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This part of the heart is the point of maximal intensity.
Apex (tip)
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Size, shape, and weight of heart.
Fist sized, hollow, cone-shaped, 250 to 350 grams
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The heart is located in which cavity?
Thoracic medial cavity (mediastinum)
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The heart rests on the superior surface of this.
The diaphragm
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These are located laterally to the heart.
The lungs
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A double-walled sac made of tough, dense connective tissue.
Pericardium
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Three functions of the pericardium.
- protects the heart
- anchors it to surrounding structures
- prevents overfilling of the heart with blood
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Layers of the pericardium.
- serous pericardium
- fibrous pericardium
- epicardium
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The three layers of the heart wall are rich in blood supply, connective tissue. The three layers are...
- epicardium
- myocardium
- endocardium
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Part of heart wall that is part of the pericardial layer, top layer, has fat.
Epicardium
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The middle heart wall layer, has cardiac muscle, involved in contraction, form crisscrossing tissue fibers and arranged in spiral of circular bundles.
Myocardium
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Part of heart wall that is a sheet of squamous epithelium on a thin connective tissue layer.
Endocardium
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This layer of the heart wall is located on the inner myocardial surface, lines the heart chambers, and covers the fibrous skeleton of the valves.
Endocardium
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Four chamber of the heart.
- L and R atrium
- L and R ventricle
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This seperates the atria longitudinally, L and R
Interatrial septum
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This seperates the ventricles, L and R.
Interventricular septum
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This ventricle forms most of the anterior surface of the heart.
Right
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this ventricle dominates the inferoposterior aspect of the heart ann forms the heart apex.
Left
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Small and thin-walled "receiving chambers" that push blood "downstairs", low pressure.
Atria
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Blood enters the right atrium via these three veins.
- superior vena cava
- inferior vena cava
- coronary sinus
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Four pulmonary veins enter which atrium, and transport blood from the lungs back to the heart?
Left
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These "discharging chambers" make up most of the volume of the heart.
Ventricles
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These are irregular ridges of muscle that mark the internal walls of the ventricular chamber.
Trabeculae carnae
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Cone-like muscles that play a role in valve function that project into the ventricular cavity.
Papillary
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The contraction of this ventricle propels blood out of the heart, via the aorta, and into circulation.
Left
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This ventricle pumps blood into the pulmonary trunk then to the lungs for gas exchange.
Right
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Circulatory system involving blood supply to and from all body tissues.
Systemic
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Circulatory system involving blood to and from the lungs for gas exchange.
Pulmonary
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Circulatory system involving blood supply to the myocardium.
Coronary
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Systemic circulation is a function of what side of the heart?
Left
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Path of blood in systemic circulation.
Leaves lungs, goes here, here, then here.
- left atrium,
- left ventricle,
- then the aorta.
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Circulation which is a function of the right side of the heart.
Pulmonary
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In pulmonary circulation, deoxygenated blood enters the heart here, passes into here, and is pumped to the lungs via this.
- right atrium,
- right ventricle, and
- via the pulmonary trunk.
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In the lungs, blood unload CO2 and picks up O2. The freshly oxygenated blood is carried by these to the left side of the heart.
Pulmonary veins
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Pulmonary or Systemic?
Left ventricle with walls 3x as thick, long pathway, encounters 5x friction.
Systemic
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This cavity is flattened into a crescent shape that partially encloses the left ventricle.
Right ventricle
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This is the functional blood supply of the hear, the shortest circulation of the body.
Coronary circulation
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The arterial supply of the coronary circulation. They both arise from the base of the aorta and encircle the heart in the coronary sulcus.
Right and left coronary arteries
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The two major branches of the left coronary artery (LCA).
- left anterior descending artery
- circumflex artery
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This branch of the LCA follows the anterior interventricular sulcus and supplies blood to the interventricular septum and anterior walls of both ventricles.
Left anterior descending artery
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This major branch of the LCA supplies the left atrium and the posterior walls of the left ventricle.
Circumflex artery
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Two major branches of the right coronary artery (RCA).
- marginal artery
- posterior interventricular artery
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This major branch of the RCA runs to the myocardium of the lateral right side of the heart.
Marginal artery
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The major branch of the RCA that runs to the heart apex and supplies the posterior ventricular walls.
Posterior interventricular artery
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The posterior interventricular artery merges with this artery near the apex.
Anterior interventricular artery
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The 4 valves of the heart open and close in response to the differences of what on their two sides?
Blood pressure
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These valves prevent backflow into the atria when the ventricles are contracting.
Atrioventricular (AV)
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The right AV valve that has three flexible cusps (flaps of endocardium reinforced by connective tissue cores).
Tricuspid
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The left AV valve with two flaps.
Bicuspid or mitral
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The two semilunar valves.
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This SL valve guards the base of the aorta and prevents backflow into the LV.
Aortic
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This SL valve guards the bases of the pulmonary artery amd prevents backflow into the RV.
Pulmonary
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Type of valve that is fashioned from three pocket-like cusps looking like a half-moon. Open and close in response to differences in pressure.
Semilunar
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A cardiac cell's high resisteance to fatigue is due to the large size of these organelles.
Mitochondria
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This is located in the RA wall, excites about 75 times per minute. Pacemaker, sinus rhythm, determines heart rate.
Sinoatrial node (SA)
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From the SA node, depolarization waves travel through gap junctions to these nodes.
Atrioventricular node (AV)
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From the AV node, the impulse sweeps to this area in the superior part of the interventricular septum. Leads to left and right branches - apex.
Atrioventricular bundle, bundle of His.
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Long strands of barrel-shaped cells, penetrate into the heart apex, and then turn superiorly into the ventricular walls.
Purkinje fibers.
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Electrocardiogram: small wave, .08 s., represents the movement of the deploarization wave from the SA node through the atria.
P wave
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Electrocardiogram: from ventricular depolarization until ventricular contraction, lasts .08 s.
QRS complex
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Electrocardiogram: Ventricular repolarization, lasts .16 s. More spread out with a lower amplitude.
T wave
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Time (.16 s) from the beginning of atrial excitation to the beginning of ventricular excitation.
P-Q interval
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1 contraction (systole) and 1 relaxation (distole) is known this.
Cardiac cycle
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When ventricles are in the last part of their diastole and have a maximum volume of blood they will contain in the cycle, this volume is called this.
End diastolic volume (EDV)
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Contraction of the ventricles, closing the AV valves.
Ventricular systole
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Split second phase during which ventricles are completely closed chambers and blood volume in the chambers remain constant.
Isovolumetric contraction phase
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Early diastole - brief phase following the T wave - ventricles relax.
Isovolumetric relaxation
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Mean pressure is 120/80
Systemic aortic or arterial
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Mean pressure is 24/8
Pulmonary
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The volume of blood pumped out by one ventricle with each beat. Correlates with the force of ventricular contraction.
Stroke volume (SV)
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Amount of blood pumped out by each ventricle in 1 min.
Cardiac output
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Formula for finding cardiac output.
CO = HR x SV
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Imbalances in these can pose real dangers to the heart.
Plasma electrolyte, especially K.
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Hormone that enhances heart rate and contractility.
Epinephrine
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Hormone that increases metabolic rate and body heat production. In large quantities, it causes slower more sustained increases in heart rate.
Thyroxine
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