Professional Documents
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AR SYSTEM
Sindhu Wisesa
mediastinum
Chest x rays
Lateral (male)
Normal female
Source Undetermined
Human Heart
11
Figure 202c
Figure 12-3(b)
15
Heart Wall
16
Cardiac
Muscle Cells
Figure 205
18
25
Cardiac Cycle
26
Figure 12-5
Figure 12-6(a)
Figure 12-6(b)
Function of AV valves
30
31
Figure 2016
Cardiac Cycle
Phases
Places to auscultate
36
Enlarged
Right Atrium
Source Undetermined
Source Undetermined
Enlarged
Right Ventricle
Source Undetermined
Source Undetermined
Enlarged
Right Ventricle
(lateral CXR)
Source Undetermined
Source Undetermined
Figure 12-7(a)
Figure 12-7(b)
Figure 2012
Impulse Conduction
through the Heart
Figure 2013
SA node
Impulse delayed
at AV node
AV node
Impulse passes to
heart apex; ventricular
excitation begins
Bundle
branches
Ventricular excitation
complete
Purkinje
fibers
Figure 18.17
Autonomic
innervation
Sympathetic
Increases rate and
force of contractions
Parasympathetic
(branches of Vagus
n.)
Slows the heart rate
54
Atrial Depolarization
ECG
I, Avl, V1-V6
ANTEROSEPTAL
V1- V3
ANTEROLATERAL
I, aVL, V4- V6
CORONARY ARTERY
LAD, LCX
LAD
LCX
INFERIOR
RCA, PDA
POSTERIOR
(POSTEROLATERAL)
V7- V9
PL
RV
V3R V5R
RCA/ RV BRANCH
Ventricle
Depolarization
0.12 second
VASCULAR SYSTEM
Circulatory
Routes overview
Veins and
Venules
Arteries
and
Arterioles
Tunica
Intima
Endothelial
cells
Valve
Tunica
Media
Tunica
Externa
or
Adventia
64
Capillaries
Circulasi Pulmonal
Vascular Anastomoses
Arterial Anastomoses
Arteriovenous Anastomoses
- thoroughfare channels
Venous Anastomoses
Aortic arch
Thoracic (descending) aorta
Abdominal aorta
Common iliac
arteries
Circulasi Sistemik
posterior communicating
middle cerebral artery
4
3
2
1
Cerebral Circulation
Measuring
Heart Rate
87
Sistem Vena
Thoracal Vein
Venous Return/Valves
Assistance for venous return
skeletal muscles act as pumps
respiratory pump
Venous
Return
Position (gravity)
Muscular
contraction
Breathing
Negative pressure in
thorax
Positive abdominal
pressure
99
Varicose Veins
Fetal Circulation
Placenta O2/CO2 &
nutrient/waste between
mom & baby
Umbilical cord (2)
umbilical arteries (baby
mom) & (1) umbilical vein
(mom baby)
Umbilical vein
(O2/nutrient rich
blood) hepatic
portal vein & ductus
venosus IVC Rt.
atrium
Rt. Atrium some blood to rt.
Ventricle, most shunts across
foramen ovale in interatrial septum
lt. atrium lt. ventricle
Fetal Circulation
Blood from Rt. Ventricle
pulmonary trunk
across ductus arteriosus
to aorta
Aorta systemic arteries
internal iliac arteries
umbilical arteries
placenta
Fetal
Circulation
ductus venosus
bypasses liver
3 Right Left
shunts
because
oxygenated blood
is derived from the
placenta
ductus arterious
ligametum arteriosum
foramen ovale fossa
ovalis
interventricular shunt
no remnant
Terimakasih