Cardiovascular System Anatomy and Physiology Overview

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Questions and Answers

Which of the following is NOT a chamber of the heart?

  • Right ventricle
  • Right atrium (correct)
  • Left ventricle
  • Left atrium

What is the function of the atrioventricular valves?

  • To prevent backflow of blood from the ventricles to the atria (correct)
  • To regulate the pressure in the heart chambers
  • To control the flow of blood from the atria to the ventricles
  • To pump blood out of the heart

What is the name of the thin layer of endothelial tissue that lines the inner surface of the heart chambers and valves?

  • Epicardium
  • Myocardium
  • Endocardium (correct)
  • Pericardium

What is the function of the semilunar valves?

<p>To prevent backflow of blood from the arteries to the ventricles (D)</p> Signup and view all the answers

Which of these is NOT a function of the valves in the heart?

<p>Contracting and relaxing to pump blood (A)</p> Signup and view all the answers

What is the name of the valve that separates the right atrium from the right ventricle?

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

What is the term for the heart's filling phase?

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

Which valve is also known as the bicuspid valve?

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

From which chamber of the heart does the blood flow into the pulmonary artery?

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

Which structure is responsible for generating and pacing the electrical impulse for heart contractions?

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

What happens to the blood as it passes through the lungs?

<p>It becomes oxygenated. (D)</p> Signup and view all the answers

Which valve prevents blood from flowing back into the left atrium?

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

What is the function of the portal vein?

<p>To carry blood from the digestive tract to the liver. (B)</p> Signup and view all the answers

Which of the following statements is TRUE regarding the heart's conduction system?

<p>The electrical impulse travels through the atria before reaching the ventricles. (D)</p> Signup and view all the answers

What is the role of the aortic valve?

<p>To prevent blood from flowing back into the aorta. (C)</p> Signup and view all the answers

Which of the following is NOT a component of the heart's conduction system?

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

What is the typical sound description associated with the second heart sound?

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

Which of the following statements correctly describes the timing of the third heart sound (S3)?

<p>It occurs during the rapid filling phase of diastole. (A)</p> Signup and view all the answers

What is the primary role of cholesterol in the body?

<p>To serve as a component of cell membranes and precursor for hormone production. (A)</p> Signup and view all the answers

When is cholesterol synthesis typically at its highest rate?

<p>At night, during periods of rest. (A)</p> Signup and view all the answers

Why is an elevated fourth heart sound (S4) concerning in individuals over 30 years of age?

<p>It signals a stiff or noncompliant ventricle, making filling difficult. (A)</p> Signup and view all the answers

Which of the following conditions is NOT typically associated with an elevated fourth heart sound (S4)?

<p>Mitral valve prolapse (A)</p> Signup and view all the answers

What is the primary role of triglycerides in the body?

<p>To serve as a readily available source of energy. (B)</p> Signup and view all the answers

What is the relationship between total cholesterol and triglycerides?

<p>Total cholesterol is equal to the sum of LDL, HDL, and approximately one-fifth of the triglycerides. (C)</p> Signup and view all the answers

What is the primary function of the sinoatrial node in the cardiac system?

<p>To initiate electrical impulses for heartbeats (B)</p> Signup and view all the answers

Which component of the cardiac conduction system is responsible for delaying the impulse before it moves to the ventricles?

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

What does the QRS complex represent in an electrocardiogram?

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

During which phase of the cardiac cycle does rapid filling of the ventricles occur?

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

What is the significance of the heart sounds S1 and S2?

<p>They mark the closing of heart valves during the cardiac cycle (C)</p> Signup and view all the answers

Which structure is responsible for rapidly conducting electrical impulses throughout the ventricles?

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

During which phase does isometric relaxation occur in the cardiac cycle?

<p>Immediately after ventricular ejection (C)</p> Signup and view all the answers

What does the PR interval on an electrocardiogram signify?

<p>Time between atrial depolarization and ventricular depolarization (C)</p> Signup and view all the answers

What is the primary function of the foramen ovale in fetal circulation?

<p>To connect the right atrium to the left atrium (C)</p> Signup and view all the answers

What happens to the ductus arteriosus at birth?

