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Questions and Answers
What part of the heart forms the apex?
What part of the heart forms the apex?
- The inferolateral part of the left ventricle (correct)
- The right atrium
- The left atrium
- The inferolateral part of the right ventricle
Where is the apex of the heart located in relation to the midsternal line?
Where is the apex of the heart located in relation to the midsternal line?
- 8 to 9 cm from the midsternal line (correct)
- 10 to 11 cm from the midsternal line
- 5 to 6 cm from the midsternal line
- 3 to 4 cm from the midsternal line
What primarily composes the anterior surface of the heart?
What primarily composes the anterior surface of the heart?
- The left atrium
- The right ventricle (correct)
- The left ventricle
- The right atrium
Which intercostal space is directly above the apex of the heart?
Which intercostal space is directly above the apex of the heart?
Which surface features some right atrium as well as left ventricle?
Which surface features some right atrium as well as left ventricle?
When is intervention usually indicated for valvular lesions?
When is intervention usually indicated for valvular lesions?
What are the possible interventions for valvular lesions?
What are the possible interventions for valvular lesions?
What condition leads to rheumatic heart disease?
What condition leads to rheumatic heart disease?
What primarily causes the heart valve damage in rheumatic heart disease?
What primarily causes the heart valve damage in rheumatic heart disease?
Which of the following statements about rheumatic heart disease is true?
Which of the following statements about rheumatic heart disease is true?
How soon after a streptococcal infection can valve damage begin in rheumatic heart disease?
How soon after a streptococcal infection can valve damage begin in rheumatic heart disease?
Which treatment method for valvular lesions is performed percutaneously?
Which treatment method for valvular lesions is performed percutaneously?
What factor influences ongoing valve damage in rheumatic heart disease?
What factor influences ongoing valve damage in rheumatic heart disease?
What primarily distinguishes muscular arteries from elastic arteries?
What primarily distinguishes muscular arteries from elastic arteries?
What is the primary function of the abundant elastic fibers in elastic arteries?
What is the primary function of the abundant elastic fibers in elastic arteries?
Which of the following statements about arterioles is true?
Which of the following statements about arterioles is true?
How does blood pressure affect the function of arteries as it flows from the heart?
How does blood pressure affect the function of arteries as it flows from the heart?
What is another name for elastic arteries?
What is another name for elastic arteries?
Which characteristic of muscular arteries makes them effective for vasoconstriction?
Which characteristic of muscular arteries makes them effective for vasoconstriction?
What is the primary role of muscular arteries in the circulatory system?
What is the primary role of muscular arteries in the circulatory system?
What transition occurs from elastic arteries to muscular arteries?
What transition occurs from elastic arteries to muscular arteries?
What is the primary function of the liver regarding materials brought by the hepatic portal vein?
What is the primary function of the liver regarding materials brought by the hepatic portal vein?
Which statement accurately describes a metarteriole?
Which statement accurately describes a metarteriole?
What distinguishes venules from capillaries?
What distinguishes venules from capillaries?
What is the composition of the wall of a venule?
What is the composition of the wall of a venule?
How do postcapillary venules function in relation to capillary beds?
How do postcapillary venules function in relation to capillary beds?
What distinguishes fenestrated capillaries from other types of capillaries?
What distinguishes fenestrated capillaries from other types of capillaries?
Why is blood flow through sinusoid capillaries considered slow?
Why is blood flow through sinusoid capillaries considered slow?
Which of the following locations are fenestrated capillaries commonly found?
Which of the following locations are fenestrated capillaries commonly found?
What is a key function of sinusoid capillaries?
What is a key function of sinusoid capillaries?
Which structure is NOT typically associated with fenestrated capillaries?
Which structure is NOT typically associated with fenestrated capillaries?
How do sinusoid capillaries facilitate the function of bone marrow?
How do sinusoid capillaries facilitate the function of bone marrow?
What effect does the degree of permeability in fenestrated capillaries have?
What effect does the degree of permeability in fenestrated capillaries have?
Which of the following statements about sinusoid capillaries is incorrect?
