Heart Flashcards

1
Q

3 layers of the heart

A
  1. epicardium (outer layer)
  2. Myocardium- muscle layer
  3. Endocardium- made up of endothelium + it lines the heart valves
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2
Q

4 surfaces of the heart

A
  1. Anterior (sternocostal)- formed mainly by the r. ventricle
  2. Diaphragmic (inferior)- formed by l ventricle + part of R ventricle
  3. L. pulmonary surface- mainly L ventricle
  4. R. pulmonary surface- mainly R. ventricle
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3
Q

what are the purpose of auricles

A

if atria are overfilled w blood, act as back up area for blood to fill + protect coronary vessels

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4
Q

what nerves supply diaphram

A

R + L phrenic nerves

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5
Q

what are the walls of the ventricles made up of

A

trabeculae carneae

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6
Q

which valves are opended by blood flow and which are opended due to muscular contraction

A

blood- aortic semilunar vales

muscle- bi and tricuspid valves

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7
Q

what are the walls of the atria made up of

A

Pectinate muscles (left ones thicker)

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8
Q

what are the first branches off accending aorta

A

R+L coronary artieries

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9
Q

What does R marginal branch, conducting system branch and av node branch supply

A

marginal- R. border of heart
Conducting- SA node
AV- Av

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10
Q

What does R coronary artery supply

A
  • R. atrium
  • R. ventricle
  • Part of the L ventricle
  • posterior 1/3 of interventricular septum
  • AV node in 80% of ppl
  • SA node in 60% of ppl
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11
Q

Conduction of heart steps

A

SA node- pacemaker of heart (hyper excitable)
myogenic conduction gets AV node to fire
AV node stims R/L AV bundles
stim sub endrocardial branges which stim ventricles

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12
Q

flow of heart blood

A

Left coronary- anterior interventricular- lateral diagonal

left coronary- left circumflex- 1. left marginal OR 2. posterior interventricular artery

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13
Q

left atrium supplies

A

left side of heart

- most of l ventricle and some r ventricle

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14
Q

Anterior interventricular branch supplies

A

most of L ventricle (“widowmaker”)

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15
Q

% of R domiant hearts, Codominant and Left dominant

A

R- 70%
L- 10%
co- 20%

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16
Q

anterior cardiac veins drain into

A

R atrium

17
Q

Lymphatic drainage of the heart

A
Myocardium + subendocardial tissue
subepicardial lymphatic plexus
inferior tracheobronchial lymph nodes
R + L bronchomediastinal trunk
R goes to lymphatic, L goes to thoracic
18
Q

Symathetic inervation of heart

A

T1-5/6 lateral horns
cervical + thoracic sympathetic trunk
Sa + AV nodes

19
Q

effects of sympathic inervation of heart

A

increase HR, dialation of coronary arteries

20
Q

Parasympathetic inervation of heart

A

Vagus nerve

21
Q

effects of parasympathetic inervation of heart

A

decreased HR
Vasoconstriction
reduced force of contraction