Podcast
Questions and Answers
A complete heart block disrupts the normal conduction pathway. Which of the following would still enable ventricles to contract, albeit at a slower rate?
A complete heart block disrupts the normal conduction pathway. Which of the following would still enable ventricles to contract, albeit at a slower rate?
- SA node
- Bundle branches
- AV node
- Purkinje fibers (correct)
During a cardiac catheterization, a physician notices an obstruction in a vessel along the anterior interventricular sulcus. Which vessel is MOST likely affected?
During a cardiac catheterization, a physician notices an obstruction in a vessel along the anterior interventricular sulcus. Which vessel is MOST likely affected?
- Left circumflex artery
- Great cardiac vein
- Right coronary artery
- Left anterior descending artery (correct)
In the context of heart valve function, what is the MOST immediate consequence if the chordae tendineae associated with the tricuspid valve rupture?
In the context of heart valve function, what is the MOST immediate consequence if the chordae tendineae associated with the tricuspid valve rupture?
- Increased pressure in the left ventricle
- Regurgitation of blood into the right atrium during ventricular systole (correct)
- Stenosis of the pulmonary valve
- Decreased systemic blood pressure
If the vagus nerve's influence on the heart were completely blocked, what would be the MOST likely immediate effect on heart rate?
If the vagus nerve's influence on the heart were completely blocked, what would be the MOST likely immediate effect on heart rate?
A patient is diagnosed with a condition causing significant fibrosis (thickening and scarring) of the tunica media in their arterial walls. What is MOST likely to result from this condition?
A patient is diagnosed with a condition causing significant fibrosis (thickening and scarring) of the tunica media in their arterial walls. What is MOST likely to result from this condition?
A researcher is studying the effects of a drug on blood vessel structure. After administering the drug, they observe a significant reduction in the number of fenestrations in capillary walls. Which physiological process is MOST likely to be directly affected by this change?
A researcher is studying the effects of a drug on blood vessel structure. After administering the drug, they observe a significant reduction in the number of fenestrations in capillary walls. Which physiological process is MOST likely to be directly affected by this change?
A surgeon is planning a coronary artery bypass graft (CABG) procedure. Which vessel is the LEAST likely choice for harvesting and using as a bypass conduit?
A surgeon is planning a coronary artery bypass graft (CABG) procedure. Which vessel is the LEAST likely choice for harvesting and using as a bypass conduit?
A physician is treating a patient with severe atherosclerosis in the arteries of the lower limb. Which vessel is LEAST likely to be directly affected and cause significant ischemia (reduced blood flow) in the foot?
A physician is treating a patient with severe atherosclerosis in the arteries of the lower limb. Which vessel is LEAST likely to be directly affected and cause significant ischemia (reduced blood flow) in the foot?
Considering the venous drainage patterns of the head and neck, a blockage of the superior sagittal sinus would MOST directly impair drainage from which area?
Considering the venous drainage patterns of the head and neck, a blockage of the superior sagittal sinus would MOST directly impair drainage from which area?
A hematologist is examining a patient with a rare congenital condition where the foramen ovale fails to close after birth. What physiological consequence would be MOST expected in this individual?
A hematologist is examining a patient with a rare congenital condition where the foramen ovale fails to close after birth. What physiological consequence would be MOST expected in this individual?
A researcher discovers a new compound that selectively inhibits the function of venous valves in the lower limbs. What is the MOST likely direct consequence of this compound's action?
A researcher discovers a new compound that selectively inhibits the function of venous valves in the lower limbs. What is the MOST likely direct consequence of this compound's action?
An anatomist is dissecting a cadaver and identifies the celiac trunk. Which organ receives its blood supply DIRECTLY from a branch of the celiac trunk?
An anatomist is dissecting a cadaver and identifies the celiac trunk. Which organ receives its blood supply DIRECTLY from a branch of the celiac trunk?
In a patient experiencing hypovolemic shock (severe blood loss), the body attempts to compensate by altering blood vessel diameter. Which vascular change would the body MOST likely employ to maintain blood pressure?
In a patient experiencing hypovolemic shock (severe blood loss), the body attempts to compensate by altering blood vessel diameter. Which vascular change would the body MOST likely employ to maintain blood pressure?
