Cardiovascular System Overview
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Questions and Answers

Which of the following ions can block action potentials if present in excess?

  • Ca2+
  • Cl-
  • Na+
  • K+ (correct)

Hypertension leads to increased stroke volume (SV).

False (B)

What formula is used to determine maximal heart rate?

Maximal hr = 220 bpm - age (years)

Increased ventricular_ pressure requires the heart to generate higher blood pressure to push blood through semilunar valves.

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

Match the following terms with their correct descriptions:

<p>Preload = Volume of blood returning to the right ventricle Afterload = Pressure the ventricles must overcome to eject blood Contractility = Strength of myocardial contraction at a given preload Cardiac Hypertrophy = Enlargement of the heart due to increased workload</p> Signup and view all the answers

What is the primary function of the heart?

<p>Pump blood throughout the body (D)</p> Signup and view all the answers

The heart weighs more in males than in females.

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

What is the scientific study of the heart called?

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

The pointed tip of the heart is known as the _______.

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

Which structure protects the heart from overstretching?

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

Match the part of the pericardium with its characteristics:

<p>Fibrous pericardium = Inelastic dense irregular connective tissue Serous pericardium = More fragile than fibrous pericardium Parietal serous pericardium = Fused to the fibrous pericardium Visceral serous pericardium = Also known as the epicardium</p> Signup and view all the answers

The base of the heart points slightly to the right.

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

The heart is found in the ________ of the thoracic cavity.

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

What primarily maintains the resting membrane potential in human cells?

<p>Sodium-potassium pump (B)</p> Signup and view all the answers

The coronary arteries supply deoxygenated blood to the heart.

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

What is the main metabolic pathway used by cardiac muscle cells to generate ATP?

<p>Aerobic cellular respiration</p> Signup and view all the answers

During the relaxation of the heart, blood flows from the ascending aorta into the _______________ arteries.

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

Which part of the cardiac conduction system is known as the 'pacemaker' of the heart?

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

How many signals does the SA node fire per minute on average?

<p>Approximately 75</p> Signup and view all the answers

Cardiac muscle cells are more susceptible to tetanus than skeletal muscle cells.

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

Match the following parts of the heart with their primary function:

<p>Coronary arteries = Supply oxygenated blood to the heart Coronary veins = Drain deoxygenated blood from the heart Purkinje fibres = Stimulate ventricular contraction Sinoatrial node = Generate spontaneous action potentials</p> Signup and view all the answers

The coronary veins drain into the coronary _______________, which then empties into the right atrium.

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

What is a refractory period in cardiac muscle cells?

<p>Length of time that cell cannot respond to another action potential</p> Signup and view all the answers

What is primarily used as an energy source by cardiac muscle cells?

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

Elevation of creatine kinase in the blood can indicate myocardial infarctions.

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

What does ECG stand for?

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

The period when the heart is contracting is called systole.

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

Match the following heart sounds with their corresponding events:

<p>S1 = Blood turbulence as AV valves close S2 = Blood turbulence as semilunar valves close S3 = Blood turbulence during ventricular filling S4 = Blood turbulence during atrial filling</p> Signup and view all the answers

What is the average stroke volume (SV) in an average male?

<p>70 mL/beat (D)</p> Signup and view all the answers

Blood pressure decreases during ventricular systole.

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

What hormone is released by cardiac accelerator nerves?

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

Cardiac reserve is the difference between maximum cardiac output and resting cardiac output.

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

During the P wave of an ECG, which process occurs in the atrial muscle cells?

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

What is the primary function of the pericardial cavity?

<p>To reduce friction between the heart and its layers during contraction (C)</p> Signup and view all the answers

The myocardium is primarily made of skeletal muscle tissue.

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

What chamber of the heart receives deoxygenated blood from systemic circulation?

<p>Right atrium</p> Signup and view all the answers

The left ventricle pumps blood into the _____ through the aortic valve.

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

Match the heart valves with their types:

<p>Tricuspid valve = Atrioventricular valve Mitral valve = Atrioventricular valve Pulmonary valve = Semilunar valve Aortic valve = Semilunar valve</p> Signup and view all the answers

Which chamber of the heart is the thickest?

