Podcast
Questions and Answers
What is the role of the sinoatrial (SA) node in the heart?
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?
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?
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?
What initiates the formation of blood clots leading to a heart attack?
Which layer of the pericardium is described as inelastic and attached to the sternum and diaphragm?
Which layer of the pericardium is described as inelastic and attached to the sternum and diaphragm?
What is the primary function of the great vessels?
What is the primary function of the great vessels?
Which layer of the pericardium is responsible for limiting the expansion of the heart?
Which layer of the pericardium is responsible for limiting the expansion of the heart?
Which arteries primarily supply blood to the pericardium?
Which arteries primarily supply blood to the pericardium?
Where are the pericardiophrenic veins primarily drained into?
Where are the pericardiophrenic veins primarily drained into?
What is the primary issue associated with cardiac tamponade?
What is the primary issue associated with cardiac tamponade?
Which nerves are primarily responsible for conveying referred pain sensations related to the pericardium?
Which nerves are primarily responsible for conveying referred pain sensations related to the pericardium?
What is the relationship of the visceral pericardium in relation to the heart?
What is the relationship of the visceral pericardium in relation to the heart?
Which of the following statements about the structure of the heart is correct?
Which of the following statements about the structure of the heart is correct?
What is the main function of the pericardium in relation to the heart?
What is the main function of the pericardium in relation to the heart?
Which layer of the heart is responsible for the contraction during systole?
Which layer of the heart is responsible for the contraction during systole?
Which structure receives deoxygenated blood from the body and channels it into the right atrium?
Which structure receives deoxygenated blood from the body and channels it into the right atrium?
What is the role of the atrioventricular valves during diastole?
What is the role of the atrioventricular valves during diastole?
How does cardiac tamponade affect the heart?
How does cardiac tamponade affect the heart?
What would happen immediately after the closure of the aortic and pulmonary valves?
What would happen immediately after the closure of the aortic and pulmonary valves?
Which statement accurately describes the visceral layer of the serous pericardium?
Which statement accurately describes the visceral layer of the serous pericardium?
Which vessels primarily supply blood to the pericardium?
Which vessels primarily supply blood to the pericardium?
What are the two main types of valves in the heart responsible for managing blood flow?
What are the two main types of valves in the heart responsible for managing blood flow?
What is the correct sequence of blood flow from the lungs back to the rest of the body?
What is the correct sequence of blood flow from the lungs back to the rest of the body?
What is the primary function of the fibrous skeleton of the heart?
What is the primary function of the fibrous skeleton of the heart?
Which heart sound corresponds to the closure of the semilunar valves?
Which heart sound corresponds to the closure of the semilunar valves?
Where is the left AV valve best auscultated?
Where is the left AV valve best auscultated?
What is the main source of blood supply to the left ventricle?
What is the main source of blood supply to the left ventricle?
What condition is most commonly associated with coronary artery disease (CAD)?
What condition is most commonly associated with coronary artery disease (CAD)?
What symptom is commonly referred to as angina pectoris?
What symptom is commonly referred to as angina pectoris?
Which structure acts as an electrical insulator between the atria and ventricles?
Which structure acts as an electrical insulator between the atria and ventricles?
What is the consequence of atherosclerosis in coronary arteries?
What is the consequence of atherosclerosis in coronary arteries?
What major veins drain blood into the coronary sinus?
What major veins drain blood into the coronary sinus?
At which intercostal space is the pulmonary valve best listened to?
At which intercostal space is the pulmonary valve best listened to?
Which of the following describes ischemia?
Which of the following describes ischemia?
What is the function of the coronary arteries?
What is the function of the coronary arteries?
What is the origin of the right coronary artery?
What is the origin of the right coronary artery?
What is the role of the SA node in the heart?
What is the role of the SA node in the heart?
What is the primary function of the right side of the heart?
What is the primary function of the right side of the heart?
What prevents blood from mixing between the right and left atria?
What prevents blood from mixing between the right and left atria?
Which layer of the heart wall is responsible for contraction?
Which layer of the heart wall is responsible for contraction?
What characterizes the diastolic phase of the cardiac cycle?
