Ex 12 and 13, Ch 11 Cardiovasular-SHOW

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    Heart

    Chapter 11

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    Heart

    System of a pump and pathway for

    blood to travel

    Arteries- vessels that carry blood

    away from the heart (Arterioles)

    Veins- vessels that carry blood to the

    heart (Venules)

    Capillaries are very small vessels thatconnect the two at the microscopic level

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    - Exchange nutrients for waste

    - Exchange O2 for CO2

    Heart lies in the pericardial cavityin the lower portion of the

    mediastinum.

    The inferior portion has a point or tipcalled the apex

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    The pericardium consists of two principleportions.

    1- fibrous pericardium

    2- serous pericardium

    Fibrous pericardium: tough and inelastic

    - rests on and attaches to diaphragm.

    - provides protection

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    Serous pericardium:

    - thinner, delicate, double layered.

    - Visceral pericardium: (epicardium)

    contacts the surface of the heart

    - Parietal pericardium: loose fitting membranearound heart

    - Pericardial space: separates two layers withpericardial fluid (lubricates membranes)

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    Heart consists of three layers:

    1- Endocardium: lines inside of heart

    and heart valves

    2- Myocardium: thick heart muscle.

    Blood supplied by coronaryarteries

    3- Epicardium: outer layer

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    Heart has four chambers

    Two upper chambers are called atria (sing.atrium)

    Right and left

    Two lower chambers called ventricles

    Right and left

    Right and left ventricles are separated by athick walled structure called the

    Interventricular septum

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    Blood flow between chambers and largerarteries pass through valves

    Valves that connect the upper atria to thelower ventricles are termedatrioventricular valves. There are two

    1- Tricuspid valve. This 3 flapped valveconnects the right atria to the rightventricle

    2- Bicuspid valve (mitral): This 2 flapped

    valve connect the left atria to the leftventricle

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    Valves that connect the lower

    ventricles to the larger arteries

    carrying blood away from the heart arecalled semilunar valves.

    1- Pulmonary semilunar valve: Valvelocated between the right ventricle and

    the pulmonary artery

    2- Aortic semilunar valve: Valvelocated between left ventricle and

    aorta.

    C i f h h i l

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    Contraction of the heart is systole

    Relaxation of the heart is called

    diastole

    When the heart beats the atria

    contract first and together then theventricles contract second and

    together.

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    Auscultation of the heart

    Lubb Dupp

    Lubb: AV valves closing.

    Dupp: Semilunar valves closing.

    1- Pulmonary valve: ribs 2 & 3 on left

    2- Aortic valve: ribs 2 & 3 on right

    3- Biscuspid valve: ribs 5 & 6 on leftmid line of clavicle

    4- Tricuspid valve: ribs 5 & 6 on rightsternal margin