Pericardium Anatomy Quiz

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson
Download our mobile app to listen on the go
Get App

Questions and Answers

What is the role of the sinoatrial (SA) node in the heart?

  • It is involved in repolarization of heart muscles.
  • It connects the atria to the ventricles.
  • It generates electric impulses for heartbeats. (correct)
  • It prevents the formation of blood clots.

What is the primary function of the pericardium?

  • To conduct electrical impulses.
  • To increase heart rate during physical activity.
  • To facilitate blood clot formation.
  • To cover and protect the heart and its vessels. (correct)

Which of the following describes the process occurring after depolarization of the heart muscles?

  • It induces contraction of the heart muscles.
  • It results in the relaxation of the heart muscles. (correct)
  • It causes blood vessel constriction.
  • It generates impulses in the SA node.

What initiates the formation of blood clots leading to a heart attack?

<p>Breaking of the endothelium in atherosclerosis. (B)</p> Signup and view all the answers

Which layer of the pericardium is described as inelastic and attached to the sternum and diaphragm?

<p>Fibrous pericardium. (D)</p> Signup and view all the answers

What is the primary function of the great vessels?

<p>To circulate blood between the heart and the lungs (C)</p> Signup and view all the answers

Which layer of the pericardium is responsible for limiting the expansion of the heart?

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

Which arteries primarily supply blood to the pericardium?

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

Where are the pericardiophrenic veins primarily drained into?

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

What is the primary issue associated with cardiac tamponade?

<p>Excess fluid in the pericardial cavity (A)</p> Signup and view all the answers

Which nerves are primarily responsible for conveying referred pain sensations related to the pericardium?

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

What is the relationship of the visceral pericardium in relation to the heart?

<p>It covers the entire heart surface (A)</p> Signup and view all the answers

Which of the following statements about the structure of the heart is correct?

<p>The heart consists of both suction and pressure mechanisms (B)</p> Signup and view all the answers

What is the main function of the pericardium in relation to the heart?

<p>It prevents heart expansion by holding it in a fixed position. (B)</p> Signup and view all the answers

Which layer of the heart is responsible for the contraction during systole?

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

Which structure receives deoxygenated blood from the body and channels it into the right atrium?

<p>Superior and Inferior vena cavae (D)</p> Signup and view all the answers

What is the role of the atrioventricular valves during diastole?

<p>They remain open to allow blood flow from atria to ventricles. (B)</p> Signup and view all the answers

How does cardiac tamponade affect the heart?

<p>It restricts the heart's filling and compromises its pumping ability. (D)</p> Signup and view all the answers

What would happen immediately after the closure of the aortic and pulmonary valves?

<p>Diastole begins. (C)</p> Signup and view all the answers

Which statement accurately describes the visceral layer of the serous pericardium?

<p>It covers the outside of the heart. (D)</p> Signup and view all the answers

Which vessels primarily supply blood to the pericardium?

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

What are the two main types of valves in the heart responsible for managing blood flow?

<p>Atrioventricular and semilunar valves (D)</p> Signup and view all the answers

What is the correct sequence of blood flow from the lungs back to the rest of the body?

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

What is the primary function of the fibrous skeleton of the heart?

<p>It provides structural support for the valves. (D)</p> Signup and view all the answers

Which heart sound corresponds to the closure of the semilunar valves?

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

Where is the left AV valve best auscultated?

<p>5th intercostal space near the left nipple (C)</p> Signup and view all the answers

What is the main source of blood supply to the left ventricle?

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

What condition is most commonly associated with coronary artery disease (CAD)?

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

What symptom is commonly referred to as angina pectoris?

<p>Localized chest pain (C)</p> Signup and view all the answers

Which structure acts as an electrical insulator between the atria and ventricles?

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

What is the consequence of atherosclerosis in coronary arteries?

<p>Decreased lumen size leading to ischemia (C)</p> Signup and view all the answers

What major veins drain blood into the coronary sinus?