During a fetal echocardiogram, a cardiologist observes blood flowing directly from the pulmonary artery to the aorta. Which structure is facilitating this blood flow?
During a fetal echocardiogram, a cardiologist observes blood flowing directly from the pulmonary artery to the aorta. Which structure is facilitating this blood flow?
A previously healthy individual experiences a sudden occlusion (blockage) of the left circumflex artery. Which of the following is a likely region of the heart that will be MOST immediately affected by this occlusion?
A previously healthy individual experiences a sudden occlusion (blockage) of the left circumflex artery. Which of the following is a likely region of the heart that will be MOST immediately affected by this occlusion?
A researcher is studying the histological differences between arteries and veins. Which feature would allow them to MOST reliably distinguish an artery from a vein under a microscope?
A researcher is studying the histological differences between arteries and veins. Which feature would allow them to MOST reliably distinguish an artery from a vein under a microscope?
A cardiologist detects an abnormally high level of pressure in the right atrium. This finding would MOST likely directly impede venous return from which vessel?
A cardiologist detects an abnormally high level of pressure in the right atrium. This finding would MOST likely directly impede venous return from which vessel?
What is the MOST likely compensation that maintains cerebral blood flow during moderate physical exercise despite an increase in overall cardiac output?
What is the MOST likely compensation that maintains cerebral blood flow during moderate physical exercise despite an increase in overall cardiac output?
A patient presents with lymphedema (swelling due to lymphatic obstruction) in the right lower limb. Which anatomical structure, if blocked, could MOST directly contribute to this condition?
A patient presents with lymphedema (swelling due to lymphatic obstruction) in the right lower limb. Which anatomical structure, if blocked, could MOST directly contribute to this condition?
During coronary angiography, a cardiologist injects dye to visualize the coronary arteries. If the dye is seen to fill the posterior interventricular artery, what other arterial structure is MOST likely also filled with that dye?
During coronary angiography, a cardiologist injects dye to visualize the coronary arteries. If the dye is seen to fill the posterior interventricular artery, what other arterial structure is MOST likely also filled with that dye?
A patient with chronic liver disease develops ascites (fluid accumulation in the peritoneal cavity) due to increased pressure in the hepatic portal system. This increase in pressure would MOST directly result from impaired blood flow through which vessel?
A patient with chronic liver disease develops ascites (fluid accumulation in the peritoneal cavity) due to increased pressure in the hepatic portal system. This increase in pressure would MOST directly result from impaired blood flow through which vessel?
A person undergoes a procedure where the connection between the left subclavian artery and the vertebral artery is damaged. This would MOST directly affect blood supply to what?
A person undergoes a procedure where the connection between the left subclavian artery and the vertebral artery is damaged. This would MOST directly affect blood supply to what?
What would be the MOST immediate impact of a thrombus (blood clot) forming in the left gastric artery?
What would be the MOST immediate impact of a thrombus (blood clot) forming in the left gastric artery?
Which of the following is the MOST likely consequence of damage to the baroreceptors in the carotid sinus?
Which of the following is the MOST likely consequence of damage to the baroreceptors in the carotid sinus?
An individual has a mutation that impairs the formation of the internal elastic lamina in their arteries. What is the likely MOST direct result of this mutation?
An individual has a mutation that impairs the formation of the internal elastic lamina in their arteries. What is the likely MOST direct result of this mutation?
A drug that increases the concentration of albumin in the blood plasma is administered to a patient. What is the MOST likely effect of this drug on capillary exchange?
A drug that increases the concentration of albumin in the blood plasma is administered to a patient. What is the MOST likely effect of this drug on capillary exchange?
What is the MOST likely outcome of a congenital defect resulting in the absence of the moderator band in the right ventricle?
What is the MOST likely outcome of a congenital defect resulting in the absence of the moderator band in the right ventricle?
If a drug caused selective vasoconstriction of the efferent arterioles of the kidneys, what would MOST likely happen?
If a drug caused selective vasoconstriction of the efferent arterioles of the kidneys, what would MOST likely happen?
In a scenario where the sinoatrial (SA) node fails, but the atrioventricular (AV) node takes over as the heart's pacemaker, what change in clinical observations is MOST expected?
