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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 |