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

The endocardium lines the outside of the heart.

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

What prevents backflow of blood into the atria during ventricular contraction?

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

When the atria contract, blood moves into the ventricles due to _____ pressure in the atria.

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

Which of the following arteries branches from the pulmonary trunk?

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

Flashcards

Cardiovascular System

The system that circulates blood throughout the body, consisting of the heart, blood, and blood vessels.

Heart: The Body's Pump

The primary organ of the cardiovascular system, responsible for pumping blood throughout the body.

Cardiac Homeostasis

The stable state of the heart, involving its function and balance.

Apex of the Heart

The pointed tip of the heart, formed by the left ventricle, pointing slightly left.

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Base of the Heart

The opposite end of the heart from the apex, formed by the atria, angled posteriorly.

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Fibrous Pericardium

The outermost layer of the pericardium, made of dense, inelastic connective tissue, protecting the heart from overstretching.

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Serous Pericardium

The inner layer of the pericardium, divided into parietal and visceral layers, creating a lubricating sac around the heart.

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Visceral Serous Pericardium

The inner layer of the serous pericardium, directly surrounding the heart, also known as the epicardium.

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Cardiac Muscle Contraction

Cardiac muscle contraction requires the presence of potassium (K+), sodium (Na+), and calcium (Ca2+) ions. Excess K+ can block action potentials, excess Na+ can outcompete Ca2+ for cell entry, and excess Ca2+ can increase the rate and strength of heart contraction.

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Maximal Heart Rate

The maximum heart rate an individual can achieve is determined by age. The formula is: Maximal heart rate = 220 bpm - age (in years).

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Preload

Preload refers to the stretching of the heart muscle as it fills with blood. It's like stretching an elastic band - the more you stretch it, the more forcefully it will contract. Preload is influenced by the duration of diastole and venous return.

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Contractility

Contractility describes the strength of the heart muscle's contraction, given a specific preload. Positive inotropic agents promote calcium influx during action potentials, increasing the force of contraction. Negative inotropic agents decrease calcium influx or increase potassium efflux, reducing contraction force.

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Afterload

Afterload represents the pressure the heart muscle must overcome to push blood out of the ventricles and into the arteries. High blood pressure (hypertension) increases afterload, requiring the heart to work harder to pump blood against higher resistance.

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Epicardium

The outermost layer of the heart wall, also known as the visceral serous pericardium. A serous membrane consisting of mesothelium and connective tissue, rich in blood vessels and lymphatics, making the heart slippery.

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Myocardium

The thickest layer of the heart wall, composed of cardiac muscle tissue. It's responsible for the forceful contractions that pump blood throughout the body.

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Endocardium

The innermost layer of the heart wall, lining the chambers and valves. Made of endothelium, it reduces friction between blood and the heart.

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Atria

The two superior chambers of the heart, responsible for receiving blood from veins.

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Ventricles

The two inferior chambers of the heart, responsible for pumping blood into arteries.

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Coronary Sulcus

The groove that runs the boundary between the right atrium and right ventricle, containing coronary arteries and possibly fat.

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Interventricular Sulcus

The groove that runs the boundary between the left and right ventricles, containing coronary arteries and possibly fat.

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Atrioventricular Valves (AV Valves)

The valves located between the atria and ventricles. They are composed of flaps of tissue called cusps, preventing backflow of blood from ventricles into atria.

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Semilunar Valves

Valves located between the ventricles and the large arteries. They prevent backflow of blood from arteries into ventricles.

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Fibrous Skeleton of the Heart

Four rings of dense connective tissue that encircle the heart valves, fusing at the interventricular septum. It provides support, prevents valve overstretching, anchors cardiac muscles, and insulates electrically between atria and ventricles.

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What are the main energy sources for cardiac muscle cells?

Cardiac muscle cells primarily oxidize glucose (35%) and fatty acids (60%) for energy. They can also utilize lactic acid and directly generate ATP through creatine phosphate.

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What is creatine kinase?

Creatine kinase is an enzyme abundant in cardiomyocytes that helps generate ATP through the phosphorylation of creatine. Elevated levels in the blood can indicate myocardial infarction.

