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3. Heart
Vasculature of Heart
18
Medical
Graduate
11/05/2012

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Cards

Term
Coronary Artery location
Definition
-R and L located above semilunar valves (above aortic valve)
Term
Coronary Sinus
Definition
4 major veins drain into coronary sinus into R. atria
-Great, Middle, Small, [and oblique] cardiac veins
Term
Right coronary artery (RCA) branches:
Definition
1. SA nodal
2. Right marginal
3. Posterior Interventricular
4. AV nodal
Term
RCA as a whole supplies the:
Definition
1. Right atrium
2. Right ventricle
3. IV septum (post. 1/3)
4. SA and AV nodes
*Variable distribution to left atrium and ventricle
Term
Left Coronary Artery (LCA) branches:
Definition
1. Anterior interventricular (Left Anterior Descending-LAD)
-Diagonal branch
2. Circumflex
-Left marginal
Term
LCA Supplies:
Definition
1. LA
2. LV
3. Portion of RV
4. IV septum (anterior 2/3)
5. AV node
-SA node in 40% of population
Term
Anastomoses of Heart
Definition
LCA Circumflex - RCA
Anterior IV/LAD (LCA) - Posterior IV (RCA)
Term
Dominance of heart depends on its origination
Definition
Posterior IV A. (RCA normally)
Term
Coronary Artery Disease
Definition
Slow vs. Sudden
-Result: reduced blood supply to myocardial tissue
Term
Coronary Artherosclerosis
Definition
-Lipid deposits in intima of coronary arteries (continuous with endomyocardium)
-Slow progression=collateral circulation forms
-Rest vs. strenuous activity
Term
Myocardial Infarction (MI)
Definition
-Embolus- SUDDEN occlusion of major artery
-Region of occluded heart become infarcted (bloodless)
-Become necrotic
Term
Most common cause of MI
Definition
Coronary artery insufficiency from arteriosclerosis
Term
Atherosclerosis Treatment
Definition
1. Coronary Angioplasty- catheter balloon flattens plaque
2. Thrombolytics (thrombokinase/tPA)- time sensitive (3%, 3hr)
3. Intravascular stent, placed after 1 or 2, to maintain dilation
Term
Coronary Artery Bypass Graft (CABG)
Definition
Arterial- internal thoracic, radial, gastropiploic, inferior epigastric

Venous- great saphenous, small saphenous

Single through quintuple bypass

Attach L. subclavian distal to blockage
Term
Small cardiac vein runs with
Definition
Right marginal artery
Term
Middle cardiac vein runs with
Definition
Posterior IV artery
Term
Great cardiac vein runs with
Definition
Anterior IV (LAD)
Term
Coronary sinus runs with
Definition
Circumflex
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