In a scenario where the sinoatrial (SA) node fails, but the atrioventricular (AV) node takes over as the heart's pacemaker, what change in clinical observations is MOST expected?
What is the purpose of specialized muscle fibers in the heart, such as the SA node, AV node, AV bundle, bundle branches, and purkinje fibers.
What is the purpose of specialized muscle fibers in the heart, such as the SA node, AV node, AV bundle, bundle branches, and purkinje fibers.
Considering the properties of arteries vs. veins, damage to which vessel presents higher risk of significant blood loss due to higher blood pressure?
Considering the properties of arteries vs. veins, damage to which vessel presents higher risk of significant blood loss due to higher blood pressure?
The ductus arteriosus in a fetus shunts blood away from pulmonary circulation into systemic circulation. Which of the following statements describes the path of blood as it shunts from pulmonary to systemic?
The ductus arteriosus in a fetus shunts blood away from pulmonary circulation into systemic circulation. Which of the following statements describes the path of blood as it shunts from pulmonary to systemic?
A laceration on what side of the heart is more likely to fill with deoxygenated blood?
A laceration on what side of the heart is more likely to fill with deoxygenated blood?
During ventricular diastole, the AV valves are open. How would this affect blood pressure?
During ventricular diastole, the AV valves are open. How would this affect blood pressure?
What is the direct function and location of the medulla oblongata?
What is the direct function and location of the medulla oblongata?
If the sinoatrial (SA) node is delayed by 100 msecs, what can be said of the atrial and ventricular contractions?
If the sinoatrial (SA) node is delayed by 100 msecs, what can be said of the atrial and ventricular contractions?
How would increased blood volume impact blood pressure?
How would increased blood volume impact blood pressure?
If the coronary sinus were to become blocked, impeding venous drainage from the heart, which cardiac vein would experience the MOST immediate and significant increase in pressure?
If the coronary sinus were to become blocked, impeding venous drainage from the heart, which cardiac vein would experience the MOST immediate and significant increase in pressure?
A patient has a condition that selectively impairs the contractility of the tunica media within their arterial walls. What direct physiological change is MOST likely to occur as a result?
A patient has a condition that selectively impairs the contractility of the tunica media within their arterial walls. What direct physiological change is MOST likely to occur as a result?
A researcher is developing a new drug that aims to selectively enhance the function of venous valves. In which of the following patients would this drug be MOST beneficial?
A researcher is developing a new drug that aims to selectively enhance the function of venous valves. In which of the following patients would this drug be MOST beneficial?
What is the MOST likely consequence of a congenital defect where the moderator band is significantly weakened or absent?
What is the MOST likely consequence of a congenital defect where the moderator band is significantly weakened or absent?
After a traumatic injury, a patient experiences a tear in the ligamentum arteriosum. What pre-natal structure does this ligament represent?
After a traumatic injury, a patient experiences a tear in the ligamentum arteriosum. What pre-natal structure does this ligament represent?
Why are arteries, compared to veins, less likely to collapse?
Why are arteries, compared to veins, less likely to collapse?
A researcher is studying the effects of a drug that selectively inhibits the function of pectinate muscles in the right atrium. What change would they MOST likely observe?
A researcher is studying the effects of a drug that selectively inhibits the function of pectinate muscles in the right atrium. What change would they MOST likely observe?
In a patient with a severely stenotic (narrowed) aortic valve, which compensatory mechanism is MOST likely to develop over time?
In a patient with a severely stenotic (narrowed) aortic valve, which compensatory mechanism is MOST likely to develop over time?
What pathological change would MOST directly lead to increased resistance in the pulmonary circulation, potentially causing right ventricular hypertrophy?
What pathological change would MOST directly lead to increased resistance in the pulmonary circulation, potentially causing right ventricular hypertrophy?
A patient with chronic kidney disease has severely impaired albumin production by the liver. What effect would this MOST likely have on capillary exchange?
A patient with chronic kidney disease has severely impaired albumin production by the liver. What effect would this MOST likely have on capillary exchange?
If a patient is diagnosed with a condition causing selective damage to the elastic fibers in the tunica media of large arteries, what is the MOST likely physiological consequence?
