Cardiovascular System Overview

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Questions and Answers

What are the two sounds that are typically heard during a normal cardiac cycle?

  • S3 and S4
  • S2 and S4
  • S1 and S3
  • S1 and S2 (correct)

What is the primary function of the heart?

  • To filter blood
  • To produce hormones
  • To regulate body temperature
  • To transport blood throughout the body (correct)

What is the correct term for listening to the heart sounds?

  • Palpation
  • Percussion
  • Auscultation (correct)
  • Inspection

Which of the following valves close to generate the S1 sound?

<p>Right and left AV valves (D)</p> Signup and view all the answers

What is the primary factor that determines cardiac output?

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

Which sound is generated by the closure of the aortic and pulmonic valves?

<p>S2 (C)</p> Signup and view all the answers

When auscultating the heart of a large animal, where should the stethoscope be placed?

<p>Near the level of the elbow and as far cranially as possible (D)</p> Signup and view all the answers

Which heart sounds are typically NOT heard in dogs and cats?

<p>S3 and S4 (D)</p> Signup and view all the answers

What is the name of the vascular tumor commonly found in the right auricle?

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

What is the clinical significance of the sulci filled with fat on the surface of the heart?

<p>They help to define the borders of the ventricles. (C)</p> Signup and view all the answers

Which of these is NOT a characteristic of the vessels returning blood to the heart?

<p>They are thick and muscular. (A)</p> Signup and view all the answers

What is cardiac tamponade?

<p>A condition where the heart is unable to properly pump blood due to a buildup of fluid in the pericardial sac. (A)</p> Signup and view all the answers

What is the name of the valve located between the right atrium and right ventricle?

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

What is the name of the vessel that carries oxygen-rich blood from the lungs to the heart?

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

What is the name of the valve located between the left ventricle and the aorta?

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

Which structure carries deoxygenated blood from the body to the heart?

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

What is the name of the fluid that fills the space between the fibrous pericardium and the epicardium when a pericardial effusion occurs?

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

What is the main reason why pericardial effusion can lead to cardiac tamponade?

<p>The fibrous pericardium is unable to expand, restricting heart filling. (D)</p> Signup and view all the answers

What is the typical clinical sign observed in a patient with cardiac tamponade?

<p>Increased respiratory rate (A)</p> Signup and view all the answers

Which of the following structures is responsible for receiving deoxygenated blood from the body?

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

In which part of the heart does hemangiosarcoma typically originate?

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

What is the function of the pulmonary arteries in the circulatory system?

<p>Carry deoxygenated blood to the lungs (C)</p> Signup and view all the answers

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

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

Which specific part of the heart forms the apex?

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

What is the function of the fibrous layer of the pericardium?

<p>It provides a strong, external support structure for the heart. (C)</p> Signup and view all the answers

What is the name of the thin membranous lining that is found between the myocardium and the chambers of the heart?

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

What is the name of the condition caused by a bacterial infection and inflammation of the fibrous pericardium?

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

Which of these is NOT a characteristic of the pericardium?

<p>It is responsible for pumping blood throughout the body. (B)</p> Signup and view all the answers

What is the common name for traumatic reticulopericarditis in cattle?

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

How can hardware disease be prevented in cattle?

<p>Administering a magnet to the cow to prevent ingested wire from migrating into the reticulum or pericardium. (D)</p> Signup and view all the answers

Which layer of the heart is primarily responsible for the heart's ability to contract and pump blood?

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

What is the main function of the endocardium?

<p>To provide a smooth lining for the chambers of the heart, facilitating blood flow. (C)</p> Signup and view all the answers

Which of the following describes the order of the heart wall layers from outermost to innermost?

<p>Pericardium, Epicardium, Myocardium, Endocardium (D)</p> Signup and view all the answers

What is the primary cause of septic pericarditis in cattle?

<p>Ingestion of wire or other foreign objects (E)</p> Signup and view all the answers

What is the relationship between heart rate and stroke volume in cardiac output?

<p>Cardiac output is the product of heart rate and stroke volume. (C)</p> Signup and view all the answers

How does preload affect cardiac contraction?

<p>Increased preload results in increased cardiac contraction. (D)</p> Signup and view all the answers

What happens to the heart rate during exercise?

<p>Heart rate increases due to increased oxygen demand. (B)</p> Signup and view all the answers

What is the effect of increased afterload on cardiac output?

<p>Increased afterload leads to decreased cardiac output. (A)</p> Signup and view all the answers

Why do large animals have a lower heart rate compared to small animals?

<p>Large animals have a larger stroke volume. (E)</p> Signup and view all the answers

What is the primary factor that determines heart rate?

<p>The rate of spontaneous SA node depolarization. (A)</p> Signup and view all the answers

What is another name for Starling’s Law?

<p>Frank-Starling Law of the Heart (A)</p> Signup and view all the answers

What is the main role of the renin-angiotensin system in regulating blood pressure?

<p>Increasing blood volume by stimulating fluid retention. (D)</p> Signup and view all the answers

Which of the following is NOT a consequence of low blood pressure?

