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Anatomy & Physiology: Cardiovascular System and Blood Vessels

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  • General function of the cardiovascular system

    The cardiovascular system transports blood, delivering oxygen and nutrients to tissues and removing waste products.

  • Major function of the heart

    The heart acts as a pump to circulate blood through the pulmonary and systemic circuits.

  • Location of the heart in the thoracic cavity

    The heart is located in the mediastinum, between the lungs, posterior to the sternum, and above the diaphragm.

  • Heart as a double pump

    The heart pumps blood through two circuits: the right side pumps deoxygenated blood to the lungs (pulmonary circuit), and the left side pumps oxygenated blood to the body (systemic circuit).

  • Layers of the pericardium and heart wall

    Pericardium layers: fibrous pericardium and serous pericardium (parietal and visceral layers). Heart wall layers: epicardium, myocardium, and endocardium.

  • Function of the pericardium and serous fluid

    The pericardium protects the heart and anchors it; serous fluid reduces friction between pericardial layers during heartbeats.

  • Four chambers of the heart

    Right atrium, right ventricle, left atrium, and left ventricle.

  • Blood type in right and left heart chambers

    Right chambers contain deoxygenated blood; left chambers contain oxygenated blood.

  • Great vessels of the heart

    Include superior and inferior vena cava, pulmonary trunk, pulmonary veins, and aorta.

  • Two sets of heart valves

    Atrioventricular valves (tricuspid and bicuspid/mitral) and semilunar valves (pulmonary and aortic).

  • Function of the fossa ovalis in the right atrium

    Remnant of the fetal foramen ovale, it allows blood flow between atria before birth.

  • Role of the coronary sinus

    Collects deoxygenated blood from the heart muscle and drains into the right atrium.

  • Structures supporting right atrioventricular valve function

    Chordae tendineae and papillary muscles prevent valve prolapse during ventricular contraction.

  • Pulmonary trunk and valve function

    The pulmonary trunk carries deoxygenated blood from the right ventricle to the lungs; the pulmonary semilunar valve prevents backflow into the ventricle.

  • Pulmonary veins and left atrioventricular valve

    Pulmonary veins carry oxygenated blood to the left atrium; the bicuspid (mitral) valve controls blood flow to the left ventricle.

  • Aortic semilunar valve and aorta function

    The aortic valve prevents backflow into the left ventricle; the aorta distributes oxygenated blood to the systemic circulation.

  • General function of coronary circulation

    Supplies oxygenated blood to the heart muscle and removes deoxygenated blood.

  • Two coronary arteries branching from ascending aorta

    Right coronary artery and left coronary artery.

  • Major veins draining the heart muscle

    Great cardiac vein, middle cardiac vein, and small cardiac vein.

  • Structural characteristics of cardiac muscle

    Cardiac muscle is striated, branched, with intercalated discs containing gap junctions and desmosomes for synchronized contraction.

  • Phases of cardiac contractile cell action potential

    Depolarization (Na+ influx), plateau (Ca2+ influx), repolarization (K+ efflux).

  • Significance of extended refractory period in cardiac muscle

    Prevents tetanus, allowing the heart to relax and fill between beats.

  • Function of the cardiac conduction system

    Generates and conducts electrical impulses to coordinate heart contractions.

  • Order of structures in cardiac conduction system

    Sinoatrial (SA) node → atrioventricular (AV) node → AV bundle (Bundle of His) → bundle branches → Purkinje fibers.

  • Why SA node is called the pacemaker

    It initiates the heartbeat by generating the fastest spontaneous action potentials.

  • P wave on ECG represents

    Atrial depolarization preceding atrial contraction.

  • QRS complex on ECG represents

    Ventricular depolarization preceding ventricular contraction.

  • T wave on ECG represents

    Ventricular repolarization preceding ventricular relaxation.

  • Definition of systole and diastole

    Systole is the contraction phase; diastole is the relaxation phase of the heart chambers.

  • Cause of heart sounds 'lup' and 'dub'

    'Lup' is caused by closure of AV valves; 'dub' is caused by closure of semilunar valves.

  • Definition of cardiac output (CO)

    Volume of blood pumped by each ventricle per minute.

  • Formula to calculate cardiac output

    CO = Stroke Volume (SV) × Heart Rate (HR) \(\)

  • Factors influencing stroke volume

    Preload, contractility, and afterload affect stroke volume and cardiac output.

  • Frank-Starling Law of the heart

    Increased preload stretches cardiac muscle fibers, increasing stroke volume.

  • Definition of chronotropic agents

    Substances that affect heart rate by altering SA node activity.

  • Role of sympathetic nerves on heart rate

    Sympathetic stimulation increases heart rate (positive chronotropic effect).

  • Role of parasympathetic nerves on heart rate

    Parasympathetic stimulation decreases heart rate (negative chronotropic effect).

  • Structure and function of arteries, veins, and capillaries

    Arteries carry blood away from the heart; veins return blood to the heart; capillaries allow exchange of substances between blood and tissues.

  • Three tunics of blood vessel walls

    Tunica intima (inner), tunica media (middle), and tunica externa (outer).

  • Definition of anastomosis

    A connection between two blood vessels supplying the same region, providing alternate pathways for blood flow.

  • Definition of blood pressure

    The force exerted by circulating blood on the walls of blood vessels.

  • Definition of peripheral resistance

    The resistance to blood flow caused by friction between blood and vessel walls.

  • Mean arterial pressure (MAP)

    Average pressure in arteries during one cardiac cycle; MAP = diastolic pressure + 1/3 pulse pressure.

  • Venous return and assisting factors

    Venous return is blood flow back to the heart; assisted by skeletal muscle pump and respiratory pump.

  • Baroreceptor reflex components

    Baroreceptors detect pressure changes; medulla oblongata controls cardiac and vasomotor centers; sympathetic and parasympathetic pathways adjust heart rate and vessel diameter.

  • Hormones affecting blood pressure

    Angiotensin II, aldosterone, ADH increase blood pressure; atrial natriuretic peptide decreases blood pressure.

  • Capillary exchange processes

    Diffusion, transcytosis, and bulk flow allow substances to move between blood and tissues.

  • Definition of tissue perfusion

    The flow of blood through body tissues to supply nutrients and remove wastes.

  • Net filtration pressure (NFP) formula

    NFP = Net Hydrostatic Pressure (NHP) – Net Colloid Osmotic Pressure (COP).