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perfusion
delivery of blood per unit time per gram of tissue
arteries
away from heart
veins
toward heart
capillaries
sites of exchange between blood and alveoli
right atrium
receives deoxygenated blood from the body
right ventricle
pumps deoxygenated blood to the lungs
left atrium
receives oxygenated blood from the lungs
left ventricle
pumps oxygenated blood to the body
SVC and IVC
drain deoxygenated blood into the right atrium
pulmonary trunk
receives deoxygenated blood pumped from right ventricle
pulmonary vein
drain oxygenated blood into left ventricle
aorta
receives oxygenated blood pumped from left ventricle
valves
prevent backflow of blood
right AV (tricuspid)
between right atrium and ventricle, closes when ventricles contract and has papillary muscles and tendinous chords
semilunar valves
open when ventricles contract and close when they relax
pulmonary semilunar valve
between right ventricle and pulmonary trunk
left AV (bicuspid or mitral)
between left atrium and left ventricle
aortic semilunar valve
between left ventricle and aorta
right side vs left side of heart
right side receives deoxygenated blood from body and pumps it to the lungs. left side receives oxygenated blood from the lungs and pumps it to the body
pulmonary circulation
deoxygenated blood from right side of heart goes to lungs, blood picks up oxygen and releases carbon dioxide, blood returns to left side of heart
systemic circulation
oxygenated blood from left side of heart goes to the rest of the body and returns to the right side of the heart
basic pattern for circulation
right heart- lungs- left heart- body- right heart
position of the heart
sits posterior to sternum on the left side of the body between the lungs in the mediastinum
base
postero superior surface
apex
inferior, conical end
three layers that enclose heart
fibrous, parietal, visceral
fibrous layer
dense irregular CT that attaches diaphragm and base of aorta to pulmonary trunk to anchor heart and prevent its overfilling
parietal layer
simple squamous epithelium and areolar CT that connects to fibrous pericardium
visceral layer
simple squamous and areolar CT that attaches directly to heart and has two serous layers separated by pericardial cavity
pericardial sac
formed by fibrous pericardium and parietal layer of serous pericardium
anterior features of heart
atriums and ventricles, right auricle, pulmonary trunk, aorta and aortic arch
posterior features of the heart
left atrium and ventricle, pulmonary vein, vena cava, posterior interventricular sulcus, coronary sulcus and coronary sinus
how does the heart wall varies in thickness
the ventricles are thicker and left side is thicker than the right side
epicardium
simple squamous and areolar CT
myocardium
pumps blood
endocardium
simple squamous epithelium and areolar CT that is continuous with the lining of the blood vessels
interatrial septum
separates left atrium from right atrium
interventricular septum
separates left ventricle from right ventricles
pectinate muscles
ridges on anterior wall and within auricle
fossa ovalis
oval depression on interatrial septum and occupies fetal foramen ovale
foramen ovale
shunts blood from right to left atrium in fetal life
entrances for coronary sinus
SVC and IVC
trabeculae carneae
irregular muscular ridges inside ventricle wall
papillary muscles
cone shaped projections extending from internal ventricle wall (right side has two and left side has three)
chordae tendinae/tendinous chords
papillary muscles that anchor thin strands of collagen fibers
fibrous skeleton
dense irregular CT, framework, attachment, electrical insulator that prevents ventricles from contracting at the same time as arteries
coronary circulation
delivers blood to heart
coronary arteries
transport oxygenated blood to heart wall
coronary veins
transport deoxygenated blood away from heart wall toward right atrium
right marginal artery
supplies right heat border
posterior interventricular artery
posterior ventricles
circumflex artery
left atrium and ventricle
anterior interventricular artery
anterior surface of ventricles and most of interventricular septum
arterial anastomoses
connections between vessels allowing blood to arrive by more than one route
coronary veins
drain heart muscle
great cardiac vein
sits in anterior interventricular sulcus
middle cardiac vein
sits in posterior interventricular sulcus
small cardiac vein
sits next to right marginal artery
coronary sinus
sits in posterior aspect of coronary sulcus
describe cardiac muscle cells
house one or two central nuclei, have sarcolemma that invaginate to form t tubules that extend to the sarcoplasmic reticulum, bundles of myofilaments are arranged in sarcomeres
intercalated discs
connect cardiac cells
desmosomes
mechanically join cells with protein filaments
gap junctions
electrically join cells to make each heart chamber a functional unit (syncytium)
metabolism of cardiac muscle
involves myoglobin and creatine kinase and relies on aerobic cellular respiration, very versatile and uses fatty acids, glucose, lactate, amino acids and ketone bodies
ischemia
low oxygen
conduction system
initiates and conducts electrical events to ensure proper timing of contractions, have action potentials but dont contract and is autonomic nervous system
SA node
initiates heart beat and located high in posterior wall of right atrium
AV node
located in floor of right atrium
AV bundle (bundle of His)
extends from AV node through interventricular septum and divides into right and left bundles
purkinje fibers
extends from left and right bundles at heart apex and courses through walls of ventriclesd
cardiac center of medulla oblongata
cardioinhibitory center, cardioacceleratory center
parasympathetic innervation
comes from the cardioinhibitory center, right vagus nerve innervates SA node, and left vagus nerve innvervates AV node
sympathetic innervation
comes from the cardioacceletory center, increases heart rate and force of contraction and dilates vessels
stimulation of the heart
conduction system initates and propogates action potential and cardiac muscle cells initiate contraction and action potential
resting membrane potential for SA node
-90 mV
pacemaker potential
ability to reach threshold without stimulation
voltage gated channel
slow Na+, fast Ca2+, and K+
autorhythmicity
spontaneous firing
depolarization
impulse from conduction system or gap junctions open fast voltage gated Na2+ channels which causes the RMP to change from -90mV to 30mV
plateau
depolarization open voltage-gated k+ channels and slow voltage gated Ca2+ channels, k+ leaves, sarcoplasmic reticulum releases more Ca2+
repolarization
voltage gated ca2+ channels close while K+ channels remain open and membrane potential goes back to -90mV
refractory period
period of time between impulses which causes tetany in cardiac cells to be impossible
p wave
atrial depolarization
qrs complex
ventricular depolarization
t wave
ventricular repolarization
p-q segment
Associated with atrial cells' plateau (atria are contracting)
s-t segment
associated with ventricular plateau (ventricles are contracting)
p-r interval
atrial depolarization to ventricular depolarization, the time is takes the action potential to transmit the entire conduction system
q-t interval
time of ventricular action potentials
first degree AV block
the R is far from the P
second degree AV block
failure of some atrial action potentials to reach ventricles, PR prolongation and QRS complex is dropped
third degree AV block
failure of all action potentials to reach ventricles
premature ventricular contractions
abnormal action potentials in AV node or ventricles that result from stress, sleep deprivation, or stimulants
atrial fibrillation
chaotic timing of atrial action potentials
ventricular fibrillation
uncoordinated electrical activity in ventricles
ventricular contraction
raises ventricular pressure, AV valves are closed and semilunar valves are open so blood goes to arteries
ventricular relaxation
lowers ventricular pressure, AV valves are open and semilunar valves are closed
EDV
end diastolic volume- volunme of blood in ventricles after diastole which is the maximum blood volume they can hold
isovolumetric contraction
ventricular pressure increases but all valves remain closed because the pressure of the arterial trunk is still higher
ventricular ejection
ventricular pressure exceeds arterial trunk pressure and blood is ejected out through semilunar valves