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Questions and Answers
What term refers to the inferior point of the left ventricle of the heart?
What term refers to the inferior point of the left ventricle of the heart?
- Base
- Surface
- Apex (correct)
- Mediastinum
Which layer of the pericardium is referred to as the fibrous pericardium?
Which layer of the pericardium is referred to as the fibrous pericardium?
- Outer layer (correct)
- Inner layer
- Visceral layer
- Middle layer
Which of the following surfaces of the heart faces the diaphragm?
Which of the following surfaces of the heart faces the diaphragm?
- Right Surface
- Inferior Surface (correct)
- Anterior Surface
- Left Surface
What is the role of the pericardial fluid?
What is the role of the pericardial fluid?
Which layer of the heart is also known as the visceral pericardium?
Which layer of the heart is also known as the visceral pericardium?
Where is the heart specifically located?
Where is the heart specifically located?
What type of tissue mainly composes the epicardium?
What type of tissue mainly composes the epicardium?
What is the anatomical term for the area where the heart is located?
What is the anatomical term for the area where the heart is located?
What is the primary function of the myocardium?
What is the primary function of the myocardium?
What are the two main types of valves found in the heart?
What are the two main types of valves found in the heart?
What is the primary function of the papillary muscles and chordae tendineae in the heart?
What is the primary function of the papillary muscles and chordae tendineae in the heart?
What structure marks the boundary between the atria and ventricles?
What structure marks the boundary between the atria and ventricles?
Which valve allows blood to flow from the right ventricle to the pulmonary arteries?
Which valve allows blood to flow from the right ventricle to the pulmonary arteries?
Which vein does the right atrium NOT receive blood from?
Which vein does the right atrium NOT receive blood from?
What is the relationship between myocardial thickness and pressure production in the heart?
What is the relationship between myocardial thickness and pressure production in the heart?
What is the role of the chordae tendineae in the heart?
What is the role of the chordae tendineae in the heart?
Where does blood enter the left atrium from?
Where does blood enter the left atrium from?
What is the function of the fibrous skeleton of the heart?
What is the function of the fibrous skeleton of the heart?
What features characterize the anterior wall of the right atrium?
What features characterize the anterior wall of the right atrium?
Which chamber of the heart has the thickest walls?
Which chamber of the heart has the thickest walls?
What is the significance of the fossa ovalis in the right atrium?
What is the significance of the fossa ovalis in the right atrium?
What prevents the inversion of the atrioventricular valves during ventricular contraction?
What prevents the inversion of the atrioventricular valves during ventricular contraction?
What is one characteristic of the atrial walls compared to the ventricular walls?
What is one characteristic of the atrial walls compared to the ventricular walls?
What connects the aortic arch to the pulmonary trunk?
What connects the aortic arch to the pulmonary trunk?
What is the primary function of the heart valves?
What is the primary function of the heart valves?
Which valves are classified as semilunar valves?
Which valves are classified as semilunar valves?
What happens when the ventricles contract?
What happens when the ventricles contract?
How are the systemic and pulmonary circulations arranged?
How are the systemic and pulmonary circulations arranged?
What is the role of the right pump of the heart?
What is the role of the right pump of the heart?
What is coronary circulation responsible for?
What is coronary circulation responsible for?
Which type of valve prevents backflow of blood into ventricles?
Which type of valve prevents backflow of blood into ventricles?
Which rings prevent overstretching of heart valves?
Which rings prevent overstretching of heart valves?
What is the primary role of Purkinje fibers in the heart?
What is the primary role of Purkinje fibers in the heart?
Which wave on an electrocardiogram (ECG) represents ventricular repolarization?
Which wave on an electrocardiogram (ECG) represents ventricular repolarization?
The 'Lubb' sound, the first heart sound, is primarily caused by what action?
The 'Lubb' sound, the first heart sound, is primarily caused by what action?
Which heart layer is composed of cardiac muscle?
Which heart layer is composed of cardiac muscle?
What is the correct order of blood flow through the heart, starting from the superior vena cava (SVC) and inferior vena cava (IVC)?
What is the correct order of blood flow through the heart, starting from the superior vena cava (SVC) and inferior vena cava (IVC)?
Which component of the heart's conduction system is known as the 'pacemaker'?
Which component of the heart's conduction system is known as the 'pacemaker'?
If the 'Dubb' sound is heard through a stethoscope, what function is occurring in the heart?
If the 'Dubb' sound is heard through a stethoscope, what function is occurring in the heart?
What is the name of the valve situated between the left atrium and the left ventricle?
What is the name of the valve situated between the left atrium and the left ventricle?
What is the primary function of the coronary arteries?