If a patient is diagnosed with a condition causing selective damage to the elastic fibers in the tunica media of large arteries, what is the MOST likely physiological consequence?
A patient has a mutation that impairs the function of the chordae tendineae in the left ventricle. What is the MOST likely direct result of this mutation?
A patient has a mutation that impairs the function of the chordae tendineae in the left ventricle. What is the MOST likely direct result of this mutation?
A patient is diagnosed with damage to the baroreceptors in the carotid sinus. What compensatory mechanism will MOST likely occur?
A patient is diagnosed with damage to the baroreceptors in the carotid sinus. What compensatory mechanism will MOST likely occur?
What would be the MOST immediate impact of a newly formed thrombus (blood clot) completely obstructing the anterior interventricular artery?
What would be the MOST immediate impact of a newly formed thrombus (blood clot) completely obstructing the anterior interventricular artery?
During a cardiac catheterization, the catheter is advanced into the left ventricle. If the catheter damages the papillary muscles, what is the MOST likely immediate consequence?
During a cardiac catheterization, the catheter is advanced into the left ventricle. If the catheter damages the papillary muscles, what is the MOST likely immediate consequence?
A previously healthy individual experiences sudden occlusion (blockage) of the circumflex artery. Which region of the heart would be MOST immediately affected by this occlusion?
A previously healthy individual experiences sudden occlusion (blockage) of the circumflex artery. Which region of the heart would be MOST immediately affected by this occlusion?
If the sinoatrial (SA) node is delayed by 100 msecs, how would this affect atrial and ventricular contractions?
If the sinoatrial (SA) node is delayed by 100 msecs, how would this affect atrial and ventricular contractions?
How would increased blood volume MOST directly impact blood pressure?
How would increased blood volume MOST directly impact blood pressure?
Considering the unique properties of arteries versus veins, damage to which type of vessel presents a higher risk of significant blood loss due to higher blood pressure?
Considering the unique properties of arteries versus veins, damage to which type of vessel presents a higher risk of significant blood loss due to higher blood pressure?
A laceration on which side of the heart is MOST likely to fill with deoxygenated blood?
A laceration on which side of the heart is MOST likely to fill with deoxygenated blood?
What is the primary anatomical distinction between the internal and external carotid arteries?
What is the primary anatomical distinction between the internal and external carotid arteries?
Which artery is responsible for supplying blood to the majority of the small intestine?
Which artery is responsible for supplying blood to the majority of the small intestine?
At what vertebral level does the abdominal aorta typically bifurcate into the common iliac arteries?
At what vertebral level does the abdominal aorta typically bifurcate into the common iliac arteries?
A blockage in the vertebral artery would MOST directly affect the blood supply to which of the following structures?
A blockage in the vertebral artery would MOST directly affect the blood supply to which of the following structures?
The ductus arteriosus in a fetus shunts blood away from pulmonary circulation and into systemic circulation. Which statement accurately describes the path of blood as it shunts from pulmonary to systemic?
The ductus arteriosus in a fetus shunts blood away from pulmonary circulation and into systemic circulation. Which statement accurately describes the path of blood as it shunts from pulmonary to systemic?
Which of the following sequences correctly traces blood flow from the superior vena cava to the aorta?
Which of the following sequences correctly traces blood flow from the superior vena cava to the aorta?
During ventricular diastole when the AV valves are open, how would this affect blood pressure?
During ventricular diastole when the AV valves are open, how would this affect blood pressure?
How does the tunica media contribute to maintaining blood pressure in arteries?
How does the tunica media contribute to maintaining blood pressure in arteries?
Which one of the following represents an accurate description of pulmonary circulation?
Which one of the following represents an accurate description of pulmonary circulation?
What is the MOST likely effect of damage to the sympathetic ganglia (lower cervical and T1-T4) and the cardiac nerve?
What is the MOST likely effect of damage to the sympathetic ganglia (lower cervical and T1-T4) and the cardiac nerve?
The great saphenous vein is a superficial vein that runs along the medial side of the leg and thigh. Where does this vein terminate?
The great saphenous vein is a superficial vein that runs along the medial side of the leg and thigh. Where does this vein terminate?
What is the specific role of the cardiac veins?
