Student Outline - Cardiovascular System: The Heart The Cardiovascular System: The Heart NOTE: Bring Heart Dissection Handout from web to lab, as well as lab material. Safety glasses are mandatory!! 1. Introduction Upper Appendages and Head S u p e r i o r V e n a C a v a A o r t a I n f e r i o r V e n a C a v a Li ve r Hepatic Portal Vein Organs of the Body (Vicera) Lower Appendages and Legs Overhead 1 Student Outline - Cardiovascular System: The Heart A. B. Location • Apex • Base Pericardium - (See “Body Cavities” handout {you may have had it in A&P I}) i. Fibrous pericardium ii. Serous Pericardium a. C. Pericardial Cavity • Parietal Layer • Visceral Layer (Epicardium) • Pericardial Fluid Wall of the Heart i. Epicardium ii. Myocardium iii. Endocardium • Endothelium D. Cardiac Skeleton E. Anatomical Landmarks i. Anterior Interventricular Sulcus ii. Interventricular Septum iii. Posterior Interventricular Sulcus iv. Coronary Sulcus • Right and Left Coronary arteries Overhead 2 Student Outline - Cardiovascular System: The Heart 2. Functional Anatomy A. B. C. D. Double Pump i. Right Heart ii. Left Heart iii. Septum Atria i. Auricle ii. Atrioventricular Orifices iii. Fossa Ovalis iv. Pectinate Muslces Ventricles i. Trabeculae Carneae ii. Chordae Tendineae Blood Volume • Equal Volume • Thick Left Ventricle Overhead 3 Student Outline - Cardiovascular System: The Heart E. General Heart Valve Anatomy i. F. 3. 4. Atrioventricular valves a. Tricuspid Valve b. Bicuspid Valve c. Cusps d. Chordae Tendineae e. Papillary Muscles Semilunar valves i. Aortic Semilunar Valve ii. Pulmonary Semilunar Valve Great Vessels of the Heart A. Pulmonary Arteries B. Pulmonary Veins C. Superior Vena Cava D. Inferior Vena Cava E. Aorta i. Ascending aorta ii. Aortic Arch iii. Descending Aorta Blood Supply to the Heart A. B. Coronary Arteries i. Right Coronary Artery ii. Left Coronary Artery Coronary Sinus and Veins Overhead 4 Student Outline - Cardiovascular System: The Heart 5. 6. Regulation of Blood Flow A. Metabolic Process of Autoregulation B. Myogenic Process of Autoregulation Physiology of the Heart A. B. C. Histological Considerations i. Intercalated Disks ii. Gap Junctions iii. Desmosomes iv. Syncytium v. Mitochondria and Myoglobin Electrical Properties of Cardiac Muscle Cells i. Resting Membrane Potential ii. Propagated Action Potential a. Depolarization b. Repolarization Conduction System of the Heart (Note interesting Animation on web) i. Sinoatrial Node (SA Node) ii. Internodal Tracts iii. Atrioventricular Node (AV Node) iv. Atrioventricular Bundle v. Bundle Branches vi. Perkinji Fibers • Syncytium Overhead 5 Student Outline - Cardiovascular System: The Heart 7. Cardiac Cycle (ESSAY: Use Text as reference as well as lecture. The points listed below should be used more as a “Check List (√)” for essay preparation. It will not be a strict guide to the lecture sequence at this point!) A. B. • Systole • Diastole Systolic and Diastolic Events i. Atrial Systole ii. Ventricular Systole iii. Atrial Diastole iv. Ventricular Diastole Path of Blood through the Heart (Several animations are available) i. C. Blood enters the Atria a. Superior Vena Cava b. Inferior Vena Cava c. Pulmonary Veins ii. Blood is pumped into the Ventricles iii. Ventricular Hesitation iv. Ventricular Contraction a. Systemic Circulation b. Pulmonary Circulation. Valve Mechanics i. Atrioventricular Valves ii. Semilunar Valves Overhead 6 Student Outline - Cardiovascular System: The Heart 8. Events of the Cardiac Cycle A. B. C. Contraction i. Ventricular Diastole (Atrial Systole) ii. Isovolumetric Ventricular Contraction iii. Ventricular Ejection iv. Isovolumetric Ventricular Relaxation Heart Sounds • Auscultatory Events • Phonocardiogram i. First Heart Sound ii. Second Heart Sound Electrocardiogram Deporaization of Ventricles Repolarization of Atria R T P Q S i. Deporaization of Atria Electrocardiograph a. P Wave b. P-R Segment c. QRS Complex d. S-T Segment e. T wave Cardiac Output Overhead 7 Repolarization of Ventricles Student Outline - Cardiovascular System: The Heart • 9. Stroke Volume Beta Oxidation (pull out handout on “Energy and Cardiac Muscle Contraction”) 10. Nervous Control of the Heart (pull out downloadable handout on “Cardiac Control”) A. Baroreceptors • Chemoreceptors Cardioregulatory Center i. ii. Cardioacceleratory Center (CAC) • Sympathetic Fibers • Norepinephrine Cardioinhibitory Center (CIC) a. 11. • Vagus Nerve • Parasympathetic Fibers • Acetylcholine Endocrine Control of the Heart (see “Cardiac Control” handout) A. Adrenal Medulla cell • Epinephrine • Norepinephrine Overhead 8