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Coronary Vessels

Blood vessels that supply the heart with oxygenated blood. These include coronary arteries, which carry oxygenated blood to the heart muscle, and coronary veins, which carry deoxygenated blood away from the heart muscle.

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What is systole?

Systole refers to the contraction phase of the heart chambers, either atria or ventricles, where blood is pumped out.

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Cardiac Muscle Tissue

Specialized muscle tissue found only in the heart that is responsible for the heart's pumping action. Characterized by branching cells, rich in mitochondria, and the presence of intercalated discs.

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What is diastole?

Diastole is the relaxation phase of the heart chambers, where the chambers fill with blood.

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Autorhythmicity

The ability of the heart to generate its own electrical impulses, allowing it to beat without external stimulation.

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What does an ECG measure?

An electrocardiogram (ECG) measures electrical currents generated by action potentials traveling through the heart muscle.

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Cardiac Conduction System

A specialized network of autorhythmic muscle cells within the heart that generates and conducts electrical impulses to coordinate heart contractions.

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What is the P wave on an ECG?

The P wave represents atrial depolarization, which triggers atrial systole. It signals the start of atrial contraction.

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What is the QRS complex on an ECG?

The QRS complex represents ventricular depolarization, triggering ventricular systole. It signifies the start of ventricular contraction.

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Sinoatrial (SA) Node

The primary pacemaker of the heart, located in the right atrium, responsible for initiating the electrical impulses that trigger heart beats.

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What is the T wave on an ECG?

The T wave represents ventricular repolarization, leading to ventricular diastole. It signals the start of ventricular relaxation.

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Intercalated Discs

Specialized junctions between cardiac muscle cells that allow for rapid communication and coordinated contraction. They contain desmosomes for strong adhesion and gap junctions for electrical coupling.

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Action Potential (Cardiac Muscle)

A rapid change in the electrical potential across the membrane of a cardiac muscle cell, responsible for initiating contraction. It has three phases: depolarization, plateau, and repolarization.

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What is cardiac output?

Cardiac output (CO) is the volume of blood pumped by the ventricles per minute. It's a measure of the heart's efficiency in delivering blood.

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Refractory Period

A period of time after an action potential during which a cardiac muscle cell cannot be stimulated again. This ensures adequate time for the heart to relax and refill with blood.

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What is stroke volume?

Stroke volume (SV) is the amount of blood pumped out of the ventricles with each beat.

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Tetanus (Cardiac Muscle)

Sustained muscle contraction not possible in cardiac muscle due to long refractory periods. This allows for the heart to relax and refill between contractions.

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Study Notes

Cardiovascular System Overview

  • Composed of the heart, blood, and blood vessels
  • The heart is a pump, propelling blood throughout the body
  • Averages ~100,000 beats/day; ~35 million/year; ~2.5 billion/lifetime
  • Cardiology is the study of the heart and its related functions
  • Heart size: roughly the size of a clenched fist (~250g in females; ~300g in males)
  • Located in the mediastinum of the thoracic cavity
  • Apex (pointed tip): rests on the diaphragm, formed by the inferior tip of the left ventricle
  • Base (opposite the apex): angled posteriorly, formed by the atria
  • Inferior surface sits on the diaphragm
  • Right surface faces the right lung
  • Left surface faces the left lung
  • Anterior surface faces the sternum

Pericardium

  • Wraps the heart, a double-layered sac
  • Fibrous pericardium: inelastic, dense irregular connective tissue; fused with central tendon; protects from overstretching and anchors the heart in the mediastinum
  • Serous pericardium: deep to the fibrous pericardium; more fragile; subdivided into:
    • Parietal serous pericardium: fused to fibrous pericardium
    • Visceral serous pericardium (epicardium): mesothelium + connective tissue; rich in blood vessels and lymphatics; makes the heart slippery
  • Pericardial cavity: space between parietal and visceral layers; filled with pericardial fluid to reduce friction during heart contractions

Heart Wall Layers

  • Epicardium (visceral serous pericardium): serous membrane (mesothelium + CT); rich in blood vessels and lymphatics
  • Myocardium: bulk (95%) of heart wall; cardiac muscle tissue; responsible for pumping blood forcefully
  • Endocardium: made of endothelium; lines the chambers and valves, continuous with blood vessel lining; reduces friction

