Heart Anatomy and Pericardium Overview

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Questions and Answers

Which chamber of the heart receives deoxygenated blood from the superior and inferior vena cava?

  • Right Atrium (correct)
  • Left Atrium
  • Left Ventricle
  • Right Ventricle

What structure separates the left and right ventricles?

  • Aortic Valve
  • Pulmonary Valve
  • Mitral Valve
  • Ventricular Septum (correct)

Where are pectinate muscles primarily located?

  • In the ventricular wall
  • In the great vessels
  • In the septum
  • In the atrial wall (correct)

Which vessel carries oxygenated blood away from the heart?

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

Which component of the heart wall is in direct contact with the blood inside the heart chambers?

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

What is the primary function of the fibrous pericardium?

<p>To prevent overfilling of the heart and anchor it (D)</p> Signup and view all the answers

Which layer of the heart wall is responsible for the heart's contraction?

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

What is located between the parietal and visceral layers of the serous pericardium?

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

Where is the apex of the heart located?

<p>In the 5th intercostal space along the midclavicular line (D)</p> Signup and view all the answers

Which layer of the heart is known as the visceral pericardium?

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

What type of tissue makes up the fibrous pericardium?

<p>Dense connective tissue (A)</p> Signup and view all the answers

Which of the following statements about the heart's location is true?

<p>The heart lies between ribs 2-5. (C)</p> Signup and view all the answers

What is the role of the pericardial fluid?

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

What causes the semilunar valves to open during the cardiac cycle?

<p>The ventricles contract and blood is forced out (D)</p> Signup and view all the answers

What mechanism prevents backflow of blood into the ventricles after ventricular relaxation?

<p>Pooling of blood in the cusps of the semilunar valves (C)</p> Signup and view all the answers

When are the ventricles in a state of lower pressure compared to the atria?

<p>Just before the ventricles fill with blood (A)</p> Signup and view all the answers

Which structures prevent the prolapse of heart valves during ventricular contraction?

<p>Chordae tendinae and papillary muscles (A)</p> Signup and view all the answers

What is the function of the bicuspid valve in the heart?

<p>To allow blood to flow from the left atrium to the left ventricle (C)</p> Signup and view all the answers

What is the primary function of heart valves?

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

Which component anchors the atrioventricular valves to the ventricular walls?

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

Which of the following statements is true about semilunar valves?

<p>They prevent backflow from the arteries into the ventricles (C)</p> Signup and view all the answers

What role do papillary muscles play in the functioning of heart valves?

<p>They anchor the valves and prevent backflow (C)</p> Signup and view all the answers

Which heart structure encircles the pulmonary trunk and aorta?

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

What type of blood do the right atrium and right ventricle primarily handle?

<p>Deoxygenated blood from the body (C)</p> Signup and view all the answers

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

<p>Contraction of the papillary muscles (B)</p> Signup and view all the answers

Which two types of valves are classified as atrioventricular valves?

<p>Tricuspid and bicuspid (mitral) (C)</p> Signup and view all the answers

What is the primary function of the coronary arteries?

<p>To deliver oxygenated blood to the myocardium (B)</p> Signup and view all the answers

Which veins drain blood into the coronary sinus?

<p>Great, middle, and small cardiac veins (A)</p> Signup and view all the answers

During which phase of the cardiac cycle does blood flow to the myocardium primarily occur?

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

Which of the following arteries is a branch of the right coronary artery?

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

What role do the coronary arteries play during the cardiac cycle?

<p>They deliver blood to the myocardium during diastole (B)</p> Signup and view all the answers

What is the role of the ductus arteriosus in fetal circulation?

<p>Bypasses the pulmonary system and left side of the heart (D)</p> Signup and view all the answers

What does the foramen ovale become after birth?

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

What changes occur to the ductus venosus immediately after birth?

<p>It constricts and eventually fibroses (A)</p> Signup and view all the answers

Which structure connects the umbilical vein to the inferior vena cava?

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

What happens to the ductus arteriosus after the newborn takes its first breath?

<p>It constricts and later forms the ligamentum arteriosum (D)</p> Signup and view all the answers

What is the primary function of the cardiac conducting system?

<p>To initiate electrical impulses for heart contractions (B)</p> Signup and view all the answers

Which of the following describes the role of the foramen ovale in foetal circulation?

<p>It connects the left and right atria, bypassing the right ventricle (A)</p> Signup and view all the answers

Which vessels are primarily assessed for patency using angiography?

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

What structure in the heart is responsible for initiating the electrical impulses?

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

Which component of the cardiac conducting system relays impulses from the atria to the ventricles?

