Podcast
Questions and Answers
What condition is caused by loose valves that cannot close entirely, leading to backward blood flow during systole?
What condition is caused by loose valves that cannot close entirely, leading to backward blood flow during systole?
- Stenosis
- Obstruction
- Infarction
- Regurgitation (correct)
Which heart valve is most commonly affected by insufficiency and regurgitation?
Which heart valve is most commonly affected by insufficiency and regurgitation?
- Aortic valve
- Pulmonary valve
- Tricuspid valve
- Mitral valve (correct)
What is the primary consequence of mitral valve insufficiency during ventricular contraction?
What is the primary consequence of mitral valve insufficiency during ventricular contraction?
- Blood is forced into systemic circulation
- Blood flows to the lungs
- Blood regurgitates into the left atrium (correct)
- Blood flows to the right atrium
Which type of pulse is associated with aortic regurgitation?
Which type of pulse is associated with aortic regurgitation?
What happens to the foramen oval after birth?
What happens to the foramen oval after birth?
What is the effect of nodules forming on the mitral valve cusps?
What is the effect of nodules forming on the mitral valve cusps?
Which structure indicated by the arrow in the heart is primarily responsible for connecting the papillary muscles to the heart valves?
Which structure indicated by the arrow in the heart is primarily responsible for connecting the papillary muscles to the heart valves?
Which chamber does blood regurgitate into during aortic insufficiency?
Which chamber does blood regurgitate into during aortic insufficiency?
Where is the aorta auscultated?
Where is the aorta auscultated?
Which valve is known for having two cusps?
Which valve is known for having two cusps?
What does diastole refer to in the cardiac cycle?
What does diastole refer to in the cardiac cycle?
What characterizes atrioventricular valves?
What characterizes atrioventricular valves?
What does the first heart sound (lub) correspond to?
What does the first heart sound (lub) correspond to?
Which valve connects the right atrium to the right ventricle?
Which valve connects the right atrium to the right ventricle?
Who was responsible for the invention of the first stethoscope?
Who was responsible for the invention of the first stethoscope?
How many cusps does the aortic valve have?
How many cusps does the aortic valve have?
Which description fits semilunar valves?
Which description fits semilunar valves?
What technique did Leopold Auenbrugger develop for medical diagnostics?
What technique did Leopold Auenbrugger develop for medical diagnostics?
What causes heart murmurs?
What causes heart murmurs?
What is the primary function of the tricuspid valve?
What is the primary function of the tricuspid valve?
What is the role of auscultation in a cardiac examination?
What is the role of auscultation in a cardiac examination?
Which of the following is true about the mitral valve?
Which of the following is true about the mitral valve?
Which of these heart sounds is described as short and bright?
Which of these heart sounds is described as short and bright?
What is the primary purpose of percussion in a cardiac examination?
What is the primary purpose of percussion in a cardiac examination?
What is the embryological basis for naming the cusps of the aortic and pulmonary valves?
What is the embryological basis for naming the cusps of the aortic and pulmonary valves?
During which phase of the cardiac cycle does the left and right atria contract?
During which phase of the cardiac cycle does the left and right atria contract?
What is the duration of diastole in the cardiac cycle?
What is the duration of diastole in the cardiac cycle?
What happens when the atria and ventricles relax during the cardiac cycle?
What happens when the atria and ventricles relax during the cardiac cycle?
What is the significance of ventricular filling before atrial contraction?
What is the significance of ventricular filling before atrial contraction?
Which structure of the embryonic heart divides into the aortic and pulmonary arteries?
Which structure of the embryonic heart divides into the aortic and pulmonary arteries?
How many cusps does the truncus arteriosus have during early embryonic development?
How many cusps does the truncus arteriosus have during early embryonic development?
What is the primary outcome if a doctor misbehaves during an examination or operation?
What is the primary outcome if a doctor misbehaves during an examination or operation?
What is the function of the ductus arteriosus in fetal circulation?
What is the function of the ductus arteriosus in fetal circulation?