Heart Chambers and Function

  • Four chambers: two atria (superior) and two ventricles (inferior)
  • Auricles: anterior “wings” of the atria that increase their volume
  • Atria receive blood from veins, ventricles pump blood into arteries
  • Right atrium receives deoxygenated blood from the superior vena cava, inferior vena cava, and coronary sinus, then pumps into the right ventricle through the tricuspid valve.
  • Right ventricle pumps deoxygenated blood to the pulmonary trunk (via pulmonary valve) to the lungs for oxygenation.
  • Left atrium receives oxygenated blood from the lungs via four pulmonary veins, then pumps into the left ventricle through the bicuspid (mitral) valve.
  • Left ventricle pumps oxygenated blood into the aorta (via aortic valve) to the body

Heart Valves

  • Atrioventricular (AV) valves (tricuspid and mitral): prevent backflow into atria during ventricular contraction. Cusps billow into ventricles during atrial contraction. Papillary muscles contract, pulling on the chordae tendineae, preventing eversion of the cusps and backflow.
  • Semilunar valves (pulmonary and aortic): permit blood to leave the heart and travel into arteries. Blood pressure in the ventricles is initially greater than in arteries. After ventricular contraction, blood pressure exceeds pressure in the ventricles and pushes the valves closed.

Coronary Circulation

  • Coronary vessels serve the heart by carrying oxygenated blood.
  • Coronary arteries receive blood from the ascending aorta when the heart is at rest
  • Coronary veins collect deoxygenated blood containing metabolic wastes, which then drain into the coronary sinus and ultimately empty into the right atrium.

Cardiac Muscle Tissue and Conduction System

  • Cardiac muscle cells: branching, mononucleated, striated; rich in mitochondria; intercalated discs facilitate coordinated contraction; exhibit autorhythmicity, with T-tubules wider than skeletal muscle, but less numerous
  • Cardiac conduction system: 1% of cardiac muscle fibres become autorhythmic during embryonic development.
  • Electrical signals follow a specific path to stimulate contraction: SA (sinoatrial) node (pacemaker), AV (atrioventricular) node, AV bundle (bundle of His), Bundle branches, Purkinje fibres.

Cardiac Action Potentials

  • Action potentials are electrochemical signals that travel along membranes of electrically-excitable cells.
  • Three phases:
    • Depolarization: Na+ channels open, reversing membrane potential to positive; plateau: Ca2+ channels open, prolonged depolarization; Repolarization: K+ channels open, restoring resting membrane potential.
  • Refractory period: a time when cell cannot respond; longer than cardiac muscle contraction.

Cardiac Cycle

  • Systole: contraction of atria or ventricles

  • Diastole: relaxation of atria or ventricles

  • ECG (electrocardiogram): recorded change in electrical currents during action potentials

  • Three waves:

    • P wave: atrial depolarization, stimulates atrial systole
    • QRS complex: ventricular depolarization, stimulates ventricular systole
    • T wave: ventricular repolarization, leads to ventricular diastole
  • Heart sounds (S1, S2): turbulence due to valve closure

Cardiac Output (CO)

  • CO: volume of blood pumped per minute (L/min) = stroke volume (SV, L/beat) x heart rate (HR, beats/min)
  • Regulation of cardiac output: CO is regulated by the ANS, higher brain centers, sensory inputs (proprioceptors, baroreceptors, and chemoreceptors), hormones, electrolytes (K+, Na+, and Ca2+) and age, gender, physical fitness, and temperature
  • Cardiac accelerator nerves stimulate norepinephrine release (sympathetic), increasing HR, SV, and CO; vagus nerves stimulate acetylcholine release (parasympathetic), decreasing HR and CO

Exercise and the Heart

  • Exercise increases maximal cardiac output (average: 5–7 L/min), and strengthens bones and muscles.
  • Cardiac hypertrophy (enlarged heart) may be seen in athletes as well as hypertension.

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Description

Explore the key components and functions of the cardiovascular system, including the heart, blood, and blood vessels. Understand the anatomy of the heart, its location, and the protective role of the pericardium. This quiz will test your knowledge of cardiology fundamentals.

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