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Chapter 17 Heart
Study of Heart
| Question | Answer |
|---|---|
| What are the Functions of the heart? | Generating blood pressure; Routing blood;Regulating blood supply |
| What is required for blood flow through the blood vessels? | Blood pressure |
| How does the heart regulate blood supply? | It adjusts blood flow by changing the rate and force of heart contractions as needed. |
| The flow of blood from the heart through the lungs back to the heart. | Pulmonary circulation |
| The flow of blood from the heart through the body back to the heart. | Systemic circulation |
| Picks up oxygen and releases carbon dioxide in the lungs. | Pulmonary circulation |
| Delivers oxygen and picks up carbon dioxide in the body's tissues. | Systemic circulation |
| Where is the heart located? | Thoracic cavity between the lungs. |
| What is the heart shaped like? | Blunt cone with an apex and a base. Apex directed to left of midline; base is deep to sternum; it rest on superior surface of diaphragm. |
| Size of heart | size of your fist; |
| Chambers of the heart | 2 atria; 2 ventricles |
| A double-walled sac around the heart. | Pericardium |
| What is the Pericardium composed of? | outer fibrous pericardium; deep two-layer serous pericardium |
| What lines the internal surface of the fibrous pericardium? | parietal layer of the serous pericardium. |
| What lines the surface of the heart? | visceral layer of the serous pericardium |
| What separates the parietal and visceral layers of the serous pericardium? | The fluid-filled pericardial cavity. |
| What is the purpose of the pericardial fluid? | reduces friction |
| Purpose of fibrous pericardium | protects and anchors the heart; prevents overfilling of the heart with blood. |
| Purpose of serous pericardium | Allows for the heart to work in a relatively friction-free environment. |
| 3 layers of the heart | Epicardium; myocardium; endocardium |
| Also known as the visceral pericardium; provides protection against friction of rubbing organs | Epicardium |
| Cardiac muscle layer; forms the bulk of the heart; responsible for contraction | Myocardium |
| Endothelial layer(of heart) over layer of connective tissue; allows blood to move easily through the heart. | Endocardium |
| Ventricles have ridges called _______ _________. | trabeculae carneae |
| The inner surfaces of the atria are ________ __________. | mainly smooth |
| Auricles have raised areas called _______ _________. | pectinate muscles. |
| Receiving chambers of the heart. | Atria |
| Each atrium has a __________ ________ on the anterior surface. | flaplike auricle |
| The veins entering the _______ atrium carrying blood to the heart from systemic circulation are? | right; inferior vena cava & superior vena cava |
| Delivers blood to the right atrium from coronary circulation. | Coronary sinus |
| Enter the left atrium carrying blood to the heart from the lungs. | Four pulmonary veins |
| Discharging chambers of the heart. | Ventricles |
| _______ __________ and _________ ________ muscles mark ventricular walls. | Papillary muscles; trabeculae carneae |
| What 2 arteries carry blood away from the heart? | Pulmonary trunk; Aorta |
| Pulmonary trunk splits into: | right and left pulmonary arteries |
| Pulmonary trunk exits which ventricle and carries blood where? | Right ventricle; to lungs |
| What exits the left ventricle and carries blood to the body? | Aorta |
| What separates the atria from the ventricles? | coronary sulcus |
| What separates the right and left ventricles? | interventricular sulci |
| What separates the atria from each other? | interatrial septum |
| What is the former location of the foramen ovale called? | fossa ovalis |
| Blood bypassed the lungs in the fetus through? | foramen ovale |
| Function of the heart valves | to ensure unidirectional blood flow through the heart. |
| Valves between the atria and ventricles are called: | Atrioventricular Valves (AV valves) |
| ______________ _______ separates the right atrium and ventricle. | tricuspid valve |
| _________ __________ separates the left atrium and ventricle. | Bicuspid valve |
| _________ ________ anchor AV valves to papillary muscles. | Chordae tendineae |
