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
- Ascending Aorta to:
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
- 2nd intercostal space
- 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
- Base top portion
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
4
Q
Atrioventricular sulcus
A
- seperates atrium and ventricles
5
Q
Interventricular Sulcus
A
- on top of the interventricular septum
- seperates the L & R ventricles
6
Q
Sulci
A
Coronary Arteries pass through
7
Q
Interatrial septum
A
- Wall that seperates atria
8
Q
Pectinate Muscles
A
- Internal ridges of myocardium
- in right atrium auricles
9
Q
Interventricular Septum
A
- Muscle
- seperates ventricles
10
Q
Trabeculae carneae
A
- internal ridges in both ventricles
11
Q
Valves (general definition)
A
- ensure one way blood flow through heart
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
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
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
15
Q
Heart Wall: Anatomy
A
- Epicardium
- Myocardium
- Endocardium
16
Q
Layers of Heart
-including pericardium
A
- Fibrous Skeleton
- Pericardium:
- Parietal Pericardium
- pericardial cavity
- Visceral Pericardium
- aka Visceral Epicardium
- Parietal Pericardium
- 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