What characterizes the diastolic phase of the cardiac cycle?
Which chamber of the heart serves as the primary pumping chamber for systemic circulation?
Which chamber of the heart serves as the primary pumping chamber for systemic circulation?
What is the main role of bronchial arteries?
What is the main role of bronchial arteries?
What causes the sound of the heart valves closing?
What causes the sound of the heart valves closing?
Where does the oxygen-rich blood enter the heart from the lungs?
Where does the oxygen-rich blood enter the heart from the lungs?
Which structure in the right atrium indicates the location of the sinoatrial node?
Which structure in the right atrium indicates the location of the sinoatrial node?
What is the role of the interventricular septum?
What is the role of the interventricular septum?
What type of blood does the left atrium receive?
What type of blood does the left atrium receive?
Which heart chamber acts as a major reservoir for blood returning to the heart?
Which heart chamber acts as a major reservoir for blood returning to the heart?
How is the blood flow through the heart regulated between the chambers?
How is the blood flow through the heart regulated between the chambers?
What is the role of pectinate muscles in the heart?
What is the role of pectinate muscles in the heart?
What structure separates the right and left atria of the heart?
What structure separates the right and left atria of the heart?
What is the primary function of the coronary sinus?
What is the primary function of the coronary sinus?
Which valve separates the left atrium and left ventricle?
Which valve separates the left atrium and left ventricle?
What feature characterizes the walls of the right ventricle?
What feature characterizes the walls of the right ventricle?
During diastole, which valves are open?
During diastole, which valves are open?
Where does blood go after it is pumped from the left ventricle?
Where does blood go after it is pumped from the left ventricle?
What prevents backflow of blood into the atria during ventricular contraction?
What prevents backflow of blood into the atria during ventricular contraction?
Which structure drains blood from the heart's substance into the right atrium?
Which structure drains blood from the heart's substance into the right atrium?
What anatomical feature is the remnant of the foramen ovale?
What anatomical feature is the remnant of the foramen ovale?
Which characteristic distinguishes the left ventricle from the right ventricle?
Which characteristic distinguishes the left ventricle from the right ventricle?
What happens if the tricuspid valve narrows?
What happens if the tricuspid valve narrows?
What are the functions of the pectinate muscles located in the heart?
What are the functions of the pectinate muscles located in the heart?
What occurs during systole in relation to the heart valves?
What occurs during systole in relation to the heart valves?
What is the role of chordae tendineae in the heart?
What is the role of chordae tendineae in the heart?
What is the function of the fossa ovalis in the heart?
What is the function of the fossa ovalis in the heart?
Which of the following correctly describes the left ventricle?
Which of the following correctly describes the left ventricle?
Where does the right atrium receive blood from?
Where does the right atrium receive blood from?
What is a characteristic feature of the semilunar valves?
What is a characteristic feature of the semilunar valves?
What role does the fibrous skeleton of the heart play?
What role does the fibrous skeleton of the heart play?
What is the primary cause of coronary artery disease (CAD)?
What is the primary cause of coronary artery disease (CAD)?
Which structure is responsible for generating the electrical impulses for heartbeats?
Which structure is responsible for generating the electrical impulses for heartbeats?
Which wave in an electrocardiogram (ECG) represents ventricular depolarization?
Which wave in an electrocardiogram (ECG) represents ventricular depolarization?
What do the chordae tendineae connect to within the heart?
What do the chordae tendineae connect to within the heart?
What does the term 'dextrocardia' refer to?
What does the term 'dextrocardia' refer to?
Which statement correctly describes the right ventricle's function?
Which statement correctly describes the right ventricle's function?
How do parasympathetic fibers affect heart rate?
How do parasympathetic fibers affect heart rate?
What is the role of the papillary muscles in the heart?
What is the role of the papillary muscles in the heart?
Which combination of arteries is involved in venous drainage from the heart?
Which combination of arteries is involved in venous drainage from the heart?
