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Outline
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ANATOMY LECTURE SERIES
HEART
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FUNCTIONS OF THE CIRCULATORY SYSTEM
  • Heart pumps and circulates blood to all parts of the body
  • Blood vessels circulate blood between heart and cells
  • Blood carries oxygen and nutrients to cells and carries away wastes
  • Lymph system returns excess fluids from tissues and makes lymphocytes
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ORGANS OF THE CIRCULATORY SYSTEM
  • Heart
  • Arteries
  • Veins
  • Capillaries
  • Blood
  • Lymphatic system
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MAJOR BLOOD CIRCUITS
  • Blood leaves the heart through arteries and returns to the heart from veins
  • The general (systemic) circulation carries blood throughout the body
  • Cardiopulmonary circulation carries blood from the heart to lungs and back
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THE HEART
  • The heart is the main organ responsible for circulating the blood throughout the body efficiently
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THE HEART
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STRUCTURE OF THE HEART
  • The heart is a hollow, muscular, double pump
    • Pericardium - double layer of fibrous tissues surrounding heart
    • Myocardium - cardiac muscle tissue
    • Endocardium - Smooth inner lining
    • Septum - Muscular wall separating heart into two halves
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STRUCTURE OF THE HEART
  • Structures leading to and from the heart:
    • Vena cava
      • superior and inferior
    • Coronary sinus
    • Pulmonary artery
    • Pulmonary veins
    • Aorta
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STRUCTURE OF THE HEART
  • Four chambers of the heart
    • Right atrium
    • Left atrium
    • Right ventricle
    • Left ventricle
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STRUCTURE OF THE HEART
  • Four valves permit blood flow in only one direction
    • Tricuspid valve
    • Bicuspid (mitral) valve
    • Pulmonary semilunar valve
    • Aortic semilunar valve



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STRUCTURE OF THE HEART
  • Two major functions occur with each heart beat
    • Right heart: Blood is taken to the lungs for oxygen
    • Left heart: Blood is taken from lungs to be circulated throughout body
  • The heart receives its blood supply from the coronary artery
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STRUCTURE OF THE HEART
  • Stroke volume:
    • Number of heart beats per minute
    • The heart at rest beats between 72 and 80 times per minute
  • Cardiac output:
    • The amount of blood ejected from heart per minute
    • Between 60 and 80 ml of blood on average
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STRUCTURE OF THE HEART
  • Lubb dupp sounds - Sounds made by the valves during the cardiac cycle
    • Lubb - sound made when the tricuspid and bicuspid valves close between the atria and ventricles
    • Dupp - Caused by semilunar valves in the aorta and the pulmonary artery closing
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CONTROL OF HEART CONTRACTIONS
  • Pacemaker (sinoatrial node)
    • Conducting cells found at the opening of the superior vena cava that control heart muscle contractions
    • Sends out electrical impulses that begin and regulate the heart
  • Electrocardiogram (ECG or EKG)
    • Records electrical activity of heart
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DIAGNOSTIC TESTS FOR HEART AND CIRCULATORY FUNCTION
  • Cardiac catheterization is the insertion of a catheter into the femoral artery or vein
    • Dye is inserted and pictures are taken as fluid moves through the heart
  • Stress tests determine how physiological stress and exercise affect the heart
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DISEASES OF THE HEART
  • Common symptoms of heart disease
    • Arrhythmia
    • Bradycardia
    • Tachycardia
    • Murmurs
    • Mitral valve prolapse
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DISEASES OF THE HEART
  • Coronary Artery disease (CAD)
    • Narrowing of the arteries that supply oxygen and nutrients to the heart
    • Angina pectoris - severe chest pain from inadequate oxygen to heart
    • Myocardial infarction (heart attack) - caused by lack of blood supply to heart
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DISEASES OF THE HEART
  • Infectious diseases of the heart
    • Pericarditis
    • Myocarditis
    • Endocarditis
    • Rheumatic heart disease
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DISEASES OF THE HEART
  • Prevention of heart disease
    • Not smoking
    • Regular exercise
    • Maintaining ideal weight
    • Estrogen replacement therapy
    • Reduction of triglyceride and cholesterol levels
    • Maintaining normal blood pressure
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DISEASES OF THE HEART
  • Congestive heart failure is similar to heart failure but includes edema in lower extremities
  • Rhythm/Conduction defects
    • Heart block
    • Premature contractions
    • Fibrillation
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TYPES OF HEART SURGERY
  • Angioplasty (balloon surgery)
  • Coronary bypass
  • Cardiac stints
  • Transmyocardial laser revascularization (TMR)
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HEART TRANSPLANTS
  • Heart transplant is needed when individual’s heart can no longer function properly
  • Organ rejection may occur even when tissue type is matched
  • Immunosuppressants are drugs used to suppress recipient’s immune system from rejecting donor organ