Which structure remains in the heart after the foramen ovale closes?
Which structure remains in the heart after the foramen ovale closes?
What happens to the umbilical arteries after birth?
What happens to the umbilical arteries after birth?
What role does the umbilical vein serve in fetal circulation?
What role does the umbilical vein serve in fetal circulation?
During fetal development, high resistance in which structure directs blood through the ductus arteriosus?
During fetal development, high resistance in which structure directs blood through the ductus arteriosus?
After birth, what does the ductus arteriosus become?
After birth, what does the ductus arteriosus become?
Which structure allows blood to flow from the right atrium to the left atrium in a fetus?
Which structure allows blood to flow from the right atrium to the left atrium in a fetus?
What is the primary reason for the existence of the fossa ovalis in a newborn's heart?
What is the primary reason for the existence of the fossa ovalis in a newborn's heart?
What is a dermatome?
What is a dermatome?
Which method is preferred for viewing the cardiac shadow in chest X-rays?
Which method is preferred for viewing the cardiac shadow in chest X-rays?
What significant contribution did Wilhelm Conrad Röntgen make in 1895?
What significant contribution did Wilhelm Conrad Röntgen make in 1895?
What happens to X-rays as they pass through the body?
What happens to X-rays as they pass through the body?
Which condition involves the heart being located on the right side of the thorax?
Which condition involves the heart being located on the right side of the thorax?
What does situs inversus totalis refer to?
What does situs inversus totalis refer to?
What aspect of blood flow through the heart is outlined in the session?
What aspect of blood flow through the heart is outlined in the session?
What imaging technique collects information mainly as digital data now?
What imaging technique collects information mainly as digital data now?
Flashcards
What is a dermatome?
What is a dermatome?
The area of skin supplied by sensory nerves from a single spinal nerve root.
What is a PA projection?
What is a PA projection?
The projection of an X-ray beam from the back to the front of the body.
What is an AP projection?
What is an AP projection?
The projection of an X-ray beam from the front to the back of the body.
What is a cardiac shadow?
What is a cardiac shadow?
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Dextrocardia
Dextrocardia
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Situs inversus totalis
Situs inversus totalis
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Relating anatomy to X-ray images
Relating anatomy to X-ray images
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How are X-rays collected?
How are X-rays collected?
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Truncus Arteriosus
Truncus Arteriosus
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Heart Development Stages
Heart Development Stages
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Heart Rotation
Heart Rotation
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Systole
Systole
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Diastole
Diastole
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Venous Return
Venous Return
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AV Valves
AV Valves
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Cardiac Cycle
Cardiac Cycle
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1st Heart Sound: Lub
1st Heart Sound: Lub
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2nd Heart Sound: Dub
2nd Heart Sound: Dub
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Heart Murmurs
Heart Murmurs
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Auscultation of the Heart
Auscultation of the Heart
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Percussion
Percussion
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Tricuspid Valve
Tricuspid Valve
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Mitral Valve
Mitral Valve
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Pulmonary Valve
Pulmonary Valve
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Aortic Valve
Aortic Valve
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Atrioventricular Valves
Atrioventricular Valves
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Arterial Valves
Arterial Valves
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Auscultation Points
Auscultation Points
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Valvular Sound
Valvular Sound
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Valvular Insufficiency
Valvular Insufficiency
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Aortic Regurgitation
Aortic Regurgitation
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Ruptured Papillary Muscles
Ruptured Papillary Muscles
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Fetal Circulation
Fetal Circulation
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Foramen Ovale
Foramen Ovale
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Oval Fossa
Oval Fossa
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Fossa ovalis
Fossa ovalis
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Ductus arteriosus
Ductus arteriosus
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Ligamentum arteriosum
Ligamentum arteriosum
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Obliteration of the umbilical arteries
Obliteration of the umbilical arteries
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Ligamentum teres hepatis
Ligamentum teres hepatis
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Fetal blood flow
Fetal blood flow
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High resistance in the pulmonary trunk
High resistance in the pulmonary trunk
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Study Notes
Cardiovascular System III
- Course dates: October 8-10, 2024
- Instructor: Professor Dr Panagiotis Karanis
- Course description: Cardiovascular System III, focusing on various aspects of the cardiovascular system.
