Cardiac Physiology: Circulatory System and Heart Anatomy

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Questions and Answers

Which of the following accurately describes the function of the cardiovascular system?

  • To facilitate gas exchange in the lungs and transport oxygen to tissues.
  • To pump oxygenated blood into systemic circulation and deoxygenated blood into pulmonary circulation. (correct)
  • To regulate hormone production and facilitate communication between different organs.
  • To filter waste products from the blood and maintain fluid balance.

Which of the following is a key difference between the systemic and pulmonary circulations?

  • The systemic circulation delivers blood to the lungs, while the pulmonary circulation delivers blood to the rest of the body.
  • The systemic circulation is a closed loop, while the pulmonary circulation is an open system.
  • The systemic circulation carries deoxygenated blood, while the pulmonary circulation carries oxygenated blood.
  • The systemic circulation involves the left side of the heart, while the pulmonary circulation involves the right side. (correct)

If a patient's heart is located more towards the right side of their midline than normal, which condition might they have?

  • Left ventricular hypertrophy
  • Dextrocardia (correct)
  • Atrial septal defect
  • Mitral stenosis

What is the functional significance of the left ventricle having a thicker myocardial wall compared to the right ventricle?

<p>It enables the left ventricle to generate higher pressure to pump blood throughout the systemic circulation. (A)</p> Signup and view all the answers

Which chambers of the heart receive blood from the venae cavae and pulmonary veins, respectively?

<p>Right atrium and left atrium (A)</p> Signup and view all the answers

What would be the immediate consequence of damage to the chordae tendineae?

<p>Backflow of blood into the atria (A)</p> Signup and view all the answers

Which of the following sequences correctly describes the layers of the pericardium, from the outermost to the innermost layer?

<p>Fibrous pericardium, parietal pericardium, visceral pericardium (A)</p> Signup and view all the answers

Which layer of the heart wall is responsible for the heart's contractile function?

<p>Myocardium (C)</p> Signup and view all the answers

Which vessel is NOT one of the three major branches arising directly from the ascending aorta?

<p>Right subclavian artery (C)</p> Signup and view all the answers

After a blood clot forms in the left circumflex artery, which region of the heart is most likely to experience ischemia first?

<p>Left ventricle (C)</p> Signup and view all the answers

During ventricular contraction, which of the following coronary arteries primarily receives blood flow?

<p>Neither the left nor the right coronary arteries receives substantial blood flow during contraction. (A)</p> Signup and view all the answers

What is the primary consequence of myocardial ischemia on cardiac muscle contraction?

<p>Reduced force of contraction. (D)</p> Signup and view all the answers

What is the functional significance of cardiac muscle being 'self-excitable' or displaying 'automaticity'?

<p>It makes the heart contract independently of external nerve stimulation. (C)</p> Signup and view all the answers

Which of the following represents the correct sequence of the heart's electrical conduction system?

<p>SA node → AV node → Bundle of His → Purkinje fibers (D)</p> Signup and view all the answers

What is the key function of the atrioventricular (AV) node in the cardiac conduction system?

<p>To delay the electrical impulse, allowing the atria to contract before the ventricles. (C)</p> Signup and view all the answers

In the cardiac conduction system, what role do the Purkinje fibers play?

<p>They rapidly spread the action potential throughout the ventricular myocardium. (C)</p> Signup and view all the answers

In a healthy heart, what is the effect of parasympathetic stimulation on the SA node?

<p>It decreases the heart rate by slowing the speed of depolarization. (A)</p> Signup and view all the answers

What does the P wave in an electrocardiogram (ECG) represent?

<p>Atrial depolarization. (C)</p> Signup and view all the answers

What does the QRS complex in an ECG primarily indicate?

<p>The depolarization of the ventricles. (B)</p> Signup and view all the answers

What cardiac event does the T wave in an ECG represent?

<p>Ventricular repolarization (B)</p> Signup and view all the answers

What does the ST segment of an ECG represent?

<p>The period when the ventricles are fully depolarized. (B)</p> Signup and view all the answers

Which of the following best describes the normal sequence of events in the spread of a cardiac impulse?

<p>Atria contract, AV node delays, ventricles contract. (D)</p> Signup and view all the answers

What is indicated by a prolonged Q-T interval on an ECG?

<p>Increased risk of ventricular arrhythmias. (B)</p> Signup and view all the answers

Under normal conditions, what range of heart rate would be considered normal sinus rhythm?

