Heart Flashcards

1
Q

Delivers blood to and from the lungs where it is oxygenated

A

Pulmonary circulation

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2
Q

send blood to all the tissues in the body, thus bringing oxygen to all the cells of the body and removing carbon dioxide

A

Systemic circulation

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3
Q
Position of the heart:
In the \_\_\_\_ cavity
\_\_\_ of midline
\_\_\_ to sternum 
\_\_\_\_ to diaphragm
Base of heart is around rib\_\_\_
A
Thoracic
Left
Posterior
Superior
Two
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4
Q

Region of the thoracic cavity between the lungs

A

Mediastinum

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5
Q

The posteriosuperior region of the heart is flat and called the____

A

Base

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6
Q

The inferior pointed end of the heart is called the ___

A

Apex

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7
Q

Heart is contained within a fibrous sac called the____

A

pericardium

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8
Q

Functions of the pericardium

A
  1. Anchors the heart inferiorly to the diaphragm and superiorly to the great vessels
  2. Restricts heart movement within thorax while allowing expansion and contraction
  3. Isolation from other thoracic organs
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9
Q

Two parts of the pericardium and associated tissue types:

A
  1. Outer fibrous pericardium (dense irregular connective tissue)
  2. Inner serous pericardium (simple squamous epithelium+thin layer of connective tissue)
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10
Q

Fibrous pericardium is attached

  1. Superiorly to the _____
  2. Inferiorly to the ____
A
  1. Large vessels exiting the heart

2. Diaphragm

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11
Q

The serous pericardium is divided into two layers (or really one layer folded onto itself). What are the two layers?

A
Parietal layer (lines the surface of the fibrous pericardium)
Visceral layer (lines the surface of the heart)
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12
Q

The space between the parietal layer and visceral layer of the serous pericardium is?

A

Pericardial cavity

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13
Q

A thin _____lubricates the layers (parietal and visceral) so they move without friction

A

Percardial fluid

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14
Q

What layer of the serous pericardium lines the surface of the heart?

A

The visceral layer

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15
Q

Three layers of the wall of the heart:

A
  1. Epicardium
  2. Myocardium
  3. Endocardium
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16
Q

Layer made op of visceral layer of pericardium + accumulated fat

A

Epicaridium

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17
Q

Muscle layer of the wall of the heart (cardiac muscle)

A

Myocardium

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18
Q

Cardiac muscle cells:

A

Cardiocytes or myocytes

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19
Q

In wall of the heart -inner layer of simple squamous epithelium (called endothelium) + thin layer of connective tissue

A

Endocardium

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20
Q

Each atrium has an anterior flap-like extension called an _____

A

auricle (because it looks like an ear)

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21
Q

What does the auricle do for the atria?

A

It increases the volumn of the atria

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22
Q

On the external heart, the ____ separates the atria from the ventricles

A

coronary sulcus

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23
Q

On the external heart, the ______ separate the ventricles from each other (posterior and anterior)

A

interventricular sulci

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24
Q

Coronary arteries, on the external heart, vascularize the heart itself and originate from the ____