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

At which intercostal space is the pulmonary valve best listened to?

<p>2nd intercostal space (D)</p> Signup and view all the answers

Which of the following describes ischemia?

<p>Low blood supply to an organ (B)</p> Signup and view all the answers

What is the function of the coronary arteries?

<p>To supply blood to the heart muscle (C)</p> Signup and view all the answers

What is the origin of the right coronary artery?

<p>Right aortic sinus (C)</p> Signup and view all the answers

What is the role of the SA node in the heart?

<p>It generates electrical impulses that regulate rhythm. (A)</p> Signup and view all the answers

What is the primary function of the right side of the heart?

<p>To pump deoxygenated blood to the lungs (D)</p> Signup and view all the answers

What prevents blood from mixing between the right and left atria?

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

Which layer of the heart wall is responsible for contraction?

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

What characterizes the diastolic phase of the cardiac cycle?

<p>Blood flows into the ventricles (C)</p> Signup and view all the answers

Which chamber of the heart serves as the primary pumping chamber for systemic circulation?

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

What is the main role of bronchial arteries?

<p>To supply blood to the lungs for the bronchial tree (A)</p> Signup and view all the answers

What causes the sound of the heart valves closing?

<p>Closure of the mitral and tricuspid valves (B)</p> Signup and view all the answers

Where does the oxygen-rich blood enter the heart from the lungs?

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

Which structure in the right atrium indicates the location of the sinoatrial node?

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

What is the role of the interventricular septum?

<p>To separate the left and right ventricles (C)</p> Signup and view all the answers

What type of blood does the left atrium receive?

<p>Oxygen-rich blood (D)</p> Signup and view all the answers

Which heart chamber acts as a major reservoir for blood returning to the heart?

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

How is the blood flow through the heart regulated between the chambers?

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

What is the role of pectinate muscles in the heart?

<p>To assist in the contraction of the atria (C)</p> Signup and view all the answers

What structure separates the right and left atria of the heart?

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

What is the primary function of the coronary sinus?

<p>To drain blood from the heart's substance (C)</p> Signup and view all the answers

Which valve separates the left atrium and left ventricle?

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

What feature characterizes the walls of the right ventricle?

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

During diastole, which valves are open?

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

Where does blood go after it is pumped from the left ventricle?

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

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

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

Which structure drains blood from the heart's substance into the right atrium?

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

What anatomical feature is the remnant of the foramen ovale?

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

Which characteristic distinguishes the left ventricle from the right ventricle?

<p>Higher pressure and thicker walls (D)</p> Signup and view all the answers

What happens if the tricuspid valve narrows?

<p>It reduces the flow between the chambers (A)</p> Signup and view all the answers

What are the functions of the pectinate muscles located in the heart?

<p>Assist in the contraction of the atrium (C)</p> Signup and view all the answers

What occurs during systole in relation to the heart valves?

<p>AV valves are closed (C)</p> Signup and view all the answers

What is the role of chordae tendineae in the heart?

<p>Attaching papillary muscles to AV valve leaflets (D)</p> Signup and view all the answers

What is the function of the fossa ovalis in the heart?

<p>Forms a depression between the left and right atrium (D)</p> Signup and view all the answers

Which of the following correctly describes the left ventricle?

<p>Is three times thicker than the right ventricle (A)</p> Signup and view all the answers

Where does the right atrium receive blood from?

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

What is a characteristic feature of the semilunar valves?

<p>They each have three cusps. (A)</p> Signup and view all the answers

What role does the fibrous skeleton of the heart play?

<p>Isolates the electrical impulses between the atria and ventricles. (A)</p> Signup and view all the answers

What is the primary cause of coronary artery disease (CAD)?

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

Which structure is responsible for generating the electrical impulses for heartbeats?

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

Which wave in an electrocardiogram (ECG) represents ventricular depolarization?

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

What do the chordae tendineae connect to within the heart?