Which of the following statements about sinusoid capillaries is incorrect?
What is the primary function of the fossa ovalis in the right atrium?
What is the primary function of the fossa ovalis in the right atrium?
Which vessels deliver blood to the right atrium?
Which vessels deliver blood to the right atrium?
What anatomical structure separates the right atrium and left atrium?
What anatomical structure separates the right atrium and left atrium?
How does the tricuspid valve function during ventricular contraction?
How does the tricuspid valve function during ventricular contraction?
What is the term for the outflow tract of the right ventricle leading to the pulmonary trunk?
What is the term for the outflow tract of the right ventricle leading to the pulmonary trunk?
What role does the foramen ovale play in fetal circulation?
What role does the foramen ovale play in fetal circulation?
What is the functional significance of the limbus fossa ovalis?
What is the functional significance of the limbus fossa ovalis?
Where does blood from the walls of the heart itself return to?
Where does blood from the walls of the heart itself return to?
What symptom is commonly associated with an acute myocardial infarction (AMI)?
What symptom is commonly associated with an acute myocardial infarction (AMI)?
Which diagnostic method is NOT typically used for detecting myocardial infarction?
Which diagnostic method is NOT typically used for detecting myocardial infarction?
Which treatment option is primarily administered to improve blood supply to the heart during an MI?
Which treatment option is primarily administered to improve blood supply to the heart during an MI?
What is the immediate goal of treatment for a myocardial infarction?
What is the immediate goal of treatment for a myocardial infarction?
Which of these signs indicates possible myocardial infarction?
Which of these signs indicates possible myocardial infarction?
What is the primary component that makes up the outer layer of the pericardium?
What is the primary component that makes up the outer layer of the pericardium?
Which layer of the serous pericardium directly adheres to the heart?
Which layer of the serous pericardium directly adheres to the heart?
What is the significance of the pericardial cavity?
What is the significance of the pericardial cavity?
Which statement correctly describes the relationship between the layers of the serous pericardium?
Which statement correctly describes the relationship between the layers of the serous pericardium?
What is found between the parietal and visceral layers of the serous pericardium?
What is found between the parietal and visceral layers of the serous pericardium?
What is the main function of the right side of the heart?
What is the main function of the right side of the heart?
Which chamber of the heart is primarily responsible for pumping oxygenated blood to the body?
Which chamber of the heart is primarily responsible for pumping oxygenated blood to the body?
What anatomical feature separates the right atrium from the left atrium?
What anatomical feature separates the right atrium from the left atrium?
Which surface of the heart faces the left lung?
Which surface of the heart faces the left lung?
What does the coronary sulcus contain?
What does the coronary sulcus contain?
What are the heart's internal partitions primarily responsible for?
What are the heart's internal partitions primarily responsible for?
Which characteristic best describes the right pulmonary surface of the heart?
Which characteristic best describes the right pulmonary surface of the heart?
What structure separates the ventricles in the heart?
What structure separates the ventricles in the heart?
What is the primary function of the aorta in the circulatory system?
What is the primary function of the aorta in the circulatory system?
At what level does the aorta bifurcate into the common iliac arteries?
At what level does the aorta bifurcate into the common iliac arteries?
Which of the following correctly describes the ascending aorta?
Which of the following correctly describes the ascending aorta?
What does the aortic arch primarily connect?
What does the aortic arch primarily connect?
From which level does the thoracic aorta span?
From which level does the thoracic aorta span?
What structures arise from the left and right aortic sinuses?
What structures arise from the left and right aortic sinuses?
What defines the aorta as a large elastic artery?
What defines the aorta as a large elastic artery?
Which direction does the aortic arch curve?
Which direction does the aortic arch curve?
Under what specific circumstances is intervention indicated in valvular lesions?
Under what specific circumstances is intervention indicated in valvular lesions?
What are the potential treatment options for valvular lesions?
What are the potential treatment options for valvular lesions?
What is the primary cause of heart valve damage in rheumatic heart disease?
