{"id":212,"date":"2015-08-08T17:22:10","date_gmt":"2015-08-08T17:22:10","guid":{"rendered":"http:\/\/sites.msudenver.edu\/haysc\/?page_id=212"},"modified":"2025-09-29T17:22:33","modified_gmt":"2025-09-29T17:22:33","slug":"outline-2-bio-2320-heart","status":"publish","type":"page","link":"https:\/\/sites.msudenver.edu\/haysc\/biology-courses\/human-anatomy-and-physiology-ii-homepage-bio-2320\/outline-2-bio-2320-heart\/","title":{"rendered":"Outline-2, BIO 2320, Heart"},"content":{"rendered":"<p><strong>I. CARDIOVASCULAR SYSTEM,\u00a0<\/strong><strong>HEART<\/strong><\/p>\n<p style=\"padding-left: 30px\">A. Location (mediastinum)<\/p>\n<p style=\"padding-left: 30px\">B. Pericardial sac, fluid, cavity (Parietal pericardium)<\/p>\n<p style=\"padding-left: 30px\">C. Heart wall<\/p>\n<p style=\"padding-left: 60px\">1. Epicardium (visceral pericardium)<\/p>\n<p style=\"padding-left: 60px\">2. Myocardium<\/p>\n<p style=\"padding-left: 60px\">&#8211; Trabeculae carneae &#8211;\u00a0<em>Irregular ridges of myocardium adding strength without weight<\/em><\/p>\n<p style=\"padding-left: 60px\">3. Endocardium<\/p>\n<p style=\"padding-left: 30px\">D. Chambers<\/p>\n<p style=\"padding-left: 60px\">1.\u00a0<strong>Atria<\/strong>, Auricles, Interatrial septum<\/p>\n<p style=\"padding-left: 60px\"><em>Upper chambers with &#8220;ear-like&#8221; auricles<\/em><\/p>\n<p style=\"padding-left: 60px\">2.<strong> Ventricles<\/strong>, Interventricular septum<\/p>\n<p style=\"padding-left: 60px\"><em>Lower chambers<\/em><\/p>\n<p style=\"padding-left: 60px\">3. Coronary sulcus<\/p>\n<p style=\"padding-left: 60px\"><em>External groove separating atrium from ventricle and contain coronary blood vessels<\/em><\/p>\n<p style=\"padding-left: 30px\">E. Valves<\/p>\n<p style=\"padding-left: 60px\">1.\u00a0<strong>Atrioventricular (tricuspid, bicuspid or mitral)<\/strong><\/p>\n<p style=\"padding-left: 90px\">a. Chordae tendineae<\/p>\n<p style=\"padding-left: 90px\"><em>Heart strings anchoring AV valves to papillary muscles<\/em><\/p>\n<p style=\"padding-left: 90px\">b. Papillary muscles<\/p>\n<p style=\"padding-left: 90px\"><em>Muscle columns in ventricles<\/em><\/p>\n<p style=\"padding-left: 60px\">2.<strong> Semilunar valves<\/strong><\/p>\n<p style=\"padding-left: 90px\">a. Pulmonary<\/p>\n<p style=\"padding-left: 90px\">b. Aortic<\/p>\n<p style=\"padding-left: 30px\">F. Associated vessels<\/p>\n<p style=\"padding-left: 60px\">1.<span style=\"color: #3366ff\"><strong>\u00a0<span style=\"color: #000000\">Superior vena cava<\/span><\/strong><\/span><\/p>\n<p style=\"padding-left: 60px\"><em>Drains superior body into RA, deoxygenated blood<\/em><\/p>\n<p style=\"padding-left: 60px\">2.<strong> Inferior vena cava<\/strong><\/p>\n<p style=\"padding-left: 60px\"><em>Drains inferior body into RA, deoxygenated blood<\/em><\/p>\n<p style=\"padding-left: 60px\">3.<strong> Pulmonary trunk and arteries<\/strong><\/p>\n<p style=\"padding-left: 60px\"><em>RV to lungs, deoxygenated blood<\/em><\/p>\n<p style=\"padding-left: 60px\">4.<strong> Pulmonary veins<\/strong><\/p>\n<p style=\"padding-left: 60px\"><em>Lungs to LA, oxygenated blood<\/em><\/p>\n<p style=\"padding-left: 60px\">5.<strong> Aorta<\/strong><\/p>\n<p style=\"padding-left: 60px\"><em>LV to systemic circuit, oxygenated blood<\/em><\/p>\n<p style=\"padding-left: 30px\">G. Coronary circulation<\/p>\n<p style=\"padding-left: 30px\"><em>Provides nutrients to myocardium; aorta; coronary arteries serving the four chambers; deoxygenated blood is collected by cardiac veins which empty into large coronary sinus (vein), which empties into the RA<\/em><\/p>\n<p style=\"padding-left: 30px\">H. Cardiac muscle<\/p>\n<p style=\"padding-left: 60px\">1. Myocardium<\/p>\n<p style=\"padding-left: 60px\">2. Differences from skeletal muscle<\/p>\n<p style=\"padding-left: 90px\">a. Automated excitement<\/p>\n<p style=\"padding-left: 90px\">b. No graded responses<\/p>\n<p style=\"padding-left: 90px\">c. No tetany<\/p>\n<p style=\"padding-left: 90px\">d. No anaerobic metabolism<\/p>\n<p style=\"padding-left: 60px\">3. Striated, involuntary<\/p>\n<p style=\"padding-left: 60px\">4.