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EXAM3
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78
Physiology
Undergraduate 3
10/24/2014

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Cards

Term
What is the function of an artery?
Definition
to carry blood away from the heart
Term
What is a vein?
Definition
a tube carrying blood from the capillary beds to the heart, made of some smooth muscle (but doesn't contract)
Term
Where is the right atrioventricular valve located, and what is its other name?
Definition
between the right atrium and right ventricle, also called the tricuspid valve
Term
Where is the left atrioventricular valve located, and what is its other name?
Definition
between the left atrium and ventricle, also called the bicuspid valve or Mitral valve
Term
What is the function of the superior vena cava?
Definition
it returns deoxygenated blood from the head region into the right atrium FROM SYSTEMIC VASCULATURE
Term
What is the function of the inferior vena cava?
Definition
it returns deoxygenated blood from the lower parts of the body FROM SYSTEMIC VASCULATURE
Term
What is the pulmonary valve?
Definition
also called the right semilunar valve, it separates the right ventricle from the pulmonary artery
Term
Where is the pulmonary artery located and what is its function?
Definition
located on the right ventricle, the pulmonary artery carries deoxygenated blood to the lungs where it is oxygenated
Term
Where is the pulmonary vein located, and what is its function?
Definition
on the left atrium, it brings oxygenated blood back from the lungs
Term
Where is the aorta located?
Definition
on the left ventricle
Term
What type of cells line the inner parts of the heart?
Definition
endothelial cells
Term
After the blood leaves the aorta, where does it travel?
Definition
blood leaves aorta and goes to the systemic vasculature
Term
What is the wall of cardiac muscle called, and what is its function?
Definition
myocardium, it receives blood from the coronary arteries
Term
What are the layers of the heart?
Definition
1. Myocardium 2. Endocardium 3. Pericardium
Term
What type of cells comprise the endocardium?
Definition
endothelial cells, which are a type of epithelial cells
Term
What is the outer layer of the heart and what is it comprised of?
Definition
Pericardium which is made up of 2 layers of mesothelial cells
Term
What does the right heart pump do?
Definition
pumps blood to the lungs
Term
What does the left heart pump do?
Definition
pumps blood to the body
LEFT PUMP HAS MORE MUSCLE
Term
Is the pressure high or low when its entering the right atrium?
Definition
low pressure blood!
Term
When the heart makes the Lub sound, what is happening?
Definition
the AV valves close
Term
What makes the Dub sound?
Definition
when the aortic and pulmonary valves close, (aka semilunar valves)
Term
What is the inner layer of pericardium called and how is it connected to heart?
Definition
visceral layer, connects the mesothelial cells to the myocardium with basal lamina
Term
What is the outer layer of pericardium called?
Definition
parietal layer
Term
What layer touches the blood in the heart?
Definition
endocardium
Term
What connects the visceral layer to the heart?
Definition
basal lamina
Term
What is pericarditis?
Definition
inflammation of the pericardium, there is an increase of fluid which results in an increase of pressure which inhibits blood flow into the heart
Term
How does blood flow from the right atrium to the right ventricle?
Definition
the right atrioventricular valve (tricuspid valve) opens
Term
After the ventricles are filled, what happens?
Definition
it creates a lot of pressure closing the atrioventricular valves
Term
How does the blood flow from the left atrium to the left ventricle?
Definition
through the atrioventricular valve (bicuspid, mitral valve)
Term
What is the pericardium?
Definition
a fluid filled sac that surrounds the heart, composed of 2 mesothelial layers
Term
What is Frank Starlings Law?
Definition
the increase in end diastolic volume produces an increase in stroke volume
Term
What is stroke volume?
Definition
amount of blood being pushed out of heart, calculated by:
SV=EDV-ESV
Term
What is the filling phase?
Definition
when blood is rushing from the atrium into the ventricles, sarcomeres in myocardium stretch while blood is filling heart, during this phase pressures in the heart are lower than in the vena cava or pulmonary vein
Term
What happens at the end of the filling phase?
Definition
pressure increases slightly which is generated by the contraction of cardiomyocytes in the atrial myocardium to force the final amount of blood into the ventricles
Term
Once the ventricles are filled, what happens?
Definition
atrioventricular valve closes (keeping blood from going back into atrium) and isovolumetric contraction begins
Term
What happens during isovolumetric contraction?
Definition
sarcomeres contract generating more pressure on the chambers, eventually releasing the pressure by opening aortic valve (blood volume flows out of ventricles)
Term
The opening of the aortic valve results in..
Definition
the ejection phase, (aka phase where blood is pumped to body)
Term
What is the ejection phase?
Definition
when the aortic valve opens after isovolumetric contraction to release blood from ventricles into the aorta, and from the aorta to the rest of the body
Term
What initiates the ejection phase?
Definition
the pressure on the ventricular side is greater than the aortic side, it eventually builds up and once the aortic valve opens, blood rushes into aorta
Term
What phase in the cardiac cycle comes after the ejection phase?
