heart Flashcards

(153 cards)

1
Q

Transports O2, CO2,nutrients, waste
products and other
substances

A

Cardiovascular System:

MAIN FUNCTION

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2
Q

carries blood to &
from the lungs

A

Pulmonary circulation

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3
Q

carries blood to &
from the diff. body
tissues except the
lungs

A

Systemic circulation

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4
Q

the hollow, cone-
shaped muscular organ
which pumps blood
into the pulmonary
and systemic
circulation.

A

THE HEART

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5
Q

Size of the heart

A

size of a
clenched fist

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6
Q

Location of the heart

A

mediastinum

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7
Q

the pointed end of
the heart which rests on
the diaphragm & is
directed anteriorly,
inferiorly & to the left

A

apex:

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8
Q

the uppermost,
broad, posterior surface
of the heart

A

base:

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9
Q

a triple-layered
sac w/c
surrounds &
protects the
heart

A

PERICARDIUM

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10
Q

the superficial, outer layer w/c
directly attaches to the diaphragm
is made of strong fibrous
connective tissue

A

fibrous pericardium

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11
Q

its keeps the heart from
overstretching or overfilling with
blood & holds the heart in place at
the mediastinum

A

fibrous pericardium

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12
Q

a double-layered membrane
sandwiched bet. the fibrous
pericardium & the heart

A

serous pericardium

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13
Q

the deeper layer of the pericardium

A

serous pericardium

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14
Q

the outer layer of the serous pericardium

A

parietal pericardium

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15
Q

adheres to the inner surface of
the fibrous pericardium

A

parietal pericardium

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16
Q

the inner layer of the serous
pericardium

A

visceral pericardium

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17
Q

also called epicardium
considered part of the heart
wall

A

visceral pericardium

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18
Q

adheres tightly to the surface
of the heart

A

visceral pericardium

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19
Q

the space
bet. the parietal & visceral
pericardium

A

pericardial cavity:

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20
Q

occupies the
pericardial cavity; the serous
fluid produced by the
epithelial cells of the serous
pericardium w/c prevents
friction as the heart beats

A

pericardial fluid:

