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Where does the heart development arise from
Cardiogenic area, anterior to the buccopharyngeal membrane and neural tube
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The outer lining of the heart is called
Epicardium (visceral cardium)
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The inner lining of the heart is called
Endocardium
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The anterior side of the heart is formed mainly by
Right ventricle
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The inferior of the heart (diaphramatic) is formed mainly by
The left ventricle and partly the right ventricle
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The right pulmonary surface of the heart is formed mainly by
The right atrium
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The left pulmonary surface of the heart is formed mainly by
The left ventricle
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Where is the apex of the heart in respect to the ribs
It is located at the left 5th intercostal space at the mid clavicular line
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The sounds of the mitral valve are best heard where
The apex of the heart
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The base of the heart is formed by
Mainly the left atrium with a lesser contribution from the right atrium
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The Base of the heart is separated from the vertebral bodies T6-T9 by
The pericardium, oblique pericardial sinus, esophagus, and aorta.
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The base of the heart extends superiorly and inferiorly until what structures
- The bifurcation of the pulmonary trunk
- Coronary groove
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What are all of the vessels that feed the base of the heart
- Four pulmonary veins
- Superior and inferior vena cavae
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The right border of the heart consists of
Right atrium and extends between the Superior and inferior vena cavae
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The left border of the heart consists of
Mainly the left ventricle and slightly by the left auricle
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The inferior border of the heart is formed by
The right ventricle and slightly by the left ventricle
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The superior border of the heart is formed by
The right and left atria and auricles
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What is the surface marker for the superior border of the heart
2nd left intercostal space to the 3rd right costal cartilage
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What is the surface marker for right border of the heart
3rd right costal cartilage to the 6th right costal cartilage
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Where is the left border of the heart in respect to the ribs
2nd left cartilage cartilage to the 5th left intrcostal space in the midclavicular line
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Where is the inferior border of the heart found in respect to the ribs
Sixth right costal cartilage to the 5th left intercostal space mid clavicular line
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Where do you listen for the pulmonary valve
Over the medial end of the left 2nd intercostal space
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Where would you listen for the Aortic valve
Over the medial end of the right 2nd intercostal space
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Where would you listen for the Tricuspid valve
Just to the left of the lower part of the sternum near the 5th intercostal space
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Where would you listen for the mitral valve
Over the apex of the heart in the 5th intercostal space at the midclavicular line
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The right atrium is located where in respect to the ribs
The level of the 3rd costal cartilage
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Where is the inferior vena cavae in respect to the ribs
5th costal cartilage
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What is anterior to the interior of the right atrium
Rough muscular pectinate muscles
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The interatrial surface of the right atrium septum contains what
Fossa ovalis
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Superior to the interior of the right ventricle is
The conus arteriosus (infundibulum) leading to the pulmonary trunk
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What does the supraventricular crest separate
The rough part of the heart from the smooth part in the right ventricle
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Tricuspid valve and aortic valve attach to papillary muscles via
Chordae tendineae
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The interventricular septum has what two parts to it
A membranous and a muscular
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Pulmonary veins have no
Valves
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The superior part of the left atrium projects as
The left auricle
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The walls of the left auricle contain
Pectinate muscles
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What is the floor of the fossa ovalis
Interatrial septum
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What is the inside of the left ventricle and right covered with
A mesh of trabaculae carnae
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Dextrocardia
- During development of the heart, the heart tube bends to the left instead of to the normal right
- This makes the heart and vessels reversed
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Dextrocardia is often associated with what other condition
Situs inversus (transportation of viscera such as liver)
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Ectopia Cordis
The heart is in an abnormal location. Death follows the first two days unless the heart defect is not severe.
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What is the annular ring of a heart valve
Fibrous connective tissue that surrounds the valve and cusp
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Where is the pulmonary valve in respect to the ribs
Medial aspect of the 3rd costal cartilage on the left side
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Where is the aortic valve in respect to the ribs
Medial aspect of the 3rd left intercostal space behind the left side of the sternum
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Where is the tricuspid valve in respect to the ribs
Medial aspect of the right 5th costal ridge behind the right side of the sternum
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Where is the mitral valve in respect to the ribs
In the medial 3rd left intercostal space
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Valvular heart disease
Produces either stenosis or inability of the valve to close completely resulting in turbulence
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What are eddies
Small whirlpools if blood in a bad valve that produces vibrations known as murmurs
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What is the fibrous skeleton of the heart
Four fibrous rings that encircle the valves as well as help in the structure of the interatrial, interventricular, and atrioventricular septa
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Damage to the fibrous skeleton of the heart can caused by what conditions
- Marfan syndrome
- Endocarditis
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What is valvular stenosis
Fusion of thickening valves
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Valvular Atresia
- Complete fusion of valves
- In the aorta, patent ductus arteriosus delivers blood to the aorta
- In the pulmonary valves, Ductus arteriosus is the only access to the pulmonary circulation
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Persistent Truncus Arteriosis
- Conotruncal ridges fail to fuse and fail to descend toward the ventricle
- Pulmonary artery arises from the truncus arteriosis
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Tetralogy of fallot
- Narrow right ventricular outflow region
- Defect of interventricular septum
- Overriding aorta arising directly above the septal defect
- Hypertrophy of the right ventricular wall
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Cor triloculare biventriculare
The most serious atrial septal defect with a complete absence of the atrial septum
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Tricuspid Atresia
- Obliteration of the right atrioventricular orifice
- Patent oval foramen
- Ventricular septal defects
- Underdeveloped right ventricle
- Left ventricular hypertrophy
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What are the three Ventricular septal defects
- 1. Defect of the membranous part of the interventricular septum (Mixed blood in the pulmonary trunk)
- 2. Defect of the muscular part of the intermuscular septum (Multiple defects = swiss cheese)
- 3. Absence of interventricular septum (Results in single or common ventricle)
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What does the right coronary artery feed
- Right atrium
- Right ventricle
- Part of left ventricle
- SA/AV nodes
- Posterior third of the the IV septum
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What does the left coronary artery feed
- Left atrium
- Left ventricle
- Part of right ventricle
- Anterior 2/3 of IV septum
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Lympth from the right atrium and ventricle drains where
Left venous junction, and the left side does the opposite
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Atrial repolarization occurs when
During ventricular depolarization
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Cardiac tamponade
Excessive pericardial effusion into the pericardial cavity, compromising the volume of the sac not allowing the heart to expand.
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Hemopericardium
Blood in the pericardial cavity
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