| AV valves prevent backflow int the atria when ventricles _________. | contract |
| ___________ ________ _______ lies between the left ventricle and the aorta. | Aortic semilunar valve |
| ________ ________ ________ lies between the right ventricle and the pulmonary trunk. | Pulmonary semilunar valve |
| Semilunar valves prevent backflow of blood into the _________. | ventricles. |
| Flow of blood through heart: | right atrium--tricuspid valve--right ventricle--pulmonary semilunar valve--pulmonary trunk--pulmonary arteries--lungs--pulmonary veins--left atrium--bicuspid valve--left ventricle--aortic semilunar valve--aorta--to body |
| What supplies blood to the heart? | coronary ateries |
| Where do the coronary arteries originate from? | aorta |
| Blood returns from the heart tissues to the right atrium via: | coronary sinus and cardiac veins |
| Artery that runs along the anterior interventricular sulcus. | Anterior interventricular artery |
| Artery that curves to the left around the coronary sulcus and pits to form marginal and post interventricular arteries. | Circumflex artery |
| Left coronary artery splits to form: | anterior interventricular artery and circumflex artery |
| Major vein on the anterior surface of heart, drains into the coronary sinus. | Great cardiac vein |
| posterior vein (heart) drains the myocardium into the right atrium. | Coronary sinus |
| Drains anterior surface of the right ventricle into the right atrium | Anterior cardiac vein |
| Pain experienced due to a decrease in blood flow, may be due to narrowed or hardened coronary arteries. | Angina pectoris |
| Prolonged lack of blood flow causes cell death: | Coronary thrombosis (Myocardial infarction)(heart attack) |
| Consists of a plate of fibrous connective tissue; forms fibrous rings around the AV and SL valves for support; provides a point of attachment for heart muscle; electrically insulates the atria from the ventricles: | Fibrous Skeleton of the Heart |
| The nucleus of cardiac muscle cells is located? | centrally |
| What are organized to form sarcomeres in cardiac muscle and give striated appearance? | Actin and myosin |
| Normal contraction of cardiac muscle depends on? | extracellular calcium |
| _____________ and ___________ are not as organized as in skeletal muscle. | T tubules and sarcoplasmic reticulum |
| What does cardiac muscle rely on for ATP prduction? | Aerobic respiration |
| Cardiac muscle as many? | mitochondria |
| Cardia muscle cells are joined by? | intercalated disks |
| What allows action potentials to move from one cell to the next, thus allowing cardiac muscle cells to function as a unit? | intercalated disks |
| What allows for ions to pass from cell to cell for quick passage of action potentials? | Gap junctions |
| What prevent the cells from separating during contraction? | Desmosomes |
| Cardiac muscle cells are insensitive to further stimulation during? | absolute refractory period |
| Stronger than normal stimulation can produce an action potential during? | Relative refractory period |
| What allows time for the cardiac muscle to relax before the next action potential causes a contraction? | Prolonged absolute refractory period |
| Why does cardiac muscle have a prolonged absolute refractory period? | because of the long duration of the plateau phase |
| Pacemaker of the heart | sinoatrial (SA)node |
| Collection of cardiac muscle cells capable of spontaneously generating action potentials; sets heart rate | sinoatrial (SA)node |
| Slowly developing local action potential: | prepotential |
| Why are some cardiac muscle cells autorhythmic? | because of the spontaneous development of a prepotential |
| The prepotential results from the movement of ____ and _____ into the SA node cells. | Sodium and Calcium |
| Unlike other cardiac muscle cells the movement of _______ into the pacemaker cells drives the depolarization phase of their action potential. | Calcium |
| What determines heart rate? | duration of the prepotential phase |
| The sinoatrial node and the atrioventricular node are located? | right atrium |
| The AV node is connected to the left and right bundle branches in the interventricular septum by? | AV bundle |
| Bundle branches give rise to ____ ______, which supply the ventricles | Purkinje fibers |