Angina Pectoris
- Definition: Angina Pectoris is chest pain or discomfort arising when a part of the heart muscle doesn't receive enough oxygen-rich blood.
- Common triggers: Heavy meals, exertion, cold exposure, smoking.
- Symptoms: Can manifest as pressure or squeezing in the chest, or extend to shoulders, arms, neck, jaw or back. It may also feel like indigestion.
- Underlying cause: Usually a symptom of coronary heart disease (CHD).
- Pathophysiology: The pain stems from reduced oxygen supply to the heart muscle, often due to the buildup of plaque in the coronary arteries reducing blood flow.
Dermatome
- Definition: The area of skin supplied by nerves that originate from a single dorsal root.
- Structure: The nerves of a dermatome have a distinct distribution across the skin.
Cardiac Anatomy and Function
- This section details the components of the heart
- The gross and surface anatomy of the heart
- Valve anatomy and auscultation points
- Sequence of valve opening and closing (cardiac cycle)
- Blood flow through the heart
- Differences in fetal circulation compared to adult circulation
Cardiac Shadow in Chest X-Ray
- AP vs PA projections: The differences in the apparent size of the heart in the chest X-ray image depend on whether the photo is AP or PA. The orientation of the X-ray source relative to the detector and patient affects how the image is presented, and this determines which is a more suitable projection.
- Method of choice: PA is generally preferred since it provides less magnification of the heart.
X-rays
- Discovery: Wilhelm Conrad Röntgen first observed and documented X-rays in 1895, which lead to the Nobel Prize in 1901
- Mechanism: X-rays (electromagnetic radiation) penetrate tissues. Those photons that pass through to the detectors yield the image of soft tissue that is the basis for radiographic imaging.
- Photography to digital imaging: X-ray photography transitioned to digital imaging methods for acquiring and storing information.
Relating the Anatomy to the X-Ray Image
- Diagram of various heart features and their projections on a chest X-ray.
Situs Inversus Totalis
- Definition: A mirror reverse of most of the organs in the breast and abdominal cavity.
- Implications: A mirror-image arrangement of internal organs is a rare variation from normal anatomy.
Heart Valves
- Anatomy: Tricuspid, mitral, aortic, and pulmonic valves are detailed in various views (side and top).
- Mechanism: Valves prevent backflow of blood.
Atrioventricular Valves
- Components:
- Leaflets and a tension apparatus.
- Function: The opening and closing of these valves is key to the functioning of the heart.
Semilunar Valves
- Types: Aortic and pulmonic valves
- Structure: Cup-shaped leaflets (semilunar cusps)
- Functional role: Prevent backflow during ventricular relaxation.
Coronary Sinus
- Function: Collects cardiac venous blood
- Location: Atrioventricular groove
- Drainage: Empties into the right atrium
Fetal Circulation
- Structural differences: Foramen ovale, ductus arteriosus, and ductus venosus are key differences between fetal and adult circulation.
- Functionality: These different structures, working together, provide the necessary oxygenation for the fetus while minimizing the need to oxygenate via the lungs. .
Atrial and Ventricular Septal Defects (ASD & VSD)
- Definition: These are congenital anomalies affecting the walls between the atria and ventricles, respectively..
- Cause and effects: Incomplete closure of the oval foramen or ventricular defects.
Umbilical Anatomy
- Structures: Umbilical ring, cord, vein, artery, and bladder
- Function: The umbilical structures support fetal circulation. Â
Clinical Relationships
- Diagnosing disease; murmurs
- Processes of hardening and insufficient function in the heart valves
Cardiac Examination
- Methods: Inspection, palpation, percussion, auscultation.
Additional Information
- Literature list for further reading.
- Various diagrams and images display details of the cardiovascular system.
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