Definition
isovolumetric relaxation
Term
After ejection phase is over, what valve closes?
Definition
the aortic valve closes
Term
What causes the aortic/pulmonary valves to close?
Definition
the pressure on the aortic side is greater than the pressure on the ventricular side
DUB SOUND
Term
What is isovolumetric relaxation?
Definition
when muscles relax after blood has been distributed to body, begins right after the aortic and pulmonary valves close (also marks beginning of diastole), this phase is short and only lasts about 30-60 milliseconds
Term
What is happening during systole?
Definition
the contraction and ejection
Term
At the end-systolic volume point, what happens?
Definition
the atrioventricular valves open so the ventricles can fill up again and repeat the process
Term
According to Frank Starling's Law, what happens to the sarcomeres and what does it lead to?
Definition
the sarcomeres in the ventricle are moving farther apart, allowing more blood to fill ventricles which increases the EDV, in turn increasing stroke volume
Term
What two things does the cardiovascular system consist of?
Definition
a pump (the heart) and a series of tubes (blood vessels)
Term
What are the insides of vessels lined with?
Definition
endothelial cells
Term
What regulates vessel diameter?
Definition
the smooth muscles in arterioles permits regulation of vessel diameter
Term
What is a capillary?
Definition
a single layer of endothelial cells attached to a basal lamina which are exchange vessels where gases and nutrients are exchanged between blood and tissues
Term
Deoxygenated blood from tissues returns to the heart through..
Definition
the vena cava and enters the right atrium and ventricle
Term
How does blood exit right ventricle?
Definition
through the pulmonary valve to enter pulmonary artery
Term
Where does oxygenated blood leave the heart?
Definition
leaves the left ventricle through the aorta destined for the systemic vasculature and all other organs besides lungs
Term
Diastole
Definition
the filling phase is called diastole, derived form the greek word meaning dilate, as the heart fills with blood it dilates
Term
Systole
Definition
the contraction/ejection phase, derived from greek word meaning contract, it ejects blood from heart
Term
Oxygenated blood enters the left atrium through..
Definition
the pulmonary vein
Term
Blood exits the right side of the heart through..
Definition
the pulmonary artery destined for the lungs
Term
What are valves made out of?
Definition
connective tissue covered by a single layer of endothelial cells
Term
During diastole, what valves remain open?
Definition
atrioventricular valves
Term
During diastole, what valves remain closed?
Definition
aortic and pulmonary valves (semilunar valves)
Term
When does systole begin?
Definition
begins with the contraction of the atria, the contraction pushes blood from atria into ventricles through open AV valves
Term
What helps the atrioventricular valves from bulging into the atrium when pressure in ventricle is high?
Definition
papillary muscles attached to the chordae tendineae help stabilize the AV valve
Term
During diastole, what is the pressure in the heart?
Definition
it ranges from about 0 mm Hg to 10 mm Hg
Term
What is the peak of systolic pressure in the left ventricle?
Definition
about 120 mm Hg
Term
What is the peak of systolic pressure in the right ventricle?
Definition
about 30 mm Hg
Term
What is the preload?
Definition
the volume of blood that enters the ventricle during diastole
Term
What is the end-diastolic volume?
Definition
is the volume of blood in the ventricles when ventricular contraction begins
Term
What is stroke volume?
Definition
The volume of blood ejected during the ejection phase. Normally about 70ml for both sides of heart
SV=EDV-ESV
Term
What is cardiac output?
Definition
defined as the stroke volume times the number of beats per minute, normal cardiac output is about 5 liters/min.
Term
How does a new heart cycle occur?
Definition
when the pressure on the atrioventricular valve is greater than the pressure in the ventricle, the valve opens and the ventricle filling begins again
Term
What is myocardium?
Definition
heart muscle, contains many mitochondria and requires a steady supply of oxygenated blood
Term
What are coronary arteries, and where do they originate?
Definition
arteries that supply the heart with blood, originate at the base of the aorta
Term
At what point does blood flow to the myocardium?
Definition
blood flows through the coronary arteries to the myocardium mostly during diastole
Term
Why is blood flow in the coronary arteries limited during systolic phase?
Definition
the forceful contraction of ventricles squeezes the coronary arteries and prevents blood flow, and during the ejection phase the movement of blood past the openings to the coronary arteries limits the flow to into the arteries
Term
What forces the blood through the coronary arteries?
Definition
the blood pressure in the aorta provides enough pressure to drive the blood through the coronary arteries during diastole
Term
How does the blood in the coronary arteries return to the heart?
Definition
the blood in the coronary arteries returns to the blood in the right atrium after exiting through the coronary sinus
Term
What is a cardiomyocyte?
Definition
a cell type of the heart muscle, they are contractile and electrically connected by gap junctions at intercalated disks
Term
Where are clusters of conductile cells located?
Definition
at the sinoatrialnode (SA node) in the right atrium, innervated by both post ganglionic sympathetic and parasympathetic neurons
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