<p>55-75 beats/minute (A)</p> Signup and view all the answers

In the context of ECG interpretation, what does the term 'sinus arrhythmia' refer to?

<p>A slight irregularity in heart rhythm that is still initiated by the SA node. (D)</p> Signup and view all the answers

What ECG finding is most indicative of ST elevation myocardial infarction (STEMI)?

<p>ST segment elevation (D)</p> Signup and view all the answers

Which of the following is true about a cardiac muscle?

<p>It is stimulated by the nerves and is self-excitable. (C)</p> Signup and view all the answers

The heart is composed of how many chambers?

<p>4 (C)</p> Signup and view all the answers

Which ventricle pumps deoxygenated blood into the pulmonary artery?

<p>Right ventricle (B)</p> Signup and view all the answers

Which ventricle pumps oxygenated blood into the aorta?

<p>Left ventricle (A)</p> Signup and view all the answers

Atria are the __________ chambers of the heart.

<p>receiving (D)</p> Signup and view all the answers

Ventricles are the __________ chambers of the heart.

<p>discharging (A)</p> Signup and view all the answers

Electrical conduction system of the heart is regulated by...

<p>Cardiac conduction system (C)</p> Signup and view all the answers

When interpreting the ECG , what are you interpreting?

<p>The intervals and segments, the rhythm, and the heart rate (D)</p> Signup and view all the answers

If a patient has a slight irregularity in heart rhythm that is still initiated by the SA node, what is this typically classified as?

<p>Sinus Arrhythmia (C)</p> Signup and view all the answers

The heart can be regulated externally by what?

<p>Stimulating and Inhibiting (D)</p> Signup and view all the answers

The heart can be inhibited by what?

<p>Parasympathetic cardioinhibitory centre (B)</p> Signup and view all the answers

The heart can be stimulated by what?

<p>Sympathetic cardioacceleratory centre (A)</p> Signup and view all the answers

Select the correct description of what The electrocardiogram (ECG) is.

<p>A &amp; B (C)</p> Signup and view all the answers

A patient is diagnosed with a heart condition causing a decrease in the elasticity of the arterial walls. How would this most directly impact the systemic circulation?

<p>Increased blood pressure due to decreased arterial compliance. (A)</p> Signup and view all the answers

If a thrombus (blood clot) formed in the anterior cardiac vein, which area of the heart would be most immediately affected due to impaired drainage?

<p>The myocardium of the right ventricle. (D)</p> Signup and view all the answers

A doctor observes that a patient's atrioventricular node is only able to transmit action potentials at half its normal rate. What effect would this have on the ECG?

<p>A prolonged P-R interval. (D)</p> Signup and view all the answers

During a period of intense exercise, the sympathetic nervous system's influence on the heart would result in which of the following changes to the cardiac cycle?

<p>Increased heart rate and shortened P-R interval. (B)</p> Signup and view all the answers

If a patient's ECG shows a heart rate of 110 beats per minute with normal P waves, QRS complexes, and T waves, but the R-R intervals are noticeably irregular, which condition is most likely?

<p>Sinus arrhythmia. (A)</p> Signup and view all the answers

The ______ system can be anatomically subdivided into the heart and the blood vessels.

<p>cardiovascular</p> Signup and view all the answers

The heart's main function is to pump oxygenated blood into systemic circulation and deoxygenated blood into ______ circulation.

<p>pulmonary</p> Signup and view all the answers

The ______ circulation involves vessels carrying blood between the heart and the lungs, where the blood is oxygenated.

<p>pulmonary</p> Signup and view all the answers

______ circulation involves vessels carrying blood between the heart and other body systems, delivering oxygen and nutrients.

<p>systemic</p> Signup and view all the answers

The heart is located anterior to the vertebral column and ______ to the sternum.

<p>posterior</p> Signup and view all the answers

The heart is composed of ______ chambers: two atria and two ventricles.

<p>four</p> Signup and view all the answers

The ______ ventricular wall is thicker than that of the right ventricle because it needs to pump blood into the systemic circulation.

<p>left</p> Signup and view all the answers

______ are the receiving chambers of the heart.

<p>atria</p> Signup and view all the answers

______ are the discharging chambers of the heart.

<p>ventricles</p> Signup and view all the answers

Blood enters the right atrium from the superior and inferior ______.

<p>venae cavae</p> Signup and view all the answers

Blood enters the left atrium from the ______ veins.