<p>Papillary muscles to the leaflets of the valves (D)</p> Signup and view all the answers

What does the term 'dextrocardia' refer to?

<p>A heart positioned on the right side of the thorax (D)</p> Signup and view all the answers

Which statement correctly describes the right ventricle's function?

<p>Pumps blood into the pulmonary trunk. (A)</p> Signup and view all the answers

How do parasympathetic fibers affect heart rate?

<p>Decrease heart rate (B)</p> Signup and view all the answers

What is the role of the papillary muscles in the heart?

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

Which combination of arteries is involved in venous drainage from the heart?

<p>Great cardiac vein and coronary sinus (C)</p> Signup and view all the answers

Flashcards

Pericardium layers

The pericardium has two main layers: a fibrous outer layer and a serous inner layer. The serous layer has two parts: a parietal layer lining the pericardial cavity and a visceral layer covering the heart.

Pericardial fluid

A fluid that exists in the pericardial cavity, the space between the parietal and visceral layers of the pericardium. It reduces friction during heartbeats.

Cardiac tamponade

A condition where excess fluid or blood builds up in the pericardial sac, putting pressure on the heart and impairing its ability to pump blood.

Pericardiocentesis

A medical procedure to drain excess fluid from the pericardial sac.

Signup and view all the flashcards

Great Vessels

The major arteries and veins directly connected to the heart, responsible for transporting blood.

Signup and view all the flashcards

Pericardiophrenic artery

Main artery supplying blood to the pericardium and diaphragm.

Signup and view all the flashcards

Heart - Pump

The heart works as a double pump, receiving blood from veins and pushing it to arteries (and lungs) in a self-regulating way.

Signup and view all the flashcards

Phrenic nerves

Nerves that provide sensation and control to the diaphragm and pericardium. Pain connected to the pericardium may be felt in the shoulder.

Signup and view all the flashcards

Pulmonary Circulation

The pathway of blood flow from the heart to the lungs and back. This circuit is responsible for oxygenating the blood.

Signup and view all the flashcards

Systemic Circulation

The pathway of blood flow from the heart to the rest of the body and back. This circuit supplies oxygenated blood to all tissues.

Signup and view all the flashcards

Interatrial Septum

A thin wall of tissue that separates the right and left atria of the heart, preventing the mixing of oxygenated and deoxygenated blood.

Signup and view all the flashcards

Interventricular Septum

A thicker wall of tissue that separates the right and left ventricles of the heart, preventing the mixing of oxygenated and deoxygenated blood.

Signup and view all the flashcards

Bronchial Arteries

Arteries that bring oxygenated blood to the tissues of the lungs, specifically the bronchial tree.

Signup and view all the flashcards

Diastole

The relaxation phase of the heart cycle, allowing the chambers to fill with blood.

Signup and view all the flashcards

Systole

The contraction phase of the heart cycle, where the chambers pump blood out to the body or lungs.

Signup and view all the flashcards

Endocardium

The inner layer of the heart wall, lining the chambers.

Signup and view all the flashcards

Myocardium

The thick, muscular layer of the heart wall, responsible for pumping blood.

Signup and view all the flashcards

Epicardium

The outer layer of the heart wall, a smooth membrane that allows the heart to move easily within the pericardial sac.

Signup and view all the flashcards

Sinus Venarum

The smooth, thin-walled posterior part of the right atrium that receives blood from major veins.

Signup and view all the flashcards

Pectinate Muscles

Muscular ridges found on the anterior surface of the atria, giving them a rough appearance.

Signup and view all the flashcards

Sulcus Terminalis

A shallow groove on the right atrium that separates the smooth and rough parts of the atrial wall.

Signup and view all the flashcards

Crista Terminalis

A ridge of muscle in the right atrium that marks the boundary between the smooth and rough parts.

Signup and view all the flashcards

Atria

The two upper chambers of the heart that receive blood from the body and lungs.

