Fun Facts
heart is a hollow muscular organ roughly the size of your fist (+) and weighs less than 1-lb
fully developed about 8 weeks after conception (begin beating at 4 weeks)
every minute the heart pumps our entire supply of blood through the body. about 5 quarts
women have faster heart beats than men
normal pulse is 70 heart beats per minute
Pulse points
Label: -Dorsalis pedis artery -brachial artery -popliteal artery -temporal artery -radial artery -posterior tibial artery -carotid artery -femoral artery -facial artery
Function
To deliver O2 and nutrients and to remove CO2 and other waste products
Heart anatomy- Location
-Medially in the thoracic cavity -Pointed tip (apex) directed toward left hip *the apex is 9cm to the left of the midsternal line
Heart anatomy- coverings
outer coverings
pericardium- a double membrane, protective sac around the heart visceral pericardium- inner layer parietal pericardium- outside layer -serous fluid fills the space between pericardium layers
inner coverings -walls of the heart are made of 3 layers of tissue outer layer--> epitheal tissue... called epicardium middle layer--> cardiac muscle tissue... called endocardium inner layer--> epitheal tissue... called endocardium
Heart anatomy- chambers
Atria- the top chambers (receiving)
Ventricles- bottome chambers (the actual "pumps" in the heart)
Valves
Bicuspid valve (Mitral valve) - left side
Atrioventricular - between atria and ventricles
Tricuspid vlve - right side
Atrioventricular - between atria and ventricles
Pulmonary Semilunar valve
Semilunar valves - between ventricle and artery
Aortic Semilunar valve
Semilunar valves - between ventricle and artery
#1 and #2 prevent backflow into atria #3 and #4 prevent backflow into ventricle -held in place by chordae tendineae - "heart strings"
Biological valve (human or porcine) and Mechanical valve
-Porcine - pig -Bovine - cow -Biological needs future replacement and does NOT require blood thinners (10-15 years) -Mechanical lasts forever BUT requires use of blood thinners
Vessels
Vena cavas- superior and inferior -brings deoxygenated blood from the body tissues back to the heart
Pulmonary arteries -carries deoxygenated blood away from the heart and to the lungs
Pulmonary veins -brings oxygenated blood from the lungs to the heart
Aorta -carries oxygenated blood away from the heart and to the body tissues -size of a garden hose
*arteries carry blood away from the heart *veins carry blood tot he heart
Exterior heart diagram
Label: -Apex -Right ventricle -Left coronary artery -Left common carotid artery -Superior vena cava -inferior vena cava -Brachiocephalic artery -right pulmonary artery -left subclavian artery -left ventricle -right atrium -left atrium -right pulmonary veins -ascending aorta -pulmonary trunk -aortic arch -left pulmonary artery -left pulmonary veins -great cardiac vein
interior heart diagram
Label: -Aorta -Mitral valve -left atrium -left pulmonary artery -tricuspid valve -left pulmonary artery -aortic semilunar valve -left ventricle -papillary muscle -interventricular septum -myocardium -apex -inferior vena cava -chordae tendineae -right ventricle -right pulmonary artery -fossa ovalis -right pulmonary veins -right atrium -bicuspid valve -superior vena cava
Circulation-Pulmonary
path -right side of heart --> lungs --> left side of heart function -carry blood to the lungs for gas exchange *right ventricle = pulmonary pump
Circulation- systemic
path -left side of heart --> body tissues --> right side of heart function -supply oxygen and nutrients rich blood to all body systems *left ventricle = systemic pump
Circulation-cardiac
-blood in heart chambers does not nourish the myocardium -heart has its own nourishing circulatory system -coronary arteries -cardias veins
the path of the blood through the heart
Vena cavas right atrium tricuspid valve right ventricle pulmonary semilunar valve right and left pulmonary arteries lungs right and left pulmonary veins left atrium mitral valve left ventricle aortic semilunar valve aorta body tissues
Heart surgery- heart-lung machine
Cardio-pulmonary bypass
Heart surgery- body cooling
More time for surgery without causing brain damage (56 degrees.... approx. 4-6 hours)
Heart surgery- KCI injections
Paralyzes the heart muscle, temporarily
heart surgery- artificial heart transplant
Dr. robert jarvik began in mid 70s; success in 1982
Heart physiology
Intrinsic conduction system (nodal system)
Nodes
specialized tissue that functions as both muscle and nervous tissue; contracts like muscle tissue and generates impulses like nervous tissue
LABEL nodes on internal heart
Sinoatrial Node (pacemaker)
Atrioventricular node (Av node)
AV bundle (Bundle of His)
Bundle branches
Purkinje fibers
right atrium
left atrium
interventricular system
superior vena cava
path for the transmission of an impulse in the intrinsic conduction system of the heart
sinoatrial node--> atrioventriular node--> atrioventricular bundle--> right and left bundle branches--> purkinje fibers
electrocardiogram
= EKG/ECG --> maps the electrical activity of the heart
cardiac cycle
events of one complete heartbeat (.8s)
Polarization
refers to the heart at rest. no impulse, no stimulation, no contraction and no measurable activity
Depolarization
another word for the discharge of electrical energy or the activity of the heart during the impulse that causes contraction but not the contraction itself can by measured by ECG
repolarization
the electrical recovery of the heart as the cells recharge themselves
3 main EKG waves
P wave: represents depolarization of both atria
QRS wave: represents ventricular depolarization
T wave: ventricular repolarization ST segment: important in identifying pathology such as myocardial infarctions (elevations) and ischemia (depressions)
when does atrial repolarization take place?