<p>pulmonary</p> Signup and view all the answers

The right ventricle pumps deoxygenated blood into the ______ artery.

<p>pulmonary</p> Signup and view all the answers

The left ventricle pumps oxygenated blood into the ______.

<p>aorta</p> Signup and view all the answers

The ______ is a double-walled sac around the heart, composed of a fibrous pericardium and a serous pericardium.

<p>pericardium</p> Signup and view all the answers

The ______ is the cardiac muscle layer forming the bulk of the heart.

<p>myocardium</p> Signup and view all the answers

The ______ is the endothelial layer of the inner myocardial surface.

<p>endocardium</p> Signup and view all the answers

The ______ is the visceral layer of the serous pericardium.

<p>epicardium</p> Signup and view all the answers

The superior and inferior ______ return blood to the heart.

<p>venae cavae</p> Signup and view all the answers

The ascending aorta branches into the brachiocephalic artery, left common carotid, and left ______ arteries.

<p>subclavian</p> Signup and view all the answers

The right and left ______ veins return blood to the heart from the lungs.

<p>pulmonary</p> Signup and view all the answers

The heart's arteries include the right and left ______ arteries, which supply blood to the heart muscle itself.

<p>coronary</p> Signup and view all the answers

The great ______ vein, along with the small and anterior cardiac veins, helps drain blood from the heart.

<p>cardiac</p> Signup and view all the answers

______ veins run alongside the coronary arteries and collect deoxygenated blood.

<p>cardiac</p> Signup and view all the answers

Interruption of blood flow for only a few seconds damages the ______.

<p>myocardium</p> Signup and view all the answers

Heart muscle is stimulated by nerves and is ______ (automaticity).

<p>self-excitable</p> Signup and view all the answers

______ cells differentiate from other cardiomyocytes to have this specialist function in the heart.

<p>pacemaker</p> Signup and view all the answers

The cardiac action potential includes rapid depolarization due to Na+ inflow, a plateau due to Ca2+ inflow and K+ outflow, and ______ due to closure of Ca2+ channels and K+ outflow.

<p>repolarization</p> Signup and view all the answers

The heart has a natural pacemaker from where action potentials originate: the ______ node, also known as the natural pacemaker.

<p>sinoatrial</p> Signup and view all the answers

The action potential is delayed at the ______ node, allowing the atria to be excited before the ventricles.

<p>atrioventricular</p> Signup and view all the answers

The sympathetic cardioacceleratory center ______ the heart rate by increasing SA node firing.

<p>stimulates</p> Signup and view all the answers

The parasympathetic cardioinhibitory center ______ the heart rate by decreasing SA node firing.

<p>inhibits</p> Signup and view all the answers

The ______ is a body surface recording of the overall cardiac electrical activity with time.

<p>electrocardiogram</p> Signup and view all the answers

In an ECG reading, each ______ complex is preceded by a P wave if the heart is in normal sinus rhythm.

<p>QRS</p> Signup and view all the answers

In an ECG reading, a regular ______ interval is indicative of normal sinus rhythm.

<p>RR</p> Signup and view all the answers

The impulse originates at the sino-atrial node and invades the ______, triggering atrial depolarization detectable on ECG.

<p>atria</p> Signup and view all the answers

The impulse is delayed at the atrio-______ node (AVN) before spreading down the bundle of His.

<p>ventricular</p> Signup and view all the answers

Atrial ______ generates a P wave on the ECG.

<p>depolarisation</p> Signup and view all the answers

Ventricles ______ generates a QRS complex on the ECG.

<p>depolarised</p> Signup and view all the answers

Ventricles uniformly depolarised generate a ______ segment on the ECG.

<p>ST</p> Signup and view all the answers

Ventricles repolarise, generating a ______ wave on the ECG.

<p>T</p> Signup and view all the answers

The heart's main function is to pump oxygenated blood into ______ circulation (to all body organs) and deoxygenated blood into pulmonary circulation (to the lungs).

<p>systemic</p> Signup and view all the answers

Blood enters the right atrium from the superior and inferior ______, and it enters the left atrium from pulmonary veins.

<p>venae cavae</p> Signup and view all the answers

The heart is composed of four chambers: two atria, the left (LA) and right (RA), and two ventricles, the left (LV) and right ______.

<p>RV</p> Signup and view all the answers

The ______ are present to aid unidirectional flow of blood.