What is the specific role of the cardiac veins?
Which vein is commonly used for venipuncture due to its location connecting the cephalic and basilic veins?
Which vein is commonly used for venipuncture due to its location connecting the cephalic and basilic veins?
Which blood vessel tunic comes in contact with the blood?
Which blood vessel tunic comes in contact with the blood?
What is the function of smooth muscle within a blood vessel?
What is the function of smooth muscle within a blood vessel?
What artery supplies the majority of the small intestine?
What artery supplies the majority of the small intestine?
What is the purpose of fenestrations found in capillaries?
What is the purpose of fenestrations found in capillaries?
Which tunic is primarily responsible for vasoconstriction and vasodilation?
Which tunic is primarily responsible for vasoconstriction and vasodilation?
The left gastric artery originates from what major arterial trunk?
The left gastric artery originates from what major arterial trunk?
Which vessels drain directly into the coronary sinus, facilitating venous return from the heart muscle itself?
Which vessels drain directly into the coronary sinus, facilitating venous return from the heart muscle itself?
A patient exhibits an exaggerated increase in heart rate during mild exercise, but their blood pressure response is blunted. Which of the following scenarios BEST explains this combination of findings?
A patient exhibits an exaggerated increase in heart rate during mild exercise, but their blood pressure response is blunted. Which of the following scenarios BEST explains this combination of findings?
A researcher is studying the effect of a novel drug on the cardiac cycle. They observe that the duration of isovolumetric contraction is significantly prolonged, while the duration of ventricular ejection is shortened. Which mechanism of action of the drug is MOST likely responsible for these effects?
A researcher is studying the effect of a novel drug on the cardiac cycle. They observe that the duration of isovolumetric contraction is significantly prolonged, while the duration of ventricular ejection is shortened. Which mechanism of action of the drug is MOST likely responsible for these effects?
A patient with a history of IV drug use develops tricuspid valve endocarditis (inflammation of the inner lining of the heart valves). Fragments of the infected valve break off and travel through the bloodstream. Where would these fragments MOST likely lodge to cause a pulmonary embolism?
A patient with a history of IV drug use develops tricuspid valve endocarditis (inflammation of the inner lining of the heart valves). Fragments of the infected valve break off and travel through the bloodstream. Where would these fragments MOST likely lodge to cause a pulmonary embolism?
A 60-year-old male with recurring chest pain undergoes an angiogram, revealing significant atherosclerosis in the proximal portion of the left anterior descending (LAD) artery. To improve blood flow to the heart muscle, the surgeon decides to perform a coronary artery bypass grafting (CABG) using the left internal thoracic artery (LITA). Which vessel will the LITA be anastomosed to, in order to bypass the blockage?
A 60-year-old male with recurring chest pain undergoes an angiogram, revealing significant atherosclerosis in the proximal portion of the left anterior descending (LAD) artery. To improve blood flow to the heart muscle, the surgeon decides to perform a coronary artery bypass grafting (CABG) using the left internal thoracic artery (LITA). Which vessel will the LITA be anastomosed to, in order to bypass the blockage?
In a patient presenting with symptoms indicative of a thoracic aortic dissection, which physical examination finding would MOST strongly suggest that the dissection involves the great vessels of the aortic arch?
In a patient presenting with symptoms indicative of a thoracic aortic dissection, which physical examination finding would MOST strongly suggest that the dissection involves the great vessels of the aortic arch?
Flashcards
Anterior Surface (Heart)
Anterior Surface (Heart)
The surface of the heart visible from the front (sternocostal).
Posterior Surface (Heart)
Posterior Surface (Heart)
The surface of the heart that rests on the diaphragm.
Atrioventricular Valves
Atrioventricular Valves
Valves between atria and ventricles; open during ventricular diastole (relaxation).