QRS segment
LABEL EKG wave
p wave
t wave
QRS complex
atrial depolarization
atria contract
ventricular depolarization
atrial repolarization
ventricle contract
ventricular repolarization
polarization
Time (s)
electrical potential (m)
Systole Diastole
Systole= contraction Diastole= relaxation
Cardiac sounds
LUB -closing of AV valves DUB -closing of SL valves
irregularity of the hearts
Arrhythmia- irregular heart beat heart murmur- extra heart beat fibrillation- rapid, irregular, and unsynchronized bradycardia- below 60 tachycardia- above 100 arteriosclerosis- build up of fat/plaque on the artery wall
Difibulator
Machine used to stop the heart
composition of blood vessels
Heart->arteries->arterioles->capillary beds->venules->veins->heart and repeat
three layers of blood vessels (tunics)
tunica interna- endothelium (ET)
tunica media- smooth muscle tissue (MT)
tunica externa- mostly fibrous connective tissue (CT)
Arteries
-narrow lumen -more muscle/elastic tissue -transports blood under higher pressure -do not have valves (except the SL valves) -carry oxygenated blood
Veins
-wide lumens -less muscle/elastic tissue -transports blood under lower pressure -have valves throughout the main veins of the body -carry deoxygenated blood
Sphincters
loose= red like juice (red) tight= really really white (pale)
Renal
=kidney
Hep
=Liver
LABEL Artery man
common carotid subclavian aortic arch coronary thoracic aorta renal radial ulnar deep femoral internal carotid external carotid vertebral brachiocephalic axillary ascending aorta brachial abdominal aorta common iliac external iliac internal iliac digital femoral popliteal anterior tibial posterior tibial
LABEL vein man
subclavian brachiocephalic cephalic brachial renal external jugular vertebral internal jugular superior vena cava axillary great cardiac hepatic inferior vena cava ulnar radial common iliac external iliac internal iliac digital femoral great saphenous popliteal posterior tibial anterior tibial
pressure points
pulse- pressure wave of blood
monitored at "pressure points" where pulse is easily palpated
recording blood pressure
-measurements by health professionals are made on the pressure in large arteries
systolic
pressure at the peak of ventricular contraction (norm=120)
diastolic
pressure when ventricles relax (norm=80)
Steps for taking blood pressure
Normal blood pressure
110-140mm Hg systolic 75-80mm Hg diastolic
Hypotension blood pressure
low systolic (below 110mm Hg) -often associated with illness (heat=vasodilation)
Hypertension blood pressure
high systolic (above 140mm Hg) -can be dangerous if it is chronic
Blood pressure effects
-temperature -chemicals -diet
LABEL vessel compositions
epithelial tissue
smooth muscle tissue
fibrous connective tissue
what blood vessel has the highest blood pressure
aorta
during cardio-pulmonary bypass, what vessels are clamped?
-superior vena cava -aorta -inferior vena cava
what vessels are part of cardiac circulation
-coronary sinus -cardiac vein -coronary artery
what vessel receives blood during right ventricular systole:
pulmonary trunk