A&P-11 Ch 17&18

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About how big is the size of your heart?

The size of your fist

Where on the heart do the blood vessels attach?

The base

Where is the base of your heart?

The top

Where is the apex of your heart?

The bottom, pointed part

What is the covering of the heart?

Pericardium

What are the 2 layers of pericardium that surround the heart?

1) Parietal Pericardium
2) Visceral Pericardium

Which layer of the heart is closest to the heart?

Visceral Pericardium

Which layer of the heart is like a sac that holds the heart?

Parietal Pericardium

What is pericardial fluid?

The fluid between the visceral and parietal pericardium

What is pericarditis?

Inflammation of the pericardium

What is cardiac tamponade?

Impact to the heart that causes blood to leave the heart and seep into the pericardial sac

What is the treatment for cardiac tamponade?

To cut into the chest and pericardial sac to drain the blood

What are the 3 layers of the heart?

1) Epicardium (Visceral Pericardium)
2) Myocardium
3) Endocardium

Which layer of the heart is composed of fat and major coronary blood vessels?

Epicardium (Visceral Pericardium)

Which layer of the heart is composed of heart muscle and is very rich in blood vessels & lymph capillaries?

Myocardium

Which layer of the heart removes waste quickly?

Myocardium

What is Ischemia?

Low oxygen to the tissue

What is Angina Pectoris?

Chest pain caused by Ischemia (When the heart isn't getting enough Oxygen and is cramping up)

What is Myocardial Infarction?

Death of heart muscle due to Ischemia

Which layer of the heart is composed of tough connective tissue?

Endocardium

Why layer of the heart has lines of chambers and makes up the valves?

Endocardium

Why doesn't the Endocardium have a lot of blood vessels?

It doesn't need blood vessels since the chambers are filled with blood.

What is endocarditis?

When an infection of the blood causes an infection in the heart, that leads to inflammation on the endocardium

What are the atria?

The 2 upper chambers of the heart

What are the names of the muscles located in the atria?

Pectinate Muscles

What is the Fossa Ovalis located?

Atria

Where does the Right Atrium receive blood from?

Superior & Inferior Vena Cavae, and the Coronary Sinus

Where does the Left Atrium receive blood from?

The 4 Pulmonary Veins

What are the two lower, muscular chambers of the heart?

The Ventricles

Where does the right ventricle receive blood from?

Right Atrium and Tricuspid Valve

Where does the right ventricle pump blood to?

The Pulmonary Valve, pulmonary trunk, and pulmonary artery

Where does the left ventricle receive blood from?

The left atrium and bicupsid valve

Where does the left ventricle pump blood to?

Aortic valve, Aorta

In the order of blood flow through the heart, where does blood go after it leaves the systemic circuit?

Superior and Inferior Vena Cavae

In the order of blood flow through the heart, where is the blood before it enters the superior and inferior vena cava?

The Systemic Circuit

In the order of blood flow through the heart, where does blood go after it leave the superior and inferior vena cavae?

Right Atrium

In the order of blood flow through the heart, where is the blood before it enters the right atrium?

Superior and Inferior Vena Cavae

In the order of blood flow through the heart, where does the blood go after it leaves the tricuspid valve?

Right Ventricle

In the order of blood flow through the heart, where is the blood before it enters the right ventricle?

Tricuspid Valve

In the order of blood flow through the heart, where does the blood go after it leaves the right ventricle?

Pulmonary Valve

In the order of blood flow through the heart, where is the blood before it enters the pulmonary valve?

Right Ventricle

In the order of blood flow through the heart, where does the blood go after it leaves the pulmonary valve?

Pulmonary Artery

In the order of blood flow through the heart, where is the blood before it enters the Pulmonary Artery?

Pulmonary Valve

In the order of blood flow through the heart, where does the blood go after it leaves the pulmonary artery?

Lungs

In the order of blood flow through the heart, where is the blood before it enters the lungs?

Pulmonary Artery

In the order of blood flow through the heart, where does the blood go after it leaves the lungs?

Pulmonary Veins

In the order of blood flow through the heart, where is the blood before it enters the pulmonary veins?

Lungs

In the order of blood flow through the heart, where does the blood go after it leaves the pulmonary veins?

Left Atrium

In the order of blood flow through the heart, where is the blood before it enters the left atrium?

Pulmonary Veins

In the order of blood flow through the heart, where does the blood go after it leaves the left atrium?

Bicuspid (Mitral) Valve

In the order of blood flow through the heart, where is the blood go before it enters the bicuspid (mitral) valve?

Left Atrium

In the order of blood flow through the heart, where does the blood go after it leaves the bicuspid (mitral) valve?

Left Ventricle

In the order of blood flow through the heart, where is the blood before it enters the left ventricle?

Bicuspid (mitral) valve

In the order of blood flow through the heart, where does blood go after it leaves the left ventricle?

Aortic Valve

In the order of blood flow through the heart, where is the blood before it enters the aortic valve?

Left Ventricle

In the order of blood flow through the heart, where does the blood go after it leaves the aortic valve?