What is the primary cause of heart valve damage in rheumatic heart disease?
How quickly can heart valve damage begin after a streptococcal infection?
How quickly can heart valve damage begin after a streptococcal infection?
Which complication arises from rheumatic fever that leads to rheumatic heart disease?
Which complication arises from rheumatic fever that leads to rheumatic heart disease?
Which characteristic most accurately reflects rheumatic heart disease?
Which characteristic most accurately reflects rheumatic heart disease?
What type of intervention might be performed if valvuloplasty is deemed unnecessary?
What type of intervention might be performed if valvuloplasty is deemed unnecessary?
What impact does an inflammatory response have on heart valves in rheumatic heart disease?
What impact does an inflammatory response have on heart valves in rheumatic heart disease?
What is the primary role of the sinoatrial node in the heart?
What is the primary role of the sinoatrial node in the heart?
Which of the following best describes the function of the AV node in the heart's conduction system?
Which of the following best describes the function of the AV node in the heart's conduction system?
What observable feature on an ECG corresponds to the contraction of the atria?
What observable feature on an ECG corresponds to the contraction of the atria?
What would likely happen without the delay caused by the AV node?
What would likely happen without the delay caused by the AV node?
The purpose of Purkinje fibers in the heart's conduction system is to:
The purpose of Purkinje fibers in the heart's conduction system is to:
What does the spreading of electrical activity through the ventricular myocardium produce on the ECG?
What does the spreading of electrical activity through the ventricular myocardium produce on the ECG?
How does electrical conduction through Bachmann's bundle influence heart function?
How does electrical conduction through Bachmann's bundle influence heart function?
Which segment on the ECG is primarily formed by the delay at the AV node?
Which segment on the ECG is primarily formed by the delay at the AV node?
Flashcards
Rheumatic Heart Disease
Rheumatic Heart Disease
A condition where heart valves are permanently damaged by rheumatic fever.
Valve Damage Cause
Valve Damage Cause
Untreated strep throat or scarlet fever can lead to valve damage.
Immune Response
Immune Response
An inflammatory response from the body damages the valves.
Valve Intervention
Valve Intervention
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Intervention Indication
Intervention Indication
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Valvuloplasty
Valvuloplasty
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Valve Replacement
Valve Replacement
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Percutaneous Intervention
Percutaneous Intervention
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Fenestrated Capillary
Fenestrated Capillary
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Fenestrations
Fenestrations
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Sinusoid Capillary
Sinusoid Capillary
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Permeability
Permeability
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Blood flow in sinusoid
Blood flow in sinusoid
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Location of fenestrated capillaries
Location of fenestrated capillaries
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Location of sinusoid capillaries
Location of sinusoid capillaries
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Function of sinusoid capillaries
Function of sinusoid capillaries
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Right Atrium Blood Entry
Right Atrium Blood Entry
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Right Atrioventricular Orifice
Right Atrioventricular Orifice
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Tricuspid Valve
Tricuspid Valve
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Interatrial Septum
Interatrial Septum
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Fossa Ovalis
Fossa Ovalis
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Foramen Ovale
Foramen Ovale
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Conus Arteriosus (Infundibulum)
Conus Arteriosus (Infundibulum)
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Right Ventricle Function
Right Ventricle Function
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Heart Apex Location
Heart Apex Location
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Heart Anterior Surface
Heart Anterior Surface
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Apex of the Heart
Apex of the Heart
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Heart Surfaces
Heart Surfaces
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Heart Position
Heart Position
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Metarteriole
Metarteriole
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Capillary Bed
Capillary Bed
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Venule
Venule
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Why does the liver need sinusoid capillaries?
Why does the liver need sinusoid capillaries?
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Elastic Artery
Elastic Artery
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Muscular Artery
Muscular Artery
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Elastic Artery vs. Muscular Artery
Elastic Artery vs. Muscular Artery
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Conducting Artery
Conducting Artery
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Distributing Artery
Distributing Artery
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Tunica Media in Arterioles
Tunica Media in Arterioles
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Endothelial Lining
Endothelial Lining
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Why is valvular intervention needed?
