Dr. Bonci's Vitamin D Newsreel

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Monday, December 7, 2009

Chapter 15 Cardiovascular System

Carrie Veal

Cardiovascular system - The heart and the structures that pump and its vessels

Pulmonary Circuit – Sends oxygen to the blood and lungs, and it will pick up oxygen and unload CO2

Systemic Circuit – Sends oxygen rich blood and nutrients to all body cells and removes waste

Pericardium – pericardial sac it is the covering that encloses the heart and the proximal ends of the large blood vessels which it attaches

Epicardium – visceral pericardium protects heart by reducing friction

Myocardium – middle layer thick and consist of the cardiac muscle tissue that pumps blood out of the heart chambers

Endocardium – Inner layer consists of epithelium and underlying connective tissue

Atria – The upper chamber have thin walls and receive blood returning to the heart

Auricles – small earlike projections extends anteriorly from the atria, increases atrial volume

Ventricles – Lower chambers force blood out of the heart into the arteries

Atrioventricular Orifice - The atrium communicates with the corresponding ventricle

Atrioventricular Sulcus - Encircles the heart between the atria and ventricles

Interventricular Sulci – (Anterior and Posterior) - Marks the septum that will separate the right and left ventricles

Tricuspid Valve - Heart valve located between the right atrium and the right ventricle

Papillary Muscles – Muscle that extends inward from the ventricular walls of the heart and the which the chordate tendineae attach
Pulmonary valve – leading from the right ventricle to the pulmonary trunk

Mitral valve - Located between the left atrium and the left ventricle bicuspid valve

Coronary Arteries – First two branches of the aorta called the right and left , supply blood to the tissues of the heart

Systole – heart chamber wall contracts, phase of contraction
Diastole – heart chamber wall relaxes

Functional Syncytium - Heart is joined electrically and the lack of cell boundaries appear as multinucleated structure
Cardiac Conduction system - Coordinates the events of the cardiac cycle

S-A Node - key portion of the conduction system , small elongated mass of specialized cardiac muscle tissue beneath the epicardium

Pacemaker – Cardiac muscle tissue that controls the rhythm of the heartbeat the sinoatrial node

A-V Node – Conducting fibers and a mass of cardiac muscle

A-V Bundle – cardiac impulse reaches the distal side of the A-V node it passes into a group of large fibers

Purkinje fibers – Muscle fibers that conduct the cardiac impulse from the A-V bundle into the ventricular walls

ECG – Electical changes that occur in the myocardium during a cardiac cycle

Arteries – elastic vessels that are adapted for carrying the blood away from the heart under high pressure

Arterioles – vessels subdivide into progressively thinner tubes and enventually give rise to the finer branched

Vasconstriction – Decrease in the diameter of a blood vessel

Vasodilation – increase in the diameter of a blood vessel

Capillaries – smallest diameter blood vessels

Systolic pressure – Arterial blood pressure reached during the systolic phase of the cardiac cycle

Diastolic pressure – lowest arterial blood pressure reached during the diastolic phase of the cardiac cycle

Stroke Volume - The volume of blood that that is discharged with each heartbeat

Cardiac Output – volume of blood per min that the heart pumps
Blood Volume - the sum of the formed elements and the plasma volume in the vascular system

Peripheral Resistance – friction between blood and the walls of the blood vessels

Viscosity – A fluid is a physical property that derives from the ease with which its molecules flow past one another.

End- Diastolic Volume (EDV) Volume of Blood in each ventricle at the end of ventricular diastole

End-Systolic Volume (ESV) volume o blood in each ventricle at the end of ventricular systole

Preload- It occurs when blood enters the ventricles myocardial fibers are mechanically stretched

Frank-Starling law of the heart – The relatively longer the cardiac muscle fibers, the greater the force of contraction

Contractility – amount of force produced during a contraction at a given preload, is influenced by autonomic innervations and hormones (epinephrine,norepinephrine, thyroid hormones)

Afterload – the force that the ventricle must produce to open the semilunar valves to eject blood. Hypertension increases afterload

Aortic Sinus – Swelling occurs in the aortic wall, behind each cusp of the semilunar valve that contains baroreceptors

Aortic Bodies – They are located within the epithelial lining of the aortic sinuses. These bodies contain chemoreceptor’s that sense blood concentrations of oxygen and CO2

Brachiocephalic artery – supplies blood to the tissues of the upper limb and head

Common Carotid Artery– carries blood to the right side of the neck and head

SUbclavian Artery- Leads into the right arm

Thoracic Aorta – Descending aorta above the diaphragm, it gives off many small branches to the thoracic wall and the thoracic viscera

Abdominal Aorta - is below the diaphragm and it is the descending aorta, it gives off branches to the abdominal wall and various abdominal organs

Celiac Artery – Single vessel gives rise to the left gastric, splenic, and hepatic arteries which supply upper portions of the digestive tract, the spleen and the liver

Phrenic Arteries – The paired arteries supply blood to the diaphragm

Superior Mesenteric Artery – The superior mesenteric artery is large, unpaired vessel that will branch to many parts of the intestinal tract, it includes the jejunum, ileum, cecum and the ascending colon and transverse colon

Suprarenal - The pair of vessels supplies blood to the adrenal glands

Renal Arteries – Laterally from the aorta to the kidneys. Each artery divides into several lobar branches within the kidney tissue

Gonadal arteries - Ovarian arteries arise from the aorta and pass into the pelvis to supply the ovaries. Spermatic Arteries originate in similar locations. They pass through the body wall by way of the inguinal canal to supply the testes

