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Cardiovascular Notes
| Question | Answer |
|---|---|
| The heart rests on: | diaphragm |
| The heart is located in the: | medistinum |
| apex is directed: | anterior inferiorly to the left |
| the base or superior border is directed: | posterior superiorly to the right |
| Anterior surface is: | deep to the sternum and ribs |
| inferior surface is: | portion that rests on the diaphragm |
| The right border faces | the right lung |
| the left border or pulmonary border faces | the left lung |
| superior right point | superior border of the third right costal cartilage about 3cm to the right of the midline |
| superior left point | inferior border of second left costal cartilage about 3cm to the left of the midline |
| inferior left point | apex of the heart in the fifth left intercostal space about 9cm to the left of the midline |
| inferior right point | superior border of the sixth right costal cartilage about 3cm to the right of the midline |
| pericardium is | the membrane that surrounds and protects the heart |
| fibrous pericardium is | tough, inelastic, dense irregular connective tissue |
| fibrous pericardium prevents | overstretching of the heart, provides protection and anchors the heart in the mediastinum. |
| serous pericardium | a thinner more delicate membrane that forms a double layer around the heart |
| parietal layer of serous pericardium is fused to | fibrous pericardium |
| visceral layer of serous pericardium (epicardium) adheres to | the surface of the heart |
| pericardial fluid is | a slippery secretion that reduces friction between the membrane as the heart moves |
| pericardial cavity contains | pericardial fluid |
| epicardium is also called | serous pericardium |
| Epicardium is | the external layer of the heart wall |
| epicardium is composed of two layers which are | visceral layer of serous pericariumvariable layer of connective or adipose tissue |
| Myocardium is | the middle layer composed of cardic muscle tissue |
| Myocardium is responsible for | pumping action of the heart |
| Cardiac muscle fibres swirl | diagonally around the heart and interlacing bundles |
| Endocardium is | thin layer of endothelium overlying connective tissue |
| endocardium provides | a smooth lining for the chambers of the heart and covers the valves of the heart |
| Endocardium is continuous with | the endothelial lining of the large blood vessels attached to the heart. |
| compared to skeletal muscle Cardiac muscle fibres are | shorter, less circular, transverse |
| two sepearte functional networks are | the atria and ventricles |
| intercallated disks connect | ends of cardiac muscle fibres to neighbouring fibres. |
| desmosomes hold | fibres together |
| gap junctions allow | muscle action potentials to conduct from one muscle fibre to its neighbour |
| each network contracts as | a unit |
| listening to heart sounds is called | auscultation |
| Sound comes primarily from | blood tubulence caused by the cloising of heart valves |
| only the first and second sounds are | loud enough to be heard through a stethoscope |
| the first sound S1 | is louder an a bit longger than the second sound |
| lubb is created by | blood turbulence associated with the closure of av valves |
| the seond sound s2 is caused by | blood turbulence associated with the closing of the semilunar valves "dupp" |
| the sounds are best heard | through a stethoscope |
| the closure of aortic valve is best heard | superior right point |
| the colosure of the pulmonary valve | superior left point |
| the colsure of the bicuspid valve is best heard | inferior left point |
| the closure of the tricuspid valve is best heard | inferior right point |
| valvular abnormalities include | murmurs |