What is the primary function of the coronary arteries?
What occurs at the anastomoses in the coronary circulation?
What occurs at the anastomoses in the coronary circulation?
What potential consequence arises from a blocked coronary artery?
What potential consequence arises from a blocked coronary artery?
Where is the sinoatrial (SA) node located?
Where is the sinoatrial (SA) node located?
Which statement accurately describes the role of the atrioventricular (AV) node?
Which statement accurately describes the role of the atrioventricular (AV) node?
In which part of the conduction system does the action potential get conducted to the ventricles?
In which part of the conduction system does the action potential get conducted to the ventricles?
What is the significance of self-excitable fibers in the heart?
What is the significance of self-excitable fibers in the heart?
What is the final step in the sequence of cardiac action potentials?
What is the final step in the sequence of cardiac action potentials?
Flashcards
Where is the heart located?
Where is the heart located?
The heart is about the size of a fist, positioned near the midline of the chest, within the mediastinum.
What are the apex and base of the heart?
What are the apex and base of the heart?
The apex is the pointed inferior tip of the left ventricle, while the base is the superior aspect.
What is the pericardium?
What is the pericardium?
The pericardium is a triple-layered membrane that surrounds and protects the heart. The fibrous pericardium is the outermost layer and anchors the heart to the mediastinum.
What are the layers of the serous pericardium?
What are the layers of the serous pericardium?
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What is the pericardial cavity?
What is the pericardial cavity?
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What is the epicardium?
What is the epicardium?
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What is the myocardium?
What is the myocardium?
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What is the endocardium?
What is the endocardium?
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Myocardium
Myocardium
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Endocardium
Endocardium
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Atria (singular: Atrium)
Atria (singular: Atrium)
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Ventricles
Ventricles
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Tricuspid Valve
Tricuspid Valve
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Atrial Auricle
Atrial Auricle
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Coronary Sulcus
Coronary Sulcus
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Interatrial Septum
Interatrial Septum
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What are pulmonary and aortic rings?
What are pulmonary and aortic rings?
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What are tricuspid and bicuspid rings?
What are tricuspid and bicuspid rings?
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How do heart valves work?
How do heart valves work?
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What are semilunar valves?
What are semilunar valves?
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What are atrioventricular valves?
What are atrioventricular valves?
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How do atrioventricular valves work?
How do atrioventricular valves work?
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How does blood circulate through the heart?
How does blood circulate through the heart?
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What is coronary circulation?
What is coronary circulation?
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Coronary Arteries
Coronary Arteries
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Anastomoses
Anastomoses
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Coronary Veins
Coronary Veins
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Coronary Bypass Surgery
Coronary Bypass Surgery
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Autorhythmic Fibers
Autorhythmic Fibers
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Sinoatrial (SA) Node
Sinoatrial (SA) Node
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Atrioventricular (AV) Node
Atrioventricular (AV) Node
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Atrioventricular (AV) Bundle (Bundle of His)
Atrioventricular (AV) Bundle (Bundle of His)
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What are chordae tendineae?
What are chordae tendineae?
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What are papillary muscles?
What are papillary muscles?
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What is the interventricular septum?
What is the interventricular septum?
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What is the pulmonary valve?
What is the pulmonary valve?
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What is the bicuspid (mitral) valve?
What is the bicuspid (mitral) valve?
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What is the aortic valve?
What is the aortic valve?
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Why does the myocardium have different thicknesses?
Why does the myocardium have different thicknesses?
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What is the Fibrous Skeleton of the Heart?
What is the Fibrous Skeleton of the Heart?
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Purkinje fibers
Purkinje fibers
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Electrocardiogram (ECG)
Electrocardiogram (ECG)
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Lubb sound
Lubb sound
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Dubb sound
Dubb sound
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Fibrous Pericardium
Fibrous Pericardium
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Serous Pericardium
Serous Pericardium
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Study Notes
Chapter 13: The Heart
- The heart is roughly the size of a closed fist.
- It rests on the diaphragm near the midline of the thoracic cavity.
- It lies within the mediastinum.
- It's located between the sternum and the vertebrae, from the first rib to the diaphragm, and between the lungs.
Location Terms
- Apex: The inferior, pointed end of the heart (left ventricle).
- Base: The superior aspect of the heart (opposite the apex).
Heart Surfaces
- Anterior surface: The front-facing surface, posterior to the sternum and ribs.
- Inferior surface: Rests on the diaphragm.
- Right and Left Surfaces: The right surface faces the right lung, and the left surface faces the left lung.
Pericardium
- A triple-layered membrane that surrounds and protects the heart.
- Layer 1 (Fibrous Pericardium): Thick, tough connective tissue that anchors the heart in the mediastinum.