<p>heart valves</p> Signup and view all the answers

On an ECG, atrial depolarisation generates a ______ wave.

<p>P</p> Signup and view all the answers

Flashcards

Circulatory System Arrangement

The arrangement of the circulatory system which includes systemic and pulmonary circuits.

Anatomy of the Heart

The heart is an organ that pumps blood throughout the body.

Blood Flow and Cardiac Valves

The flow of blood through the heart and the function of the heart valves.

Different Blood Vessels

Includes arteries, veins, and capillaries.

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Coronary Circulation

Circulation of blood specifically to the heart muscle.

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Electrical Conduction System

The heart's electrical conduction system and how it functions.

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ECG

Electrocardiogram, a recording of the heart's electrical activity.

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Cardiovascular System

System that is anatomically subdivided into the heart and blood vessels.

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Heart's Main Function

To pump oxygenated blood into systemic circulation and deoxygenated blood into pulmonary circulation.

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Blood Vessels' Role

Divided into the arterial (oxygenated blood) and venous (deoxygenated blood) systems.

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Systemic Circulation

Circuit of vessels carrying blood between the heart and other body systems.

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Pulmonary Circulation

Closed loop of vessels carrying blood between the heart and lungs for oxygenation.

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Location of the Heart

Superior surface of diaphragm, left of the midline and anterior to the vertebral column, posterior to the sternum.

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Heart Chambers

Two atria (left and right) and two ventricles (left and right).

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Heart Valves

They are present to aid the unidirectional flow of blood.

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The Atria

Left (LA) and right (RA)

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The Ventricles

Left (LV) and right (RV).

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The Right Atrium

A receiving chamber that receives blood from superior and inferior venae cavae.

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The Right Ventricle

pumps deoxygenated blood into the pulmonary artery.

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Left Atrium

receiving the blood from pulmonary veins.

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Left Ventricle

pumps oxygenated blood into the aorta.

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Pericardium

A double-walled sac around the heart composed of a superficial fibrous and deep two-layer serous.

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Epicardium

Visceral layer of the serous pericardium.

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Myocardium

Cardiac muscle layer forming the bulk of the heart.

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Endocardium

Endothelial layer of the inner myocardial surface.

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Vessels returning blood to the heart

Superior and inferior venae cavae and right and left pulmonary veins.

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Vessels conveying blood away from the heart

Pulmonary trunk is split into the right and left arteries and the ascending aorta (three branches).

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Arteries of the heart

Right and left coronary (in atrioventricular groove) and the posterior interventricular artery (in interventricular groove).

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Veins blood drainage

Small cardiac, anterior cardiac and great cardiac.

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Blood flow through coronary arteries

Most occurs when the heart is relaxed.

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Myocardial Intolerance

The myocardium is very intolerant to ischemia.

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Cardiac Muscle

Muscle cells are stimulated by nerves and is self-excitable (automaticity).

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AV Node Role

The action potential (AP) is delayed at the AV node to be excited (and contract) before the ventricles.

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The Cardiac cycle

AP propagates across the atria and depolarises and excites the atrial myocardium.

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Cardiac Conduction System Function

The cardiac conduction system regulates the heart rate and rhythm.

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Electrical Action

The AP next propagates rapidly down to the left and right bundle branches (of His) and the right and left ventricles quickly.

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Heart action potentials

But the nervous system cannot elicit cardiac action potentials: this can only happen via the SA node.

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electrocardiogram (ECG)

A body surface recording of the overall cardiac electrical activity with time.

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Sinus Arrhythmias

Sinus bradycardia, sinus arrhythmia and sinus tachycardia.

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Myocardial Infarction

Infarction is elevation.

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Cardiac Impulse

Is the impulse originates at the sino-atrial node and invades the atria.

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Ventricles

Where the impulse is delayed at the atrio-ventricular node (AVN).

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P to R value

Interval = 0.12 - 0.20 sec

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Normal QRS width

Normal = 0.08 - 0.12 sec.

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Q-T interval is normal

Normal = 0.35 - 0.43 sec

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Blood Vessel Divisions

The heart's distribution system, divided into oxygenated and deoxygenated systems.

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Heart Weight

The heart normally weighs about 300g

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What are Atria?

These chambers are receiving chambers of the heart.

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What are Ventricles?

These chambers are discharging chambers of the heart.

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What is Pericardium?

A superficial fibrous and a deep two-layer serous membrane.