Signup and view all the flashcards

Coronary Sinus

A wide venous channel that returns deoxygenated blood from the heart's tissues to the right atrium. It receives blood from the great, middle, and small cardiac veins.

Signup and view all the flashcards

Valve of the Coronary Sinus

A small valve that prevents backflow of blood from the right atrium into the coronary sinus.

Signup and view all the flashcards

Oval Fossa

A depression in the right atrium, a remnant of the foramen ovale, an opening that connected the atria during fetal development.

Signup and view all the flashcards

Pulmonary Veins

Four veins (two superior and two inferior) that carry oxygenated blood from the lungs to the left atrium.

Signup and view all the flashcards

Right Ventricle

The main pumping chamber of the heart that receives deoxygenated blood from the right atrium and pumps it to the pulmonary trunk.

Signup and view all the flashcards

Trabeculae Carneae

Muscular ridges on the internal walls of the right ventricle that help with efficient blood flow and contraction.

Signup and view all the flashcards

Papillary Muscles

Finger-like projections on the wall of the right ventricle, attached to the tricuspid valve leaflets, which prevent backflow of blood during contraction.

Signup and view all the flashcards

Tricuspid Valve

The valve located between the right atrium and right ventricle, preventing backflow of blood during ventricular contraction.

Signup and view all the flashcards

Chordae Tendineae

Fine strings that attach the papillary muscles to the leaflets of the tricuspid valve, preventing the valve from flipping back into the atrium.

Signup and view all the flashcards

Pulmonary Valve

A three-cusped valve that prevents backflow of blood from the pulmonary trunk into the right ventricle, ensuring efficient blood flow to the lungs.

Signup and view all the flashcards

Left Ventricle

The largest and strongest chamber of the heart, responsible for pumping oxygenated blood to the systemic circulation.

Signup and view all the flashcards

Mitral Valve

A valve that prevents backflow of blood from the left ventricle into the left atrium, ensuring efficient blood flow to the aorta.

Signup and view all the flashcards

Aortic Valve

A three-cusped valve that prevents backflow of blood from the aorta into the left ventricle, ensuring efficient blood flow to the body.

Signup and view all the flashcards

Heart attack

A sudden blockage of a coronary artery, disrupting blood flow to the heart muscle. This can cause chest pain, shortness of breath, and potentially lead to heart damage or death.

Signup and view all the flashcards

Angioplasty

A medical procedure to widen a narrowed or blocked artery, usually by inserting a balloon catheter and inflating it to open the vessel.

Signup and view all the flashcards

What is the sinoatrial (SA) node?

It's the pacemaker of the heart, generating electrical impulses that cause the heart to beat regularly.

Signup and view all the flashcards

What is the function of the AV node?

The AV node temporarily pauses the electrical impulse from the SA node, allowing the atria to contract before the ventricles.

Signup and view all the flashcards

What are the bundle branches?

They carry the electrical impulses from the AV bundle through the septum of the heart, ensuring coordinated contraction of both ventricles.

Signup and view all the flashcards

Fibrous Skeleton of the Heart

A framework of dense connective tissue located at the base of the heart, providing support for the heart valves and acting as an electrical insulator between the atria and ventricles.

Signup and view all the flashcards

What are the components of the fibrous skeleton?

The fibrous skeleton consists of four fibrous rings encircling the valves, two trigones where the rings meet, and two 'coronets' also surrounding the valves.

Signup and view all the flashcards

What is the function of the fibrous skeleton?

The fibrous skeleton provides a stable anchor for the valves, helps maintain the shape of the heart chambers, and prevents the electrical conduction pathway between the atria and ventricles from mixing.

Signup and view all the flashcards

What does "patent" mean in terms of the valves?

A patent valve means its diameter stays the same, allowing for normal blood flow through the heart.

Signup and view all the flashcards

What causes the heart sounds?

The heart sounds, 'lub-dup', are produced by the closing of the heart valves. 'Lub' is the closing of the AV valves, and 'dup' is the closing of the semilunar valves.

