Introduction to Cardiovascular System Flashcards

1
Q

Major Divisions of Circulatory System

A
  • Pulmonary Circuit
    • right side of heart
    • Oxygen-poor blood–>Superior/Inferior Venae Cava–>Right Atrium–> Right Ventricle–>Pulmonary Trunk
    • Pulmonary trunk then sends oxygen poor blood to lungs for gas exchange
  • Systemic Circuit
    • Left side of heart
    • Oxygenated blood leaves the lungs–> Pulmonary Veins–>Left Atrium–>Left ventricle–>Aorta
    • Aorta sends oxygenated blood to all tissues/organs
      • Ascending Aorta to:
        • Brachiocephalic
        • Left Common Carotid
        • Subclavian A.
      • Blood to Head and Neck
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2
Q

Position/ Shape/Landmarks of Heart

A
  • Location
    • B/w lungs
    • in mediastinum
    • Periacardium-surrouncs the heart
      • anchors heart to diaphragm, R & L lungs, Mediastinum
    • Apex tilts toward left lung
  • Landmarks
    • 2nd intercostal space
      • top of heart
    • 5th intercostal space
      • bottom of heart
    • Sternum
      • anterior of heart
    • Midclavicle line
      • sides of heart
  • Shape:
    • Base top portion
      • large vessels attach (coronary Vessels)
    • Apex bottom portion
    • Adult: weighs 10 ounces
    • Base to apex=5 inches
    • 3.5 inches wide
    • Always size of fist
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3
Q

Chambers of the Heart

A
  • R/L Atrium
    • Receive blood to return to heart
    • Auricles
      • on surface
      • enlarge chamber
  • R/L Ventricles
    • Pump blood into ateries
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4
Q

Atrioventricular sulcus

A
  • seperates atrium and ventricles
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5
Q

Interventricular Sulcus

A
  • on top of the interventricular septum
  • seperates the L & R ventricles
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6
Q

Sulci

A

Coronary Arteries pass through

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7
Q

Interatrial septum

A
  • Wall that seperates atria
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8
Q

Pectinate Muscles

A
  • Internal ridges of myocardium
  • in right atrium auricles
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9
Q

Interventricular Septum

A
  • Muscle
  • seperates ventricles
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10
Q

Trabeculae carneae

A
  • internal ridges in both ventricles
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11
Q

Valves (general definition)

A
  • ensure one way blood flow through heart
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12
Q

Atrioventricular Valves (AV)

A
  • control blood flow b/w atria and ventricles
  • Right AV valve
    • AKA tricuspid valve
    • three cusps
  • Left AV valve
    • Aka Mitral/Bicuspid Valve
    • 2 cusps
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13
Q

Semilunar Valves

A
  • Control flow into great arteries
  • Pulmonary Semilunar Valve
    • b/w right ventricle and pulmonary trunk
  • Aortic Semilunar Valve
    • b/w left ventricle and aorta
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14
Q

Chordae Tendineae

A
  • Cords conect AV valves to papillary muscles on floor of ventricles
  • prevent AV valves from opening when ventricles contract
  • has 2-3 attachments to heart floor
    • distribute physical stress during systole
    • coordinate timing of electrical conduction (insulator)
    • Redundancy
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15
Q

Heart Wall: Anatomy

A
  • Epicardium
  • Myocardium
  • Endocardium
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16
Q

Layers of Heart

-including pericardium

A
  • Fibrous Skeleton
  • Pericardium:
    • Parietal Pericardium
      • pericardial cavity
    • Visceral Pericardium
      • aka Visceral Epicardium
  • Myocardium
  • Endocardium
17
Q

Epicardium

A
  • Aka visceral pericardium
  • serous
  • coronary blood vessels travel through
  • thick layers of adipose
18
Q

Fibrous Skeleton

A
  • aka Fibrous Pericardium
  • framework of collagn and elastic fibers
  • structual support
    • Keeps the heart in place
    • attachment for cardiac muscle
    • anchor valve tissue
  • electrical insulation b/w atria and ventricles
    • important in timing and coordination of contractile activity (systole)
19
Q

