1 - Overview Flashcards

1
Q

Major functions of cardiovascular system

A

-transport essential nutrients
-remove bi-products
-regulate temp
-humoral communication
-nutrient supply to tissues - will change based on
physiological state

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2
Q

Why is the heart considered 2 pumps?

A
R = pulmonary circulation (16%)
L = systemic circulation (84%)
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3
Q

What parts of the heart cause unidirectional flow

A
Valves
   tricuspid
   pulmonary
   mitral/bicuspid
   aortic
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4
Q

What part of circulation distributes blood to the tissues

A

arteries and arterioles

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5
Q

What part of circulation contains the majority of total blood volume?

A

venous - systemic

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6
Q

Where does the greatest resistance to blood flow occur?

A

arterioles

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7
Q

What is the function of capillaries

A

exchange between blood and interstitial fluid

electrolytes, nutrients, hormones

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8
Q

As cross-sectional area of vascular bed increases, the velocity of blood flow does what?

A

decreases

There is an inverse relationship

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9
Q

Is blood flow pulsatile or non-pulsatile at the capillaries?

A

non-pulsatile- allows for exchange

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10
Q

What contributes to optimal conditions for capillary function?

A

slow flow (low velocity), low pressure, thin walls

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11
Q

What is the control of blood flow related to in the majority of the tissue beds in the body?

A

tissue needs

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12
Q

What is cardiac output (flow) controlled by?

A

sum of local tissue flows

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13
Q

Which pressure is controlled independently?

A

Arterial

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14
Q

What drives organ blood flow?

A

PRESSURE differences, not drive by cardiac output!

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15
Q

Describe the boundaries of the mediastinum

A

diaphragm to thoracic inlet
thoracic inlet to T4 - superior
T4-T12 inferior aspect - posterior/mid/anterior

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16
Q

In what part of the mediastinum does the heart live?

A

mid

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17
Q

Layers of Pericardium

A

Fibrous
Serous - contains parietal (outer)
contains visceral (inner wall, contact with heart)

18
Q

What nerves travel across pericardium to the diaphragm?

A

Phrenic Nerve

*originates at C3-5

19
Q

Sympathetic Innervation of the Heart

A

“speed up”

  • T1-4 = cardiac accelerators
  • stellate ganglia (cervico) and middle cervical ganglia
  • innervate SA & AV nodes
  • HR & contractility increase
  • CO increased
20
Q

Parasympathetic Innervation of Heart

A

“slow down”

  • Originates at medulla oblongata –> Vagus nerve
  • much innervation to SA & AV (decrease in rate)
  • little innervation to ventricles (decrease contractility)
21
Q

Conduction System: Parts

A
SA - sinoatrial node
AV - atrioventricular, bundle of His
Bundle Branches
LBB - left anterior division, left posterior division
RBB
22
Q

Right Atrium - structures

A
cirsta terminalis - divides R atrium
R atrial appendage - R auricle
fossa ovalis (foramen ovale)
eustachian valve
tricuspid valve
23
Q

Coronary Sinus

A
  • collection of veins joined together to make large vessel that collects blood from the heart
  • drains to the R atrium
24
Q

Tricuspid Valve

A

3 leaflets

divides R atrium from R ventricle

25
R ventricle shape - cross sectional
crescent shaped
26
RV thickness compared to LV thickness
L is thicker
27
Cross sectional shape of L venricle
circular
28
How many pulmonary veins are normally present
4 2- right lung 2- L lung
29
Where do the pulmonary veins drain to?
pulmonary veins carry oxygenated blood from lungs to L atrium.
30
Where are clots likely to form in L atrium
L atrial appendage | *particular risk with a fib
31
Papillary Muscles - function & place
- attach aterioventricular valves via chordae tendonae | - contract to prevent inversion/prolapse during systole
32
Which valves have papillary muscles?
tricuspid & bicuspid
33
How many leaflets does a normal aortic valve have?
3
34
Where are the origins of coronary arteries in r/t aortic valve?
R & L main coronary arteries originate from sinuses of valsalva (which is just above aortic valve)
35
Mitral Valve - leaflets?
2 anterior - wide & short posterior - narrow & long
36
Pulmonic Valve - leaflets?
3 | anterior, L, R
37
Coronary Artery Branches
R main - dominance in 85%, supplies posterior of heart LAD L circumflex
38
Ramus Intermedius
3rd branch of L main coronary artery | present in 37% of ppl
39
Coronary Arteries - what determines dominance?
the artery that supplies the posterior third of the atrioventricular septum
40
LAD supplies to which myocardial segments?
front and bottom of L ventricle | front of septum
41
L circumflex supplies to which myocardial segments?
L atrium | side and back of L ventricle
42
R main coronary artery supplies which myocardial segments?
inferior portion of posterior L ventricle basal posterior of L ventricle AV node