<p>It closes, isolating pulmonary and systemic blood vessels (A)</p> Signup and view all the answers

After birth, how does the positioning of the heart change in infants compared to adults?

<p>It remains horizontal longer in development (B)</p> Signup and view all the answers

What cardiovascular condition is associated with genetic factors in children?

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

What circulatory changes occur when a baby takes its first breath?

<p>Separation of pulmonary and systemic circulation (A)</p> Signup and view all the answers

What does decreased elasticity in blood vessels due to aging primarily affect?

<p>The maximum cardiac output of the heart (B)</p> Signup and view all the answers

Why is early detection of hyperlipidemia important in children?

<p>To reduce the risk of cardiovascular events at a younger age (A)</p> Signup and view all the answers

What structural feature of the heart allows fetal blood circulation to bypass the lungs?

<p>The foramen ovale (D)</p> Signup and view all the answers

What cardiovascular change occurs in pregnant patients regarding blood volume?

<p>Increases by 30% to 40% (B)</p> Signup and view all the answers

What is the primary cause of angina pectoris?

<p>Temporary oxygen insufficiency (D)</p> Signup and view all the answers

How does the heart rate typically change during pregnancy?

<p>Increases by approximately 10 to 15 bpm (A)</p> Signup and view all the answers

What type of angina occurs primarily when the workload of the heart increases?

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

What is the change in cholesterol levels during pregnancy?

<p>Increases by approximately 30 to 40 mg/dL (C)</p> Signup and view all the answers

What is the characteristic feature of unstable angina?

<p>Occurs only at rest and is unpredictable (C)</p> Signup and view all the answers

What happens to triglyceride levels during pregnancy?

<p>Increases by approximately 150 mg/dL (C)</p> Signup and view all the answers

What is the overall cardiac output change during pregnancy?

<p>Increases due to higher stroke volume (B)</p> Signup and view all the answers

Flashcards

Endocardium

The thin layer of endothelial tissue lining the heart chambers and valves.

Heart Chambers

The heart consists of two atria and two ventricles: left and right.

Cardiac Septum

The blood-tight partition separating the left and right heart.

Atrioventricular Valves

Valves that separate atria and ventricles, preventing backflow.

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Diastole

The heart's filling phase when valves allow blood to flow into the ventricles.

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Semilunar Valves

Valves located between the ventricles and arteries: pulmonic and aortic.

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Systole

The phase of the heartbeat when the heart contracts and pumps blood.

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Murmur

An abnormal heart sound caused by turbulent blood flow.

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Atrioventricular node

A node that transmits electrical impulses between the atria and ventricles of the heart.

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Sinoatrial node

The heart's natural pacemaker that initiates the heartbeat.

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Bundle of His

A collection of heart muscle cells that transmits impulses from the AV node to the ventricles.

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Purkinje fibers

Fibers that carry the action potential to the myocardial cells of the ventricles.

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QRS complex

The part of an ECG representing ventricular depolarization.

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Heart sounds

Sounds made during the heartbeat, typically described as 'lub' and 'dub'.

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Pulmonic Valve

A heart valve that allows blood to flow from the right ventricle to the pulmonary artery.

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Pulmonary Arteries

Blood vessels that carry deoxygenated blood from the heart to the lungs.

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Pulmonary Veins

Blood vessels that carry oxygenated blood from the lungs back to the heart's left atrium.

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Mitral Valve

A valve that controls blood flow between the left atrium and the left ventricle.

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Left Ventricle

The chamber of the heart responsible for pumping oxygenated blood to the body.

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Cardiac Cycle

The sequence of events in the heart during one heartbeat, including contraction and relaxation.

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Second Heart Sound (S2)

The sound produced when the semilunar valves close, commonly known as 'dub.'

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Third Heart Sound (S3)

An extra heart sound heard during rapid ventricular filling; normal in younger individuals but indicates overload in older adults.

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Fourth Heart Sound (S4)

An extra heart sound during atrial contraction; indicates decreased compliance in older adults.

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Total Cholesterol

The sum of LDL, HDL, and a portion of triglycerides in the blood.

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Low-Density Lipoprotein (LDL)

Often referred to as 'bad cholesterol,' contributing to plaque buildup in arteries.

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High-Density Lipoprotein (HDL)

Known as 'good cholesterol' because it helps remove other forms of cholesterol from the bloodstream.