Flashcards
Pericardium layers
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
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
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
Pericardiocentesis
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Great Vessels
Great Vessels
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Pericardiophrenic artery
Pericardiophrenic artery
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Heart - Pump
Heart - Pump
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Phrenic nerves
Phrenic nerves
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Pulmonary Circulation
Pulmonary Circulation
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Systemic Circulation
Systemic Circulation
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Interatrial Septum
Interatrial Septum
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Interventricular Septum
Interventricular Septum
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Bronchial Arteries
Bronchial Arteries
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Diastole
Diastole
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Systole
Systole
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Endocardium
Endocardium
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Myocardium
Myocardium
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Epicardium
Epicardium
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Sinus Venarum
Sinus Venarum
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Pectinate Muscles
Pectinate Muscles
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Sulcus Terminalis
Sulcus Terminalis
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Crista Terminalis
Crista Terminalis
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Atria
Atria
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Coronary Sinus
Coronary Sinus
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Valve of the Coronary Sinus
Valve of the Coronary Sinus
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Oval Fossa
Oval Fossa
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Pulmonary Veins
Pulmonary Veins
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Right Ventricle
Right Ventricle
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Trabeculae Carneae
Trabeculae Carneae
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Papillary Muscles
Papillary Muscles
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Tricuspid Valve
Tricuspid Valve
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Chordae Tendineae
Chordae Tendineae
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Pulmonary Valve
Pulmonary Valve
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Left Ventricle
Left Ventricle
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Mitral Valve
Mitral Valve
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Aortic Valve
Aortic Valve
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Heart attack
Heart attack
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Angioplasty
Angioplasty
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What is the sinoatrial (SA) node?
What is the sinoatrial (SA) node?
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What is the function of the AV node?
What is the function of the AV node?
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What are the bundle branches?
What are the bundle branches?
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Fibrous Skeleton of the Heart
Fibrous Skeleton of the Heart
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What are the components of the fibrous skeleton?
What are the components of the fibrous skeleton?
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What is the function of the fibrous skeleton?
What is the function of the fibrous skeleton?
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What does "patent" mean in terms of the valves?
What does "patent" mean in terms of the valves?
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What causes the heart sounds?
What causes the heart sounds?
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What are murmurs?
What are murmurs?
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Where are the best locations to listen to the heart sounds?
Where are the best locations to listen to the heart sounds?
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What provides blood supply to the heart?
What provides blood supply to the heart?
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What are the main coronary arteries?
What are the main coronary arteries?
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What are the major branches of the LCA?
What are the major branches of the LCA?
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What are cardiac veins?
What are cardiac veins?
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What is the coronary sinus?
What is the coronary sinus?
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What is coronary artery disease (CAD)?
What is coronary artery disease (CAD)?
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What is atherosclerosis?
What is atherosclerosis?
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What is ischemia?
What is ischemia?
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What is angina pectoris?
What is angina pectoris?
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What is myocardial infarction (MI)?
What is myocardial infarction (MI)?
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What holds the heart in place?
What holds the heart in place?
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What is the purpose of the serous pericardium?
What is the purpose of the serous pericardium?
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What's the difference between the right and left heart?
What's the difference between the right and left heart?
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What are the 3 layers of the heart wall?
What are the 3 layers of the heart wall?
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Describe the interior of the right atrium.
Describe the interior of the right atrium.
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The 4 chambers of the heart
The 4 chambers of the heart
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What are the main phases of the cardiac cycle?
What are the main phases of the cardiac cycle?
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Fossa Ovalis
Fossa Ovalis
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Semilunar Valves
Semilunar Valves
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Fibrous Skeleton of Heart
Fibrous Skeleton of Heart
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Lub-Dub
Lub-Dub
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Right Coronary Artery (RCA)
Right Coronary Artery (RCA)
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Left Coronary Artery (LCA)
Left Coronary Artery (LCA)
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Great Cardiac Vein
Great Cardiac Vein
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Cardiac Conduction System
Cardiac Conduction System
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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.
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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.
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Arterial supply: Primarily from the pericardiophrenic artery, a branch of the internal thoracic artery.
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Venous drainage: Pericardiophrenic veins, tributaries of the brachiocephalic veins.
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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.
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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).
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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.
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