Duffy Lecture 4 Flashcards

(49 cards)

1
Q

When does blood go into the coronary arteries

A

During diastole

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2
Q

What does MI do to EF

A

MI decreases EF

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3
Q

Branches of left coronary artery & supply

A

Anterior interventricular & circumflex SUPPLIES: LA LV Part of RV IV septum including conducting tissue

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4
Q

Branches of circumflex artery

A

Sinoatrial branch (40%) and marginal branch

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5
Q

Branches of right coronary artery and supply

A

Sinoatrial branch (60%)

Marginal branch

AV nodal branch

Posterior interventricular branch (85%)

SUPPLIES:

  • RA
  • RV
  • Part of AV septum
  • Part of LV
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6
Q

What does the anterior cardiac vein drain into

A

directly into RA

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7
Q

What do the thesbian veins (venae cordis minimae) drain into

A

Into myocardium and then into atria and ventricles

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8
Q

Contributions to coronary sinus

A

Small Middle and Great vein

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9
Q

Definition of Syncytium

A

Every cell is directly in contact with another so the beating of 1 cell moves electrical activity to the next

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10
Q

What supplies the IV septum

A

Left coronary artery => MI may impact conductance as bundles are here

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11
Q

What does the ANS regulate

A

HR Force of contraction CO

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12
Q

What nerve is responsible for parasympathetic innervation

A

Vagus (cardiac plexus) LONGER PRE-GANGLIONIC FIBRES

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13
Q

What nerve is responsible for sympathetic innervation

A

Sympathetic trunk (cardiac plexus) SHORTER PRE-GANGLIONIC FIBRES Visceral afferents travel from heart to the CNS carrying info regarding cardiac homeostasis & pain

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14
Q

Branches of visceral descending aorta

A

Pericardial Bronchial oesophageal

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15
Q

Branches of parietal descending aorta

A

Mediastinal IC & subcostal

Superior phrenic

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16
Q

What do the 1st and 2nd posterior IC arteries join to give

A

Superior IC artery

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17
Q

IVC emerges @

A

T8 right phrenic nerve

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18
Q

Oesophagus emerges @

A

T10 vagi - when you’re fighting and flying, no need for innervation to oesophagus => PS innervation

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19
Q

Aorta emerges @ & its branches (2)

A

T12 thoracic duct and azygos vein associated with it

BRANCHES: Celiac trunk Superior mesenteric artery

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20
Q

Where does the abdominal aorta enter the abdomen

A

Behind median arcuate ligament

21
Q

Where does abdominal aorta end

A

@ L4 (bifurcation)

22
Q

what are the 4 unpaired branches of the abdominal aorta

A

T12 - coeliac trunk L1 - superior mesenteric L3 - inferior mesenteric L4 - median sacral

23
Q

What are the 4 paired branches of the abdominal aorta

A

T12 - inferior phrenic L1 - middle adrenal L2 - renal L2 - gonadal

24
Q

What does the internal carotid supply

A

Cranial cavity - supplies brain and some of the cerebellum

25
What does the external carotid supply
Supplies muscles of face, head, neck
26
# Some Look Forward Others Are Posterior What are the branches of the external carotid @ C4
Some Look Forward Others Are Posterior * Superior thyroid * \* Lingual * \* Facial * Occipital * Ascending laryngeal * Posterior auricular * [Maxillary (terminal)] * \* Superficial temporal (terminal)
27
What are the branches of the internal carotid
Does not give off any branches in the neck - Anterior cerebral - Middle cerebral
28
Branch of the subclavian
Posterior cerebral
29
What is a stroke
Rapidly developing loss of brain function due to disturbance in blood supply to the brain -\> due to ischaemia, caused by blockage (thrombosis, arterial embolism) or haemorrhage
30
Effect of stroke on anterior cerebral area
Contralateral hemiplegia & anaesthesia
31
Effect of stroke on middle cerebral area
Contralateral hemiplegia & anaesthesia and/or aphasia
32
Effect of stroke on posterior cerebral area
Contralateral hemianopia
33
Effect of stroke on vertobrobasilar area
Focal brainstem syndrome
34
What indicates a higher risk of stroke
Atrial Fibrillation - Clot in atrial appendage moves from atria -\> ventricles -\> carotid (least path of resistance) to result in stroke
35
Blood supply to the heart
36
Anterior sulci
37
Posterior sulci
38
Coronary arteries
Circumflex wraps around left appendage
39
Branches of coronary arteries
40
Where does the coronary sinus drain into
RA
41
Coronary veins
42
Conducting system of the heart
43
Cardiac conduction diagrams
44
Step 1 of cardiac conduction
45
Step 2 of cardiac conduction
46
End of impulse conduction in the heart
47
Cardiac innervation
48
Pre-ganglionic vs post-ganglionic fibres of the sympathetic trunk and vagus nerve
49
Vagus nerve and the heart