Anatomy Flashcards

(32 cards)

1
Q

What is the most anterior portion of the heart?

A

Right Ventricle

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2
Q

What is the most posterior portion of the heart?

A

Left Atrium

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3
Q

Left atrial enlargement leads to what symptoms?

A

Dysphagia and Hoarseness of voice due to recurrent laryngeal nerve

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4
Q

Left atrial enlargement causes?

A

Thoracic Aortic aneurysm

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5
Q

In TEE- which structure of the heart is the probe closest to?

A

Left Atrium

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6
Q

Xray Image

A
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7
Q

stab wounds:

third and fourth intercostal spaces, from the parasternal line to the mid-clavicular line, are most likely to injure ____

Just medial to the mid-clavicular line and further inferiorly (fifth intercostal space)- which ventricle at risk?

Further laterally, past the mediastinal border- which one at risk?

A

right ventricle

left ventricle

left lung

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8
Q

imaging

A
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9
Q

imaging- concern for/

A

saddle embolism
false lumen- Aortic Dissection

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10
Q

Where is the SA node located

A

Right Atrium opening of SVC

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11
Q

Where is the AV node located

A

Right atrium interatrial septum (tricuspid valve and coronary sinus)

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12
Q

Where is the bundle of HIS located?

A

Interventricular Septum Membranous Portion

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13
Q

Ablation site for atrial flutter

A

cavotricuspid isthmus, a narrow area of tissue below the coronary sinus opening, between the tricuspid valve and the inferior vena cava.

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14
Q

Where is the coronary sinus located

A

IVC and Tricuspid Valve

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15
Q

Ablation site for atrial fibrillation

A

Left atrial myocardium
Pulmonary vein ostia within left atrium

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16
Q

What are the two major arteries of the heart?

A

R coronary and L coronary

17
Q

Right coronary artery supplies which structures

A

right side of heart
SA node

18
Q

Left Coronary artery divides into which?

A

Left Anterior Descending (2/3 interventricular septum, anteopapillary muscle, antero left ventrciel)

Left Circumflex
Posteriorlateral LA, LV, anterolateral papillary muscle

19
Q

Which artery has the most likelihood of getting occluded?

20
Q

Posterior Descending Artery comes off which artery?

A

Right Coronary- R dominant
L Coronary- L dominant

21
Q

Posterior descending artery supplies which structures?

A

Posterior 1/3 inter-ventricular septum + posteriorlateral papillary muscle

22
Q

Which artery supplies the AV Node?

A

Depends on the dominance. If PDA comes off R Coronary- then R coronary
If PDA comes off L Coronary- then L coronary

23
Q

Most people are ____ dominant?

A

Right sided dominant (85%)

24
Q

Right coronary artery is at higher risk for arrthymias- why?

A

Because of the SA node starting signal

25
Function of the coronary sinus
place where the deoxygenated blood collects
25
Embryological derivative of coronary sinus
sinus venosus
26
Coronary sinus drains into
right atrium
27
____ structure is dilated in pulmonary hypertension?
Coronary sinus
28
Anatomy of biventricular pacemaker- where do the leads go to?
Left ventricular lead runs thru the coronary sinus
29
Cardiac Catherization- Swan Ganz- purpose?
measure the right sided pressure using the PCWP- which is also a surrogate marker for left atrial pressure
30
Coronary Angiography, PCI- uses what type of catheter
arterial, visualize atherosclerotic lesions
31
Transeptal Left Atrial Catherization- purpose
tells us the direct measurement of the left atrial pressure and ablation of foci