Semilunar Valves (Heart)
Semilunar Valves (Heart)
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Deoxygenated Blood Flow
Deoxygenated Blood Flow
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SA (Sinoatrial) Node
SA (Sinoatrial) Node
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AV Node
AV Node
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Purkinje Fibers
Purkinje Fibers
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Diastole
Diastole
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Systole
Systole
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Cardiac Cycle
Cardiac Cycle
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Coronary Blood Vessels
Coronary Blood Vessels
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Cardiac Veins
Cardiac Veins
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Cardiac Nerve Supply
Cardiac Nerve Supply
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Arteries vs. Veins
Arteries vs. Veins
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Tunica Externa
Tunica Externa
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Tunica Media
Tunica Media
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Tunica Interna
Tunica Interna
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Capillaries
Capillaries
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Veins
Veins
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Pulmonary Circulation
Pulmonary Circulation
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Aortic Arch Branches
Aortic Arch Branches
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Thyrocervical trunk
Thyrocervical trunk
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Internal Thoracic Artery
Internal Thoracic Artery
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Vertebral Artery
Vertebral Artery
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Internal Carotid Artery
Internal Carotid Artery
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Circle of Willis
Circle of Willis
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Thoracic Arterial Supply
Thoracic Arterial Supply
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Abdominal Arterial Supply
Abdominal Arterial Supply
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Celiac Trunk
Celiac Trunk
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Common Iliac Artery
Common Iliac Artery
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Arteries of Lower Limb
Arteries of Lower Limb
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Femoral Artery
Femoral Artery
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External jugular vein
External jugular vein
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Median Cubital Vein
Median Cubital Vein
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Hepatic Portal System
Hepatic Portal System
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Ductus Arteriosus
Ductus Arteriosus
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Portal Vein
Portal Vein
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Study Notes
Anterior Surface of the Heart
- This aspect provides a sternocostal view.
Posterior Surface of the Heart
- Presents a diaphragmatic view of the heart.
Heart Valves
- Atrioventricular valves open during the diastole phase of the ventricles.
- AV valves consist of the bicuspid and tricuspid valves.
- Semilunar valves are open during ventricular systole.
- Semilunar valves include the pulmonary and aortic valves.
Blood Flow Through the Heart
- The right side of the heart is filled with deoxygenated blood.
Structures of Specialized Muscle Fibers
- SA Node
- AV Node
- AV Bundle
- Bundle Branches
- Purkinje Fibers
Cardiac Cycle Phases
- Diastole equals relaxation.
- Systole equals contraction.
Coronary Blood Vessels
- These vessels supply blood to the heart muscles.
- They originate from the ascending aorta.
- Major coronary vessels include the right coronary artery (RCA) and left coronary artery (LCA).
- Cardiac veins drain into the coronary sinus.
Coronary Arteries and Veins
- The right coronary artery passes between the right auricle and pulmonary trunk.
- Its major branches are the marginal and posterior interventricular branches.
- The left coronary artery's major branches consist of the circumflex and anterior interventricular branches.
- The great cardiac vein travels with the anterior interventricular artery.
- The middle cardiac vein travels with the posterior interventricular artery.
- The coronary sinus is located on the posterior heart in the atrioventricular sulcus between the left atrium and left ventricle.
Coronary Arteries
- The right coronary artery includes marginal and posterior interventricular arteries.
- The left coronary artery supplies anterior interventricular artery, great cardiac vein, and circumflex artery.
Cardiac Nerve Supply
- Parasympathetic supply is via the Vagus nerve (X).
- Sympathetic supply includes sympathetic ganglia structures in the lower cervical and T1-T4 regions.
Distinguishing Arteries from Veins
- Arteries and veins typically run parallel to each other.
- Arteries carry blood away from the heart.
- Veins carry blood toward the heart.
- Arteries have thicker walls than veins.
- Arteries maintain their rounded shape, while veins collapse easily.
- Arteries display an endothelial lining with pleated folds.
- Veins feature valves.
Vessel Walls
- Tunica Externa: Composed of collagen fibers with bands of elastic fibers.
- Tunica Media: Composed of smooth muscle.
- Tunica Interna: Composed of endothelial tissue with bands of elastic fibers.
Histology of Arteries and Veins
- Arteries show a thicker wall and more defined layers compared to veins.
Vessel Types
- Vessels include large veins, elastic arteries, and muscular artery
- Vessels include medium-sized veins, arterioles, venules, and continuous capillaries.
- Another vessel type is a fenestrated capillary
Capillaries
- Capillaries connect arterioles and venules.
