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Heart
Heart
53
Medical
Graduate
09/01/2010

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Term
epicardium
Definition
thin external layer of the heart formed by the visceral layer of the serous pericardium

coronary arteries run on this layer
Term
myocardium
Definition
cardiac muscle. middle layer b/t epi and endocardium. thickest layer
Term
endocardium
Definition
smooth inner surface of the heart, thin layer of endothelium.

conduction fibers in this layer.
Term
coronary (term)
Definition
refers to vessels occupying the coronary sulcus or AV sulcus
Term
ant. and post. interventricular sulci
Definition
surface impression of interventricular septum
Term
atrioventricular sulcus
Definition
AKA coronary sulcus. sulcus between the atria and ventricles
Term
when does blood flow to the coronary artery occur. why?
Definition
during diastole. in systole, the coronary arteries are obstructed by the cusps of the aortic semilunar valve. during diastole, the cusps converge in the center to close the valve, allowing blood to flow into the coronary arteries.
Term
origin of coronary artery
Definition
right and left sides of the aorta just superior to the semilunar valve. runs in coronary sulcus.
Term
fibrous pericardium
Definition
tough connective tissue layer of pericardium partially fused to diaphragm and serous pericardium.
Term
serous pericardium
Definition
mesothelium; transition between the visceral and parietal layer. two layers: parietal pericardium and visceral pericardium.
Term
parietal layer
Definition
layer of serous pericardium. confluent with the fibrous pericardium.
Term
visceral layer
Definition
inner layer of the serous pericardium. AKA epicardium, surface of heart.
Term
pericardial cavity
Definition
potential space between layers of serous pericardium
Term
transverse pericardial sinus
Definition
sinus between the pulmonary trunk/ aorta and SVC
Term
oblique pericardial sinus
Definition
posterior surface of heart. Beneath ventricles.
Term
companion of phrenic nerve
Definition
pericardiacophrenic
Term
location of phrenic, vagus nerves in the mediastinum
Definition
phrenic is in the front of the mediastinum and the vagus is in the back of the mediastinum
Term
right auricle
Definition
ear shaped diverticulum of the right atrium
Term
musculi pectinati
Definition
AKA pectinate muscles

on anterior, internal surface of the right atrium and left atrium
Term
sinus venarum cavarum
Definition
smooth, internal, posterior surface of the right atrium
Term
crista terminalis
Definition
ridge between musculi pectinati and sinus venarum
Term
sulcus terminalis
Definition
external manifestation of the crista terminalis
Term
location of coronary sinus ostium and valve in the right atrium
Definition
b/t IVC ostium and the right atrioventricular ostium
Term
three cusps of tricuspid valve
Definition
anterior, posterior, and septal cusps
Term
papillary muscles
Definition
connected to cusps via chordae tendineae

contracts to prevent tricuspid valve regurgitation

named the same as cusps
Term
trabeculae carnae
Definition
beams of flesh in the R and L ventricles similar to the muscular pectinati
Term
moderator band
Definition
connected to the IV septum and the anterior papillary muscle in the right ventricle. carries electrical conductance to papillary muscle in order for it to know when to contract.
Term
conus arteriosus
Definition
AKA infundibulum

smooth funnel shaped outflow tract to pulmonary trunk in right ventricle
Term
heart chamber just anterior to esophagus
Definition
left atrium
Term
cusps of the bicuspid valve
Definition
anterior and posterior cusps
Term
lunule
Definition
thickened edge of the cusp
Term
which cusp of the aortic valve is not a coronary cusp?
Definition
posterior
Term
location of the SA node in the right atrium
Definition
near the superior end of the crista terminalis
Term
location of AV node in the right atrium
Definition
on the interatrial septum near the ostium of the coronary sinus.
Term
bundle of his
Definition
continues signal propagation down the membranous septum after the AV node.
Term
R and L bundles
Definition
continues propagation down the interventricular septum after the bundle of his.
Term
Purkinje fibers
Definition
continues propagation from the right and left bundles; takes to the ventricular myocardium
Term
cardiac plexus
Definition
sympathetic and parasympathetic nerves around the aortic arch and bifurcation of trachea.
Term
cervical cardiac nn
Definition
from ganglion of the cervical region.

three types: superior, middle, and inferior.

go to cardiac plexus.
Term
thoracic cardiac n branches
Definition
from T2-T6 thoracic ganglia, feed into cardiac plexus
Term
targets for the sup, inf, mid cervical cardiac nn and thoracic cardiac branches
Definition
SA and AV nodes and coronary aa.
Term
effect of sympathetics on heart
Definition
pos. chronotropic (inc. HR) and pos. inotropic (inc force of contraction)
Term
beta-2 receptors
Definition
on coronary aa, cause dilation with adrenergic stimulation
Term
recurrent laryngeal branch of vagus
Definition
extends on the right around the subclavian artery and on the left around the aortic arch. runs in the groove between the trachea and esophagus to the larynx
Term
location of parasympathetic postganglionic cell bodies for the heart
Definition
on the atrial wall.
Term
dominance
Definition
designation for the coronary artery which supplies the posterior interventricular septum
Term
sinus of Valsalva
Definition
dilation of aortic lumen at level of 3 aortic valvular cusps. form the bulb of the aorta.
Term
ramus medianus
Definition
branch of LCA. in 37% of patients. trifurcation with circumflex and LAD
Term
coronary artery disease
Definition
narrowing of the coronary arteries
Term
myocardial infarction
Definition
when blood vessels that supply blood to the heart are blocked, preventing enough oxygen from getting to the heart.
Term
congestive heart failure
Definition
heart can no longer pump enough blood to the rest of the body. muscles are weakened.
Term
valvular heart disease
Definition
valve problems, get regurgitation
Term
pericardial tamponade
Definition
compression of the heart that occurs when blood or fluid builds up in the space between the myocardium and the pericardium.
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