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Chapter 18 CardovascularSystem
Chapter 18 Cardovascular System The Heart A&P2
89
Anatomy
Undergraduate 1
03/03/2009

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Term
What is the size of the heart?
Definition
about 14 cm long by 9 cm wide in adult -- approximately the size of a closed fist.
Term
What is the location of the Heart?
Definition
Located in - Mediastinum medial cavity in Thorax between lungs, sternum and vertebral column with approximately 2/3 to left of body's midline.
Term
What is the name of the heart's flattened end to which major blood vessels are attached, beneath second rib, and pointing to right shoulder
Definition
The Base
Term
Name the medial cavity in Thorax between lungs, sternum and vertebral column with approximately 2/3 to left of body's midline. Where the Heart is located.
Definition
Mediumstinum
Term
Name the heart's more pointed end; beneath space between 5th and 6th rib, and pointing to the left hip?
Definition
The Apex
Term
Name the loose fitting sac surrounding heart and composed of a fibrous outer layer and inner double-layered Serous Membrane.
Definition
Pericardium
Term
Name the tough, outer layer composed of Dense (Fibrous) Connective Tissue that protects and anchors heart to Diaphragm and large blood vessels joining heart, and prevents its overstretching
Definition
Fibrous Pericardium
Term
Name the Inner thin Serous Membrane composed of Parietal Layer fused to Fibrous Pericardium and Visceral Layer (Epicardium) attached to heart muscle
Definition
Serous Pericardium
Term
Name the space between Parietal and Visceral Layers of serous Pericardium that filled with lubricating Pericardial Fluid, secreted by cells of these membranes.
Definition
Pericardial Cavity
Term
What is the Inflammation of pericardium that may result from too little pericardial fluid production and roughening of Serous Membranes. May lead to Pericardia adhering to each other, or accumulation of inflammatory fluid compressing heart
Definition
Pericarditis and Cardiac Tamponade
Term
Name the external layer the the heart composed of Simple Squamous Epithelium and delicate connective tissue containing blood and lymph capillaries
Definition
Epicardium (Visceral Layer of Serous Pericardium)
Term
Name the Middle layer of the heart consisting mainly of Cardiac Muscle Fibers arranged in circular or spiral bundles, and dense network of connective tissue that supports and anchors muscle fibers
Definition
Myocardium or Fibrous Skeleton of Heart
Term
What contains blood and lymph capillaries, and nerve fibers. Adjacent Cardiac Muscle Fibers connected by Intercalated Discs – transverse thickenings of Sarcolemma containing Gap Junctions that facilitate spread of APs among fibers allowing them to contract as single unit, and Desmosomes that help hold fibers together.
Definition
Myocardium
Term
Name the inner lining of heart made of Simple Squamous Epithelium (Endothelium) over thin with connective tissue layer containing blood and lymph capillaries, and continuous with Endothelium of blood vessels attached to heart.
Definition
Endocardium
Term
What are the 2 superior thin-walled heart chambers, each with small, wrinkled appendages
Definition
Atria (Atrium – singular form) and the Auricles
Term
Name the 2 inferior, thick walled heart chambers
Definition
Ventricles
Term
Name the internal partition of the heart that separates Atria into Right Atrium and Left Atrium.
Definition
Interatrial Septum
Term
Name the grooves on anterior and posterior surface of heart, Respectively, that indicate position of Interventricular Septum.
Definition
Anterior Interventricular Sulcus and Posterior Interventricular Sulcus
Term
Name the surface groove including heart at junction between Atrial and Ventricles.
Definition
Coronary (Atrioventricular) Sulcus
Term
Short Trace of blood Thur heart
Definition
Atria receive blood returning to heart via Veins, and pump it into Ventricles which pump blood out of heart to body via Arteries.
Term
What are Heart Valves composed of ?
Definition
dense connective tissue
Term
What are Heart Valves covered by ?
Definition
Endocardium
Term
What do the Heart Valves do?
Definition
prevents backflow of blood into heart chamber from which it came, thus keeping blood flowing in one direction through heart
Term
What is composed of dense connective tissue covered by Endocardium and prevents backflow of blood into heart chamber from which it came, thus keeping blood flowing in one direction through heart
Definition
Heart Valves
Term
What are between the Atria and Ventricles and their Ventricles that prevent backflow of blood into Atrial and Ventricles contract
Definition
Atrioventricular AV Valves
Term
Name the AV valve between Right Atrium and Right Ventricle that has three flaps (cusps)
Definition
Tricuspid Valve
Term
AV valve between Left Atrium and Left Ventricle that has two flaps (cusps).
Definition
Bicuspid (Mitral)Valve
Term
Name the Collagen Cords attached to flaps of both Tricuspid and Bicuspid Valves that anchor Valve Flaps
Definition
Chordae Tendinae – (heart strings)
Term
Name the ANCHOR for the Collagen Cords attached to flaps of both Tricuspid and Bicuspid Valves that project out from Ventricle walls ?
Definition
Papillary Muscles
Term
What holds the AV Valve flaps closed when Ventricles contract, not allowing AV Valve to protrude into Atrial and prevents backflow of blood
Definition
Chordae Tendineae
Term
Name the part of the Heart that is in Arteries draining Ventricles that prevent blood back flow in Ventricles when Ventricles relaxed
