Heart Flashcards

(56 cards)

0
Q

What is the epicardium

A

visceral layer of serous pericardium

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1
Q

What are the layers of the heart

A

Epicardium
Myocardium
Endocardium

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2
Q

What is the myocardium

A

primarily cardiac mm

-forms the bulk of the heart

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3
Q

What is the endocardium

A

Sheet of endothelium lining the chambers of the heart

-covers valves, continuous with endothelium of blood vessels

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4
Q

What is the skeleton of the heart

A

four fibrous connective tissue rings surrounding the four heart valves

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5
Q

What are Fibrous Trigones

A

Thickenings between the aortic semilunar and both atrioventricular rings
-membranous part of interatrial and interventricular septa attach here

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6
Q

What is the function of the fibrous trigones

A
  • Keeps AV and semilunar valves patent and from being overly distended by an increased volume of blood
  • Provides attachment point for cusps
  • separates atrial m from the ventricular m
  • Forms ‘electrical insulator between atrial and ventricular cardiac muscle **
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7
Q

What is the orientation of the heart

A
  • oriented obliquely behind sternum and medial ends of ribs 3-5
  • Apex of heart points left
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8
Q

What forms the sternocostal(anterior) surface of the heart

A

Mostly by right ventricle

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9
Q

What forms the diaphragmatic (inferior) surface of the heart

A

Mostly by the left ventricle

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10
Q

What forms the right pulmonary surface

A

Formed mostly by the right atrium

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11
Q

What forms the left pulmonary surface

A

formed by the left ventricle

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12
Q

What forms the base (posterior) surface

A

mostly by the left atrium where pulmonary vv enter

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13
Q

What forms the apex of the heart

A

The left ventricle

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14
Q

What is the anterior interventricular groove

A

furrow between right and left ventricles on sternocostal surface

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15
Q

What is in the anterior interventricular groove

A

anterior interventricular artery

great cardiac vein

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16
Q

What is the atrioventricular groove (coronary sulcus)

A

Junction between atria and ventricles

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17
Q

What is the posterior interventricular groove

A

furrow between right and left ventricles on the diaphragmatic surface

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18
Q

What is contained in the atrioventricular groove

A

contains right and left coronary aa

coronary sinus

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19
Q

What is contained in the posterior interventricular groove

A

contains posterior interventricular artery

middle cardiac vein

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20
Q

What is the right auricle

A

sometimes called the atrium proper

corresponds to the primordial atrium

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21
Q

What is the pectinate muscle

A

Found in anterior upper wall of atrium and in right auricle

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22
Q

What makes the majority of the inner wall of the right atrium smooth posteriorly

A

sinus venarum

23
Q

What is the crista terminalis

A

internal ridge of tissue in right atrium separating the pectinate muscle of the atrium from the sinus venarum

24
What does the crista terminalis correspond with
sulcus terminalis
25
What costal level does the SVC open into the sinus venarum
right 3rd costal cartilage
26
What costal levels does the IVC open into the sinus venarum
right 5th costal cartilage
27
Where is the SA nod located
anterolaterally at the the junction of the SVC and right atrium near the superior end of crista terminalis
28
Where is the AV node located
posteroinferior in the interatrial septum near the opening of the coronary sinus
29
Where is the coronary sinus
opens into the sinus venarum just posteromedial to IVC opening
30
What does the coronary sinus do
provides venous return for most cardiac vv
31
What is the fossa ovalis
oval shaped depression found in the interatrial septum | - remnant of the foramen ovale
32
What can a large patency of the fossa ovalis cause
hypertrophy of right atrium and ventricle and pulmonary hypertension
33
What is the right atrioventricular orifice
opening for tricuspid valve
34
Does the right ventricle or the right atrium have a thicker muscular wall
right ventricle
35
Where does the right ventricle receive blood from
right atrium through the tricuspid valve
36
How does blood leave the right ventricle
leaves via conus arteriosus in the superior left part of the ventricle leading to pulmonary semilunar valveat base of pulmonary trunk
37
What is Trabeculae carneae
irregular muscle ridges that line the right ventricle
38
what is the conus arteriosus
funnel shaped smooth area of the ventricle leading to the pulmonary trunk AKA infundibulum
39
What is the supraventricular crest
separates the conus arteriosus from the trabelculae carneae
40
What is the tricuspid valve
Right atrioventricular valve
41
What are the valves of the tricuspid valve labelled as
anterior posterior septal
42
When does the tricuspid valve work
closes with contraction of right ventricle to prevent backflow of blood into right atrium
43
What do the chordae tendinae do
prevent evertion of cusps during ventricular contraction
44
What does the papillary muscle do
start contracting before the ventricle to tense cords
45
What does the septomarginal trabecula contain and what does it do
contains the right AV bundle | Gets papillary muscle contracting before the ventricular contraction
46
What are the two parts of the interventricular septum
Muscular part-thick, strong, inferior major portion of the septum Membranous part- thin, superior minor portion of the septum
47
What is the pulmonary semilunar valve
Between the right and pulmonary trunk | contains 3 concave semilunar shaped cusps
48
What is the lunule
thickened free edge of each cusp of the pulmonary semilunar valve
49
What is the nodule of the pulmonary semilunar valve
central focal thickening in each nodule
50
What is the sinus of the pulmonary semilunar valve
located in the cup-shaped pocket associated with each cusp
51
How does the pulmonary semilunar valve work
sinuses fill with blood and lunules/nodules close together as pulmonary trunk recoils during diastole
52
Where is the left atrium located and what does it do
posteriorly and forms most of the base of the hear | Receives oxygenated venous blood from the pulmonary vv
53
What structure extends anterolaterally to cover the base of the pulmonary trunk
Left Auricle
54
Which auricle is larger, left or right
Right
55
What is the atrioventricular orifice
opening of bicuspid valve to left ventricle | inferior to left atrium