- Layer 2 (Parietal layer): Outer layer fused to the fibrous pericardium.
- Layer 3 (Visceral layer, also Epicardium): Inner layer adhering tightly to the heart's surface.
- Pericardial Cavity: The space between layers 2 and 3, containing pericardial fluid.
Layers of the Heart
- Epicardium: The outermost layer, composed of visceral pericardium, creating a slippery surface. Contains fibroelastic tissue and adipose tissue houses major heart blood vessels.
- Myocardium: The middle layer, comprised of cardiac muscle responsible for heart pumping action.
- Endocardium: The innermost layer, providing a smooth lining for the heart chambers.
Chambers of the Heart
- Four Chambers: Two atria (receiving chambers) and two ventricles (pumping chambers).
- Atrial Auricles: Appendages on each atrium that slightly increases capacity.
- Coronary Sulcus: Marks the boundary between atria and ventricles and contains the Coronary Sinus.
Heart Valves
- Tricuspid valve (right atrioventricular valve): Three cusps located between the right atrium and the right ventricle.
- Mitral valve (bicuspid valve): Two cusps, located between the left atrium and the left ventricle.
- Pulmonary valve: Located between the right ventricle and the pulmonary artery.
- Aortic valve: Located between the left ventricle and the aorta.
- Semilunar valves: pulmonary and aortic valves, shaped like half-moons.
- Atrioventricular (AV) valves: Tricuspid and mitral valves.
Right Ventricle
- Receives blood from the right atria.
- Papillary muscles: Prevent inversion of atrioventricular valves during ventricular contraction.
- Trabeculae carneae: Muscular columns that assist papillary muscles in preventing inversion.
- Chordae tendineae: Tendon-like cords connecting to the atrioventricular valve; regulate valve closure.
- Interventricular septum: Wall between the right and left ventricles.
- Pulmonary valve: Allows blood flow from right ventricle into pulmonary arteries to lungs.
Left Atrium and Ventricle
- Left atrium: Receives oxygenated blood from four pulmonary veins (two from each lung).
- Bicuspid (mitral) valve: Permits blood flow from the left atrium to the left ventricle.
- Left ventricle: The thickest chamber, pumps blood through the aortic valve into the aorta.
- Aortic valve: Located between left ventricle and aorta, blood exits here.
- Ligamentum arteriosum: Connects the aortic arch to the pulmonary trunk.
Heart Sounds
- Lubb-Dubb sounds are produced by the closing of heart valves.
- Lubb: First sound, caused by closing of atrioventricular valves (as ventricles begin contraction).
- Dubb: Second sound, caused by closing of semilunar valves (as ventricles begin relaxation).
Myocardial Thickness
- Myocardial thickness varies among chambers and depends on the necessary pressure for the chamber's function.
- Atria have thin walls due to producing less pressure.
- Ventricles have thick walls to generate greater pressure needed to pump blood.
- Left ventricle has the thickest wall due to the greatest pressure required to pump blood to the body.
Fibrous Skeleton
- Dense connective tissue within the heart walls.
- It provides structural support for the heart valves and prevents overstretching.
- The fibrous skeleton includes pulmonary and aortic rings (semilunar) and tricuspid and bicuspid rings (atrioventricular).
Coronary Circulation
- The heart's own blood supply.
- Coronary arteries encircle the heart like a crown, supplying oxygenated blood to the myocardium.
- Anastomoses: Connections between coronary arteries; provide backup blood supply if one artery is blocked.
- Coronary veins collect deoxygenated blood from the heart.
Coronary Circulation: Bypass Surgery
- A surgical procedure that creates new connections (bypasses) around blocked coronary arteries to improve blood flow to the heart muscles.
- Often uses internal mammary arteries or the saphenous vein.
Conduction System
- A network of specialized fibers that conduct electrical impulses, causing the heart to beat rhythmically.
- Autorhythmic Fibers (pacemakers): Self-excitable fibers that initiate and regulate heart rhythm (they repeatedly depolarize).
- Sinoatrial (SA) node: Pacemaker of the heart.
- Atrioventricular (AV) node: Delays the impulse before it travels to the ventricles.
- AV bundle (Bundle of His): Conducts the electrical impulse from the AV node to the ventricles.
- Right and left bundle branches: Distribute the impulse through the ventricles.
- Purkinje fibers: Rapidly conduct the impulse throughout the ventricles, causing coordinated ventricular contraction.
- Electrocardiogram (ECG/EKG): A recording of the electrical activity of the heart.
- The ECG shows standardized electrical waveforms corresponding to atrial and ventricular depolarizations and repolarizations.
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