<p>Increased stroke volume (D)</p> Signup and view all the answers

What is the main function of valves in veins?

<p>To prevent the backflow of blood (B)</p> Signup and view all the answers

During a fight-or-flight response, which part of the autonomic nervous system is stimulated, leading to an increase in cardiac output?

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

What is the term for the graphical representation of the electrical activity of the heart?

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

Which of the following components is NOT present in the middle layer of the aortic wall?

<p>Fibrous outer layer (C)</p> Signup and view all the answers

Which of the following represents the repolarization of the ventricles on an electrocardiogram (ECG)?

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

What type of blood vessels carry blood away from the heart?

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

What is the name of the largest artery in the body?

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

Which type of blood vessel is responsible for exchanging oxygen and nutrients between the blood and tissues?

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

What is the primary function of the smooth muscle in blood vessel walls?

<p>To regulate blood pressure (C)</p> Signup and view all the answers

What condition results from the heart's inability to pump blood efficiently, leading to congestion?

<p>Congestive heart failure (B)</p> Signup and view all the answers

What type of medication is used to increase the strength of cardiac contractions in treating heart failure?

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

Which of the following is NOT a common symptom of left-sided heart failure?

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

What is the term for the condition where blood backs up from the heart into the systemic circulation, causing fluid accumulation in the body?

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

Which of the following statements is TRUE regarding congestive heart failure?

<p>Congestive heart failure can be medically managed to improve quality of life. (D)</p> Signup and view all the answers

Which of the following medications is commonly used to reduce fluid retention in patients with heart failure?

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

Flashcards

Right Auricle

The upper chamber of the right side of the heart that receives deoxygenated blood from the body.

Hemangiosarcoma

A vascular tumor commonly found in the right auricle, which can cause bleeding.

Cardiac Tamponade

A medical emergency where fluid accumulates around the heart, restricting its function.

Grooves of the Heart

Sulci filled with fat that outline the borders of the heart ventricles.

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Deoxygenated Blood

Blood that has low oxygen levels, returning to the heart from the body.

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Oxygenated Blood

Blood rich in oxygen returning from the lungs to the heart.

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Atrioventricular Values

Valves between atria and ventricles that control blood flow; includes tricuspid and mitral valves.

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Vessels Returning to the Heart

Blood vessels that carry blood back to the heart under low pressure with thinner walls.

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Pericardial Effusion

Fluid accumulation in the space between the fibrous pericardium and the epicardium, compressing the heart.

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Right Atrium

The chamber of the heart that receives deoxygenated blood from the body via the vena cavae.

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Tricuspid Valve

The valve between the right atrium and the right ventricle, preventing backflow of blood.

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Systole

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

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Atria and Ventricles

Atria are the upper chambers of the heart; ventricles are the lower chambers responsible for pumping blood.

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Pulmonary Arteries

Vessels that carry deoxygenated blood from the right ventricle to the lungs for oxygenation.

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Apex of the Heart

The pointed tip of the heart, formed by the ventricles and located at the bottom.

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Pericardium

The protective sac suspending the heart in the mediastinum.

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Fibrous pericardium

The outer layer of the pericardium that protects the heart.

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Serous pericardium

The inner portion of the pericardium with two layers: parietal and visceral.

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Epicardium

The inner layer of the serous pericardium closely attached to the heart muscle.

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Myocardium

The thickest layer of heart tissue, made of cardiac muscle.

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Endocardium

The thin lining between myocardium and heart chambers.

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Septic pericarditis

Bacterial infection/inflammation of the fibrous pericardium.

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Hardware disease

Traumatic reticulopericarditis caused by ingesting metal objects.

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Reticulum

The first chamber of a cow's stomach that can push ingested metal.

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Bolusing with magnets

Preventing hardware disease by giving magnets to cattle.

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PDA ligation

The surgical procedure to close the Patent Ductus Arteriosus (PDA) to prevent abnormal blood flow.

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Auscultation

The process of listening to heart, lung, or GI sounds using a stethoscope.

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Heart Sounds

Normal heart sounds consist of two primary sounds: S1 (lub) and S2 (dub), corresponding to heart valve closures.

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S1 heart sound

S1 is generated by the closure of the right and left atrioventricular valves at the start of ventricular contraction.

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S2 heart sound

S2 is produced by the closure of the aortic and pulmonic valves at the beginning of ventricular diastole.

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Cardiac Output

The volume of blood the heart pumps per minute, determined by stroke volume and heart rate.

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Stroke Volume

The amount of blood ejected by the heart with each beat, contributing to cardiac output.

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S3 and S4 sounds

Additional heart sounds that may occur in large animals but are typically not heard in dogs and cats, indicating rapid filling (S3) and atrial contraction (S4).

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Preload

The amount of blood in the heart before contraction.

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Heart Rate

The number of times the heart contracts in a minute.

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Afterload

The resistance the heart must overcome to eject blood.

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Starling’s Law

The principle that increased preload leads to stronger heart contractions.

