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Chapter 18: Cardiovascular System (Heart) Outline 1) Heart Anatomy a) Size, Location, and Orientation b) Covering of the Heart i) Parietal pericardium ii) Visceral pericardium c) Layers of the Heart i) Epicardium ii) Myocardium iii) Endocardium d) Associated Great Vessel i) Arteries (1) Aorta (2) Pulmonary arteries ii) Veins (1) Vena cavae (2) Pulmonary veins e) Coronary Circulation f) Chambers i) Atria (1) Pectinate muscle ii) Ventricles (1) Chordae tendiane (2) Trabeculae carnae (3) Papillary muscles g) Valves i) Atrio-ventricular valves (1) Tricuspid (right) (2) Biscupid or Mitral (left) ii) semilunar h) Pathway of the blood 2) Heart Physiology a) Electrical Events i) Intrinsic (1) Conduction system ii) Extrinsic (1) Autonomic Nervous system iii) Electrocardiogram b) Heart sounds c) Cardiac Cycle i) Ventricular filling ii) Ventricular systole iii) Early diastole d) Cardiac Output i) Stroke volume (1) Preload (2) Contractility (3) Afterload ii) Heart rate (1) Neural (a) Parasympathetic via vagus nerve (b) Sympathetic or Atrial (Bainbridge)reflex (2) Chemical (a) Hormones (i) Epinephrine (ii) Thyroxine (b) Electrolytes (3) Other factors (a) Age (b) Gender (c) Exercise (d) Body temperature