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Chapter 20
Question | Answer |
---|---|
Define the Heart | Is a pump |
Define mediastinum | Space between lungs behind the sternum |
Where is the base of the heart? The apex? | The base is the broadest part at the top, while the apex is the point at the bottom |
Pericardium has ____ layers and _____ | 2 layers, and 1 cavity |
What is cardiology? | The study of the heart |
How many layers is the heart wall made up of? | 2 layers |
How many chambers are there? Valves? | 4 and 4 |
What is the outermost layer of the pericardium? Description and function? | Fibrous layer of pericardium- made of CT (tough)- main function is to protect the heart/ from overfilling/ overstretching. |
The Serous layer of the pericardium is made up of what? | Parietal pericardium and visceral pericardium |
What is the pericardial cavity? Function? | Contains serous fluid and is to reduce friction. |
Parietal pericardium lines what? | Inside of the fibrous pericardium facing the heart |
Visceral pericardium covers what? | Covers Surface of the heart itself. |
What is a cardiac tamponade? Treatment? | When there is restricted movement of the heart due to excess fluid in cavity. Drain fluid through a needle. |
What is pericarditis? | Inflammation of the pericardium due to pathogens. |
3 layers of Myocardium? | Epicardium, Myocardium, and endocardium |
What is the Epicardium? | Visceral membrane layer blended with epicardium |
What is the myocardium function? Thick or thin? | Does the work of the heart. Is the thickest layer. |
Is the endocardium smooth or rough? What does it cover? What does it mean if it is rough? | Always needs to be smooth. It covers the valves of the heart. If it's rough that indicates bacterial infection |
Right atrium collects blood from ______ | systemic circuit |
Right ventricle pumps blood to | pulmonary circuit |
__________ collects blood from pulmonary circuit | Left Atrium; |
left ventricle pumps blood to __________ | systemic circuit |
Which side of the heart receives deoxygenated blood? | Right atrium |
Which ventricle is largest? Why? | Left ventricle because it has to deliver blood to the body systems, while the right only needs to go to the lungs |
Blood may only come INTO the heart through the L & R ______. | Atrium |
Blood may only EXIT/LEAVE the heart through the L & R ________. | ventricle |
Name two veins which drain into the R atrium | Superior vena cava (SVC) and Inferior vena cava (IVC) |
What is the interatrial hole in the fetal heart called? What is it's function? | Foramen ovale. Allows oxygenated blood from mother bypass lungs. |
Trabeculae carneae looks like? | Muscular ridges on the internal surface of the heart |
Moderator band is found only in.... | Right ventricle |
Functions of the cardiac skeleton? | Supports heart, prevents stretching, stabilizes valves, insulation, and prevents stray electrical impulses |
Papillary muscles attach the chordae tendineae to the _____ when the AV valve ____ | apex, closes |
What is a cusp? | A flap of tissue that creates a valve. essentially like a one way door to prevent blood backflow in to the wrong chambers |
What does the RAV valve do? | prevents backflow from RV to RA. Does not allow the blood to go back upstairs |
What does the LAV valve do? | prevents backflow from LV to LA. |
Right Atrioventricular Valve is what kind of valve? Oxy or deoxy? | Tricuspid- deoxygenated blood |
Valvular heart disease is what? Reasons it may it develop? | Deterioration of valve function, may develop after carditis and can result from rheumatic fever |
Valvular insufficiency description | Allows blood to regurgitate back in to the chamber where it was pumped, fails to prevent backflow |
Valvular stenosis description. Treatments? | Valve is narrowed and causes the heart to strain which can lead to heart failure. Replace with artificial or pig valves |
Heart murmur description? Cause? | Sound of regurgitation. Due to incompetent or stenotic heart valves |
Heart sounds | Lub and Dub |
Coronary Arteries function | delivers oxygenated blood to myocardium |
End arteries description | Dead end street basically. |
Cardiac veins function | collect deoxygenated blood from myocardium |
Right coronary artery emerges from the ______ and travels to the right side of heart | aorta |
Sinoatrial nodal artery supplies the ______________ ______ | Sinoatrial node (pacemaker) |
Which layer of the myocardium is continuous (cannot be separated from the visceral pericardium) | Epicardium |
When blood comes through the 4 veins to the Left Atrium, is the blood oxygenated or deoxygenated? | Oxygenated |
When the interatrial hole fuses after birth it becomes? | Fossa ovalis. |
Left Atrioventricular Valve is what kind of valve? Oxy or deoxy? | Bicuspid- oxygenated |
Pulmonary semilunar valve prevents back flow from ____ ____ to right ventricle | pulmonary artery |
Aortic semilunar valve prevents back flow from ____ ____ to left ventricle | aorta |
Auscultation means to... | Listen |
4 areas to listen to the heart | Aortic, Pulmonic, Tricuspid, and Mitral |
Where do you listen to the Aortic | Right sternal- 2nd intercostal space |
Where do you listen to the pulmonic | Left sternal- 2nd intercostal space |
Where do you listen to the tricuspid? | Left sternal- 4th intercostal space |
Where do you listen to the Mitral? | Left midclavicular- 5th intercostal space |
Another name for the Right marginal artery | acute marginal artery |
Another name for Posterior Interventricular artery | Posterior Descending Artery |
The left coronary artery arises from the aorta and immediately _____ into the LAD and LCA | splits |
Another name for the anterior interventricular artery? | Left Anterior Descending (LAD) artery- the widow maker |
The left circumflex artery circles around.... | to the back of the heart |
the great cardiac vein is located? | in the front along the intraventricular septum |
The coronary sinus is the end point of all... | Cardiac veins |
The coronary sinus dumps ___ blood in to ____ atrium, along with the SVC/IVC | deoxygenated; right |
What is the number one cause of death in America? | Coronary Artery Disease |
What is Coronary Artery Disease? | Areas of partial or complete blockage of coronary circulation due to plaque buildup. |
What is coronary ischemia? Due to? | Reduces circulatory supply from partial or complete blockage of coronary arteries (no oxygen) |
Surgical cure of coronary ischemia | Insertion of stent after a balloon angioplasty to restore blood flow |
What is angina pectoris? | temporary ischemia (pain) when workload of heart increases. Pain on exertion. |
Angina pectoris causes pain on exertion but stops with.... | REST |
What is myocardial infarction? | a blockage of blood flow to the heart (heart attack) |
Are men or women more likely to survive their first myocardial infarction? | Men |
True or False: Is pain always present in myocardial infarction? Who are more likely to go undiagnosed? | False; women |
How is myocardial infarction diagnosed? | ECG and blood work |
Name the 3 enzymes released in the blood that indicate a myocardial infarction | troponin T, troponin I and CK-MB |
What is collateral circulation? | "backup" circulation around a blocked artery of vein via another path. |
What helps promote collateral circulation? | Regular exercise |
What causes intense, persistent pain even at rest? | myocardial infarction |