior Vena Cava


Pulmonary Arteries


Pulmonary veins


Aorta


Pulmonary trunk

Layers of the Heart

Epicardium > Myocardium > Endocardium


Pericardium (Epicardium): serous membrane > prevents friction


- fibrous pericardium > parietal later of serous pericardium > pericardial cavity with serious fluid > visceral layer of serous pericardium


Location: mediastinum

Coronary Arteries

Lefts


- anterior Interventricular branch


- circumflex


Rights


- posterior Interventricular


- Marginal

Coronary Veins

Great cardiac


Middle cardiac


Small cardiac


Conor art sinus

Blood Flow

Back (Definition)

Myocyte Physiology

Striated (sacromeres)


Branching


1-2 nuclei


Intercalated discs


-desmosomes holding cells together


-gap junctions allow for synctitium

Intrinsic Rhythm

Autorythmic Cells


Have own set of rules

Intrinsic Rhythm

Autorythmic Cells


Have own set of rules

Extrinsic Factors

Parasympathetic and sympathetic

Intrinsic Rhythm

Autorythmic Cells


Have own set of rules

Extrinsic Factors

Parasympathetic and sympathetic

Tachycardia/Bradycardia

Heart is too fast/too slow

ECG

P wave - depol of atria


QRS complex - repolarization of atria depol of ventricle


T wave - repolarization of ventricles


PQ - full depol of A > V


QT - full electrical activity of ventricles


ST - ventricles are depolarized

Blood Pressure

Depolarization: contraction


Repolarization: relaxation


Systole: contracts pumps blood


Diastole: relaxes chambers fill with blood

Lub Dub

Lub: AV valves closing


Dub: semilunar valves closing

Vessel Structure of Arteries

Tunica interna: Epithelium, basement membrane, internal elastic lamina


Tunica media: smooth muscle, external elastic lamina


Tunica externa: collagen

Vessel Structure of Veins

Tunica interna: Epithelium, basement membrane


Tunica media: smooth muscle


Tunica externa: thicker collagen


Valves

How do Veins work?

1) Skeletal muscle group


2) respiratory pump


3) arterial pump

Capillaries

1) tight junctions


2) intracellular clefts


3) fenestrations-pores


4) vesicles

Sphygmomanometer

Measures the force exerted in the walls of the vessels


Ventricular systole: 120 mmHg


Ventricular diastole: 80 mmHg

Sphygmomanometer

Measures the force exerted in the walls of the vessels


Ventricular systole: 120 mmHg


Ventricular diastole: 80 mmHg

Korotkoff sound

Sound of turbulent blood flood


Lub dub

Hypertension Stages

1/3 adults


Pretension: 120-129/80


Stage 1: 130-139/80-89


Stage 2: (>140)/(>90)

Hypertensive Causes

Causes:


- underlying conditions


- primary: develops over many years


-secondary: rapid onset


Hypertension Stages

1/3 adults


Pretension: 120-129/80


Stage 1: 130-139/80-89


Stage 2: (>140)/(>90)

Hypertensive Causes

Causes:


- underlying conditions


- primary: develops over many years


-secondary: rapid onset


Hypertensive Symptoms

Symptoms:


- “silent killer”


- hypertensive crisis; chest pain, headache, nausea, shortness of breath

Hypertensive Treatment

Lifestyle changes


Medications: diuretics, ACE inhibitors, Beta blockers

Hypotension Stages

Normal healthy people


Orthostatic: getting up too quickly


Postprandial: BP drops after eating


Neutrally Mediated: standing too long

Hypotension Stages

Normal healthy people


Orthostatic: getting up too quickly


Postprandial: BP drops after eating


Neutrally Mediated: standing too long

Hypotension Causes

Acute factors, like standing quickly


Shock & dehydration


Pregnancy or endocrine problems

Hypotension Stages

Normal healthy people


Orthostatic: getting up too quickly


Postprandial: BP drops after eating


Neutrally Mediated: standing too long

Hypotension Causes

Acute factors, like standing quickly


Shock & dehydration


Pregnancy or endocrine problems

Hypotension Symptoms

Dizziness, lightheaded ness, fainting


Blurred vision


Nausea


Fatigue

Hypotension Treatment

Cause dependent but can include hydration exercise, compression clothing, increasing salt intake, changing medications

Arteries of the Arm

Aortic arch > brachiocephalic trunk > subclavian > axillary > brachial > ulnar or radial > palmar arch

Veins of the Arm

Palmar venous arch > radial or ulnar > brachial > axillary > subclavian > brachiocephalic



Palmar venous arch > cephalic or basilic = median cubical = axillary > subclavian > brachiocephalic

Arteries of the Leg

Common iliac > internal


Common iliac > external iliac > femoral > popliteal > anterior tibial > dorsal


Common iliac > external iliac > femoral > popliteal > posterior tibial > lateral plantar OR fibulae OR medial plantar

Veins of the Legs

Fibular > posterior tibial > popliteal > femoral > external iliac > common iliac


Anterior tibial > popliteal


Saphenous > popliteal


Great saphenous > femoral

Arteries of the Abdomen

Celiac Trunk > common hepatic & gastric OR Splenic


Descending aorta > superior mesenteric OR renal & suprarenal OR gonadal OR inferior mesenteric OR common iliac

Arteries of the Abdomen

Celiac Trunk > common hepatic & gastric OR Splenic


Descending aorta > superior mesenteric OR renal & suprarenal OR gonadal OR inferior mesenteric OR common iliac

Veins of the Abdomen

Brachiocephalic > superior vena cava


Hemiazygous & Accessory Hemiazygous > Azygous > superior vena cava


Hepatic OR Suprarenal OR Renal OR gonadal > inferior vena cava


Suprarenal & gonadal > renal > inferior vena cava

Arteries of the Abdomen

Celiac Trunk > common hepatic & gastric OR Splenic


Descending aorta > superior mesenteric OR renal & suprarenal OR gonadal OR inferior mesenteric OR common iliac

Veins of the Abdomen

Brachiocephalic > superior vena cava


Hemiazygous & Accessory Hemiazygous > Azygous > superior vena cava


Hepatic OR Suprarenal OR Renal OR gonadal > inferior vena cava


Suprarenal & gonadal > renal > inferior vena cava

Arteries of the Head and Neck

Aortic arch > subclavian > vertebral > basilar


Aortic arch > common coratid > external coratid


Aortic arch > internal coratid > cerebral OR middle cerebral OR posterior communicating OR anterior communicating


Aortic arch > internal coratid > posterior communicating > posterior cerebral > basilar

Veins of the Head and Neck

External jugular > subclavian > brachiocephalic > superior vena cava


vertebral > brachiocephalic > superior vena cava


Internal jugular > brachiocephalic > superior vena cava

Veins & Arteries of Thyroid

Superior, middle and inferior


Superior artery comes off of common coratid


Inferior comes off of subclavian


Superior and middle veins drain into internal jugular


Inferior drains into brachiocephalic

Special Circulations

Pulmonary


Circle of Willis


Fetal


Hepatic

Superior mesenteric

Small intestine and first part of large intestine

Superior mesenteric

Small intestine and first part of large intestine

Inferior mesenteric

Second part of large intestine

Function of hepatic circulation

drains waster and nutrients from intestines through liver to be detoxified/absorbed

Fetal Circulation

Lung bypass: ductus arteriosus > aorta


Lung bypass: RA > foramen ovale > LA > LV > aorta


Liver bypass: umbilical vein > ductus venosus