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innermost layer-in contact with blood; forms smooth layer for reduced friction, lines the lumen of a vessel; single thin layer of endothelium.
tunica interna or intima
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bulky middle layer; made up of smooth muscle (plays role in regulating BP & peripheral resistance) and elastic tissue.
tunica media
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supports (reinforces) and protects the blood vessel.
tunica externa
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has a larger tunica media (thus has more smooth muscle); normally has a fairly round lumen.
artery
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has a very thin tunica media (may be hard to see under microscope); may have an irregularly shaped lumen.
vein
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double walled serous sac the heart is enclosed in.
pericardium
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walls of the heart are composed primarly of.
cardiac muscle
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lines the 4 chambers of the heart.
serous membrane called endocardium
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septum that divides the heart longitudinally.
interatrial or interventricular septum
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receives oxygen-poor blood from the body via the superior & inferior venae cavae.
right atrium
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pumps blood to the lungs into the pulmonary trunk.
right ventricle
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sends blood to the lungs to be oxygenated.
pulmonary trunk
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discharges blood into the aorta.
left ventricle
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prevents backflow into the atria when the ventricles are contracting.
atrioventricular (AV) valves
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guards the bases of the 2 large arteries leaving the ventricular chambers.
pulmonary & aortic semilunar valves
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sends carbon dioxide-rich blood to its chambers to the lungs to unload carbon dioxide and pick up oxygen & then back to the left side of the heart.
pulmonary circulation pump
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carries oxygen-rich blood from the left heart through the body tissues and back to the right heart; supplies the functional blood supply to all body tissues.
systemic circulation pump
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contraction of heart chambers during which blood leaves chambers.
systole
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relaxation of heart chambers,during which they fill with blood.
diastole
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events of one complete heartbeat, during which both atria & ventricles contract & then relax & a predictable sequence of changes in blood volume & pressure occur.
cardiac cycle
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average heart beat.
70 to 76 beats per minute
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average length of the cardiac cycle.
.8 second
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AV valves shutting; sound
lub
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alternating surges of pressure (expansion & then recoil) in an artery that occur with each beat of the left ventricle.
pulse
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at the side of the neck.
common carotid artery
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anterior to the ear, in the temple region.
temporal artery
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clench the teeth & palpate the pulse just anterior to the masseter muscle in line with the corner of the mouth.
facial artery
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in the antecubital fossa, at the point where it splits into the radial and ulnar arteries.
brachial artery
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at the lateral aspect of the wrist, just above the thumb.
radial artery
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in the groin.
femoral artery
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at the back of the knee.
popliteal artery
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just above the medial malleolus.
posterior tibial artery
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on the dorsum of the foot.
dorsalis pedis artery
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pressure that blood exerts against the inner blood vessel walls.
blood pressure
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pressure in the arteries at the peak of ventricular ejection (highest in heart)
systolic pressure
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pressure during ventricular relaxation (lowest in heart)
diastolic pressure
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commonly called blood pressure cuff.
sphygmomanometer
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indicated the resumption of blood flow into the forearm.
sounds of Korotkoff
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the monosyllables describing the heart sounds are:
lub/dup
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the first heart sound is a result of closure of the ___ valves.
- AV valves.
- semilunar valves
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the heart chambers that have just filled when you hear the first heart sound are:
atria
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the chambers that have just emptied are:
ventricles
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immediately after the second heart sound, the ___ are filling with blood and the ___ are empty:
- left ventricle
- right ventricle
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increased diameter of the arterioles - effect on BP.
decrease
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increased blood viscosity - effect on BP.
increase
-
increased cardia output - effect on BP.
increase
-
hemorrhage - effect on BP.
decrease
-
arteriosclerosis - effect on BP.
increase
-
increased pulse rate - effect on BP.
increase
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blood supply that nourishes the heart is provided by:
right & left coronary arteries
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the coronary arteries branch from the base of the aorta & encircle the heart in the:
coronary sulcus (atrioventriciular groove) at the junction of the atria & ventricles
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are compressed during systole and fill when the heart is relaxed.
coronary arteries and their branches
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drained by several cardiac veins.
myocardium
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empties into the coronary sinus.
cardiac veins
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an enlarged vessel on the backside of the heart.
coronary sinus
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empties into the right atrium.
coronary sinus
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also directly empties into the right atrium.
several anterior cardiac veins
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semilunar valves shutting; sound
dup
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earlike flaps of tissue projecting from the atrial chambers.
auricles
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drains the pelvis.
internal iliac vein
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receives venous blood from the lower limb.
external iliac vein
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longest vein in the body.
great saphenous vein
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drains the calf muscle and then empties into the popliteal vein at the knee.
small saphenous vein
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receives blood from the posterior abdominal wall.
inferior vena cava
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drains into the left renal vein superiorly.
left gonadal vein
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drain the kidneys.
renal veins
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receives blood from the adrenal gland on the same side.
right suprarenal vein
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drain the head, neck and upper extremities.
right & left brachiocephalic veins
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unite to form the superior vena cava.
right & left brachiocephalic veins
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