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where is the heart located?
mediastinum
how is the base of the heart angled?
craniodorsally
how is the apex of the heart angled?
caudoventrally
the heart is tilted towards the ____ of the body
left
what is included in the cardiac covering?
pericaridum — pericardial sac/fibrous pericardium, serous pericardium, & pericardial space/cavity
what are the 2 layers of the serous pericardium?
parietal & visceral
pericardial sac/fibrous pericardium
thick outer layer of the heart; very tough
parietal layer of serous pericardium is located…
just underneath the fibrous pericardium
visceral layer of serous pericardium is also called…
epicardium
visceral layer of serous pericardium is located…
mashed/glued into the myocardium
pericardial space/cavity
separates the parietal & visceral layers of the serous pericardium; filled with pericardial fluid
pericardial fluid function
lubricates & facilitates movement of the heart; allows inner portions of the heart to contract & relax freely
pericardial effusion
excessive amount of pericardial fluid, causing the heart to struggle to beat
myocardium
middle & thickest layer (making up most of the heart); composed of muscle
which side of the heart has a thicker myocardial wall?
left side
endocardium
inner (layer) surface of myocardium; lines chambers of heart, covers valves & papillary muscles
the endocardium is continuous with…
blood vessel endothelium (inner most layers of vessels)
autorythmic
has the ability to generate its own impulses without the nervous system
how many chambers are there in the heart?
4
what do the 4 chambers of the heart consist of?
2 atria & 2 venticles
atria
receives blood (takes blood into the heart)
interatrial septum
separates the left & right atria
the SA (sinoatrial) node is located in which atrium?
right
auricles
anterior portion of each atrium; wrinkled, flap-like extensions; atria are located beneath
ventricles
export blood (push blood out of the heart)
interventricular septum
wall that separates left & right ventricles
interventricular groove
dent on the outside of the heart that indicates where left & right ventricles are; contains coronary vessels & fat
atroventricular septum
interventricular & interatrial septum together
there are 4 valves in the heart, & blood can only go…
in 1 direction
which valve is between the right atria & right ventricle?
tricuspid valve (right AV valve)
which valve is between the left atria & left ventricle?
mitral valve/bicuspid valve (left AV valve)
mitral valve disease
most common heart disease in canines
chordae tendonae
collagen fibers attached to papillary muscles; attach to AV valves to help with valvular opening & closing
which valve is between the right ventricle & pulmonary artery?
pulmonary valve (a semilunar valve)
which valve is between the left ventricle & aorta?
aortic valve (a semilunar valve)
functions of dense fibrous tissue rings
separate atria & ventricles
anchors valves
provides attachment point for myocardium
provides electrical insulation between atria & ventricles
coronary arteries
branch from aorta & encircle the heart; brings oxygen rich blood to the myocardium
coronary veins
return to the coronary sinus directly into the right atrium; takes used blood from the myocardium & dumps into the right atrium through the coronary sinus
heart uses outside nerve stimulation in…
fight, flight, freeze, or fawn situations
steps of blood flow on the right side of the heart
oxygen depleted blood coming from body goes through the cranial & caudal vena cava & enters the right atrium
when right atrium is full, blood passes through the tricuspid valve & enters the right ventricle
once right ventricle fills, blood passes through pulmonary valve, into the pulmonary artery & goes to the lungs (to pick up oxygen)
steps of blood flow on the left side of the heart
from the pulmonary veins, oxygen rich blood enters left atrium & passes through the mitral valve once full, entering the left ventricle
once left ventricle fills, blood exits through aortic valve & into the aorta
oxygen rich blood is then sent out to the rest of the body
pulmonary arteries contain…
deoxygenated blood
pulmonary veins contain…
oxygenated blood
depolarization
consists of 2 events
sodium & calcium ions move from the exterior to the interior of the cell wall through channels (reverses polarity of cell wall)
potassium ions move through channels from the interior of the cell membrane to the exterior (restores polarity of cell wall)
repolarization
return of sodium, calcium, & potassium to their original locations via channel pumps (cell is now ready to depolarize again)
LUB
sound of the closing of tricuspid & mitral valve after atrial systole
DUB
sound of the closing of pulmonary & aortic valves after ventricular systole
murmurs
audible sound; signals turbulent flow of blood in the wrong direction
in order for cardiac muscle cells to contract, it must…
depolarize
cardiac conduction consists of…
sinoatrial node (SA node)
atrioventricular node (AV node)
bundle of His
right & left bundle branches
purkinje fibers
steps of cardiac conduction
impulse for cells begin contraction generated from SA node
translated signal goes to the atrioventricular node (AV node) to bundle of His (delays slightly to give ventricles time to fill)
signal from bundle of His goes down left & right bundle branches which then travel to the purkinje fibers
apex first facilitates ejection of blood (goes from apex, up & out).