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21
Q

contains blood vessels that supply the
myocardium

A

Epicardium

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22
Q

covered with adipose tissue

A

Epicardium

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23
Q

the external layer of the heart wall

A

Epicardium

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24
Q

the visceral pericardium

A

Epicardium

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25
the middle, muscular layer w/c forms the bulk (95%) of the heart wall
Myocardium
26
made up of cardiac muscle tissue
Myocardium
27
responsible for the pumping action/contraction of the heart
Myocardium
28
located deep to the myocardium
Endocardium
29
made up of simple squamous epithelium
Endocardium
30
provides a smooth lining for the chambers of the heart & covers the valves of the heart
Endocardium
31
minimizes the surface friction as blood passes through the heart
Endocardium
32
is continuous with the endothelial lining of the large blood vessels attached to the heart
Endocardium
33
the tissue that makes up the heart’s myocardium
CARDIAC MUSCLE
34
muscle fibers have the same arrangement of actin & myosin myofilaments & Z lines as skeletal muscle
CARDIAC MUSCLE
35
what does muscle fibers have in the cardiac muscle?
single, centrally-located nuclei
36
its fibers of the cardiac muscle are not cylindrical but are arranged in a
latticework
37
are irregular transverse thickenings of the sarcolemma that connect the ends of cardiac muscle fibers to one another
intercalated disks:
38
are highly folded to increase contact between cells thereby preventing them from pulling apart
intercalated disks:
39
allow action potential to spread from one cell to another
intercalated disks:
40
contract in response to its own pacemaker cells that initiate an impulse spontaneously & repetitively even w/o external neurohormonal control
autorhythmicity
41
refers to the contraction of a heart chamber during depolarization of the myocardium
systole
42
relaxation of a heart chamber during repolarization of the myocardium
diastole
43
when systole happends, the heart chamber is ____ & its contents emptied due to high pressure from the contraction
squeezed
44
when diastole happends, heart chamber____ as a result of low pressure in the chamber
fills with blood
45
enlargement or increase in muscle mass as a result of increased workload
hypertrophy
46
atrium
Atria
47
pumps their collected blood into the ventricles
Atria
48
the two superior receiving/collecting chambers of the heart
right atrium & left atrium
49
hormone produced by the cells of the atria;
atrial natriuretic peptide (ANP)
50
___- due to high blood volume or blood pressure; effect is _____ to low blood volume & BP
stretching of atrial walls & renal excretion of Na+
51
collects blood from the systemic circulation
Right Atrium
52
What are the 3 veins of right atrium?
superior vena cava, inferior vena cava, coronary sinus
53
collected blood is pumped to the right ventricle when it contracts
Right Atrium
54
collects blood from the lungs through the 4 pulmonary veins
Left Atrium
55
the thin partition between the right & left atria
Interatrial septum
56
the two inferior chambers of the heart
right ventricle & left ventricle
57
an oval depression on the interatrial septum
fossa ovalis
58
the two inferior chambers of the heart
right ventricle & left ventricle
59
after pumping the eject blood of the VENTRICLES, it will go to the?
arteries
60
the pumps that eject blood into the arteries
Ventricles
61
propels blood out of the heart into the circulation
Ventricles
62
receives blood from the right atrium & pumps it into the lungs, through the pulmonary arteries
Right Ventricle
63
thickest chamber of the heart
Left Ventricle
64
receives blood from the left atrium & pumps it into the systemic circulation through the aorta
Left Ventricle
65
the partition between the right & left ventricles
Interventricular septum
66
receives de-oxygenated blood from areas above the heart & empty it to the right atrium
Superior vena cava
67
brings de-oxygenated blood mostly from the parts below the heart to the right atrium
Inferior vena cava
68
four (4) veins that carry oxygenated blood from the lungs to the left atrium
Pulmonary veins
69
exits from the right ventricle and splits to give rise to the two (2) pulmonary arteries
Pulmonary trunk
70
brings de-oxygenated blood from the right ventricle to the lungs for oxygenation
Pulmonary arteries
71
the only artery w/c carries oxygen-poor blood
Pulmonary arteries
72
largest artery in the body
Aorta
73
exits from the left ventricle & carries oxygenated blood to the systemic circulation
Aorta
74
the remnant of the ductus arteriosus
ligamentum arteriosum
75
ensure the one-way flow of blood by opening to let blood through and then closing to prevent its regurgitation or backflow
VALVES of the Heart
76
pressure changes in the heart chambers cause these cusps to open &
VALVES of the Heart
77
consists of 2 or 3 cusps or (___) of the valves of the heart
leaflets
78
located between the atria & the ventricles on each side
Atrioventricular (AV) Valves
79
prevents backflow of blood from left ventricle into left atrium during ventricular contraction
bicuspid valve
80
where can bicuspid valve found in the AV valve?
left
81
prevents backflow of blood from right ventricle into right atrium during ventricular contraction
tricuspid valve
82
where can tricuspid valve found in the AV valve?
right
83
high pressure in the atria causes both valves to OPEN and blood from the atria flows to the ventricles
atrial contraction,
84
both valves CLOSE (since there is now low pressure in the atria) and blood in ventricles could not regurgitate to atria
ventricular contraction
85
tendonlike cords where the cusps of the AV valves are connected
chordae tendineae
86
the structures where the chordae tendineae are anchored
papillary muscles
87
carrying blood away from the ventricles
Semilunar Valves
88
where can Semilunar Valves be found?
base of the large blood vessels
89
each valve of the semilunar vavles consists of