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External Heart Arteries

Right coronary artery (in atrioventricular groove), marginal, circumflex, and anterior interventricular arteries

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Right Heart Arteries

The right coronary artery (in atrioventricular groove) and the posterior interventricular artery (in interventricular groove)

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Myocardial Ischemia

Blood flow interruption that damages the myocardium.

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Refractory Period

A long period where it cannot be re-stimulated after a contraction.

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Sinoatrial Node

The natural pacemaker in the heart.

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Cardiac Conduction

Heart rate and rhythm, regulates the cardiac action.

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The Heart Pacemaker

Originate action potentials from the (SA) node, also known as the natural pacemaker.

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What rhythm on ECG

Each QRS complex is preceded by a P wave Regular RR interval.

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What do the rhythm do?

Sinus rhythm, sinus bradycardia, and sinus tachycardia with isoelectric line.

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Impulse Origination

The impulse originates at the sino-atrial node and invades the atria.

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Ventricular Action

Ventricles invaded by impulse and depolarized generating a QRS complex..

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Study Notes

Cardiac Physiology: Anatomy of the Circulatory System and Heart

  • The lectures are assessed via practical report and final examination (MCQ).
  • There are practicals and lecture bites.
  • Reading includes Tortora & Derrickson Ch 20, The Cardiovascular System: The Heart.

Learning Objectives

  • The arrangement of the circulatory system: systemic and pulmonary circulations
  • The anatomy of the heart
  • Description of blood flow through the heart and cardiac valves
  • The structure and function of different blood vessel types
  • Coronary circulation
  • Electrical conduction system of the heart
  • ECG

The Circulatory System

  • The cardiovascular system subdivides into the heart and the blood vessels
  • The main function of the heart is to pump oxygenated blood into systemic circulation (to all body organs) and deoxygenated blood into pulmonary circulation (to the lungs).
  • Blood vessels are the distribution system, divided into arterial and venous.
  • The arterial system carries oxygenated blood.
  • The venous system carries deoxygenated blood.

Systemic vs. Pulmonary Circulation

  • Systemic circulation involves arterial and venous systems
  • Blood from the left ventricle circulates around the body and back to the heart through the right ventricle
  • The circuit carries blood between the heart and other body systems
  • Pulmonary circulation involves blood pumped from the right ventricle into the pulmonary artery to the lungs and gets oxygenated.
  • It is a closed loop of vessels carrying blood between heart and lungs.

Anatomy of the Heart

  • The heart is approximately the size of a fist and located in the superior surface of diaphragm and left of the midline.
  • It is anterior to the vertebral column and posterior to the sternum.

Heart Chambers

  • The heart normally weighs about 300g in an adult and is composed of 4 chambers
  • The two atria are left (LA) and right (RA)
  • The two ventricles are left (LV) and right (RV)
  • The left ventricular wall (myocardium) is thicker and more muscular than that of the right ventricle.
  • Heart valves aid the unidirectional flow of blood.

Atria of the Heart

  • The atria are the receiving chambers of the heart
  • Blood enters the right atrium from the superior and inferior venae cavae
  • Blood enters the left atrium from pulmonary veins.

Ventricles of the Heart

  • Ventricles are the discharging chambers of the heart
  • The right ventricle pumps deoxygenated blood into the pulmonary artery.
  • The left ventricle pumps oxygenated blood into the aorta.

Coverings of the Heart: Anatomy

  • The pericardium is a double-walled sac around the heart:
    • A superficial fibrous pericardium
    • A deep two-layer serous pericardium
      • Parietal layer lines the internal surface of the fibrous pericardium

Heart Wall Layers

  • Epicardium is a visceral layer of the serous pericardium.
  • Myocardium is a cardiac muscle layer forming the bulk of the heart.
  • Endocardium is an endothelial layer of the inner myocardial surface.

