3: Cardiovascular II: Conduction and Development

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Questions and Answers

What is the primary function of the sinoatrial node (SA node) in the heart?

  • To facilitate gas exchange in heart tissues
  • To regulate blood pressure in the arteries
  • To coordinate contraction of atrial and ventricular musculature (correct)
  • To initiate the contraction of the ventricles

In the cardiac conduction system, which node is located at the opening of the coronary sinus?

  • Sinoatrial node
  • Atrioventricular node (correct)
  • Right bundle branch
  • Bundle of His

Which structure follows the atrioventricular node in the order of heart conduction?

  • Left atrium
  • Sinoatrial node
  • Atrioventricular bundle (correct)
  • Right atrium

Which phase of the cardiac cycle is primarily associated with the lub sound?

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

What is the main event that occurs during the diastole phase of the cardiac cycle?

<p>Relaxation and filling of the heart chambers (C)</p> Signup and view all the answers

Which structure is a characteristic feature of cardiac muscle that allows for intercellular communication?

<p>Intercalated discs (B)</p> Signup and view all the answers

What is the primary tissue layer of the heart located between the epicardium and endocardium?

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

Which histological feature is indicative of cardiac muscle tissue and not found in skeletal muscle?

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

In which embryonic development stage does the cardiogenic mesoderm appear relative to the oropharyngeal membrane?

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

What type of tissue primarily composes the epicardium?

<p>Connective tissue, adipocytes, nerves, and vessels (C)</p> Signup and view all the answers

Which of the following components is found lining the endocardium?

<p>Simple squamous endothelium (A)</p> Signup and view all the answers

What feature helps prevent electrical disruptions during heart contraction?

<p>Intercalated discs (B)</p> Signup and view all the answers

What heart sound corresponds to the closing of the atrioventricular valves?

<p>Lub (A), S1 (D)</p> Signup and view all the answers

Where should you place the stethoscope to best auscultate the pulmonary semilunar valve?

<p>Left side of the sternum, 2nd intercostal space (C)</p> Signup and view all the answers

Which nerve primarily transmits sensory information from the aorta?

<p>Vagus nerve (CN X) (C)</p> Signup and view all the answers

What is the correct positioning to listen for the heart sounds of the tricuspid valve?

<p>Just left of the lower part of the sternum near the 5th intercostal space (D)</p> Signup and view all the answers

Which type of receptor conveys information related to blood pressure to the CNS?

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

Which portion of the autonomic nervous system primarily regulates heart rate and cardiac output?

<p>Sympathetic nervous system (C)</p> Signup and view all the answers

Which cranial nerve carries parasympathetic fibers that influence cardiac function?

<p>Vagus nerve (CN X) (A)</p> Signup and view all the answers

What is the primary role of the cardiac plexus?

<p>To integrate sympathetic and parasympathetic signals (B)</p> Signup and view all the answers

In which anatomical location is the deep cardiac plexus primarily found?

<p>Anterior to the trachea (C)</p> Signup and view all the answers

What is the mechanism behind referred pain as it relates to visceral inputs?

<p>Convergence of somatic and visceral pain fibers (D)</p> Signup and view all the answers

Which histological feature is characteristic of cardiac muscle?

<p>Striated and branching fibers (C)</p> Signup and view all the answers

What structure is primarily associated with the innervation of cardiac reflexes?

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

What role does the autonomic nervous system play in cardiac output?

<p>It regulates both heart rate and the force of contraction (A)</p> Signup and view all the answers

Flashcards

Lub-Dub

The sound of the heart valves closing during the cardiac cycle.

Lub: What does it represent?

The first heart sound, 'Lub', is created by the closing of the atrioventricular (AV) valves at the beginning of systole (heart contraction).

Dub: What does it represent?

The second heart sound, 'Dub', is created by the closing of the semilunar valves at the beginning of diastole (heart relaxation).

Auscultation of the Heart

The process of listening to sounds within the body, specifically focusing on the heart, using a stethoscope.

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Cardiac Innervation: Sensory

Visceral sensory information related to blood pressure and blood composition is carried by chemoreceptors and baroreceptors to the CNS.

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Cardiac Conduction System

Specialized cardiac muscle cells that coordinate contraction of atria and ventricles, ensuring efficient and unidirectional excitation and contraction.

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Sinoatrial (SA) Node

Located at the crista terminalis near the superior vena cava (SVC) and right atrium, this node is the primary pacemaker of the heart, initiating each heartbeat.

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Atrioventricular (AV) Node

Situated at the opening of the coronary sinus, it relays electrical impulses from the atria to the ventricles.

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Atrioventricular Bundle

A specialized bundle of conductive fibers extending from the AV node, dividing into left and right bundle branches, which distribute impulses to the ventricular walls.

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Left and Right Bundle Branches

Subdivisions of the atrioventricular bundle, these branches further divide into Purkinje fibers, allowing for synchronized contraction of the ventricular myocardium.

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Cardiac Innervation

The autonomic nervous system controls heart rate and force of contraction.

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Sympathetic Cardiac Innervation

Sympathetic nerves increase heart rate and force of contraction.

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Parasympathetic Cardiac Innervation

Parasympathetic nerves decrease heart rate and force of contraction.

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Cardiac Plexus

Cardiac plexus is formed by parasympathetic (Vagus nerve) and sympathetic fibers.

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Referred Pain

Referred pain is when pain from internal organs is felt in another area of the body.

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Mechanism of Referred Pain

Somatic and visceral sensory neurons share pathways in the spinal cord leading to confusion in the sensory cortex.

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Cardiac Muscle Histology

Cardiac muscle is striated, branching, has large round nuclei, and has intercalated discs.

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Intercalated Discs

Intercalated discs are specialized junctions between cardiac muscle cells, allowing for efficient communication and synchronized contractions.

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Myofibrils

The functional unit of a muscle cell, containing the proteins responsible for contraction.

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Epicardium

The outer layer of the heart, composed of connective tissue, fat, nerves, and blood vessels.

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Myocardium

The middle layer of the heart, composed primarily of cardiac muscle tissue, responsible for the heart's pumping action.

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Endocardium

The inner layer of the heart, lining the chambers and composed of connective tissue and endothelium.

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Nucleus of cardiomyocytes

The nucleus of a cardiac muscle cell, located centrally within the cell.

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Cardiac muscle

Striated muscle tissue responsible for the rhythmic contractions of the heart.

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Study Notes

Cardiovascular II: Conduction, Histology, and Development

  • Course Learning Objectives (Cardiovascular): Recall the networks allowing gas and nutrient exchange throughout the body. Trace blood flow and identify related structures in the cardiovascular system.

Lecture Learning Objectives

  • 1. Trace the heart's conducting system, identifying the impulse-traveling structures
  • 2. Identify and describe the cardiac cycle events, focusing on diastole, systole, lub, and dub
  • 3. Recall the anatomical location for auscultating each heart chamber
  • 4. Describe the autonomic innervation of the heart (its origins and structures)
  • 5. Describe how referred pain from the heart affects dermatomes in the upper limb
  • 6. Visually identify histological structures and layers in cardiac muscle
  • 7. Describe major heart development events (heart tube formation, cardiac layers/walls/folding, heart partitioning, valve development)
  • 8. Trace primordial heart circulation

Heart Conduction

  • 1. Review associated heart structures
  • 2. Learn nervous conduction-associated structures, and their excitation order
  • 3. Integrate the above information

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