Why is valvular intervention needed?
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What types of valvular interventions exist?
What types of valvular interventions exist?
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What causes damage in rheumatic heart disease?
What causes damage in rheumatic heart disease?
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How does damage occur in rheumatic heart disease?
How does damage occur in rheumatic heart disease?
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What happens during an inflammatory response in rheumatic heart disease?
What happens during an inflammatory response in rheumatic heart disease?
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What is 'valvuloplasty'?
What is 'valvuloplasty'?
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How does this relate to the testing effect?
How does this relate to the testing effect?
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Pericardium
Pericardium
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Serous Pericardium
Serous Pericardium
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Pericardial Cavity
Pericardial Cavity
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Fibrous Pericardium
Fibrous Pericardium
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Epicardium
Epicardium
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What are the external grooves of the heart called?
What are the external grooves of the heart called?
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What separates the atria from the ventricles?
What separates the atria from the ventricles?
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What does the right pump of the heart do?
What does the right pump of the heart do?
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What does the left pump of the heart do?
What does the left pump of the heart do?
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What structures divide the heart into four chambers?
What structures divide the heart into four chambers?
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AMI Chest Pain
AMI Chest Pain
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AMI Symptoms
AMI Symptoms
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What are cardiac enzymes?
What are cardiac enzymes?
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Time is [heart] muscle
Time is [heart] muscle
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Nitroglycerin Use
Nitroglycerin Use
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Aorta
Aorta
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Ascending Aorta
Ascending Aorta
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Aortic Arch
Aortic Arch
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Thoracic Aorta
Thoracic Aorta
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Abdominal Aorta
Abdominal Aorta
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Aortic Sinuses
Aortic Sinuses
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Coronary Arteries
Coronary Arteries
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Common Iliac Arteries
Common Iliac Arteries
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SA Node
SA Node
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P Wave
P Wave
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AV Node Delay
AV Node Delay
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QRS Complex
QRS Complex
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What is the function of the Purkinje Fibers?
What is the function of the Purkinje Fibers?
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What is the role of the Bundle Branches?
What is the role of the Bundle Branches?
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Myocardium Stimulation
Myocardium Stimulation
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What is the significance of electrical conduction in the heart?
What is the significance of electrical conduction in the heart?
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Study Notes
Learning Objectives
- Describe and discuss the heart and associated structures.
- Identify parts of the heart, arteries, and veins using a model.
- Discuss blood circulation throughout the body.
- Trace blood flow from one structure to another.
Cardiovascular System
- The cardiovascular system is a closed system of the heart and blood vessels.
- The heart pumps blood through a closed system of blood vessels.
- Blood vessels allow blood to circulate throughout the body.
- Arteries (usually red) carry oxygen-rich blood away from the heart to capillaries within tissues.
- Veins (usually blue) carry oxygen-poor blood to the heart from the capillaries.
- Capillaries are the smallest vessels within tissues where gas exchange occurs.
- The cardiovascular system delivers oxygen and nutrients to tissues and removes carbon dioxide and waste products.
Middle Mediastinum
- Centrally located in the thoracic cavity.
- Contains the pericardium, heart, major vessels, nerves, and smaller vessels.
- It's located between superior, anterior, inferior, and posterior mediastinum.
Pericardium
- A fibroserous sac surrounding the heart and major vessels.
- Composed of fibrous and serous pericardium.
- Fibrous pericardium is a tough outer layer defining middle mediastinum boundaries.
- Serous pericardium is thin and has two layers:
- Parietal layer lines the inner surface of the fibrous pericardium.
- Visceral layer (epicardium) adheres to the heart.
- The pericardial cavity is a narrow space between serous layers containing pericardial fluid for heart movement.
- Phrenic nerves and pericardiacophrenic vessels supply and innervate the fibrous pericardium.
Fibrous Pericardium
- Cone-shaped bag with base on diaphragm and apex continuous with major vessel adventitia.
- Attached to:
- Central tendon and a muscular diaphragm area (left).
