問題一覧
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The major function of the cardiovascular system is transportation. Using blood as the transportvehicle, the system carries oxygen, nutrients, cellawastes, hormones, and many other substances vital.for body homeostasis to and from the cellsThe force to move the blood around the body isprovided by the beating heart and by bloodpressure.
cardiovascular system
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+A hollow, cone-shaped organ,approximately the size of aperson's fist and weighs less than apound +It is enclosed within the medialsection of the thoracic cavity ormediastinum (inferior)
heart
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directed toward the left hip and rests on thediaphragm, approximately atthe level of the fifth intercostal faces
apex
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points toward theright shoulder and liesbeneath the second rib
base
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a sac enclosingthe heart
PERICARDIUM-
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protects and anchors the heart to the diaphragm and sternum
Fibrous pericardium
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inner covering of the heart
Serous pericardium
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protectsand anchors the heart to the Visceralpericardiuma diaphragm and sternum
Fibrous pericardium
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what part of tge serous pericardium lines the interior aspect of the heart
Parietal pericardium
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parta of a serous pericardiym which is the part of the heart wall
Visceral pericardium (Epicardium)
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Lubricating serous fluid is produced by theserous pericardial membranes and collectsin the pericardial cavity between theseserous layers
PERICARDIAL CAVITY
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Inflammation of the pericardium that oftenresults in a decrease in the amount of serousfluid. This causes the pericardial layers toruh, bind and stick to each other, formingpainful adhesions that interfere with theheart movements.
Pericarditis
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+The heart walls are composed of three (3) layers
Epicardium Myocardium Endocardium
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(visceral layer of Visceralpericardium serous pericardium)
Epicardium
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consists of thick.Myocardium Bundles of cardiac muscle; Endocardium contracting layer
Myocardium
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part of an heart wall that lines the heartchambers
Endocardium
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+ The heart has four (4) hollow cavities or chambers:
Right Atrium Left Atrium Right Ventricle Ventricle
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j
h
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receiving chambers
atrium
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discharging chambers
ventricles
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divides theatria
Interatrial Septum
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divides the ventricles
Interventricular septum
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divides atria and ventricles
Atrioventricular Septum
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great heart vessels
Superior vena cava (SVC) Inferior vena cava (IVC) Pulmonary Trunk . Pulmonary arteries 5Pulmonary veins
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carryingof blood for gas exchange oxygenation of blood
Pulmonary Circulation
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main artery thatcarries blood away from yourheart to the rest of the body
aorta
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transport of oxygenated bloodfrom left ventricle through thebody tissues and back to theright atriuma
Systemic Circulation
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flap or cusp that acts as one-way inlet for blood coming into a ventricle andone-way outlet for blood leaving a ventricle
valve
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The heart is equipped with four (4) valves:
Tricuspid valve Pulmonary valve Aortic valve Mitral valve (Bicuspid valve)
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"heart strings"; tinywhite cords that anchor the cusps to thewalls of the ventricles
Chordae Tendinae
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tricuspid & mitral + prevent backflow into the atriawhen the ventricles contract
aortic valve
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+Prevents arterial blood from reentering the heart Pulmonary & aortic
+Semilunar valves (SV)
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Condition when valve cusps become stiffaand does not close properly to backflowa
Valvular Stenosis
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due to repeatedbacterial infection of the endocardium + Workload of heart increases = heartfailure
Endocarditis
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Functional blood supply of themyocardium is provided by the rightand left Coronary Arteries. Coronary arteries branch from thebase of the aorta and encircles theheart at the atrioventricular groove.
cardiac circulation
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Marginal artery + Posterior Interventricular Artery
Right Coronary Artery
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Anterior Interventricular Artery Circumflex Artery
+Left Coronary Artery
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return ondrain deoxygenated bloodfrom the myocardiumback to the right atrium.Most venous bloodreturns via the CoronarySinus.
cardiac veins
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Death of oxygen-deprived heartcells + Myocardium receives an inadequate blood supply when the heart beats at a very rapid rate
myocardial infraction
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Crushing chestpain due to an oxygen-deprivedmyocardium; WARNING SIGN forMyocardial Infarction (MI) or heartattack
angina pectoris
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one day, the heartpumps approx.
6 liters (L)of blood through theblood vessels over 1,000times or about 1500gallons of blood in asingle day.
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built intohearttissue and sets its basic rhythm.
Intrinsic Conduction System or Nodal System
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act like brakes and gapedalsto decrease or increase the heart, depending on which division isactivated
Autonomic Nervous System (ANS)
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This system causes heart muscledepolarization in only one direction - from the atria to the ventricles.