A

Aorta

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25
Collagenous/elastic fibers found between each chamber of the heart. Offers structural support, anchors cardiocytes, anchors valves, acts as an electrical insulator
Fibrous skeleton
26
Valves are dense connective tissue “doors” that are lined by ____. Valves allow ____blood flow, prevents ____.
Endocardium Unidirectional Backflow
27
Atrioventricular (AV) valves close when ventricles ____
Contract
28
Two atrioventricular (AV) values:
1. Right AV (tricuspid) valve | 2. Left AV (formerly “bicuspid”) valve or mitral valve
29
Tendinous chords tether AV valves to ____.
Papillary muscles
30
Semilunar valves close when ventricles ___.
Relax
31
Two semilumar valves:
1. Pulmonary valve – at exit of right ventricle | 2. Aortic valve – at exit of left ventricle
32
3 vessels empty into the right atria:
superior vena cava, inferior vena cava, and the coronary sinus
33
The_____ is the thin wall between the atria
Interatrial septum
34
The interatrial septum has a depression called ____-a hole from the fetal period that closed.
fossa ovalis
35
Blood leaves the right atria through the atrioventricular (AV) opening when the _____opens.
AV valve (tricuspid valve)
36
The posterior wall of the right atrium is _____ | The anterior wall is lined by ridges called _____
Smooth | Pectinate muscles
37
The _____ is a thick wall between the right and left ventricles
Intraventricular septum
38
The internal surface of both ventricles have large, smooth muscle ridges called _____
Trabeculae carne (meaty beams)
39
The AV valve is anchored to the ventricle walls by fibrous cords called _____ The_____ attach inferiorly to muscle projections called papillary muscles
Tendinous cords
40
The purpose of anchoring the valve flaps is to keep them from:
flipping backwards when the ventricle contracts
41
When the right ventricle contracts, it forces the blood upwards, through the ____, into the pulmonary trunk The pulmonary trunk splits into pulmonary ____ that bring ____ blood to the lungs for gas exchange
Pulmonary semilunar valve Pulmonary arteries deoxygenated
42
The AV valve on the left is sometimes called the ___ or ___
Bicuspid or mitral valve
43
The wall of the_____ is the strongest and thickest of the 4 chambers. Usually 3x thicker than the other side
Left ventricle
44
___ pulmonary arties carry blood to the lungs. ___pulpmary viens carry blood to the heart.
Two | Four
45
The time from the start of one heartbeat to the start of the next
The cardiac cycle
46
The contraction of a heart chamber is ____. During systole, the cardiac muscle contracts, squeezing blood out of the chamber and into the next chamber or vessel.
Systole
47
The relaxation of the heart is called ____. During diastole the chambers relax and fill with blood
Diastole
48
Electrical events measured by ____
Electrocardiogram (ECG)
49
The ___ and ____ exit the aorta and feed the cardiac muscle itself. They branch into progressively smaller blood vessels
left and right coronary arteries
50
_____return deoxygenated blood that ultimately merges into coronary sinus
Cardiac veins
51
Cardiocytes are joined at ends by ______
intercalated discs
52
Cardiac muscle component that resembles egg cartons
Interdigitating folds
53
Gap junctions: allow flow of electrical stimuli
Electrical junctions
54
Desmosomes provide mechanical adhesion for ____in cardiac muscle
Mechanical junctions
55
Triggered to contract by Ca2+ entering the sarcoplasm
Cardiac muscle tissue
56
Ca2+ entering the sarcoplasm of cardiac muscle tissue signals sarcoplasmic reticulum to release Ca2+ ions Ions diffuse into sarcomeres Trigger _____
sliding filament mechanism
57
In the conduction system, ____tie the cardiac muscle cells together physically, contain gap junctions that allow electrical signals to pass, therefore muscle impulses can therefore pass from one cell to the next instantly
Intercalated discs
58
Heart exhibits _____(heart itself, not external nerves initiates muscle impulses)
autorhythmicity
59
Specialized heart muscle cells initiate muscle impulses, the rest of the muscle cells just pass along the impulse These initiation cells make up the _____
conduction system
60
Electric muscle impulses travel throughout the cardiac muscle tissue by way of the _____
intercalated discs
61
Muscle impulses are initiated at the _____ in the posterior of the right atria (pacemaker).
Sinoatrial (SA) node
62
The impulse is carried to a node at the inferior border of the right atria called the ______
Atrioventricular (AV) node
63
The impulse is carried from the atrioventricular node down the ____
AV bundle (bundle of His)
64
The branches of the Bundle of His, called the ____, carry the impulse throughout the walls of the ventricles
Purkinje fibers
65
Heart rate is set by SA node but rate is altered by extrinsic and neural controls such as:
Visceral sensory fibers | Parasympathetic fibers
66
Branches of vagus nerve. Decrease heart rate | Restricted to SA node, AV node, coronary arteries
Parasympathetic fibers
67
Travel to heart from cervical and upper thoracic chain ganglia (Innervate SA node, AV node, coronary arteries and cardiac musculature throughout heart) Increase heart rate and strength of contraction
Sympathetic nerves
68
____ is controlled by cardiac centers in reticular formation of medulla
Autonomic input
69
Cardiac centers in the retricular formation of the medulla. The ___ center influences parasympathetic neurons. The ___ center influences sympathetic neurons
Cardioinhibitory | Cardioacceleratory