<strong> Intercalated discs<\/strong>, Stimulus passed btwn cells<\/p>\n<p style=\"padding-left: 60px\">5. Refractory period prevents tetany<\/p>\n<p style=\"padding-left: 60px\">6. Energy<\/p>\n<p style=\"padding-left: 90px\">a. ATP; Aerobic metabolism<\/p>\n<p style=\"padding-left: 90px\">b. Coronary circulation<\/p>\n<p style=\"padding-left: 60px\">7. Excitation<\/p>\n<p style=\"padding-left: 90px\">a. Depolarization to threshold<\/p>\n<p style=\"padding-left: 90px\"><em>Spontaneous, likely due to gradual decrease in membrane permeability to potassium ions causing a decreased outflow of potassium ions<\/em><\/p>\n<p style=\"padding-left: 90px\">b.<strong> Sinoatrial node<\/strong><\/p>\n<p style=\"padding-left: 90px\"><em>Specialized cardiac muscle cells in wall of right atrium<\/em><\/p>\n<p style=\"padding-left: 120px\">1. At rest, depolarizes every .8 sec; 60-80 x\/min<\/p>\n<p style=\"padding-left: 120px\">2. Change in permeability [potassium ions]\n<p style=\"padding-left: 120px\">3. Pacemaker<\/p>\n<p style=\"padding-left: 60px\">8. Conduction from SA Node:<\/p>\n<p style=\"padding-left: 90px\">a. AV node (.1 sec delay)<\/p>\n<p style=\"padding-left: 90px\">b. AV Bundle (Bundle of His)<\/p>\n<p style=\"padding-left: 90px\">c. Purkinje = Conduction fibers<\/p>\n<p style=\"padding-left: 90px\">d. Myocardial cells of ventricle<\/p>\n<p style=\"padding-left: 60px\">9. Cardiac cycle<\/p>\n<p style=\"padding-left: 90px\">a.<strong> Systole<\/strong>(RV=30mmHg; LV=120mmHg)<\/p>\n<p style=\"padding-left: 90px\"><em>Contraction phase of cardiac cycle<\/em><\/p>\n<p style=\"padding-left: 90px\">b.<strong> Diastole<\/strong><\/p>\n<p style=\"padding-left: 90px\"><em>Heart chambers relax and refill with blood<\/em><\/p>\n<p style=\"padding-left: 90px\">c. Time<\/p>\n<p style=\"padding-left: 120px\">1. Entire cycle .8 sec<\/p>\n<p style=\"padding-left: 120px\">2. Atrial systole .1 sec; diastole .7 sec<\/p>\n<p style=\"padding-left: 120px\">3. Ventricular systole .3 sec; diastole .5<\/p>\n<p style=\"padding-left: 120px\">4. Pressure curves<em>(refer to your book)<\/em><\/p>\n<p style=\"padding-left: 150px\">a. Atrial (Left)<\/p>\n<p style=\"padding-left: 150px\">b. Ventricular (Left)<\/p>\n<p style=\"padding-left: 150px\">c. Aortic<\/p>\n<p style=\"padding-left: 120px\">5. Heart sounds<\/p>\n<p style=\"padding-left: 150px\">a.<strong> S1<\/strong>= AV valves closures<\/p>\n<p style=\"padding-left: 150px\">b.<strong> S2<\/strong>= Semilunar valves closures<\/p>\n<p style=\"padding-left: 60px\">10.<strong> Cardiac Output<\/strong><\/p>\n<p style=\"padding-left: 90px\">a.<strong> CO = HR x SV\u00a0<\/strong>(5-6 liters\/min=70 b\/min x 80 ml\/bt)<\/p>\n<p style=\"padding-left: 90px\"><em>Volume of blood pumped by either ventricle per minute<\/em><\/p>\n<p style=\"padding-left: 90px\">b.<strong> Cardiac reserve<\/strong>[Increase CO 600-700%]\n<p style=\"padding-left: 90px\"><em>Difference between maximum CO and resting CO<\/em><\/p>\n<p style=\"padding-left: 90px\">c.<strong> Heart rate\u00a0<\/strong>control<\/p>\n<p style=\"padding-left: 120px\">1. Sympathetic stimulation<\/p>\n<p style=\"padding-left: 120px\"><em>Increases heart rate<\/em><\/p>\n<p style=\"padding-left: 120px\">2. Parasympathetic stimulation<\/p>\n<p style=\"padding-left: 120px\"><em>Decreases heart rate<\/em><\/p>\n<p style=\"padding-left: 90px\">d.