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Triglycerides

A type of fat found in the blood, important for energy storage but can cause problems if elevated.

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Volume Overload Conditions

Conditions causing extra workload on the heart, leading to abnormal heart sounds like S3 and S4.

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Foramen Ovale

A gap between the atria allowing fetal blood flow from right to left atrium.

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Ductus Arteriosus

A vessel connecting pulmonary artery to aorta in fetal circulation.

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Pulmonary Circulation

Blood flow from the heart to the lungs and back for oxygenation.

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Systemic Circulation

Blood flow from the heart throughout the body and back.

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Cardiac Output

The volume of blood pumped by the heart per minute.

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Arteriosclerosis

The thickening and hardening of arterial walls with age.

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Horizontal Heart Position

The position of an infant's heart is more horizontal than in adults.

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Hyperlipidemia

High levels of fat in the blood, which can be genetic.

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HDL Cholesterol

High-Density Lipoprotein cholesterol, often called 'good' cholesterol, helps remove other forms of cholesterol from the bloodstream.

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Triglycerides in Men

Levels of triglycerides in men increase until age 50 and then decline.

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Total Blood Volume in Pregnancy

During pregnancy, total blood volume increases by 30% to 40% due to various cardiovascular changes.

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Angina Pectoris

Intermittent chest pain caused by temporary oxygen deficiency and myocardial ischemia.

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Stable Angina

A type of angina that occurs during increased heart workload such as exertion or stress.

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Unstable Angina

A form of angina that is unpredictable and occurs even at rest, indicating more severe heart conditions.

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Cholesterol Increase During Pregnancy

In pregnancy, cholesterol levels increase by approximately 30 to 40 mg/dL.

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Preferred Therapy in Pregnancy

Dietary therapy is preferred over drug therapy for pregnant patients experiencing heart issues.

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Study Notes

Cardiovascular System Anatomy and Physiology Overview

  • The circulatory system includes arteries (carry blood away from the heart) and veins (carry blood back to the heart).
  • It's arranged in two loops: pulmonary circulation (lungs) and systemic circulation (body).
  • The heart rhythmically pumps blood, delivering nutrients and removing waste products from organs.

Heart Structure

  • The heart wall is made of layers: pericardium (protective sac), myocardium (muscular wall), and endocardium (inner lining).
  • The heart has four chambers: two atria (thin-walled reservoirs) and two ventricles (muscular pumping chambers).
  • The atria and ventricles are separated by valves (tricuspid and mitral in the atrioventricular valves; and pulmonary and aortic in the semilunar valves) which prevent backflow of blood.
  • The cardiac septum separates the left and right sides of the heart.

Circulation

  • Deoxygenated blood returns to the heart via the superior and inferior vena cava, entering the right atrium.
  • Blood flows through the tricuspid valve into the right ventricle, then through the pulmonary valve to the lungs.
  • The lungs oxygenate the blood, which returns to the left atrium via the pulmonary veins.
  • Blood flows through the mitral valve into the left ventricle, then through the aortic valve to the aorta, distributing oxygenated blood to the body.

Conduction System

  • The heart functions autonomously with an intrinsic electrical conduction system.
  • The sinoatrial (SA) node initiates the electrical impulse, which travels through the atria to the atrioventricular (AV) node.
  • The AV node delays the impulse, then the impulse travels through the AV bundle and Purkinje fibers, stimulating ventricular contraction.

Cardiac Cycle

  • The cardiac cycle involves diastole (relaxation, filling) and systole (contraction, pumping).
  • The AV valves open during diastole, allowing blood to passively fill the ventricles.
  • Ventricular contraction (systole) pushes blood through the semilunar valves into the arteries.
  • Heart sounds (S1 and S2) are created by the closing of heart valves.
  • An ECG measures the electrical activity of the heart.

Coronary Heart Disease (CHD)

  • Coronary heart disease is a condition where plaque (fatty deposits) builds up in the coronary arteries.
  • This narrowing reduces blood supply to the heart, leading to ischemia (lack of oxygen).
  • Risk factors for CHD include smoking, hypertension, high cholesterol, family history, and age.
  • Common symptom is angina pectoris (chest pain).

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