Aorta

In the order of blood flow through the heart, where is the blood before it enters the Aorta?

Aortic Valve

In the order of blood flow through the heart, where does the blood go after it leaves the aorta?

Body

In the order of blood flow through the heart, where is the blood before it enters the body?

Aorta

In the order of blood flow through the heart, where does the blood go after it leaves the body?

Systemic Circuit

In the order of blood flow through the heart, where is the blood before it enters the systemic circuit?

Body

Where in the heart is the Circumflex Artery?

In the Walls of the Left Atrium and Left Ventricle

Where, in the heart, is the Anterior Interventricular (Descending) Artery?

In the Ventricular Walls

Where, in the heart, is the Posterior Interventricular (Descending) Artery?

In the Ventricular Walls

Where, in the heart, is the Marginal Artery?

In the walls of the right atrium and right ventricle

What are the 2 left Coronary Arteries?

1) Circumflex Artery
2) Anterior Interventricular (Descending) Artery

What are the 2 right Coronary Arteries?

1) Posterior Interventricular (Descending) Artery
2) Marginal Artery

What are the 3 Coronary Veins?

1) Great Cardiac Vein
2) Middle Cardiac Vein
3) Small Cardiac Vein

What are the 6 Components of Coronary Circulation?

1) Left Coronary Artery
2) Right Coronary Artery
3) Coronary Capillaries
4) Coronary Veins
5) Coronary Sinus
6) Right Atrium

What are the 2 heart valve types?

1) Atrioventricular Valves
2) Semilunar Valves

What are the 2 Atrioventricular Valves?

1) Tricuspid Valve
2) Bicuspid Valve

How many flaps (cusps) does the tricuspid valve have?

Three

How many flaps (cusps) does the bicuspid valve have?

Two

What is a prolapsed valve?

A valve that has moved out of place

Which valve takes the most beating?

Bicuspid Valve

What do the papillary muscles do?

Hold the chordae tendineae

What are the chordae tendineae?

Chords in the bicuspid valve

What are the 2 Semilunar valves?

1) Pulmonary Valve
2) Aortic Valve

What does functional syncytium mean for the heart?

It means the that heart muscles contract as one single unit

What is unique about some cardiac muscle cells?

Some are self-excitable

How does the heart differ from a leg muscle?

If the heart does not get enough oxygen, it will die. If a skeletal muscle does not get enough oxygen, it will cramp.

What type of respiration does the heart use to get oxygen?

Aerobic

Where is the Sinoatrial Node located?

In the posterior wall of the atrium, near the coronary sinus

What does the sinoatrial node do?

Sends out an impulse to contract atria and to the AV node

Where is the Atrioventricular Node located?

In the floor of the right atrium near the interatrial septum

What does the AV node do?

Relays impulse from the SA node to the AV bundle

Where is the Atrioventricular Bundle located?

In the Interventricular Septum

What does the AV Bundle do?

Carries impulses to the Perkinje fibers

What doe the Perkinje fibers do?

Stimulates the myocardium to contract upward

What does the sympathetic nervous system do to the SA and/or AV nodes?

Stimulate it

What does the parasympathetic nervous system do to the SA node?

Inhibit It

What is the P-wave?

SA node sends impulse for the atria to contract

What is the QRS complex?

Ventricles contract

What is the T-wave?

When the ventricles repolarize

What is tachycardia?

When the entire heart is beating too fast

What is bradycardia?

When the entire heart is beating too slow

What is atrial/ventricular flutter?

When the atria/ventricles are beating too fast

What is fibrillation?

When the heart is shaking, as opposed to contracting

What is a 1st Degree AV Block?

When there is a delay between the atria contracting and the ventricles contracting

What is a 2nd Degree AV Block?

When the AV node misses a beat, meaning the ventricles don't always beat

What is a 3rd Degree AV Block?

When the AV node is non-functioning and the atria and ventricles beat independently of each other

What causes the "lub-dup" sound of the heart?

The valves closing

What is a systole?

Contraction

What is a diastole?

Relaxation

When do the ventricles fill with blood?

Mid-to-late diastole

What is the isovolumetic contraction phase?

When pressure is building because ventricles are contracting and all valves are closed

What is the ventricular ejection phase?

When the Semilunar Valves are open

What are the 3 steps to Ventricular Systole?

1) Isovolumetric Contraction Phase
2) Ventricular Ejection Phase
3) Atria fill

What are the 4 steps to Isovolumetric Relaxation?

1) Ventricles relax
2) Dicrotic Notch
3) Atrioventricular Valves Open
4) Atria empty and ventricles fill

What is the Dicrotic Notch?

A dip in the aorta blood pressure caused by the aortic valve closing

What is cardiac output?

The amount of blood pumped by each ventricle in 1 minute

What is stroke volume?

The amount of blood pumped by one ventricle per beat

How do you calculate cardiac output?

CO=HRxSV

What is the average Cardiac Output?

5 Liters/minute

What is cardiac reserve?

The difference between maximum cardiac output and minimum cardiac output


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