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The heart is in a space between lungs within thoracic cavity which is called
mediastinum
double-walled sac surrounding heart =
Pericardium
Pericardium has ??? layers
three
outermost layer = ??? connective tissue
dense irregular
outermost layer = dense irregular connective tissue
anchors to surrounding structures e.g. diaphragm, great vessels (aorta, vena cava, etc)
fibrous pericardium
serous pericardium is composed of:
parietal pericardium, visceral pericardium
are both parietal pericardium, visceral pericardium 2 layers – epithelial & connective?
Yes
connected to fibrous pericardium
pericardial sac
what is this
parietal pericardium
fused to heart surface, so is part of heart wall
what is this?
visceral pericardium
between pericardial layers = pericardial cavity with ??? fluid (lubricates) this prevents friction and damage to the heart
serous
The heart wall has three parts
epicardium
myocardium
endocardium
Whats a = cardiac muscle
arranged in spiral/circular pattern, reinforced with connective tissue
myocardium
Whats a = visceral pericardium
epicardium
Which two are a simple squamous epithelium and connective tissue
epicardium, endocardium
What lines inner surface of heart and ALL blood vessels
epithelium named endothelium
Four chambers of the heart
Right Atrium
Left Atrium
Right Ventricle
Left Ventricle
Three major veins connected to the right atrium that carry deoxygenated blood into the chamber
inferior vena cava (carries blood from body below heart)
superior vena cava (carries blood from body above heart)
coronary sinus (carries blood from the myocardium)
4 veins carry oxygenated blood into the left atrium from the lungs:
left pulmonary veins
right pulmonary veins
1 artery, the ??? exits the right ventricle and then divides to form 2 pulmonary arteries (left and right). These carry deoxygenated blood towards the lungs.
pulmonary trunk
1 artery, the ???, exits the left ventricle and carries oxygenated blood to all organ systems.
aort
Septa (separate chambers)
1.what separates atria
2.what separates ventricles
Interatrial septum
Interventricular septum
Cardiac (Fibrous) Skeleton
fibrous connective tissue separating ??? & ???
atria & ventricles
Cardiac (Fibrous) Skeleton
provides firm attachment point for ??? muscles
cardiac
Cardiac (Fibrous) Skeleton
forms solid rings around heart valves, base of ??? and ??? that provide structural support for these structures and hold them in place.
aorta, pulmonary trunk
Cardiac (Fibrous) Skeleton
provides electrical insulation – prevents simultaneous contraction of ??? and ???
atria, ventricles
for one way flow of blood…
Valves
For Atrioventricular (AV) valves there are two..
bicuspid (mitral) valve
tricuspid valve
Which valve is between right atrium and right ventricle
tricuspid valve
Which valve is between left atrium and left ventricle
bicuspid (mitral) valve
which valve has 2 sheet-like cusps
bicuspid (mitral) valve
which valve has 3 sheet-like cusps
tricuspid valve
prevent eversion of cusps
Chordae tendineae
Chordae tendineae (strings of connective tissue) that attach atrioventricular valve cusps to papillary muscles that project from the…
ventricular myocardium.
Semilunar valves
3 cup-like cusps each
aortic separates ???
pulmonary separates ???
aortic separates left ventricle & aorta
pulmonary separates right ventricle & aorta
Cardiac Muscle Cells
includes two cell types
Contractile cells
Conduction System cells
forms majority of myocardium
Contractile cells
forms remainder of the myocardium
Conduction System cells
striated (myofibrils with sarcomeres)
has sarcoplasmic reticulum & T-tubules
are these similarities or differences
similarities
branched (myofibrils with sarcomeres)
uninucleated (single nucleus)
intercalated discs = region where two fibers meet
contain anchoring and gap junctions
are these similarities or differences
differences
cardiac muscle cells that are ??? to produce and conduct electrical impulses – DO NOT CONTRACT
modified
Conduction System cells have many ??? that help electrical signals to spread very quickly
gap junctions
The five parts of the conduction system cells
atrioventricular (AV) node
Atrioventricular Bundle (Bundle of His)
Atrioventricular (AV) Bundle Branches
sinoatrial (SA) node
Purkinje fiber
At the base of right atrium
atrioventricular (AV) node
in right atrium at base of superior vena cava
generates impulses the fastest – sets pace
sinoatrial (SA) node
superior part of interventricular septum
electrically connects atria to ventricles
Atrioventricular Bundle (Bundle of His)
Carry impulse to apex (bottom tip) of heart
Atrioventricular (AV) Bundle Branches
terminal fibers in ventricles (not found in atria) that carry signals from apex upward to all parts of the ventricle
Note: electrical signal spreads from conduction system to contractile cardiac cells then they contract
Purkinje fibers
General structure of blood vessels (there are 4)
Tunica externa
Tunica media
Tunica intima/interna
Lumen
which two general structure of blood vessels
have connective tissue
Tunica externa
Tunica media (elastic fibers
which general structure of blood vessels has smooth muscle
Tunica media
which general structure of blood vessels is endothelium – simple squamous epithelium and continuous with endocardium
Tunica intima/interna
which general structure of blood vessels contains blood and (not a layer)
Lumen
carry blood AWAY from heart (does NOT refer to oxygenated or deoxygenated blood)
Arteries (the reason it says does not because arteries in general and veins in general do both since our whole body needs oxygen too
large conducting arteries exiting the heart
elastic arteries
smaller distributing arteries
muscular arteries
elastic CT in all 3 layers
largest arteries (near heart)
e.g. aorta
elastic arteries
a LOT of smooth muscle
most arteries
e.g. coronary artery
muscular arteries
little arteries regulate blood flow + blood pressure
Arterioles
What allow exchange of gases + nutrients and most have gaps between cells that allow exchange of fluid + solutes with the interstitial fluid (inside fluid)
Capillaries
In the Capillaries its made of endothelium (once cell layer) + basement membrane this is….