3 crescent moon-shaped cusps
90
prevents backflow of blood from pulmonary trunk into right ventricle during ventricular relaxation
pulmonary valve
91
where can pulmonary valve be found
base of the pulmonary trunk
92
what is the other name for pulmonary valve
pulmonic valve or pulmonary semilunar valve
93
what is the other name for aortic valve
aortic semilunar valve
94
where can aortic valve be found
base of the aorta
95
prevents backflow of blood from aorta into left ventricle during ventricular relaxation
aortic valve
96
during ventricular relaxation, ____ in the ventricles causes both valves to CLOSE, preventing blood to regurgitate from pulmonary & systemic circulation to the ventricles
low pressure
97
during ventricular contraction, ___ in the ventricles causes both valves to OPEN & blood flows from ventricles to the pulmonary & systemic circulation
high pressure
98
“lub-dup” sound of the heart w/c can be heard using a stethoscope
HEART SOUNDS
99
why do sounds of the heart occured?
closure of the heart valves
100
“lub” sound
S1 heart sound
101
due to the simultaneous closure of the AV valves – tricuspid & bicuspid
S1 heart sound
102
“dup” sound
S2 heart sound
103
due to the simultaneous closure of the semilunar valves – pulmonic & aortic
S2 heart sound
104
the network of blood vessels that carry blood to & from the myocardium
CORONARY CIRCULATION
105
carry oxygenated blood to the myocardium
coronary arteries
106
compressed when the ventricles are contracting & fill when the ventricles are relaxed
coronary arteries
107
supply blood to the left atrium, most of the left ventricle & part of the right anterior ventricle
left coronary artery
108
has smaller branches that supply blood to the right atrium, most of the right ventricle & part of the left posterior ventricle
right coronary artery
109
drain blood that has passed through myocardial capillaries carry CO2 & waste products from the myocardium
coronary veins
110
an enlarged vein on the heart’s posterior surface
coronary sinus
111
empties deoxygenated blood from the coronary veins into the right atrium
coronary sinus
112
the sequence of events in one heartbeat
CARDIAC CYCLE
113
the heart’s natural pacemaker
Sinoatrial (SA) node
114
a specialized group of cardiac muscle cells located in the wall of the right atrium just below the opening of the superior vena cava
Sinoatrial (SA) node
114
where the heart’s electrical activity begins
Sinoatrial (SA) node
115
how many times in a minute initiates the action potentials of the SA node
60 to 80 times in a minute
116
it has the highest rate of depolarization in the whole pathway, it starts each heartbeat & sets the pace for the whole heart
Sinoatrial (SA) node
117
located at the junction between atria & ventricles (at lower interatrial septum)
Atrioventricular (AV) node
118
where impulses from the SA node travel to
Atrioventricular (AV) node
119
transmission of impulses from the SA node to the AV node and to the rest of the atrial myocardium brings about
atrial depolarization, resulting in atrial systole
120
also called “bundle of His”
Atrioventricular (AV) bundle
121
where impulses from the AV node travel to
Atrioventricular (AV) bundle
122
where impulses from the bundle of His travel to
Right & left bundle branches
123
transmits impulses to right ventricle
right bundle branch
124
transmits impulses to left ventricle
left bundle branch
125
where impulses from the left & right bundle branches travel to
Purkinje fibers
126
spread the action potential within the myocardium of the ventricle walls
ventricular depolarization, resulting in ventricular systole
127
is a recording of the electrical changes in the myocardium during a cardiac cycle
Electrocardiogram
128
the first wave * reflects atrial depolarization
P wave
129
a series of waves which reflect ventricular depolarization
QRS complex
130
since it is large, it obscures the electrical activity of atrial repolarization
QRS complex
131
the last wave * reflects ventricular repolarization
T wave
132
refers to the volume of blood ejected per minute from the left ventricle to the aorta
CARDIAC OUTPUT
133
refers to the degree of stretch in the ventricle before contraction
Preload
134
the more the cardiac muscle fibers are stretched, the more forcefully they contract
Frank Starling’s law of the heart:
135
high force of myocardial contractility (e.g. after administration of Ca++ or epinephrine) → high stroke volume & cardiac output
Force of contraction
136
high force of myocardial contractility (e.g. after administration of Ca++ or epinephrine) → high stroke volume & cardiac output
Force of contraction
137
refers to the amount of resistance that the ventricles need to overcome to eject blood out of the heart
Afterload
138
are sensory receptors located in carotid sinus & aortic arch w/c sense changes in BP and send signals to the brain via CN IX & X.
baroreceptors
139
same location as baroreceptors; sense changes in the O2 & CO2 content of blood & also send signals to the brain via CN IX & X
chemoreceptors
140
heart rate of < 60 bpm
bradycardia
141
heart rate of > 100 bpm
tachycardia=
142
the amount of blood ejected by the left ventricle during each contraction (average: 60-80 mL)
stroke volume
143
the number of heartbeats per minute (average: 60-80 bpm)
heart rate
144
What is the formula of cardiac output
CO= HR X SV = 75 beats slash over min x 70 ml over beat slash = 5250 ml over min = 5.25 L over min
145
generates impulses to maintain heart rate at 60-80 bp
Sinoatrial (SA) Node
146
may be influenced by other factors that speed up or slow down heart rate
Sinoatrial (SA) Node
147
area of the brain stem which contains 2 cardiac centers
medulla oblongata
148
What is the two cardiac centers in the medulla oblongata
accelerator & inhibitory centers
149
sends impulses along sympathetic nerves→norepinephrine & epinephrine
accelerator center
150
sends impulses along parasympathetic nerves, mainly the vagus nerve → acetylcholine
inhibitory center
151
increased levels of these hormones increase metabolism & thereby heart rate
T3 & T4
152
increases the heart rate
Caffeine & nicotine