<strong> Stroke volume<\/strong><\/p>\n<p style=\"padding-left: 90px\"><em>Volume pumped from ventricle per beat<\/em><\/p>\n<p style=\"padding-left: 90px\"><strong><em>SV= end diastolic volume &#8211; end systolic volume<\/em><\/strong><\/p>\n<p style=\"padding-left: 120px\">1. End-diastolic volume<\/p>\n<p style=\"padding-left: 120px\">&#8211; Length of diastole<\/p>\n<p style=\"padding-left: 120px\">&#8211; Venous return<\/p>\n<p style=\"padding-left: 120px\">2. \u00a0End-systolic volume<\/p>\n<p style=\"padding-left: 120px\">&#8211; Frank- Starling Law<\/p>\n<p style=\"padding-left: 120px\"><em>Stretch wall of ventricle leads to increased force of contraction<\/em><\/p>\n<p style=\"padding-left: 120px\">&#8211; Sympathetic N.S.<\/p>\n<p style=\"padding-left: 120px\"><em>Decreases end systolic volume<\/em><\/p>\n<p style=\"padding-left: 120px\">&#8211; Parasympathetic N.S.<\/p>\n<p style=\"padding-left: 120px\"><em>Increases end systolic volume<\/em><\/p>\n<p style=\"padding-left: 60px\">11. Factors influencing cardiac function<\/p>\n<p style=\"padding-left: 90px\">a. Cardiac center<\/p>\n<p style=\"padding-left: 90px\"><em>Brain stem<\/em><\/p>\n<p style=\"padding-left: 90px\">b. Exercise<\/p>\n<p style=\"padding-left: 90px\"><em>Chronic exercises enlarges cardiac muscle and thus increases stroke volume; can have good CO with lower HR due to increased SV<\/em><\/p>\n<p style=\"padding-left: 90px\">c. Temperature<\/p>\n<p style=\"padding-left: 90px\"><em>Heat increases SA node discharge<\/em><\/p>\n<p style=\"padding-left: 90px\">d. Ions (K, Ca, Na)<\/p>\n<p style=\"padding-left: 90px\">e. Sex, age<\/p>\n<p style=\"padding-left: 90px\"><em>HR faster in females, youngsters<\/em><\/p>\n<p style=\"padding-left: 60px\">12.<strong> Electrocardiography\/Electrocardiogram (ECG,EKG)<\/strong><\/p>\n<p style=\"padding-left: 90px\">a. Leads<\/p>\n<p style=\"padding-left: 90px\"><em>Placement of electrodes on body for ECG<\/em><\/p>\n<p style=\"padding-left: 90px\">b.<strong> P wave<\/strong>&#8211; atrial depolarization<\/p>\n<p style=\"padding-left: 90px\">c.<strong> QRS<\/strong>&#8211; ventricular depolarization<\/p>\n<p style=\"padding-left: 90px\">d.<strong> T<\/strong>&#8211; Ventricular repolarizationInfo. derived: HR, Blocks, Orientation&#8230;<\/p>\n<p style=\"padding-left: 60px\">13. Heart disease &#8211; If time but not on exam.<\/p>\n<p><a href=\"https:\/\/youtu.be\/fFrwfzDPpsE\">Blood Flow Through the Heart<\/a><\/p>\n<p><a href=\"https:\/\/youtu.be\/ensxZBU6OAI\">Location and Protective Layers of the Heart Video<\/a><\/p>\n<p><a href=\"https:\/\/youtu.be\/xJZYbpX5Kow\">Conduction Pathway of the Heart Video<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I. CARDIOVASCULAR SYSTEM,\u00a0HEART A. Location (mediastinum) B. Pericardial sac, fluid, cavity (Parietal pericardium) C. Heart wall 1. Epicardium (visceral pericardium) 2. Myocardium &#8211; Trabeculae carneae &#8211;\u00a0Irregular ridges of myocardium adding strength without weight 3. Endocardium D. Chambers 1.\u00a0Atria, Auricles, Interatrial &hellip; <a href=\"https:\/\/sites.msudenver.edu\/haysc\/biology-courses\/human-anatomy-and-physiology-ii-homepage-bio-2320\/outline-2-bio-2320-heart\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":270,"featured_media":0,"parent":209,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"class_list":["post-212","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/sites.msudenver.edu\/haysc\/wp-json\/wp\/v2\/pages\/212","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sites.msudenver.edu\/haysc\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sites.msudenver.edu\/haysc\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sites.msudenver.edu\/haysc\/wp-json\/wp\/v2\/users\/270"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.msudenver.edu\/haysc\/wp-json\/wp\/v2\/comments?post=212"}],"version-history":[{"count":0,"href":"https:\/\/sites.msudenver.edu\/haysc\/wp-json\/wp\/v2\/pages\/212\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/sites.msudenver.edu\/haysc\/wp-json\/wp\/v2\/pages\/209"}],"wp:attachment":[{"href":"https:\/\/sites.msudenver.edu\/haysc\/wp-json\/wp\/v2\/media?parent=212"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}