Signup and view all the flashcards

What are murmurs?

Murmurs are abnormal heart sounds caused by faulty valve function, which can either be from leaking or narrowing of the valve.

Signup and view all the flashcards

Where are the best locations to listen to the heart sounds?

The apex of the heart (5th intercostal space) is best for listening to the left AV valve, the parasternal border at the 5th intercostal space is for the right AV valve, the 2nd intercostal space left side reveals the pulmonary valve, and the 2nd intercostal space right side reveals the aortic valve.

Signup and view all the flashcards

What provides blood supply to the heart?

The coronary arteries, branching from the aorta, supply blood to the heart muscle (myocardium).

Signup and view all the flashcards

What are the main coronary arteries?

The left coronary artery (LCA) and the right coronary artery (RCA) originate from the aorta and supply blood to different parts of the heart.

Signup and view all the flashcards

What are the major branches of the LCA?

The LCA has two main branches: the circumflex artery and the anterior interventricular branch (LAD).

Signup and view all the flashcards

What are cardiac veins?

Cardiac veins collect blood from the capillary beds in the heart muscle and return it to the coronary sinus.

Signup and view all the flashcards

What is the coronary sinus?

The coronary sinus is a large vein that receives blood from the cardiac veins and empties into the right atrium.

Signup and view all the flashcards

What is coronary artery disease (CAD)?

CAD is a common condition resulting from narrowing of the coronary arteries due to buildup of fatty deposits, leading to reduced blood flow to the heart muscle.

Signup and view all the flashcards

What is atherosclerosis?

Atherosclerosis is the buildup of fatty deposits (cholesterol plaques) within the arteries, causing hardening and narrowing of the blood vessels.

Signup and view all the flashcards

What is ischemia?

Ischemia refers to an insufficient blood supply to an organ or tissue, often caused by blockage in the arteries.

Signup and view all the flashcards

What is angina pectoris?

Angina pectoris is chest pain caused by ischemia of the heart muscle, usually triggered by physical activity.

Signup and view all the flashcards

What is myocardial infarction (MI)?

MI, or heart attack, occurs when a blood clot blocks a coronary artery, causing tissue death in the heart muscle.

Signup and view all the flashcards

What holds the heart in place?

The fibrous pericardium is a tough sac that surrounds the heart, anchoring it to the surrounding structures. It helps keep the heart in its position in the chest cavity.

Signup and view all the flashcards

What is the purpose of the serous pericardium?

The serous pericardium has two layers: parietal and visceral. Between these layers is a space filled with fluid. This fluid lubricates the heart and allows it to move freely during contractions, minimizing friction.

Signup and view all the flashcards

What's the difference between the right and left heart?

The right heart receives deoxygenated blood from the body and pumps it to the lungs for oxygenation (pulmonary circulation). The left heart receives oxygenated blood from the lungs and pumps it to the rest of the body (systemic circulation).

Signup and view all the flashcards

What are the 3 layers of the heart wall?

From the inside out: (1) Endocardium – thin lining of the chambers; (2) Myocardium – thick muscle layer responsible for contractions; (3) Epicardium – outer layer, the visceral layer of the serous pericardium.

Signup and view all the flashcards

Describe the interior of the right atrium.

It has a smooth posterior region called the sinus venarum. The anterior wall is rough and muscular, called the pectinate muscle. The smooth and rough areas are separated by the sulcus terminalis externally and the crista terminalis internally.

Signup and view all the flashcards

The 4 chambers of the heart

The heart has two upper chambers (atria) that receive blood, and two lower chambers (ventricles) that pump blood out. The right and left sides are separated by septa.

Signup and view all the flashcards

What are the main phases of the cardiac cycle?

The cardiac cycle involves two phases: Diastole – the relaxing phase where chambers fill with blood; Systole – the contracting phase where chambers eject blood.

