3.8 Heart General Flashcards
Position of the heart:
-tipped forward
-skewed to the left (60%)
-laterally flattened/compressed
-ribs 3-6
Shape of the heart:
-conical: base and apex
Cardiac topography:
-heart
-cardiac notch
-spaces 4-5 for cardiocentesis
-regions for
Triangular zone of oscillation: dog
-caudal border of triceps
-before you hit the transverse processes of vertebrae
-costo-diaphragmatic recess
Pleuritis:
-inflammation of pleura
>doesn’t necessarily imply infection
-cavity will fill up and the lung will pushed away from the recesses
Costo-diaphragmatic recess:
-the space where the lung never reaches
-how you can do thorax sentisis without puncturing a lung
Tracheal bifurcation occurs:
-immediately above the heart
>about the 5th rib
-half way between the point of withers and the sternum
Angle of the heart differs among species:
-dog: tipped more cranial (base more ‘forward’)
-pig: in between
-horse: almost completely upright
Relations to the heart: laterally
-lungs
-chest wall
-phrenic nerve
Phrenic nerve:
-innervate diaphragmatic muscles
Relations to the heart: cranially
-thymus
-lungs
-cranial mediastinum
Relations of the heart: caudally
-diaphragm
>abdominal viscera
Apex of the heart:
-lies right against the diaphragm
Functional overview of the heart:
-4 chambers, 2 pumps
-size varies by species and fitness
-portal systems
-oxygenated blood
Size of heart average:
-0.75% BW
>bigger in athletes
Portal systems:
-vascular system which begins and ends in capillary plexus
How much blood does the heart pump/move?
-80 to 100% of blood volume per minute
Fibrillation:
*asynchronous contraction
-when the heart receives random electrical impulses
>rapid and ineffective contractions
-ineffective and often fatal
Coordinated contraction:
-alternating contraction and relaxation of the myocardium in the walls
-coordinated by the conduction system
-systole: contraction phase
-diastole: relaxation phase
Sino-atrial (SA) node:
-pacemaker
-causes atrial contraction
-regulated by accelerating sympathetic and retarding vagal inputs
Electrical impulse through the heart:
-SA node
-AV nodes: where it is delayed
-impulse transmitted down AV bundles
Atrial contraction:
-last stage of ventricular relaxation
-“tops up” ventricles
-sometimes get a jugular pulse
Jugular pulse:
-when the atria contracts, and some blood may reflux into veins
-seen mostly in cattle
During ventricular relaxation:
-pulmonary and aortic (arterial) valves are closed
Ventricular contraction:
-closes the AV valves
>papillary muscles prevent eversion of the cusps into the atria
*as contraction develops, blood forces the arterial (pulmonary and aortic: semilunar) valves open and conducting arteries are expanded by the sudden input
R. ventricle contraction:
-squeezed in a “bellows”
>outer wall is draw toward the septum
L. ventricle contraction:
-more cylindrical
-contracts radially and in length
>generates a more powerful effect
Heart sounds:
-lub, dub
-sometimes they can be split
*puncta maxima
‘lub’:
-closure of the mitral and tricuspid atrioventricular valves at beginning of ventricular systole
‘dub’:
-caused by closure of aortic valves and pulmonary valve at end of ventricular systole
Puncta maxima
-projections of the heart valves on chest wall are not necessarily the spots where the sounds ar most clearly heard
*due to intervening tissues