External Heart: Major Vessels (Anterior View)

  • Vessels returning blood to the heart:
    • Superior and inferior venae cavae
    • Right and left pulmonary veins
  • Vessels conveying blood away from the heart:
    • Pulmonary trunk splits into right and left pulmonary arteries
    • Ascending aorta which branches into brachiocephalic, left common carotid and subclavian arteries

External Heart: Major Vessels (Posterior View)

  • Vessels returning blood to the heart:
    • Right and left pulmonary veins
    • Superior and inferior venae cavae
  • Vessels conveying blood away from the heart:
    • Aorta
    • Right and left pulmonary arteries

External Heart: Vessels Supply/Drain the Heart (Anterior View)

  • Arteries:
    • Right and left coronary (in atrioventricular groove), marginal, circumflex, and anterior interventricular arteries
  • Veins:
    • Small cardiac, anterior cardiac, and great cardiac veins

External Heart: Vessels Supply/Drain the Heart (Posterior View)

  • Arteries
    • Right coronary artery (in atrioventricular groove) and the posterior interventricular artery (in interventricular groove)
  • Veins
    • Great cardiac vein, posterior vein to left ventricle, coronary sinus, and middle cardiac vein

Coronary Circulation

  • Most of the blood flow through the coronary arteries occurs when the heart is relaxed.
  • The contraction of the heart closes the arteries during this time.

Myocardial Ischemia

  • The myocardium is intolerant to ischaemia.
  • Interruption of blood flow for only a few seconds damages the myocardium
  • Crushing pain/tightness with exertion

Cardiac Muscle Contraction

  • The heart muscle is stimulated by nerves and is self-excitable (automaticity)
  • It contracts as a unit with a long (250 ms) absolute refractory period
  • The conduction system of the heart located in the right atrial wall acts as the heart's pacemaker

Cardiac Circulation (Anatomy)

  • Pacemaker cells differentiate from other cardiomyocytes to have this specialist function.

Cardiac Action Potential

  • The action potential includes phases of rapid depolarisation, plateau, and repolarization.
  • Rapid depolarisation is due to Na+ inflow when voltage-gated fast Na+ channels open
  • Plateau is maintained due to Ca2+ inflow when voltage-gated slow Ca2+ channels open
  • Repolarization is due to closure of Ca2+ channels and K+ outflow when additional voltage-gated K+ channels open.
  • Na+ channels open leading to rapid depolarisation
  • Ca2+ and K+ channels open leading to maintained depolarisation.
  • Ca2+ channels close and K+ channels open leading to repolarisation.

The Conduction System of the Heart and Action Potential (AP)

  • The cardiac conduction system regulates the heart rate and rhythm
  • The heart has a natural pacemaker where APs originate as the sinoatrial (SA) node, the natural pacemaker.
  • AP propagates across the atria, depolarising and exciting the atrial myocardium.
  • The AP reaches the atrioventricular (AV) node and the electrical connection between atria and ventricles.
    • AP is delayed at the AV node, allowing the atria to be excited/contract before the ventricles
  • The AP propagates rapidly down the bundle of His.
  • The AP next propagates rapidly down the left and right bundle branches (of His).
  • Purkinje fibers then rapidly disperse impulses throughout the myocardium leading to ventricular myocardium being depolarised at nearly the same time.

Autonomic Control: Extrinsic Innervation

  • Usually, there are 75-80 AP generated per minute which can be regulated externally.
  • The heart is stimulated by the sympathetic cardioacceleratory centre.
  • The heart is inhibited by the parasympathetic cardioinhibitory centre.
  • The nervous system cannot elicit cardiac action potentials; this only happens via the SA node

Recording the Cardiac Electrical Signal: ECG

  • The electrocardiogram (ECG) records the overall cardiac electrical activity
  • It is not a direct recording of actual electrical activity of heart

Key Aspects of ECG Reading

  • Each QRS complex is preceded by a P wave and the RR interval.

Spread of Cardiac Impulse

  • The impulse originates at the sino-atrial node and invades the atria to generate a 'P wave'
  • The impulse is delayed at the atrio-ventricular node (AVN)
  • Ventricles invaded by impulse and depolarised generating a QRS complex
  • Ventricles are uniformly depolarised as ST segment
  • Ventricles repolarise as T wave

ECG Intervals

  • P-R interval = 0.12 - 0.20 sec
  • QRS width = 0.08 - 0.12 sec
  • Q-T interval = 0.35 - 0.43 sec

ECG Heart Rate Measurement

  • R-R interval measures heart rate (HR).
  • Measure the distance between the peaks of consecutive QRS complexes at a known recording speed.
  • Heart rate = 1/R-R interval; normal range is 55-75 beats/minute.

ECG: Sinus Arrythmias

  • Arrhythmia, Bradycardia and Tachycardia

ECG Reading

  • ST depression OR ST elevation

Future work

  • Cardiac output (Volume)
  • Blood pressure
  • Autonomic control of the heart (stress, exercise)

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