Signup and view all the flashcards

Fossa Ovalis

A small, oval depression on the right atrium, marking the location of the former fetal connection between the atria (foramen ovale).

Signup and view all the flashcards

Semilunar Valves

Valves with three cusps that prevent backflow of blood from the pulmonary trunk and aorta into the ventricles.

Signup and view all the flashcards

Fibrous Skeleton of Heart

A framework of dense connective tissue that provides support, structure, and electrical insulation for the heart.

Signup and view all the flashcards

Lub-Dub

The two distinct heart sounds created by the closing of the heart valves during the cardiac cycle.

Signup and view all the flashcards

Right Coronary Artery (RCA)

A major artery that branches from the aorta and supplies blood to the right ventricle, SA node, and portions of the septum.

Signup and view all the flashcards

Left Coronary Artery (LCA)

A major artery that branches from the aorta and supplies blood to the left ventricle, interventricular septum, and some of the left atrium.

Signup and view all the flashcards

Great Cardiac Vein

A vein that collects deoxygenated blood from the heart and empties into the coronary sinus.

Signup and view all the flashcards

Cardiac Conduction System

A specialized network of cardiac muscle cells that generate and conduct electrical impulses, controlling the heartbeat.

Signup and view all the flashcards

Study Notes

Pericardium

  • The pericardium is a fibroserous membrane enveloping the heart and initial portions of its major blood vessels (great vessels).

  • Great vessels include the aorta, pulmonary arteries, pulmonary veins, superior vena cava, and inferior vena cava. These vessels facilitate blood circulation between the heart and lungs, and the heart and body.

  • Layers of the pericardium:

    • Fibrous pericardium: Outermost inelastic layer; attached to the sternum and diaphragm; blends with the adventitia (outermost layer of blood vessels) of the great vessels. Limits the heart's expansion and holds it in the mediastinum.
    • Serous pericardium: Inner layer with a smooth, lubricated surface enabling smooth heart movement during contraction. Divides into:
      • Parietal layer: Lines the inner surface of the pericardium.
      • Visceral layer: Directly covers the heart (also called the epicardium).
      • Pericardial cavity: Space between visceral and parietal layers containing pericardial fluid.
  • Arterial supply: Primarily from the pericardiophrenic artery, a branch of the internal thoracic artery.

  • Venous drainage: Pericardiophrenic veins, tributaries of the brachiocephalic veins.

  • Nerve supply: Phrenic nerves (C3-C5); referred pain sensations may be felt on the corresponding shoulder.

Pericardiocentesis

  • Cardiac tamponade: Excess pericardial fluid or blood buildup in the pericardial sac compromises the heart's pumping function.
  • Pericardiocentesis: Procedure to remove excess fluid using a needle inserted near the left 5th or 6th intercostal space – or, less preferably, the xiphocondral angle – through a cleared area of the pericardium.

Heart

  • The heart is a dual pump (right and left sides) with self-regulating suction and pressure mechanisms. It receives blood from veins and pumps it into arteries.

  • Right side: Receives deoxygenated blood from the body (superior and inferior vena cava) and pumps it to the lungs via the pulmonary trunk and arteries (pulmonary circulation).

  • Left side: Receives oxygenated blood from the lungs (pulmonary veins) and pumps it to the body via the aorta (systemic circulation).

  • Separated by two septa:

    • Interatrial septum: Thin wall between the right and left atria; prevents oxygenated and deoxygenated blood mixing.
    • Interventricular septum: Separates the ventricles, essential for proper function of both ventricles.
  • The lungs have a dual circulation:

    • Pulmonary circulation, serving the lungs themselves.
    • Bronchial circulation, with bronchial arteries supplying the bronchial tree.
  • The heart has two phases:

    • Diastole: Relaxation phase; heart opens and fills with blood, blood pressure decreases; AV valves open, blood enters ventricles.
    • Systole: Contraction phase; heart pumps blood out of ventricles to body; pressure generated pushes blood out into blood vessels.
  • Heart Wall Layers:

    • Endocardium: Innermost layer, thin, composed of endothelium and connective tissue.
    • Myocardium: Middle, thickest layer; composed of cardiac muscle cells.
    • Epicardium: Outermost layer, formed by visceral pericardium.