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

How does foetal circulation differ from postnatal circulation?

<p>It relies on the placenta for oxygen and nutrients (C)</p> Signup and view all the answers

Which cardiovascular structure carries blood away from the heart?

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

What is the primary purpose of an Electrocardiogram (ECG)?

<p>To assess the electrical activity of the heart (B)</p> Signup and view all the answers

Flashcards

Endocardium

The inner layer of the heart, lining the chambers and valves, made of simple squamous epithelium and connective tissue.

Myocardium

The middle layer of the heart, composed of cardiac muscle tissue, responsible for pumping blood.

Atria (singular: Atrium)

The upper chambers of the heart, receiving blood from the body (right atrium) and lungs (left atrium).

Ventricles

The lower chambers of the heart, pumping blood to the lungs (right ventricle) and the body (left ventricle).

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Pectinate muscles

Muscular ridges found in the walls of the atria, especially in the right atrium, contributing to blood flow during contraction.

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What is the heart?

A cone-shaped, muscular organ responsible for pumping blood throughout the body.

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What is the pericardium?

The protective sac surrounding the heart, composed of two layers: fibrous and serous.

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What is the fibrous pericardium?

The tough outer layer of the pericardium, made of dense connective tissue. It anchors the heart and prevents overfilling.

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What is the serous pericardium?

The inner layer of the pericardium, composed of two layers: parietal and visceral.

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What is the parietal pericardium?

The outer layer of the serous pericardium. It lines the inner surface of the fibrous pericardium.

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What is the visceral pericardium?

The inner layer of the serous pericardium. It adheres to the surface of the heart.

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What is the pericardial cavity?

The space between the parietal and visceral layers of the serous pericardium, containing pericardial fluid, which reduces friction during heart movement.

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What are the layers of the heart wall?

The three layers of the heart wall: endocardium, myocardium, and epicardium.

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Fibrous Skeleton of the Heart

Bands of fibrous connective tissue that separate the atria from the ventricles, preventing electrical signals from directly passing between them. This insulation allows for coordinated heart contractions.

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What are heart valves?

One-way valves that prevent backflow of blood, ensuring blood flows in the correct direction through the heart chambers.

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Atrioventricular (AV) valves

Located between the atria and ventricles, these valves open to allow blood flow from the atria to the ventricles during contraction.

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Tricuspid valve

The right AV valve, with three cusps, controls blood flow from the right atrium to the right ventricle.

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Bicuspid/Mitral valve

The left AV valve, with two cusps, controls blood flow from the left atrium to the left ventricle.

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Semilunar valves

Located at the exit points of the ventricles, these valves prevent backflow of blood into the ventricles.

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Pulmonary semilunar valve

The valve between the right ventricle and the pulmonary trunk, controlling blood flow out of the heart towards the lungs.

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Aortic semilunar valve

The valve between the left ventricle and the aorta, controlling blood flow out of the heart towards the body.

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What are atrioventricular valves?

Atrioventricular valves (AV) are the valves located between the atria and ventricles of the heart, ensuring blood flows in one direction. They open when ventricular pressure is less than atrial pressure, allowing blood into the ventricle. They close when ventricular pressure is greater than atrial pressure, preventing backflow into the atria.

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What are semilunar valves?

Semilunar valves are located at the exits of the ventricles: the aortic valve for the aorta and the pulmonary valve for the pulmonary trunk. They prevent backflow of blood into the ventricles during ventricular relaxation. They open when ventricular pressure is greater than arterial pressure, allowing blood to flow out of the ventricle.

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What is the tricuspid valve?

The tricuspid valve is an atrioventricular valve located between the right atrium and the right ventricle. It has 3 flaps and is responsible for controlling blood flow between the right atrium and the right ventricle, preventing backflow into the right atrium and the tricuspid valves open to allow right ventricle filling.

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What is the bicuspid valve (mitral valve)?

The bicuspid valve (also called the mitral valve) is an atrioventricular valve located between the left atrium and the left ventricle. It has two flaps and ensures blood flows from the left atrium into the left ventricle, preventing backflow into the left atrium.

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What is the pulmonary valve?

The pulmonary valve is a semilunar valve located at the entrance of the pulmonary trunk, which carries deoxygenated blood from the right ventricle to the lungs. It prevents blood from flowing back into the right ventricle.

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What is the blood flow rate through the heart?

The heart receives approximately 250 ml of blood per minute during diastole (ventricular relaxation).

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What are the major branches of coronary arteries?

The left coronary artery (LCA) branches into the anterior interventricular artery and the circumflex artery. The right coronary artery (RCA) branches into the marginal artery and the posterior interventricular artery.