ONLY TUNICA INTIMA
What collect blood from capillaries and is made of intima(endothelium) with thin media / externa layers
Venules
What carry blood INto heart?
veIN
veins can have ??? valves that prevent back flow of blood
one-way
veins have more connective tissues but less smooth muscle than arteries what is this called?
thin media
do veins have large lumen?
yessss
For Circulatory Routes blood confined to heart + blood vessels is called
closed
For Circulatory Routes for 2 routes (pulmonary + systemic) is called
double
In adult circulation this is for oxygenation of the blood
Pulmonary circulation
Pulmonary circulation carries blood from ??? ventricle to lungs via pulmonary arteries (deoxygenated blood)
right
Do pulmonary arteries only carry deoxygenated blood?
YES
In the pulmonary circulation what picks up oxygen in the lungs
capillaries
In the pulmonary circulation what carries blood from lungs to left atria
pulmonary veins
What does pulmonary veins only carry?
oxygenated blood
What is for delivery of oxygenated blood to all other tissues
Systemic Circulation
In the systemic circulation what carries blood from left ventricle to organs
aorta
Does aorta only carry oxygenated blood?
Yes
In the systemic circulation organs take up oxygen from blood what does this
capillaries
In the systemic circulation what carries blood from organs to right atrium
superior and inferior vena cava
superior and inferior vena cava do they only carry deoxygenated blood?
Yes
overall route is left ventricle to right atrium =
systemic circulation (besides all of the other places it goes to organs/systems)
What are four places the systemic circulation goes too
cerebral = brain
hepatic = liver
coronary = heart
bronchial = parts of respiratory system
In fetal circulation fetus gets what two things and i guess takes a one thing out to mothers blood
oxygen(o2) nutrients from + expels wastes to mothers blood
In fetal circulation fetus where is the exchange site
placenta
In the placenta does the mother and fetus mix blood to get nutrients
NO but they’re close together
In fetal circulation fetus differences from adult circulation…
carries oxygenated blood from placenta to vena cava
umbilical vein (towards the fetal heart)
In fetal circulation fetus differences from adult circulation…
??? + ??? are late to develop and their functions are handled by maternal organs
lungs and liver
3 shunts that allow most blood to bypass these organs (minimal blood flow to these organs for nourishment/ growth).. does jobs of lungs and lier
ductus venosus
foramen ovale
ductus arteriosus
in the ductus venosus what connects to the inferior vena cava
umbilical vein
umbilical vein only carries ???
inferior vena cava only carries ???
umbilical vein only carries oxygenated blood
inferior vena cava only carries deoxygenated blood
in the ductus venosus it permits most of the ??? blood coming from placenta to bypass the liver capillaries
oxygenated
in the ductus venosus oxygenated and deoxygenated blood mixes in ??? and enters fetal right atrium
inferior vena cava
What is the hole in interatrial septum and allows blood to move from the Right to Left atrium
foramen ovale
in the forman ovale it bypasses the ???
uninflated fetal lung (HOW?? since the fetus is not breathing no gas exchange is happening lol)
What connects to pulmonary trunk and aorta in fetus and also bypasses the uninflated fetal lung
ductus arteriosus
When do all shunts normally become closed?
following birth
what returns mixed blood to placenta
umbilical arteries(away from fetal heart)
higher viscosity than H20
pH 7.35 - 7.45
4-6 L in an adult
What are the characteristics of this
BLOOD
plasma (matrix) makes up ??? - ??? of blood volume
~55-60%
plasma is fluid portion with ???
solutes (what plasma is composed with)