heart Flashcards

(29 cards)

1
Q

know where the coronary sinus is

A
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2
Q

which veins converge to form SVC

A

left and right brachiocephalic veins (INOMINATE VEINS)

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3
Q

which internal jugular vein would give easier access for placing lines in (to deliver drugs or measure venous pressure)

A

right

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4
Q

what large vein drains into posterior aspect of SVC

A

azygous

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5
Q

what parts of the mediastinum does the azygous vein occupy

A

posterior and superior

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6
Q

what 2 veins correlate to azygous on left side of thorax

A

accessory and hemi-azygous vein

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7
Q

the azygous system drains posterior intercostal intercostal veins, which vessel does anterior intercostal veins drain

A

internal thoracic vein

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8
Q

the thumbprints sized depression on septum between atria is called what, what metal structure has it replaced

A

fossa ovalis

replaced the foramen ovale

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9
Q

what are the names of the valves on the left and right side of hear

A

right = tricuspid
left = mitral/bicuspid

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10
Q

whats the area b/w tricuspid valve, opening of coronary sinus and tendon of todaro known as

A

triangle of koch

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11
Q

what is located at the apex of the triangle of koch

A

atrioventricular node

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12
Q

leaflets of the valves are tethered to papillary muscles by what

A

chordae tendineae

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13
Q

what caries conductive fibres

A

moderator bands

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14
Q

moderator band carries conductive fibres on short cut across RV to R anterior papillary muscle, why

A

to ensure ventricles contract at sam time

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15
Q

know what papillary muscles and moderator band looks like on heart

A
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16
Q

bifurcation of pulmonary trunk is associated with ligament arteriosum (fibrosed remnant of metal ductus arteriosus) which normally constricts within 24 hours of birth due to reduced vascular resistance in pulmonary circuit, becomes ligamentous in 2 weeks

  • KNOW WHERE THE LIGAMENTUM ARTERIOSUM IS
17
Q

what is a saddle pulmonary embolism

A

lengthy cylinder of deep vein thrombus (DVT) relocates and risks blockage of pulmonary circulation in lungs

18
Q

note that on a CT, if you are at the level where you can see the 2 branches of the pulmonary trunk, then it is the SVC not IVC

19
Q

auricle is a small muscular pouch attached to the upper anterior right atrium, which extends along the right lateral margin of the aortic root.

20
Q

what chamber of the heart is most posterior

21
Q

the left atrium/auricle is most common site of cardiac thrombus, whats big risk associated with this

A

cerebral stroke

22
Q

what aortic stenosis and its biggest cause

A

occurs when the aortic valve narrows and blood cannot flow normally.

-calcification of valve

23
Q

know all the coronary arteries and veins - refer to images know what they look like

24
Q

what are the 3 layers of the heart

A
  • fibrous pericardium (outermost)
  • parietal layer of serous pericardium
  • visceral layer of serous pericardium (aka epicardium)
25
what 2 layers of the heart secrete pericardial fluid and why
parietal and visceral - for lubrication of heart movement
26
inflammation can lead to accumulation of pericardial fluid, what is this called
pericardial effusion (know what it looks like on CT)
27
What do you call restricted diastolic filling of vewntricles
cardiac tamponade
28
how do great vessels enter heart without piercing pericardium
via pericardial sinuses
29