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Positive Chronotropy

Increase in heart rate due to factors like exercise.

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Positive Inotropy

Increase in heart muscle contractility.

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Blood pressure

The force of blood against artery walls.

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Shock

A rapid drop in blood pressure that leads to decreased blood flow.

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Autonomic nervous system

Part of the nervous system that controls involuntary functions.

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Epinephrine

A hormone released during the fight or flight response that increases heart rate.

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Electrocardiogram (ECG)

A graphical representation of the heart's electrical activity.

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P wave

Represents the depolarization of the atria in an ECG.

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Aorta

The largest artery in the body that carries oxygenated blood from the heart.

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Congestive Heart Failure (CHF)

A condition in which the heart fails to pump effectively, causing fluid buildup.

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Diuretics

Medications that help eliminate excess fluid from the body.

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Vasodilators

Medications that widen blood vessels to improve blood flow.

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Pulmonary circulation

The movement of blood from the heart to the lungs and back.

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Valves in veins

Structures that prevent the backflow of blood in veins.

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Study Notes

Cardiovascular System

  • The heart acts as a pump, filling with blood and contracting to circulate it throughout the body, carrying oxygen and removing waste products.
  • The heart is enclosed by the lungs and protected by the ribs.
  • It is located within the mediastinum, a space between the pleural cavities of the lungs.

The Heart Wall

  • The pericardium is a sac-like structure surrounding the heart, encompassing an outer fibrous layer (protecting the heart and attached to the diaphragm) and an inner serous layer (comprising parietal and visceral layers).
  • The myocardium is the thickest layer of heart tissue, composed of cardiac muscle.
  • The heart chambers are lined with a thin membranous lining called the epicardium.

External Structures of the Heart

  • The heart is roughly triangular in shape, with the base positioned at the top and the apex at the bottom.
  • The right and left sides can be identified based on the auricle structures resembling ears.

External Structures of the Heart

  • The heart's structure is roughly triangular, with the base atop, and apex at the bottom.
  • Identifying the right and left sides is possible through the distinctive auricle structures (resembling ears).

Blood Flow

  • Deoxygenated blood from the body enters the right atrium via the cranial and caudal vena cava.
  • Blood flows from the right atrium into the right ventricle, then through the pulmonary valve into the pulmonary arteries and to the lungs.
  • Oxygenated blood re-enters the heart through the pulmonary veins, reaching the left atrium and then the left ventricle.
  • Contraction of the ventricles propels blood through the aortic valve into the aorta.

Internal Structures of the Heart

  • The tricuspid valve and the mitral valve regulate the blood's unidirectional flow.
  • Chordae tendineae are interwoven fibers connecting heart valve leaflets to papillary muscles, preventing backward flow.
  • The right ventricle includes a moderator band supporting its structure.
  • The pulmonary valve facilitates blood exit to the pulmonary arteries. The mitral and bicuspid valves ensure proper blood flow.

Cardiac Cycle

  • The cardiac cycle encompasses consecutive contraction and relaxation phases of the heart.
  • Systole denotes the contraction period when blood is expelled.
  • Diastole signifies relaxation where the heart refills with blood.
  • The sinoatrial (SA) node initiates the electrical signals triggering contractions.
  • The atrial-ventricular (AV) node delays signal transmission, allowing the atria to contract before the ventricles.
  • The bundle of His and Purkinje fibers transmit the electrical signals through the ventricles, causing their contraction.

Heart Sounds

  • Auscultation involves listening to heart sounds using a stethoscope.
  • Lub (S1) is produced by simultaneous closure of the AV valves (tricuspid and mitral).
  • Dub (S2) is triggered by the closing of the semilunar valves (aortic and pulmonary).
  • Additional sounds (S3 and S4) might be present and indicate potential heart issues.

Heart Rate and Cardiac Output

  • Cardiac output results from the heart rate and stroke volume.
  • Stroke volume is the quantity of blood the heart ejects each contraction.
  • The heart rate is the number of beats per minute.
  • Cardiac output is substantial in larger animals due to the high stroke volume. Factors like exercise can influence heart rate and cardiac output.

Fetal Circulation

  • A fetus receives oxygen from the mother's blood.
  • Fetal circulation diverts most blood away from the lungs via the foramen ovale and ductus arteriosus.
  • Oxygenated blood from the placenta reaches the fetus through the umbilical vein.
  • Blood travels through the ductus venosus, bypassing the liver, into the inferior vena cava.
  • The foramen ovale connects the atria, and the ductus arteriosus connects the pulmonary artery to the aorta, allowing blood to bypass the lungs.
  • These shunts eventually close after birth.

Congestive Heart Failure (CHF)

  • CHF is a condition arising from the heart's diminished ability to pump blood effectively.
  • Right-sided CHF results in systemic fluid buildup (ascites, edema) in the body.
  • Left-sided CHF leads to lung fluid buildup (pulmonary edema).
  • Treatment focuses on addressing underlying factors and improving cardiac function.

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