Heart Anatomy: Position, Features, and Blood Flow

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Questions and Answers

What anatomical direction describes the orientation of the base of the heart in a canine?

  • Laterally
  • Ventrocaudally
  • Ventro laterally
  • Dorsocranially (correct)

Which term describes the period of heart muscle contraction?

  • Asystole
  • Diastole
  • Systole (correct)
  • Arrhythmia

What is the primary anatomical landmark used to differentiate the left side of the heart from the right side externally?

  • Ventricles
  • Interventricular Grooves (correct)
  • Coronary Groove
  • Atria

Which of the following best describes the location of the Left AV valve?

<p>Between the left atrium and left ventricle (A)</p> Signup and view all the answers

What is the function of the chordae tendineae?

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

During which phase of the cardiac cycle does the pulmonary semilunar valve prevent the backflow of blood into the right ventricle?

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

What vessels carry oxygenated blood from the lungs to the left atrium?

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

Which valve prevents backflow of blood from the aorta into the left ventricle?

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

Where is the 'T' point of maximal intensity (PMI) typically auscultated?

<p>4th intercostal space (B)</p> Signup and view all the answers

What causes the first normal heart sound (S1)?

<p>Closure of the atrioventricular valves (D)</p> Signup and view all the answers

In a normal, healthy animal, are heart sounds associated with blood flow through open valves usually audible?

<p>No, blood flow through open valves is silent (A)</p> Signup and view all the answers

Which of the following best describes the location of the heart within the canine thorax?

<p>Positioned centrally, between the 3rd and 6th intercostal spaces (A)</p> Signup and view all the answers

What surface feature of the heart is characterized by its separation of the atria and ventricles and often contains fat?

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

If a veterinarian auscultates a 'lub-dub' sound followed by a murmur during a cardiac examination, what is the most likely cause of the murmur?

<p>Backflow of blood through a valve (B)</p> Signup and view all the answers

Which of the following vessels does NOT directly supply blood to the heart itself?

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

Which of the following statements accurately describes the orientation of the apex of the heart?

<p>Points ventrocaudally and to the left (A)</p> Signup and view all the answers

In the context of heart anatomy, what is the significance of the term 'auricular surface'?

<p>The surface where both auricles are prominently observed (D)</p> Signup and view all the answers

Which structure is responsible for preventing the atrioventricular valves from inverting into the atria during ventricular contraction?

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

When auscultating the heart, at which intercostal space is the aortic valve sound typically best heard?

<p>4th Intercostal Space (A)</p> Signup and view all the answers

Which of the following describes the path of deoxygenated blood in pulmonary circulation?

<p>From the right ventricle to the lungs via the pulmonary arteries (B)</p> Signup and view all the answers

In the cardiac cycle, what event causes the 'dub' or S2 heart sound?

<p>The closing of the aortic and pulmonic valves (C)</p> Signup and view all the answers

During which phase of the cardiac cycle does blood flow through normal open valves?

<p>Both Systole and Diastole (A)</p> Signup and view all the answers

Which of the following is the correct sequence of blood flow through the heart's valves?

<p>Tricuspid → Pulmonic → Mitral → Aortic (C)</p> Signup and view all the answers

What distinguishes the 'atrial surface' of the heart from other views?

<p>Prominent display of the right atrium (C)</p> Signup and view all the answers

What could the presence of S3 or S4 heart sounds indicate?

<p>Ventricular dilation or non-compliant ventricle (A)</p> Signup and view all the answers

Which statement accurately describes the anatomical relationship between the aorta and the left ventricle?

<p>The left ventricle pumps oxygenated blood into the aorta through the aortic valve (B)</p> Signup and view all the answers

An incompetent mitral valve would directly cause backflow of blood into which chamber?

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

Which circuit receives deoxygenated blood from systemic circulation and sends blood into pulmonary circulation?

<p>The right side of the heart. (C)</p> Signup and view all the answers

Which of the following statements correctly describes the relative locations of the ventricles when viewing a transverse section of the heart?

<p>The right ventricle is cranial to the left ventricle. (A)</p> Signup and view all the answers

A veterinarian detects a heart murmur that is loudest over the left apex of the heart. Which valve is most likely affected?

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

If the subsinuosal interventricular groove is occluded, which chamber's blood supply would be most affected?

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

What happens when the left AV valve stops backflow of blood from the left ventricle to the left atrium during systole?

<p>The left ventricle contracts (B)</p> Signup and view all the answers

Identify the vessel that carries deoxygenated blood from the right ventricle to the lungs.

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

Which of the following chambers of the heart has the thickest myocardium (muscle layer)?

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

Which structure ensures one-way blood flow from the right atrium to the right ventricle?

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

Which structure prevents backflow of blood from the right ventricle into right atrium?

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

Which heart valve sound is best auscultated at the 5th intercostal space?

<p>&quot;M&quot; - Mitral/left AV sound (A)</p> Signup and view all the answers

What can the S3 heart sound indicate?

<p>Ventricular Filling during Diastole (A)</p> Signup and view all the answers

What vessels carries oxygenated blood to the heart?

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

What is the difference between the Parietal cusp and Septal cusp?

<p>Marginal AKA parietal cusps - originate from the outer ventricular wall, Septal cusp originates from the interventricular septal wall (D)</p> Signup and view all the answers

Flashcards

Heart Base and Apex Orientation

The base is oriented dorsocranially and the apex points ventrocaudally and to the left.