Myocardium

A
  • Cardiac muscle
    • muscle spirals aropund heart–>produces wringing motion
  • proportional to workload
  • Actual muscle of the heart
20
Q

Endocardium

A
  • Smooth inner lining of heart and blood vessels
    • all four chambers
    • homologenous to tunica intima of blood vessels
  • cover valve surfaces
  • continuous with endothelium of blood vessels
21
Q

Pericardial Cavity

A
  • Fluid filled space
  • allows heart to move during contraction
  • prevents friction between pericardium and mediastinum to prevent pericarditis
22
Q

Sub-endocardium

-histological

A
  • has irregular collagen fibers that combine with surrounding collagen fibers of cardiac muscle
  • contain:
    • Thick layer of CT
    • Small blood vessels & nerves
    • Purkinje fibers
23
Q

Purkinje fibers

A
  • Pacemaker cells
    • propagate impulse to cardiac muscle in ventricles
  • sub-endocardium
  • larger than cardiac muscle cells
  • few myofibrils and a lot of glycogen
24
Q

Vessels

A
  • Layers
    • Tunica intima
    • Tunica media
    • Tunica Adventitia
  • Parallel design
  • Different function between arteries and veins
25
Arteries vs Veins - Pressure - Permeability
* Arteries * designed for pressure * more tunica media * Veins * designed for volume * thicker lumen * Pressure: * Large artery\> Medium Artery\> Arteriole\> Capillary\>Venule\> Vein * pressure has to be dimiinshed by the time it reaches capillaries for gas exchange and nutrients * Permeability: * More surface area=more permeability * Capillary=greatest permeability
26
Microcirculation
* Control of blood flow from heart--\>large artery--\>medium artery--\> arterioles--\>Metarteriole-\>precapillary sphincter--\> capillary-\>Venule-\>veins--\> superior/inferior vena cava--\> heart * Precapillary sphincter * determines when and what is exchanged * Capillary-gas exchange
27
What happens if the precapillary sphinctor contracts?
* closes gate * deprive tissue of oxygen and nutrient * tissues move from aerobic respiration to anerobic respiration * produce lactic acid and have tingling/numbness in local area
28
Metarterioles - function - layers
* Smallest arteriole branch * regulate blood flow to capillaries * Tunica intima * only endothelium * Tunica Media * incomplete layer of smooth muscle * precapillary sphincter * Tunica Adventitia * Indistinguishable
29
Capillary: Types
* Continuous (somatic) * nonporous * Tightly bound together by zonula occludents * all types of muscle, brain, peripheral nerves, exocrine glands * Fenestrated (visceral) * porous (limited size for transport) * where rapid exchange is required * kidney, intestines, endocrine glands * Sinusoidal (discontinuous artery) * wide lumen * gaps b/w endothelial cells * abundant fenestrtions w/out diaphgram * partial or no basal lamina * found in hematopoietic organs * pulmonary * liver * phagocytes found on endothelial walls
30
Venules
* Receives blood from capillaries * some gas exchange * larger lumen compared to arterioles * Tunica intima * endothelium * no valves * Tunica Media * very thin * few smooth muscle layers * Tunica Adventitia * thickest tunic * mostly collagen
31
Capillary: layers
* No tunic Adventitia or Tunic media * ONLY tunic Intima
32
Comparison of Structure of Blood vessels: tunic Intima, Media, Externa/Adventitia Typical vs arteries vs, veins, vs capillaries
* Typical: * Tunica intima: * endothelium * Tunica Media: * smooth muscle * elastic fibers * Tunica adventitia * collagen fibers * Arteries * Tunica intima * smooth lining * Tunica Media * thicker than veins * Tunica Adventitia * thicker in veins * thinner than tunica media * Veins: * Tunica intima * smooth lining w/valves * Tunica media * thinner than arteries * Tunica Adventitia * thiner than arteries * thicker than tunica media * Capillaries * Tunica Initia ONLY * gas exchange