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Heart
The heart is located where?
within the mediastinum behind the sternum

The apex of the heart goes where while the heart itself rests on the __________ at the _______ _______ _______
down and to the left and rests on the diaphragm at the 5th intercostal space

Coverings & Walls of the Heart
.) pericardium:
1a.) visceral pericardium (epicardium)
1b.) parietal pericardium
1c.) serous fluid
2.) myocardium
3.) endocardium
pericardium

double walled sac that surrounds the heart
visceral pericardium (or epicardium)

inner layer of pericardium
parietal pericardium

fibrous outer layer of pericardium
serous fluid

between layers in the pericardial cavity
myocardium

cardiac muscle
endocardium

inner endothelial lining of chambers and valves
What covering or wall makes up majority of the heart?
myocardium
Picture of the Inside of Heart

Chambers of the Heart
4 Chambers:
1.) right atrium
2.) left atrium
3.) right ventricle
4.) left ventricle
Which chamber of the heart is the largest and most muscular part of the heart?
left ventricle
Septum (Fibrosis)
the muscular wall that separates the left and right sides of the heart made up of the:
1.) interatrial septum
2.) interventricular septum
interatrial septum

between the atria
interventricular septum

between the ventricles
Great Vessels of the Heart

1.) superior and inferior vena cava
2.) pulmonary trunk
3.) right and left pulmonary arteries
4.) pulmonary veins (4)
5.) aorta
superior and inferior vena cava
carries deoxygenated blood from the upper and lower body to the right atrium
pulmonary trunk
carries deoxygenated blood away from the right ventricle toward the lungs
right and left pulmonary arteries
branches of pulmonary trunk; carry deoxygenated blood to lungs
**The _________ side of heart sends blood to the lungs
right
**The __________ move blood away from the heart and have the thickest walls
arteries
pulmonary veins (4)
carry oxygenated blood from the lungs to the left atrium
aorta
carries oxygenated blood from the left ventricle to all
body tissues
What vessel(s) is the largest blood vessel in the heart?
aorta
Circulation Within the Heart

pulmonary circulation
from the right side of heart to lungs and back to left side of heart
systemic circulation
heart and blood vessels from left side of heart to the body tissues and back to right side of heart

portal circulation
part of systemic circulation; from aorta to GI tract through liver to inferior vena cava

**Exchange of oxygen and carbon dioxide is at the _______ level
capillary
Valves of the Heart
atrioventricular (AV) valves:
1.) tricuspid valve
2.) bicuspid (mitral) valve
semilunar valves:
1.) pulmonary valve
2.) aortic valve
atrioventricular (AV) valves
open during heart relaxation and closed when ventricles contract
tricuspid valve

atrioventricular (AV) valve between the right atrium and right ventricle
bicuspid (mitral) valve

atrioventricular (AV) valve between the left atrium and left ventricle
semilunar valve
close during relaxation and open when ventricles contract
pulmonary valve
semilunar valve between the right ventricle and pulmonary trunk
aortic valve
semilunar valve between the left ventricle and aorta
what do valves do?
prevent black flow of blood
Blood Flow Through the Heart
the right side of the heart contains ____ blood
deoxygenated
Blood Flow On Right Side of Heart
superior & inferior vena cava → right atrium through tricuspid valve → right ventricle through pulmonary valve → pulmonary artery → lungs
The left side of the heart contains __________ blood
oxygenated
Blood Flow On Left Side of Heart
lungs → pulmonary veins (4) → left atrium through bicuspid (mitral) valve → left ventricle through aortic valve → aorta → all parts of the body
Cardiac Circulation
right and left coronary arteries

branch from base of aorta
What do the right and left coronary arteries supply the heart with?
oxygen rich blood
cardiac veins

drains the myocardium of blood and empties into coronary sinus on back of heart
Physiology of the Heart
Conduction System of the Heart:
The heart has ___________ nerves that controls the heart involuntary which includes the intrinsic system
Autonomic
Intrinsic Conduction (Nodal) System

1.) sinoatrial (SA) node
2.) atrioventricular (AV) node
3.) atrioventricular (AV) bundle (bundle of His)
4.) bundle branches
5.) Purkinje fibers
sinoatrial (SA) node
located in right atrium and is known as the "pacemaker" of the heart
atrioventricular (AV) node
at the junction of atria and ventricles
atrioventricular (AV) bundle
aka bundle of His
bundle branches
in ventricular septum
Purkinje fibers
spread within heart muscle
Intrinsic Conduction (Nodal) System in Order

Cardiac Cycle & Heart Sounds
systole
contraction phase
diastole
relaxation phase (filling)
The heart sounds make a ______-_____ sound. What causes this sound?
lup-dup, caused by the closing of the valves
Cardiac Cycle Phases
1.) atrial systolic phase
2.) ventricular systolic phase
3.) diastolic phase
atrial systolic phase

first part of the cardiac cycle phase where the:
1. right & left atria contract
2. tricuspid & bicuspid valves open
3. pulmonary & aortic valves closed
The atrial systolic phase is ______ seconds
0.1 seconds
ventricular systolic phase

second part of the cardiac cycle phase where the:
1. right & left ventricles contract
2. pulmonary & aortic valves open
3. tricuspid & bicuspid valves closed
The ventricular systolic phase is ______ seconds
0.3 seconds
diastolic phase

third part of the cardiac cycle phase where the:
1. entire heart relaxes- (filling)
2. tricuspid & bicuspid valves open
3. pulmonary & aortic valves closed
The diastolic phase is ______ seconds
0.4 seconds
Blood Vessels

veins
carry deoxygenated blood toward heart
arterioles
smallest branches of arteries
arteries
carry oxygenated blood away from heart
venules
smallest branches of veins
capillaries
connecting vessels between arterioles and venules
**The walls of arteries are _______ than in the veins and withstand ________ pressures than in the veins
thicker; higher pressures than in the veins
*The veins have ______ to prevent backflow and have ________ ________ than arteries
valves; larger lumens than arteries
Major Blood Vessels
Major Arteries of Systemic Circulation
aorta

What is the largest artery in the body?
aorta
Major Veins of Systemic Circulation
superior vena cava and inferior vena cava
superior vena cava
drains blood from head, arms, and chest into right atrium
inferior vena cava
drains blood from lower body into right atrium
Major Arteries of Pulmonary Circulation
pulmonary trunk and arteries and pulmonary veins (4)
pulmonary trunk and arteries
sends branches to both lungs (deoxygenated)
pulmonary veins (4)
bring blood from lungs to left atrium (oxygenated)
Physiology of Circulation
arterial pulse
pressure wave due to expansion and recoil of an artery
pressure points

felt over any superficial artery
What pulse at a certain pressure point is the most common felt pulse?
radial pulse
Blood Pressure
pressure that blood exerts against inner walls of blood vessels and keeps blood circulating
Blood pressure is the highest in the _________
arteries
Blood pressure is the lower than the arteries in the _________
capillaries
Blood pressure is the lowest in the __________
veins
Measuring Blood Pressure
1.) systolic pressure
2.) diastolic pressure
3.) variations in blood pressure
systolic blood pressure
pressure in arteries at peak ventricular contraction (top #)
Systolic blood pressure ranges from _____ to _____ mm Hg
110 to 140 mm Hg
diastolic blood pressure
pressure when ventricles are relaxing(bottom #)
Diastolic blood pressure ranges from _____ to _____ mm Hg
75 to 80 mm Hg
Lymphatic System & Body Defenses
lymphatic system
collection of tubes and organs that picks up excess tissue fluid (lymph) leaked from blood capillaries and returns it to bloodstream