01 - Cardiac Anatomy Flashcards

(37 cards)

1
Q

Where is the mediastinum

A

thorax region

resides between the sternum and vertebrae, the two pleural cavities nad between the first rib and diaphragm

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2
Q

What does the mediastinum contain

A

pericardial cavity that surrounds the heart

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3
Q

What does the outer layer of the pericardium fuse to

A

the fibrous pericardium fuses with the central tendon of the diaphragm

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4
Q

What are the four regions of the mediastinum

A

anterior
superior
posterior
middle

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5
Q

What does the anterior mediastinum contain

A

thymus: organ responsible for production and maturation of immune cells

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6
Q

What does the superior mediastinum contain

A

aortic arch: major BV
esophagus: deliver food
trachea: deliver air

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7
Q

What does the posterior mediastinum contain

A

descending aorta
esophagus: deliver food
lymph nodes: assesses infections
vagus nerves: to innervate structures of abdominal cavity
thoracic duct: transports lymph

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8
Q

What does the middle mediastinum contain

A

heart
great vessels (aorta & pulmonary trunk): outflow from heart
phrenic nerves: innervates muscles of diaphragm

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9
Q

What are the layers of the heart

A

epicardium (outermost)
myocardium (thickest - contractile tissue/muscle)
endocardium (innermost)

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10
Q

What are the layers of the pericardium

A

fibrous pericardium (outermost layer) - limites stretching
parietal pericardium (middle layer)
visceral pericardium (epicardium

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11
Q

What do the sulci (grooves) on the heart do

A

protect blood vessels which are also surrounded by adipose (fat)

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12
Q

What are the different sulci on the heart

A

right coronary sulcus (between right atrium and ventricle)

left coronary sulcus (between left atrium and ventricle)

interventricular sulcus (between the left & right ventricles)

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13
Q

What do the coronary arteries do

A

perfuse the myocardium with blood

the left and right coronary arteries arise from the base of the ascending aorta
- branches form anastomoses

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14
Q

When does blood flow occur

A

during diastole (when heart muscles relax)

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15
Q

What do the coronary veins do

A

drain the myocardium and return the ‘spent’ blood to the right atrium
- drain into the coronary sinus on the posterior aspect the right atrium

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16
Q

What is the path of blood flow in the heart

A
  1. sup/inf vena cava
  2. right atrium
  3. tricuspid valve
  4. right ventricle
  5. pulmonary valve
  6. pulmonary artery
  7. lungs
  8. pulmonary veins
  9. left atrium
  10. mitral valve
  11. left ventricle
  12. aortic valve
  13. aorta
  14. tissues of the body
17
Q

What does the right side of the heart handle

A

deoxygenated blood returning from the body tissues (systemic circuit)

18
Q

What does the left side of the heart handle

A

oxygenated blood returning from the lungs (pulmonary circuit)

19
Q

What do the four valves of the heart ensure

A

that blood flow occurs in one direction

useful when applying cardiac compressions

Two AV valves (left/right av valve)
Two semilunar valves (aortic-left/pulmonary-right semilunar valve)

20
Q

How the thicknesses of the left and right ventricles differ

A

left ventricle - thick, cylindrical shaped chamber
right ventricle - thin, crescent shaped chamber

21
Q

What does the left ventricle do

A

pumps blood under high pressure to all body systems (systemic circuit)

22
Q

What does the right ventricle do

A

pumps blood under low pressure to lungs (pulmonary circuit)

23
Q

What are the ventricles separated by

A

interventricular septum (wall)

24
Q

What is the function of the fibrous skeleton

A

dense connective tissue
- provides structural foundation for the heart valves
- maintains valve diameter (prevents overstretching)
- serves as an attachment site for muscle fibers
- electrically separates the atria from the ventricles

25
What causes the opening and closing of heart valves
changes in pressure on each side of the valve
26
What are the AV (atrioventricular) valves made of
valve leaflets attached to subvalvular apparatus (chordae tendinae & papillary muscles)
27
What does the subvalvular apparatus do
prevent AV valve eversion (prolapse) during ventricular systole
28
What can lead to AV valve insufficieny (regurgitation)
damage to papillary muscle (eg. heart attack)
29
How do the subvalvular apparatus function during diastole
valve cusps open - chordae tendineae = slack - papillary muscles = relaxed
30
How do the subvalvular apparatus function during systole
valve cusps close - chordae tendineae = taut - papillary muscles = contract
31
What do the semilunar valves do
prevent backflow of blood from the great vessels (aorta & pulmonary trunk) back into the ventricles
32
When and why is there backflow of blood in the heart
during atrial systole because no valves guarding the venous entry points into the left and right atrium
33
How does the heart prevent backflow during atrial systole
atrial muscles contract --> compresses/collapses the weak walls of the venous entry points to minimize backflow
34
What is auscultation
listening to heart sounds
35
How are heart sounds created
turbulent blood flow and the closure of heart valves
36
What are the four heart sounds
2nd intercostal space (right) - aortic valve 2nd intercostal space (left) - pulmonary valve left lower sternal border - tricuspid valve 5th intercostal space (left) - bicuspid valve/mitral
37
Which heart sounds can you hear - what causes them Where is the best spot to hear
S1 (lubb) - caused by the closure of av valves S2 (dupp) - caused by closure of the semilunar valves at locations that do not correspond to where the valves are located