Definition
Semilunar (SL) Valves
Term
Name the SL Valve in -- Artery draining Right Ventricle.
Definition
Pulmonary Semilunar Valve
Term
Name the Artery draining Right Ventricle
Definition
Pulmonary Trunk
Term
SL valve in Artery draining Left ventricle
Definition
Aortic Semilunar Valve
Term
Name the Artery draining Left ventricle
Definition
Aorta
Term
What parts of the heart have three pocket-like Flaps that are forced apart when Ventricles contract, and come together, (closing valve) when blood backflow fills flaps upon Ventricular Relaxation.
Definition
Pulmonary and Aortic Semilunar valves
Term
“VAVA”
Definition
Veins to Artery to Ventricles to Arteries
Term
Right side of heart is associated with _____________________ – circulation of Deoxygenated (O2 poor) blood returned from body to lungs and of Oxygenated (O2 rich) blood from lungs to left side of heart.
Definition
The Pulmonary Circuit.
Term
Left side of heart associated with the ___________________- circulation of Oxygenated blood to rest of body, and of Deoxygenated blood from rest of body to right side of heart.
Definition
Systemic Circuit
Term
Where does the Right Atrium receive blood from ?
Definition
Superior Vena Cava, Inferior Vena Cava and the Coronary sinus
Term
What major Vein drains the head, neck, and arms.
Definition
Superior Vena Cava
Term
What major Vein drains rest of body and legs.
Definition
Inferior Vena Cava
Term
What Vein drains most of heart wall ?
Definition
Coronary sinus
Term
What part of the heart contracts, pumping blood through open Tricuspid Valve into Right Ventricle.
Definition
Right Atrium
Term
What part of the heart closes as Right Ventricle contracts, forcing blood through open Pulmonary Semilunar Valve into Pulmonary Trunk
Definition
Tricuspid Valve
Term
What Arteries carry blood to Right and Left lungs
Definition
Right and Left Pulmonary Arteries
Term
What part of the heart receives blood from Right and Left Pulmonary Veins. Veins returning from Right Left lungs
Definition
Left Atrium
Term
What part of the heart receives blood from Right and Left Pulmonary Veins. Veins returning from Right Left lungs
Definition
Left Atrium
Term
What part of the heart receives blood from Right and Left Pulmonary Veins. Veins returning from Right Left lungs
Definition
Left Atrium
Term
Name the two Arteries that branch off the Aorta just beyond Aortic Semilunar Valve and supply blood to heart tissue itself.
Definition
Left Coronary Artery and Right Coronary Artery
Term
Which Artery divides into these two Major branches the Anterior Interventricular Artery and the Circumflex Artery ?
Definition
Left Coronary Artery
Term
Name the Branch of the Coronary Artery that runs along Interventricular Sulcus, and supplies anterior walls of both Ventricles and Interventricular Septum
Definition
Anterior Interventricular Artery
-it is one of two Major branches of Left Coronary Artery
Term
Name the Branch of the Coronary Artery that runs along the Coronary Sulcus (Atrioventricular Sulcus) between Left Atrium and Left Ventricle, supplies the walls of the Left Atrium and posterior Left ventricle.
Definition
Circumflex Artery
-it is one of two Major branches of Left Coronary Artery
Term
Which Artery runs along the Coronary Sulcus between Right Atrium and Right Ventricle and splits into two major branches
Definition
Right Coronary Artery
Term
Name the Coronary Artery branch that runs along Posterior Interventricular
Sulcus, and supplies posterior walls of both Ventricles.
Definition
Posterior Interventricular Artery
-it is one of two Major branches of Right Coronary Artery
Term
Name the Branch of the Coronary Artery that runs along Right Ventricle, and supplies lateral wall of Right Ventricle
Definition
Marginal Artery
-it is one of two Major branches of Right Coronary Artery
Term
Name the Veins that drain blood from Capillary Beds in heart wall and into Coronary Sinus
Definition
Cardiac Veins
Term
Name the Large Vein that carries blood into Right Atrium from the Cardiac Veins
Definition
Coronary Sinus
Term
Name the 2 Major Veins connecting to Coronary Sinus ?
Definition
Great Cardiac Vein, and Middle Cardiac Vein,
Term
Name the vein that runs along Anterior Interventricular Sulcus, and drains anterior part of heart
Definition
Great Cardiac Vein
Term
Name the vein that runs along posterior Interventricular Sulcus and drains posterior portion of heat
Definition
Middle Cardiac Vein
Term
What do you call a condition that causes a reduction in blood flow, usually due to Blood clots, Atherosclerotic Plaques or Vascular Spasms (causes vasoconstriction)?
Definition
Ischemia
Term
What do you call the condition where inadequate O2 supply usually due to Ischemia.In heart if temporary may cause weakening, but not death, in Cardiac Muscle Fibers and often indicated by Angina Pectoris -chest pain due to Myocardial Ischemia
Definition
Hypoxia
Term
What do you call chest pain due to Myocardial Ischemia
Definition
Angina Pectoris
Term
What is Angina Pectoris -chest pain usually due to
Definition
Myocardial Ischemia
Term
What do you call the condition that results in the death of cardiac tissue from lack of blood supply by blockage or prolonged interruption of coronary arterial circulation.
Definition
Myocardial Infarction (MI) or Heart attack
Term
Cardiac muscle more adaptable than skeletal muscle in its use of fuel molecules. In addition to __________ and _______ _______, cardiac muscle can employ variety of nutrients, including _______ ________.
Definition
Glucose and fatty acids