Inferior mesenteric artery – This single artery lead to the descending colon and the sigmoid colon and rectum

Lumbar arteries – Three or four pairs arise from the posterior surface of the aorta in the region of the lumbar vertebrae. These arteries supply muscles of the skin and the posterior abdominal wall

Middle Sacral Artery – A small single vessel descends medially from the aorta along the anterior surfaces of the lower lumbar vertebrae. It will carry blood to the sacrum and coccyx

Vertebral Arteries – Subclavian arteries in the base of the neck near the tips of the lungs. They pass upwards to the foramina of the transverse processes of the CSpine and enter the skull by the foramen magnum

Cerebral Arterial Circle – Circle of Willis located at the base of the brain, which connects the vertebral artery and internal carotid artery. Alternate pathways for blood to circumvent blockages and reach brain tissues

Thyrocervical Arteries – short vessels that give off branches at the thyrocervical axis to the thyroid gland, parathyroid, larynx, trachea, esophagus, and pharynx as well as to various muscles in the neck sjhoulder and back

Costocervical Arteries – third vessels to branch from the subclavians, carry blood to muscles in the neck back and thoracic wall

External carotid Artery – upward on the side of the head, giving off branches to structures in the neck, face, jaw, scalp, and base of the skull

Internal carotid artery – follows a deep course upward along the pharynx to the base of the skull. Entering the cranial cavity, provides major blood supply to the brain

Carotid Sinus – these structures contain baroreceptors that control blood pressure

Carotid Bodies – Small epithelial masses, found in the wall of the carotid sinus. Very vascular and contain chemoreceptor’s that act with those of the aortic bodies to regulate circulation and respiration

Axillary artery – Supplies branches to the axilla and the chest wall including the skin of the shoulder, part of the mammary gland the upper end of the humerus, the shoulder joint and muscles in the back, shoulder, chest.

Brachial artery - along the humerus to the elbow. Arterial network allows blood to reach the forearm even if a portion of the distal brachial artery becomes obstructed.

Ulnar Artery - leads downward on the ulnar side of the forearm to the wrist. Some of the branches join the anastomosis around the elbow joint. Others supply blood to flexor s and extensor muscles in the forearm

Radial artery – continuation of the brachial artery, travels along the radial side of the forearm to the wrist. Convenient t vessel for taking the pulse

Internal Thoracic artery - Vessel originates in the base of the neck and passes downward on the pleura and behind the cartilages of the upper six ribs

Common Iliac arteries – abdominal aorta divides it is at the level of the pelvic brim. These vessels provide blood to the pelvic oragans, gluteal, region and lower limbs

Internal iliac artery – gives off many branches to various pelvic muscles and visceral structures as well as the gluteal muscles and the external genitalia

External iliac artery – provides main blood supply to lower limbs. Passes downward along the brim of the pelvis and gives off two large branches an inferior epigastric artery and deep circumflex iliac artery.

Femoral Artery - passes close to the anterior surface of the upper thigh, gives off many branches to muscles and superficial tissues of the thigh. These braches also supply the skin of the groin area and lower abdominal wall

Popliteal artery - behind the knee, supply blood to the knee join and to certain muscles in the thigh and calf

Anterior Tibial Artery - passes downward between the tibia and the fibula giving off branches to the skin and muscles anterior and lateral regions of the leg.

Posterior Tibial Artery - larger of the two popliteal branches descends beneath the calf muscles, giving off branches to the skin, muscles and other tissues of the leg along the way

Superior and Inferior Venae Cavae – lead to the right atrium

External jugular veins - drain blood from the face, scalp and superficial regions of the neck. These vessels descend on either side of the neck, passin over the sternocleidomastoid muscles and beneath the platysma.

Internal juglar veins - larger than the external jugular veins, arise from numerous veins and venous sinuses of the brain and from deep veins in various parts of the face and the neck.

Brachiocephalic Vein – these vessels merge in the mediastinum and give rise to the superior vena cava which enters the right atrium

Basilic Vein - passes along the back of the forearm on the ulnar side for a distance and then curves forward to the anterior surface below the elbow

Cephalic Vein – courses upward on the lateral side of the upper limb from the hand to the shoulder.

Azygos Vein - dorsal abdominal wall and ascend through the mediastinum on the right side of the vertebral column to join the superior vena cava. It drains most of the muscular tissue in the abdominal and thoracic walls

Hepatic Portal vein - capillary networks of the stomach, intestines, pancreas and spleen and carry blood from these organs to the liver

Hepatic Sinusoids – blood enters the capillary

Hepatic Portal System – venous pathway

Hepatic Veins – Passes through the hepatic sinusoids of the liver, the blood in the hepatic portal system travels through a series of merging vessels. These veins empty into the inferior vena cava, returning the blood to the general circulation.

Popliteal Vein – at the level of the knee, these vessels form a single trunk

Femoral Vein – vein continues upward through the thigh

Small Saphenous vein – lateral portion of the foot and passes upward behind the lateral malleoulus. It goes along the back of the calf, enters the politeal fossa and joins the popliteal vein

Great Saphenous vein- longest vein in the body, originates on the medial side of the foot.

Internal iliac vein - is located in the pelvic region , it carrys blood away from organs of the reproductive, urinary and digestive systems.

Common iliac veins –these vessels in turn merge to produce the inferior vena cava at the level of the fifth lumbar vertebra

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