INTRINSIC CONDUCTIONSYSTEM
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pacemaker of the heart; starts Bundle branches each heartbeat
Sinoatrial (SA) Node -
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Atrioventricular (AV) node + Atrioventricular (AV) bundle(bundle of His) a +Bundle branches + Purkinje fibers
INTRINSIC CONDUCTIONSYSTEM
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This transport of impulse results in a "wringing" contraction of theventricles that begins at the heart apexmoves toward theatria + This contraction effectively ejects blood superiorly into the largearteries leaving the heart
Intrinsic Conduction System
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block" is a damage to the AV nodewhich blocks the SA node from controlling the ventricles;beating of heart becomes slower
heart block
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medical device that is surgicallyinstalled in the body to generate electrical impulses toreplace and/or regulate the function of the SA Node or theconducting system.
artificial pacemaker
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lack of adequate. Blood supply to the heart muscle
ischemia
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rapid, uncoordinated quivering of theventricles; causes the heart to not be able to pump any blood and so is a major cause of death from heart attack in adults
fibrillation
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rapid heart rate (over 100 beats per minute)
tachycardia
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slower heart rate than normal (less than 60beats per minute)
Bradycardia
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Normal (N) Heart Rate:
60 - 100 bpm
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+The events of one complete heartbeat, during which both atriaand ventricles contract and relax +Average Heart Rate: 75 beats per minute (60s) +Length of Cardiac Cycle: 0.8 seconds
cardiac cycle
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heart contraction
systole
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heart relaxation
diastole
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cycle is composed of events occurring five (5) periods:
Atrial diastole (ventricular filling) 2. Atrial Systole 3. Isovolumetric contraction 4. Ventricular systole (ejection phase) 5. Isovolumetric relaxation
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Pressure in the heart is low + AV Valves are open, SL valves closed + Blood passively flowsthrough the atria into theventricles
Atrial Diastole(Ventricularfilling)
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increasingatrial pressure and completingventricular filling while theventricles are relaxed
atria contraction
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+also known as "active ventricularfilling"
atrial systole
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Atrial systole ends, andventricular systole begins AV valves closed - caused byincreased intraventricular pressure SL valves closed
IsovolumetricContraction
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Ventricles continue to contract,intraventricular pressure increased - SL valves open + Blood is ejected out from theventricles + Atria are again relaxed and filled withblood
Ventricular systole(Ejection Phase)
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Intraventricular pressure fails Ventricular diastole begins SL valves closed
IsovolumetricRelaxation
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When using stethoscope, you can hear two distinct sounds duringeach cardiac cycle. These heart sounds are often described by thtwo syllables "lub" and "dup/dub"
heart sounds
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in what heart sound is closing of AV valves
First Heart Sound (lub):
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in what heart sound SL valves close at the end of ventricular systole
Second Heart Sound (dup):
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Abnormal or unusual heart sounds when bloodflow becomes turbulent; usually.e to valve problems; common andnormal in young children with perfectly healthy hearts.
Heart Murmurs
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Blood circulates inside theblood vessels, which form aclosed transport systemcalled the
vascular system
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There are three (3) maintypes of blood vessels:
Arteries + Capillaries + Veins
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The walls of blood vessels have three (3)layers:
tunica externa Tunica media Tunica intima
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outermost layer composed largely offibrous connective tissue and functions to support and projectvessels
outdoor/adventurer coat
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bulky middle layer made up of smooth muscle andelastic fibers; controlled bysympathetic nervous system (changing the diameter of thevessels)
tunica media
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lines the lumenthe interior of the vessels; form aslick surface that decrease friction asblood flows through
tunica intima
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Walls of arteries are much_____than those veins, especially thetunica media. Arteries must be ableto expand as blood is forced intothem
thicker
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Lumens of veins tend to be ____ than arteries and thicker tunicaexterna
larger
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Larger veins have ___ thatprevent backflow of blood likethose in the heart
valves
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- largest artery ofthe body
aorta
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(R) Coronary Artery + (L) Coronary Artery+Supplies the heart
Ascending Aorta
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caused by plaque buildup in the wallsof the arteries that supply blood to theheart (called coronary arteries) andother parts of the body
Coronary Artery Disease (CAD)
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is made up of deposits ofcholesterol and other substances in theartery. Plaque buildup causes theinside of the arteries to narrow overtime, which can partially or totallyblock the blood flow. This processcalled atherosclerosis.
plaque
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Brachiocephalic Trunk + Common Carotid Artery
aortic arch
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supplies the brain + External Carotid Artery - skinand muscles of head and neck
Internal Carotid Artery
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supplies thecerebellum, brainstem, spinal cord
Vertebral artery
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Brachial Artery
arm
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Radial Artery
FA
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Ulnar Artery
fa
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an anatomical a structure that providesconnection betweenarteries of the brain.
CIRCLE OFWILLIS
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Arteries for trunk muscles, lungs, esophagusand diaphragma
Thoracic Aorta
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Arteries for internal organs (stomach, live intestines, kidneys, gonads) and abdomen andalower trunk muscles Arteries for bladder and rectum and for theentire leg.
abdominal aorta
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Compared to arteries located indeep areas, veins are moresuperficial and some are easilyseen or palpated.
MAJOR VEINS OFTHË SYSTEMICCIRCULATION
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- upperbody (head & arms)
superior vena cava
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lowerbody
inferior vena cava
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superficial drainageof the lateral aspect of the arm andempties into the axillary vein
cephalic vein
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superficial drainage ofthe medial aspect of the arm andempties into the brachial vein
basilic vein
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cephalichand basilic join at the elbow (oftenchosen as the site for withdrawingblood for the purpose of blood
median cubital vein
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receivesvenous blood from the skin andmuscles of the head
External Jugular vein
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large veinsthat receive venous drainage from thesubclavian, vertebral, and internaljugular veins to form the SVC
Brachiocephalic veins
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longest veins in the body;superficial drainage of theleg
Great Saphenous veins
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formed by the union ofexternal and internal iliacvein to form the IVC
common iliac vein