Gross (04.22) Heart Flashcards

(41 cards)

1
Q

where is the apex of the heart located

A

fifth intercostal space

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2
Q

what are the layers of the heart wall from superficial to deep/

A
  • epicardium (two layers)
  • myocardium
  • endocardium
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3
Q

the ligamentum arteriosum connects what two things?

A
  • left pulmonary a

- arch of aorta

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4
Q

the ligamentum arteriosum is a remnant of fetal ___ ___

A

ductus arteriosus (shunted blood from R ventricle to aorta)

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5
Q

right atrioventricular valve is a ____ valve

A

TRIcuspid

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6
Q

the left atrioventricular valve is a ____ valve

A

BI cuspid

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7
Q

when the ventricles are contracting, what prevents the valve flaps form everting blood back into the atria?

A
  • papillary mm

- chordae tendineae

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8
Q

once the blood is pushed out of the ventricles, what keeps the blood from passing back into the ventricles?

A

pressure of blood on semilunar valve

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9
Q

once the blood is pushed out of the ventricles, what keeps the blood from passing back into the ventricles?

A

pressure of blood on semilunar valve

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10
Q

what are the two types of valve problems?

A
  • incompetence

- stenosis

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11
Q

___ ___ routes ensure blood supply to the heart even if major vessels are occluded

A

collateral routes

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12
Q

coronary sinus opens into ___ __

A

right atrium

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13
Q

what are the three tributaries of the coronary sinus

A
  • great cardiac v
  • middle cardiac v
  • small cardiac v
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14
Q

disease when blood leaks back into atriums

A

mitral valve disease

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15
Q

disease when blood leaks back into left ventricle

A

aortic valve disease

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16
Q

funnel to pulmonary trunk from right ventricle

A

conus arteriosus

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17
Q

brings fibers of the conducting system to anterior papillary m

A

moderator band

18
Q

brings fibers of the conducting system to anterior papillary m

A

moderator band

19
Q

are veins or arteries more superficial when dealing with the heart?

20
Q

the great cardiac vein travels with ____ a in anterior IV sulcus

A

anterior IV a

21
Q

how does the great cardiac vein drain?

A

empties into coronary sinus posteriorly

22
Q

the anterior cardiac vv pass SUPERFICIAL to _____

A

right coronary a

23
Q

how do the right coronary aa drain?

A

empty directly into R atrium (DO NOT GO TO SINUS)

24
Q

what are the three branches of the RIGHT coronary a

A
  • right marginal branch
  • posterior IV (descending) a [termination]
  • anterior right atrial branch
25
what branch of the right coronary a gives off the sinuatrial node branches?
anterior right atrial branch
26
the LEFT coronary a immediately divides into what?
- anterior interventricular a | - circumflex a
27
what is the branch given off by circumflex a?
L marginal branch
28
usually, which coronary a is dominant (gives off POSTERIOR IV A)
right
29
occlusion of major coronary a, usually due to atherosclerosis, leading to inadequate oxygenation of an area of myocardium and cell death
coronary artery disease
30
occurs when perfusion to the myocardium is insufficient to meet the metabolic needs of the tissue
heart attack (myocardial infarction)
31
what are the symptoms of a heart attack?
- classic heaviness/pressure | - pain radiating to arm (generally left)
32
what are the symptoms of a heart attack?
- classic heaviness/pressure | - pain radiating to arm (generally left)
33
v commonly used for bypass grafts that is harvested from the anterior/medial region of the thigh or leg
great saphenous vein *can also use internal thoracic a or radial a
34
the heart has the ability to maintain conduction system without _____
CNS innervation
35
what nervous system affects the rate of a heart beat?
ANS
36
what type of innervation inc heart rate
symp from T1-T5
37
what type of innervation dec heart rate
para-symp from vagus n
38
pacemaker of the hear that initiates and regulates impulses
sinuatrial node
39
damage to the conduction system results in what?
cardiac arrhythmias
40
damage to AV node will cause what?
heart block | -uncoordinated contraction
41
what may be inserted to control contractions?
pacemaker