systole
contraction of myocardium
diastole
relaxation of myocardium
although each chamber goes through systole & diastole, but not…
simultaneously
when at rest, cardiac muscle cells are…
polarized
inside of the cell is more ____ charged, & the outside is more _____
negatively; positive
potassium ions are located…
inside of the cell
sodium & calcium ions are located…
on the outer membrane of the cell
cardiac output (CO)
volume of blood ejected from the left ventricle per unit of time
cardiac output is determined by what 2 factors?
heart rate & stroke volume
heart rate
how many times the heart beats per minute
stroke volume
volume of blood ejected from the left ventricle during 1 contraction
stroke volume is determined by what 2 factors?
preload & afterload
preload
volume of blood the ventricle receives from the atrium; 80% by gravity, 20% by atrial systole
afterload
physical resistance presented by the artery the ventricle is pushing blood into
formula to determine cardiac output
stoke volume (SV) x heart rate (HR)
what are the 3 main layers of vessels?
endothelium, smooth muscle, & connective tissue
compared to veins, arteries have a ______ muscle layer & connective tissue
thicker
arteries are more ______ & _______compared to veins
narrow, thinner
arteries are protected by _______, & are set further away from the skin
soft tissue
arterioles
small arteries
why is the aorta more elastic?
because it is taking a large volume of pressure from the left ventricle
why are arterioles more muscular?
in order to keep vessels constricted to keep blood pressure adequate
veins are capable of fluid exchange, meaning what?
fluids can diffuse in & out (from intravascular space to the interstitial space)
venules
small veins
check valves (located in veins)
blocks blood from going back down & allowing blood to fight against gravity
pulse
rate of alternating stretching & recoiling of the elastic fibers in an artery with each heartbeat
blood pressure is dependent on what factors?
heart rate, stroke volume, total blood volume, & elasticity & diameter of artery
foramen ovale
opening in between the 2 atria, allowing them to communicate with one another
ductus arteriosus
opening in between the pulmonary artery & aorta, allowing the blood to come back down into the heart, rather than into the lungs
patent foramen ovale (PFO)
occurs when the foramen ovale does not close after birth
patent ductus arteriosus (PDA)
occurs when the ductus arteriosus does not close after birth; more common (especially in small dogs)
electrocardiography (ECG/EKG)
measure of electrical stimulus produced by the heart on the surface of the patient
P wave
time it takes for the wave of depolarization to travel from SA node across the atria; corresponds to atrial contraction in healthy patients
QRS complex
ventricular depolarization & contraction
Q wave
depolarization of interventricular septum
R wave
depolarization of main mass of ventricles
S wave
depolarization of final part of the ventricle near base of heart
T wave
ventricular repolarization & relaxation; time taken by ventricles to get ready for the next contraction by refilling with blood from atria
where is blood drawn from felines?
jugular vein, cephalic vein, femoral vein
where is blood drawn from canines?
jugular vein, cephalic vein, saphenous vein
where is blood drawn from bovines?
jugular vein, coccygeal vein