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How does deoxygenated blood from the heart return to the circulation?

The great, middle, and small cardiac veins drain into the coronary sinus, which then empties into the right atrium. This carries deoxygenated blood from the heart muscle back to the main circulation.

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What is coronary circulation?

Coronary circulation is the blood supply to the heart muscle itself. It is essential for providing oxygen and removing waste products.

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When does the heart receive blood?

The heart receives blood during ventricular relaxation, which is when the heart muscle is not contracting. This allows for efficient delivery of oxygen and nutrients to the myocardium.

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Anterior Cardiac Veins

The anterior cardiac veins drain directly into the right atrium, contributing to the heart's blood flow.

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Coronary Sinus

The coronary sinus is a large vein on the posterior surface of the heart that collects blood from the heart's own blood supply and drains into the right atrium.

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Angiography

Angiography is a medical procedure to visualize the blood vessels, specifically the coronary arteries, by injecting a contrast dye and using X-ray imaging.

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Cardiac Conducting System

The cardiac conducting system consists of specialized heart tissue that generates and conducts electrical impulses to regulate and coordinate the heart's contractions.

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SA Node

The sinoatrial (SA) node, also called the pacemaker of the heart, is a group of specialized cardiac cells that initiate the electrical impulse that causes the heart to beat.

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AV Node

The atrioventricular (AV) node is a collection of specialized cells that delay the electrical impulse from the SA node, allowing the atria to contract before the ventricles.

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Foetal Circulation

The foetal circulation is the circulatory system of a developing baby in the womb, which has unique features because the baby relies on the placenta for oxygen and nutrient exchange.

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Foramen Ovale

The foramen ovale is a small opening between the right and left atria in a foetal heart, allowing some blood to bypass the lungs.

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What is the ductus arteriosus?

This structure connects the pulmonary trunk to the aorta, bypassing the pulmonary system and left side of the heart in the fetus.

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What is the ductus venosus?

This structure connects the umbilical vein to the inferior vena cava, bypassing the liver in the fetus.

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What is the foramen ovale?

This opening in the fetal heart allows blood to flow directly from the right atrium to the left atrium, bypassing the pulmonary circulation.

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What happens to the ductus arteriosus after birth?

The ductus arteriosus closes and becomes the ligamentum arteriosum after birth.

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What happens to the foramen ovale after birth?

The foramen ovale closes and becomes the fossa ovalis after birth.

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Study Notes

Heart Anatomy 1

  • The heart is a cone-shaped, muscular pump located in the thorax between the lungs.
  • It's protected by the ribs and sternum.
  • The heart sits between ribs 2-5, to the left of the midline.
  • The heart's apex is located in the 5th intercostal space at the midclavicular line.

Pericardium

  • The heart's coverings consist of a fibrous and a serous pericardium.
  • The fibrous pericardium is inelastic and made of dense connective tissue.
  • It fuses with the diaphragm and great vessels superiorly.
  • The fibrous pericardium prevents overfilling of the heart and anchors it in position.
  • The serous pericardium is a double-layered membrane.
  • The parietal layer lines the inner surface of the fibrous pericardium.
  • The visceral layer (epicardium) adheres to the surface of the heart.
  • The pericardial cavity is a space between the parietal and visceral layers, filled with fluid to reduce friction.

Heart Wall

  • The heart wall is composed of three layers:
  • Endocardium (inner layer): endothelium
  • Myocardium (middle layer): cardiac muscle
  • Epicardium (outer layer): visceral pericardium

Heart Chambers

  • The heart has four chambers:
  • Right atrium (RA)
  • Left atrium (LA)
  • Right ventricle (RV)
  • Left ventricle (LV)

Great Vessels

  • Major vessels connected to the heart include:
  • Superior vena cava
  • Inferior vena cava
  • Pulmonary trunk
  • Pulmonary arteries
  • Pulmonary veins
  • Aorta

Anterior View of the Heart

  • Key anatomical structures visible from this view include:
  • The arch of aorta
  • Superior vena cava
  • Ascending aorta
  • Right atrium
  • Right ventricle
  • Left pulmonary artery
  • Pulmonary trunk
  • Auricle of left atrium
  • Left ventricle
  • Apex

Internal View of the Heart

  • Important structures seen in an internal view include:
  • Right atrium
  • Right ventricle (with trabeculae carneae)
  • Left atrium
  • Left ventricle
  • Ventricular septum

Ventricular Walls

  • The left ventricle's wall is substantially thicker than the right ventricle's wall. This is because the left ventricle pumps blood to the entire body, requiring greater force.

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