Coronary Groove

Separates the atria from the ventricles; contains coronary vessels and fat; encircles the base of the heart.

Auricular Surface

The left view of the heart, where both auricles are prominently observed.

Interventricular Grooves

Separates the ventricles.

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Atrial Surface

The right view of the heart, where the right atrium is the most visible structure.

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AV Valve Cusps

Marginal/parietal cusps originate from the outer ventricular wall, while the septal cusp comes from the interventricular septum. Cusps are anchored by chordae tendineae and papillary muscles.

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Right Side Heart Flow

Right Atrium -> Right Ventricle -> Pulmonary trunk & pulmonary arteries -> Lungs

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Left Side Heart Flow

Lungs -> pulmonary veins -> Left Atrium -> Left Ventricle -> Aorta

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Pulmonary Semilunar Valve

Prevents backflow from the pulmonary trunk into the right ventricle during diastole.

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Aortic Semilunar Valve

Prevents backflow of blood from the aorta into the left ventricle during diastole

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First Tissue Supplied

Supplies blood to the heart itself.

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Points of Maximum Intensity (PMI)

Listening points for maximum intensity of valve sounds.

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S1 Heart Sound

Closure of Left and Right Atrioventricular Valves

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S2 Heart Sound

Closure of Aortic and Pulmonic semilunar Valves

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Left AV Valve

Located between the left atria and Left ventricle

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Right AV Valve

Located between right atria and right ventricle

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Pulmonary semilunar valve

Located between right ventricle and the pulmonary Arteries

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Aortic semilunar valve

Located between the left ventricle and the aorta

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Systole

Heart muscle contraction.

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Diastole

Heart muscle at rest.

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Study Notes

  • Heart anatomy objectives include:
    • Position/orientation of the heart
    • Surface and internal features
    • Normal blood flow (pulmonary and systemic circulation)
    • Blood supply to the heart muscle
    • Sounds of cardiac auscultation

Heart Position

  • The base is oriented dorsocranially
  • Apex points ventrocaudally and to the left
  • The right ventricle and septum are cranial to the left ventricle

Heart Views

  • Left view (auricular surface) shows both auricles
  • Right view (atrial surface) shows the right atrium prominently

Surface Topography

  • The coronary groove separates the atria and ventricles, contains coronary vessels, often contains fat and encircles the base
  • Interventricular grooves marks separation of the ventricles
    • Paraconal interventricular groove
    • Subsinuosal interventricular groove

Internal Features

  • Marginal (parietal) cusps originate from the outer ventricular wall
  • Septal cusp originates from the interventricular septal wall
  • Cusps are anchored to the inner walls of the ventricles by chordae tendineae
  • Papillary muscles secure the chordae tendineae to the inner walls of the ventricles
  • AV valves close during systole to prevent backflow of blood into the atria

Blood Circulation

  • Systemic and pulmonary circuits are separated
  • Gas exchange in the lungs occurs via the pulmonary circuit
  • Gas exchange to all other body cells occurs via the systemic circuit
  • The right side receives deoxygenated blood from systemic circulation and sends blood into pulmonary circulation
  • The left side receives oxygenated blood from pulmonary circulation and sends blood into systemic circulation

Blood Flow

  • Right atrium receives blood from the cranial and caudal vena cava
  • The right atrium pumps blood into the right ventricle through the right atrioventricular valve (tricuspid)
    • The right atrioventricular valve stops backflow of blood from the right ventricle into the right atrium during systole
  • The right ventricle contracts to send blood to the lungs through the pulmonary trunk and pulmonary arteries
  • The pulmonary semilunar valve prevents backflow of blood from the pulmonary trunk into the right ventricle during diastole
  • Oxygenated blood flows back to the heart through the pulmonary veins into the left atrium
  • The left atrium pumps blood into the left ventricle through the left atrioventricular valve (Mitral)
    • The left atrioventricular valve stops backflow from the left ventricle to the left atrium during systole
  • The left ventricle contracts to send blood through the aortic semilunar valve and into the aorta
    • Supplies the heart muscle
  • The aortic semilunar valve prevents backflow of blood from the aorta into the left ventricle during diastole
  • Pulmonary semilunar valve is located between the right ventricle and the pulmonary arteries (trunk)
  • Left AV valve is located between the left atria and left ventricle
  • Aortic semilunar valve is located between the left ventricle and the aorta
  • Right AV valve is located between the right atria and right ventricle
  • Systole is heart contraction
  • Diastole is heart rest
  • The first tissue supplied by the heart is the heart itself

Heart Auscultation

  • Listening for points of maximum intensity (PMI) of each valve
  • Left side:
    • P: pulmonary valve sound (3rd intercostal space)
    • A: aortic valve sound (4th intercostal space)
    • M: mitral/left AV sound (5th intercostal space)
  • Right side:
    • T: tricuspid/right AV sound (4th intercostal space)

Heart Sounds

  • Two normal sounds of the heart
    • S1 and S2 are caused by blood stopping at closed valves
    • S1: Closure of Left and Right Atrioventricular Valves
    • S2: Closure of Aortic and Pulmonic semilunar Valves
  • Blood flow through normal open valves is silent to the human ear in normal dogs and cats

Abnormal Heart Sounds

  • S3 and S4 are not normally heard in small animals
  • S3: Left and right ventricular filling during diastole can be audible with congestive disease and abnormal ventricular dilation
  • S4: Left and right atrial contraction immediately before ventricular contraction is audible with non-compliant ventricular conditions e.g. Hypertrophic Cardiomyopathy

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