The heart
muscular pump that drives flow of blood to various organs
Blood vessels
conduit through which the blood flows
Blood
carrying materials to and from the cells fluid that circulates around the body
3 layers of the heart wall
Epicardium, myocardium, endocardium
epicardium
connective tissue layer
myocardium
thickest muscle layer (composed of cardiac muscle)
endocardium
endothelium of the heart which also contains Purkinje fibers
Blood comes into the right atrium from the body
Moves into the right ventricle
Pushed into the pulmonary arteries in the lungs.
After picking up oxygen, the blood travels back to the heart through the pulmonary veins into the left atrium
Into to the left ventricle and
Out to the body's tissues through the aorta.
Describe the path of blood flow (start with right atrium)
Cardiac output
________ (CO)= volume of blood pumped by one ventricle per minute.
SA node depolarises
Electrical activity goes rapidly to AV node via internodal pathways
Depolarisation spreads more slowly across atria. Conduction slows through AV node.
Depolarisation moves rapidly through ventricular conducting system to the apex of the heart.
Depolarisation wave spreads upward from the apex.
Electrical conduction pathway in the heart
P wave
atrial depolarisation
QRS complex
Ventricular depolarisation and atrial repolarization
T wave
Ventricular repolarization
Depolarisation
________ moves rapidly through ventricular conducting system to the apex of the heart.
SV (stroke volume)
________ is directly correlated with CO, the greater the ________ the greater the CO.
Pericardium
________- a double serous membrane.
SV
________ represents the difference in the amount of blood between: EDV and ESV.
portal system
two capillary beds connected in series
Pericardium
a double serous membrane
Atrioventricular (AV valves)
between atria & ventricles
Semilunar valves
between ventricles and arteries
Late diastole
both sets of chambers are relaxed and ventricles fill passively
Atrial systole
atrial contraction forces a small amount of additional blood into ventricles
Isovolumic ventricular contraction
first phase of ventricular contraction pushes AV valves closed but does not create enough pressure to open semilunar valves
Ventricular ejection
as ventricular pressure rises and exceeds pressure in the arteries, the smilunar valves open and blood is ejected
Isovolumic ventricular relaxation
as ventricles relax; pressure in ventricles falls, blood flows back into cusps of semilunar valves and snaps them closed
determined by heart rate, stroke volume or both
Cardiac output is....
preload
degree of myocardial stretch before contraction begins
preload
EDV is primarily affected by _____
Preload
______ increases, EDV increases and SV increases
central venous pressure
factor influencing venous return is _____________
EDV
central venous pressure rises, venous return increases, leads to increase in ____
filling time, atrial pressure
preload is affected by ______ and _______
AV valves
between atria and ventricles