Lactic Acid
Term
Cardiac muscle generates ATP almost exclusively by ________ _________ ________, (as suggested by greater number of ___________ in cardiac muscle than in skeletal muscle). Cardiac muscle cannot operate efficiently on ___ _____.
Definition
Aerobic Cellular Respiration
Mitochondria
O2 debt
Term
Damage to cardiac muscle fibers as result of ________ ______ ______ is usually due to _____ of ___, not __________. Since cardiac muscle fibers are unable to _______, those that die are replaced by ___-_________ ______ _____ ________ _______ (resulting in a weakening of the heart).
Definition

inadequate blood supply

lack of O2

nutrients

divide

non-contractile fibrous dense Connective Tissue

Term
Name the Impulse generation and conduction system of the heart consisting of series of components
Definition
Cardiac Conduction System or Intrinsic Cardiac Conduction System
Term
Name the noncontractile, self-excitable cells that repeatedly and rhythmically generate and distribute impulses of Action Potential (AP) throughout heart
Definition
Autorythmic Cardiac Cells
Term
CNS stimulates the heart to beat.
True or False
Definition
false
Term
What stimulates and coordinates contraction of heart chambers without any direct stimulus from Nervous System.
Definition
Cardiac Conduction System
Term
What are the Components of Cardiac Conduction System?
Definition
Sinoatrial Node (SA node),
Atrioventricular (AV) Node,
Atrioventricular AV bundle or Bundle of HIS,
Right and Left Bundle Branches, and
Purkinje Fibers (Conduction Myofibers)
(myofibers = muscle cell)
Term
Name the mass of Cardiac Conduction Tissue in posterior wall of Right Atrium just inferior to entrance of Superior Vena Cava.
Definition
Sinoatrial Node (SA node)
Term
What is the heart’s natural Pacemaker
Definition
Sinoatrial Node
Term
What part of the heart has fastest depolarization rate of all cardiac conduction of tissue, so it’s APs spread to other parts of Cardiac Conduction System before they able to generate APs at their own slower rate; thus it sets pace of heart.
Definition
Sinoatrial Node (SA node)
Term
What part of the heart spontaneously generates APs between 60-100 times per min, averaging about 75 per min
Definition
Sinoatrial Node (SA node)
Term
What is the name of that of SA node which determines heart rate APs generated by SA Node spread through cells of both Atria, stimulating them all to contract as single unit.
Definition
Sinus Rhythm
Term
Name the mass of Cardiac Conduction Tissue located in inferior part of Interatrial Septum just superior to Tricuspid Valve that receives APs from SA Node, delays them briefly (due to smaller diameter of fibers here), and relays them on to Cardiac Conduction Tissue in Ventricles. This delay allows Atria to complete contraction before Ventricles contract.
Definition
Atrioventricular (AV) Node
Term
Name the tract of Cardiac Conduction Fibers in inferior part of Interventricular Septum that carries APs from AV Node into Interventricular septum.
Definition
Atrioventricular AV bundle or Bundle of HIS
Term
___ _____ is the only electrical connection between Atria and Ventricles, since non-conducting fibrous skeleton of heart lies between and insulates Cardiac Muscle Fibers of Atria and Ventricles
Definition
AV Bundle
Term
What are the divisions (branches) of AV bundle that carry APs through Interventricular Septum toward the Apex of Heart
Definition
Right and Left Bundle Branches
Term
What is the name of the network of large Cardiac Conduction Fibers that extend from Right and Left Bundle Branches, and carry APs to Cardiac Muscle Fibers in walls of Ventricles, stimulating them to contract nearly simultaneously as single unit.
Definition
Purkinje Fibers (Conduction Myofibers)
(myofibers = muscle cell)
Term
_________ ________ stimulated and contract just before cardiac muscle fibers in lateral walls of ventricles (to hold flaps of Tricuspid and Bicuspid Valves in place). Contraction of ventricles begins at Apex of heart and moves rapidly toward Atria
Definition
Papillary Muscles
Term
What can Defects of Cardiac Conduction System can cause?
Definition
Arrhythmia (Dysrhythmia),
Fibrillation-Ventricular Fibrillation,
Term
What is an irregular heart rhythm called?
Definition
Arrhythmia (Dysrhythmia)
Term
What is a rapid uncoordinated Atrial or Ventricular contraction causing ineffective pumping action called.
Definition
Fibrillation
Term
What is life threatening and requires Defibrillation -- electrically shocking of heart to depolarizes entire myocardium and restore Sinus Rhythm - condition named.
Definition
Ventricular Fibrillation
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