Veins
- Veins return blood to the heart
- Veins are classified as venules, medium-sized veins, and large veins
Systemic Arterial Circulation
- Transports oxygenated blood from the heart to the body.
Pulmonary Circulation
- Carries deoxygenated blood from the heart to the lungs and returns oxygenated blood to the heart.
Branches of the Aortic Arch
- The following branch directly from the Aortic Arch: right common carotid, left common carotid, right subclavian artery, left subclavian artery, and brachiocephalic trunk.
Subclavian Arteries
- The thyrocervical trunk supplies muscles and tissues of the neck, shoulder, and upper back.
- The internal thoracic artery supplies the pericardium and anterior chest wall.
- The vertebral artery supplies blood to the brain and spinal cord.
Common Carotid Arteries
- Common Carotid arteries supplying the head and neck.
- Internal carotid artery supplies the brain.
- External carotid artery supplies non-neural head structures, superior thyroid, lingual, facial, and maxillary arteries.
Brain Arteries
- Internal Carotid & Vertebral Arteries form the Circle of Willis.
Forelimb Arterial Supply
- Subclavian a. supplys upper extremity
- Axillary aa. is the continuation of subclavian and supplies the axilla & shoulder
- Brachial a. is the continuation of axillary and supplies the arm
- Radial & ulnar aa. supply the forearm
- Palmar arches supply the hand
- Digital aa. supplies the digits
Thoracic Arterial Supply
- Descending Aorta: Supplies bronchial aa. ( lungs) and esophageal.
- Subclavian aa.: Supplies internal thoracic aa.(thoracic wall.
- The internal thoracic artery is also used for coronary bypass replacement.
- Brachiocephalic trunk
Abdominal Arterial Supply
- Descending Aorta provides 2 inferior mediastinal aa. (diaphragm), 1 celiac trunk, 2 renal aa. (kidneys), and 2 suprarenal aa. (adrenal glands)
- The descending Aorta supplies 1 superior and 1 inferior mesenteric ( digestive organs)
- Descending Aorta supplies 2 common iliac aa.(pelvic structures).
Celiac Trunk
- The hepatic artery supplies the liver.
- The splenic artery supplies the spleen and pancreas.
- The left gastric artery supplies the stomach.
Renal Arteries
- The descending aorta typically bifurcates into the common iliac arteries at the L4 vertebral level.
Lower Limb Arterial Supply
- Common Iliac a. that supply to the pelvis and lower limb
- Internal Iliac a. that supply to the pelvic organs
- External iliac a. supplies to the lower limb
- Femoral a. supplies to the thigh
- Popliteal a. supplies the popliteal area
- Anterior tibial a. supplies the anterior leg
- Posterior tibial a. supplies the posterior leg
Femoral Region
- NAVL: Femoral Nerve, Artery, Vein, Lymph nodes
Systemic Venous Circulation
- Returns deoxygenated blood from the body to the heart.
Cerebral/Cerebellar Veins and Dural Venous Sinuses
- Drain blood from the brain.
Head and Neck Venous Drainage
- External jugular vein (face), drains dural sinuses (brain).
- Subclavian (UL) drains the internal jugular that then drains into the brachiocephalic and then to the Superior Vena Cava.
Superficial Veins
- Superficial veins are located just under the skin and do not have corresponding arteries.
External Jugular Vein
- External Jugular Vein (EJV) does not have a corresponding artery.
- Internal Jugular Vein (IJV) does have a corresponding artery that runs with the common carotid artery
Median Cubital Vein
- This vein communicates between the cephalic and basilic veins.
- It is commonly used for venipuncture.
Lower Extremity Veins
- Veins have one-way valves that facilitate blood flow back to the heart
- The veins of the lower limb use muscular venous pumps, including the deep femoral, popliteal, small saphenous, and anterior tibial.
Components of Fetal Circulation
- Structures include Foramen Ovale.
- Structures include Ductus Arteriosus.
Sample Questions and Answers
- Brachiocephalic trunk, left common carotid a. or left subclavian a. are direct branches of the aortic arch. External iliac artery (not femoral!) supplies to the lower extremity. Cephalic or Basilic Vein are superficial vein the upper extremity. Vertebral a. or Internal Carotid are arteries that supplies the brain.
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