- Posterior sternum via sternopericardial ligaments.
- These attachments maintain heart position and limit cardiac distention.
- The fibrous pericardium is supplied by the phrenic nerves, originating from spinal cord levels C3-C5, and by blood vessels, including the pericardiacophrenic vessels
Serous Pericardium
- Parietal layer is continuous with the visceral layer at major vessel roots.
- Supplied by branches from the internal thoracic, pericardiacophrenic, musculophrenic, inferior phrenic arteries, and thoracic aorta.
- Drained by veins that enter the azygos system, internal thoracic, and superior phrenic veins.
- Supplied by nerves from the vagus (X), sympathetic, and phrenic nerves.
Heart Position
- Located in the thoracic cavity, within the mediastinum, slightly left of midline.
- Extends from the second rib to the fifth intercostal space.
- Base: Upper, near the second rib, angled to the right shoulder (where major vessels emerge).
- Apex: Pointed end, faces downward, forward, and to the left (at the level of the fifth intercostal space, near the midclavicular line).
Heart Orientation
- The heart lies more posteriorly at the base.
- The left side is more anterior and the right side more posterior in the chest.
- The apex projects downward, forward, and to the left.
Heart Surfaces
- Anterior (sternocostal): Primarily right ventricle, with some right atrium and some left ventricle.
- Diaphragmatic (inferior): Left and right ventricles separated by posterior interventricular groove.
- Pulmonary surfaces (left and right): Broad and convex surfaces facing the lungs; consists of the left ventricle and a portion of the left atrium (left surface), and the right atrium (right surface)
Cardiac Chambers
- Four chambers: Two atria (thin-walled) and two ventricles (thick-walled).
- Atria receive blood; ventricles pump blood.
- Left ventricle is thicker than the right (more force needed to pump to the body).
Heart Valves
- Tricuspid (right atrioventricular valve) and mitral (left atrioventricular valve) with 3 and 2 cusps, respectively.
Aortic Valve/Pulmonary Valve
- Aortic valve closes the opening between the left ventricle and the ascending aorta.
- Pulmonary valve closes the opening between the right ventricle and the pulmonary trunk.
Myocardial Infarction (Heart Attack)
- Complete blockage of one or more coronary arteries.
- Results from atherosclerosis plaque rupture, platelet activation, adhesion, and aggregation.
- Symptoms include chest pain (pressure, fullness, squeezing), radiating pain, shortness of breath, epigastric discomfort, sweating, and fainting.
Cardiac Conduction System
- Initiates and coordinates heart muscle contractions.
- Four basic components: Sino-atrial (SA) node, atrioventricular (AV) node, atrioventricular bundle (bundle of His) with its right and left bundle branches, and subendocardial plexus of conduction cells (Purkinje fibers).
Arrhythmias
- Abnormalities in the generation or conduction of electrical impulses in the heart.
- Can be asymptomatic or cause palpitations, hemodynamic compromise, or cardiac arrest.
- Diagnosis using electrocardiogram (ECG) and Holter monitor.
Arteries & Veins
- Arteries carry blood away from the heart (higher pressure, thicker walls, often rounded lumen).
- Veins carry blood toward the heart (lower pressure, thinner walls, often flattened lumen).
- Functionally, arteries & veins are arranged in a systemic and pulmonary circuit, and deliver oxygenated and deoxygenated blood.
- Capillaries are the smallest blood vessels where gas exchange with the surrounding tissues occurs.
Capillaries: Structure & Types
- Microchannels for tissue perfusion.
- Three types:
- Continuous: Complete lining with tight junctions; allows passage of water, small molecules.
- Fenestrated: Pores; permeable to larger molecules (small intestine, kidneys, choroid plexus).
- Sinusoid: Large gaps and incomplete basement membranes; allows passage of large molecules and even cells (liver, bone marrow).
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Description
Explore the components of the cardiovascular system, including the heart, arteries, and veins. This quiz will help you identify each part and understand blood circulation within the body. Learn how oxygen and nutrients are transported while waste products are removed.