Chambers of the Heart

  • Four chambers: Two atria (receiving chambers) and two ventricles (pumping chambers).
  • Atria are thinner-walled; ventricles are more muscular for pumping.
  • Ventricular function is essential, atrial function is not critical for immediate survival.
  • Right and left sides are physically separated by interatrial and interventricular septa.

Right Atrium

  • Sinus venarum: Smooth, posterior portion; receives blood from vena cava and coronary sinus.
  • Pectinate muscles: Rough, muscular ridges on the anterior wall.

Right Ventricle

  • Main pumping chamber for the right side.
  • Trabeculae carneae: Muscular ridges on the inner ventricular walls.
  • Papillary muscles: Finger-like projections attached to valves.
  • Tricuspid valve: Separates the right atrium and ventricle; has three leaflets.
  • Chordae tendineae: Connect papillary muscles to the valve leaflets.
  • Pulmonary valve: Separates the right ventricle and pulmonary trunk.

Left Atrium

  • Larger, smooth-walled portion; receives blood from pulmonary veins.

Left Ventricle

  • Thick-walled, primary pumping chamber for systemic circulation.
  • Similar structure to the right ventricle, but thicker.
  • Mitral (bicuspid) valve: Separates the left atrium and ventricle; has two leaflets.
  • Aortic valve: Separates the left ventricle and aorta.

Heart Valves

  • Atrioventricular valves (AV): Prevent backflow from ventricles to atria (tricuspid and mitral valves).
  • Semilunar valves: Prevent backflow from arteries into ventricles (pulmonary and aortic valves).

Fibrous Skeleton of the Heart

  • Framework for heart valves; anchors them and acts as an electrical insulator separating atrial and ventricular conduction pathways.

Heart Sounds

  • "Lub-dub": Sounds produced by valve closures. "Lub" is AV valves; "dub" is semilunar valves.
  • Murmurs: Abnormal heart sounds due to faulty valves.

Blood Supply to the Heart

  • Coronary arteries supply the heart muscle (myocardium).
    • Right coronary artery (RCA): Supplies right atrium and parts of ventricles.
    • Left coronary artery (LCA): Supplies left atrium, ventricle, and interventricular septum.
      • Major branches: Left anterior descending (LAD) and circumflex arteries.
  • Venous drainage: Cardiac veins collect blood from capillaries into the coronary sinus, which empties into the right atrium.

Coronary Artery Disease (CAD)

  • Leading cause of death in developed countries.
  • Atherosclerosis: Accumulation of fatty deposits narrows arteries.
  • Ischemia: Reduced blood flow to tissues (heart muscle in CAD).
  • Angina pectoris: Chest pain related to ischemia.
  • Myocardial infarction (MI): Heart attack; sudden death possible.

Conducting System

  • Sinoatrial (SA) node: Pacemaker; initiates electrical impulses.
  • Atrioventricular (AV) node: Delays impulse before ventricular contraction.
  • Bundle of His (AV bundle): Conducts impulses to ventricles.
  • Bundle branches: Conduct impulses through interventricular septum.
  • Purkinje fibers: Conduct impulses to ventricular myocardium.

Cardiac Nerves and Plexuses

  • Heart rate is altered by autonomic (sympathetic and parasympathetic) nervous systems which control the heart rate.
  • Parasympathetic: Slows heart rate; sympathetic: increases heart rate and force of contraction.
  • Controlled by cardiac centers in the medulla.

Microscopic Anatomy of Cardiac Muscle

  • Striated, branching cells with one or two nuclei.
  • Intercalated discs connect cells.
  • Involuntary muscle.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team
Use Quizgecko on...
Browser
Browser