Fetal Circulation Overview

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Questions and Answers

What is the most common site for coronary artery disease?

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

What structure serves as a remnant of the umbilical vein in the liver?

  • Ligamentum teres (correct)
  • Fossa ovalis
  • Ligamentum arteriosum
  • Pectinate muscle

In which phase does the body primarily engage in 'rest and digest'?

  • Endocrine response
  • Sympathetic response
  • Parasympathetic response (correct)
  • Muscular response

Which structure is primarily responsible for the flow of blood from the right ventricle to the lungs?

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

What is the primary role of the pectinate muscle in the heart?

<p>To increase surface area in the atria (A)</p> Signup and view all the answers

What is the primary function of the heart in the circulatory system?

<p>To supply the body with blood (D)</p> Signup and view all the answers

Which part of the heart receives deoxygenated blood from the body?

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

What is the role of the left ventricle in the cardiovascular system?

<p>To pump oxygenated blood to the rest of the body (C)</p> Signup and view all the answers

Which valves are responsible for regulating blood flow between the atria and ventricles?

<p>Tricuspid and bicuspid valves (D)</p> Signup and view all the answers

What type of blood is sent from the right ventricle to the lungs?

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

How does the left atrium receive blood?

<p>From the pulmonary veins (C)</p> Signup and view all the answers

Which structure carries oxygenated blood away from the heart?

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

Which major blood vessel returns deoxygenated blood to the right atrium?

<p>Superior vena cava (C)</p> Signup and view all the answers

Flashcards

Coronary Artery Disease

A condition where the arteries supplying blood to the heart become narrowed or blocked.

Myocardial Infarction

A heart attack; the blockage of blood flow to part of the heart muscle.

Right Atrium

The upper right chamber of the heart, receiving deoxygenated blood from the body.

Left Ventricle

The lower left chamber of the heart, pumping oxygenated blood to the body.

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Fossa Ovalis

A small depression in the interatrial septum, the remnant of the fetal foramen ovale.

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Heart Chambers

The heart has four chambers: two atria (receiving chambers) and two ventricles (pumping chambers). The right side receives deoxygenated blood, and the left side receives oxygenated blood.

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Blood Flow (Simple)

Blood flows from the heart to the lungs, picks up oxygen, and returns to the heart. It then flows to the body to deliver oxygen.

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Oxygenated Blood

Blood that carries oxygen. It's typically found on the left side of the heart and the arteries.

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Deoxygenated Blood

Blood that has released its oxygen. It's typically found on the right side of the heart and the veins.

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Valves in Heart

The heart has valves (tricuspid, bicuspid/mitral, pulmonary, aortic) to ensure one-way blood flow; preventing backflow.

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Blood Vessels (Arteries/Veins)

Arteries carry blood away from the heart, veins carry blood towards the heart.

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Atria vs Ventricles (Function)

Atria receive blood; ventricles pump blood. The atria are on top, ventricles are on the bottom.

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Pulmonary Circulation

The flow of blood between the heart and the lungs. It's a smaller circulatory loop.

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Study Notes

Fetal Circulation Overview

  • Fetal circulation differs from postnatal circulation due to the non-functioning lungs and reliance on the mother for nutrients and waste removal
  • A fetus requires a system for transporting oxygen and nutrients from the mother to the fetus and waste products away from the fetus

Placenta

  • The placenta is an organ that develops alongside the fetus in the uterus to facilitate communication between maternal and fetal blood
  • This communication occurs via umbilical vessels in the umbilical cord
  • Oxygen and nutrients are transported in the umbilical vein to the fetal heart
  • Deoxygenated blood is transported from the fetal heart to the placenta via umbilical arteries

Umbilical Vein

  • Oxygenated blood travels from the placenta through the umbilical vein to the fetal circulatory system
  • The vessel regresses to form the ligamentum teres, a structure of the liver found on the inferior edge of the falciform ligament

Umbilical Arteries

  • Deoxygenated blood travels from the fetal heart to the placenta through the two umbilical arteries
  • The arteries carry blood away from the fetal heart

Foramen Ovale

  • The foramen ovale is a hole that shunts blood from the right atrium to the left atrium, bypassing the lungs
  • A small amount of blood flows through the lungs to support the tissue
  • The foramen ovale closes after birth, creating the fossa ovalis

Ductus Arteriosus

  • The ductus arteriosus diverts blood from the pulmonary artery to the aorta, bypassing the lungs
  • After birth, this vessel closes, forming the ligamentum arteriosum

Coronary Circulation

  • The heart's own blood supply is called coronary circulation
  • Blood flow occurs when the heart is relaxed (diastole)
  • Heart contraction (systole) prevents much blood flow to the myocardium
  • Entrances to the coronary circulation are partially blocked by the open aortic semilunar valve

Coronary Arteries

  • Right Coronary Artery
  • R Marginal Artery
  • Posterior Interventricular Artery
  • Left Coronary Artery
  • Anterior Interventricular Artery
  • Circumflex Artery

Coronary Veins

  • They carry deoxygenated blood back towards the heart
  • Coronary Sinus: largest vein
  • Middle Cardiac Vein
  • Small Cardiac Vein
  • Great Cardiac Vein

Intrinsic Conduction System

  • The heart contains specialized cells that initiate and distribute electrical signals
  • These signals induce heart contraction
  • Consists of:
  • Sinoatrial (SA) node is the pacemaker
  • Atrioventricular (AV) node
  • Atrioventricular (AV) bundle
  • Bundle branches
  • Purkinje fibers

Heart Rate Regulation

  • Sympathetic stimulation increases heart rate
  • Parasympathetic stimulation decreases the heart rate

Heart Sounds

  • Two heart sounds, S1 and S2
  • S1 results from closure of the AV valves
  • S2 results from closure of the semilunar valves

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