Cardiovascular System, Joanna Barrios, Period:1

Major Functions

Layers of Heart

Structural + functional differences (blood vessels)

Blood flow heart + body

Disorders

Anatomy of the Heart

Pumping chambers of heart

Coverings

Receiving chambers of heart

transport nutrients, gases and waste products around the body

protect the body from infection and blood loss

help maintain fluid balance within the body


circulates oxygen and removes carbon dioxide

help the body maintain a constant body temperature

Right atrium - receives blood returning from systemic circuit

Left atrium- receives blood returning from pulmonary circuit

Right ventricle - most of anterior surface, pumps blood through pulmonary circuit

Left ventricle - posteroinferior surface, pumps blood through systemic circuit

Pericardium

Parietal layer

Visceral layer

Myocardium

Endocardium

semilunar (SL) valves

Aortic semilunar valve - located between left ventricle and aorta

Pulmonary semilunar valve- located between right ventricle and pulmonary trunk

atrioventricular (AV) valves

Mitral valve - made up of two cusps and lies between left atria and ventricle

Chordae tendineae - anchor cusps of AV valves to papillary muscles

Tricuspid valve- made up of three cusps and lieS between right atria and ventricle

located between ventricles and major arteries

prevent back flow from major arteries back into ventricles

prevent back flow into atria when ventricles contract

located between atria and ventricles

Internal features

Interventricular septum - separates ventricles

Four chambers: 2 superior atria, 2 inferior ventricles

Interatrial septum - separates atria

Surface features

Anterior interventricular sulcus - anterior position of interventricular septum

Coronary sulcus (atrioventricular groove)

Posterior interventricular sulcus - landmark on posteroinferior surface

Veins

Inferior vena cava - returns blood from body regions below the diaphragm

Coronary sinus - returns blood from coronary veins

Superior vena cava - returns blood from body regions above the diaphragm

Other

Papillary muscles- project into ventricular cavity

Trabeculae carneae - irregular ridges of muscle on ventricular walls

Apex

Base - posterior surface

Left side of heart

Right side of heart

  1. Superior vena cava, inferior vena cava, and coronary sinus →
  1. Right atrium →
  1. Tricuspid valve →
  1. Right ventricle →
  1. Pulmonary semilunar valve →
  1. Pulmonary trunk →
  1. Pulmonary arteries →
  1. Lungs
  1. Four pulmonary veins →
  1. Left atrium →
  1. Mitral valve →
  1. Left ventricle →
  1. Aortic semilunar valve →
  1. Aorta →
  1. Systemic circulation

Pericardium

double-walled sac that surrounds heart made up of two layers

Parietal layer lines internal surface of fibrous pericardium

Visceral layer (epicardium) on external surface of heart

Two layers separated by fluid-filled pericardial cavity

3 layers

Epicardium - visceral layer of serous pericardium

Myocardium - circular or spiral bundles of contractile cardiac muscle cells

Endocardium - innermost layer; is continuous with endothelial lining of blood vessels

Veins + Arteries

Arteries - carry oxygen-rich blood away from the heart to all of the body's tissues

Arteries run deep, but veins are both deep and superficial

Cardiac Cycle and the ECG

ECG - Electrocardiogram

Phases of Cardiac Cycle

graphic recording of electrical activity

P wave - depolarization of SA node and atria

QRS complex - ventricular depolarization and atrial repolarization

T wave - ventricular repolarization

P-R interval - beginning of atrial excitation to beginning of ventricular excitation

S-T segment - entire ventricular myocardium depolarized

Q-T interval - beginning of ventricular depolarization through ventricular repolarization

Cardiac Cycle: blood flow through heart during one complete heartbeat

  1. Atrial systole -lasts about 0.1 seconds, both atria contract and force the blood from the atria into the ventricles.
  1. Ventricular systole- lasts about 0.3 seconds - both ventricles contract, blood is forced to the lungs via the pulmonary trunk, and the rest of the body via the aorta.
  1. Atrial diastole - lasts about 0.7 seconds, relaxation of the atria, during which the atria fill with blood from the large veins (the vena cavae).
  1. Ventricular diastole - lasts about 0.5 seconds, begins before atrial systole, allowing the ventricles to fill passively with blood from the atria.

Capillaries

there is less smooth muscle and connective tissue in veins

the walls of veins are thinner than those of arteries,

blood in the veins has less pressure than in the arteries.

Veins - take blood back to the heart

Capillaries surround body cells and tissues to deliver and absorb oxygen, nutrients, and other substances

Capillaries have walls that are only a single cell thick because they exchange materials between blood and tissue

Capillaries have no muscle & elastic fiber like the other blood vessels.

Blood pressure

Covering of the Heart

Heart

Hypotension – Low blood pressure below 90/60 mm Hg

Circulatory shock - blood vessels inadequately fill and cannot circulate blood normally

Hypertension - Sustained elevated arterial pressure of 140/90 mm Hg or higher, heart must work harder; myocardium enlarges, weakens, and becomes flabby

Pericarditis - Inflammation of pericardium

Angina pectoris - Thoracic pain caused by fleeting deficiency in blood delivery to myocardium as a result cells are weakened

Myocardial infarction - Prolonged coronary blockage

intrinsic conduction system

Fibrillation - rapid, irregular contractions

Arrhythmias - irregular heart rhythms

Veins

Varicose veins - dilated and painful veins due to incompetent valves

Heart Rate

Bradycardia - heart rate slower than 60 beats/min

Tachycardia - abnormally fast heart rate (>100 beats/min)

Heart murmurs - abnormal heart sounds heard when blood hits obstructions

Cardiac Output

Coronary atherosclerosis - clogged arteries caused by fat buildup; impairs oxygen delivery to cardiac cells

Congestive heart failure (CHF) – Progressive condition; CO is so low that blood circulation is inadequate to meet tissue needs

Dilated cardiomyopathy (DCM) - ventricles stretch and become flabby, and myocardium deteriorates