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Cardiac Catherization IP 2

        MICHELLE STAHL
     BIOLOGY 144 SECTION04
         MARCH 4, 2012
Introduction

 Coronary circulation is the blood flow to the heart
 that supplies the heart with oxygen and nutrients.
 Without this the heart muscles would begin to die.
 Heart muscle unlike other muscles cannot heal itself.
 As heart tissue dies off the heart doesn’t contract as
 well, and cannot keep up with the demands of the
 body. Cardiac catherization seeks to remove blocked
 blood vessels in the heart to restore blood flow to the
 heart. Blocked blood vessels are most often caused
 by coronary artery disease.
Coronary Circulation

 Two branches off the aorta called the right and left
  coronary arteries supply blood to the heart (David,
  Jackie, & Lewis, 2010, Chapter 15).
 The right coronary artery travels along the
  atrioventricular sulcus and has two branches. The
  posterior interventricular artery travels along the
  posterior interventricular sulcus and supplies the
  walls of both ventricles . (David, Jackie, & Lewis,
  2010, Chapter 15).
Coronary Circulation continued

 The marginal artery travels along the lower border of
  the heart and has branches that supply the walls of
  the right atrium and the right
  ventricle(David, Jackie, & Lewis, 2010, Chapter 15).
 The left coronary artery has a branch called the
  circumflex artery that follows the atrioventricular
  sulcus between the left atrium and the left ventricle.
  It supplies blood to the wall of the left atrium and the
  left ventricle (David, Jackie, & Lewis, 2010, Chapter
  15).
Coronary Circulation Continued

 The anterior interventricular artery is a branch of
  the left coronary artery and travels in the anterior
  interventricular sulcus. This artery supplies blood
  to the walls of both ventricles (David, Jackie, &
  Lewis, 2010, Chapter 15).
 Smaller branches of the arteries usually have
  connections that serve as alternative pathways for
  blood called collateral circulation (David, Jackie, &
  Lewis, 2010, Chapter 15).
Coronary Circulation continued

 Cardiac veins drain blood that have passed through
  the capillaries in the heart.
 The veins follow the arteries in the coronary system.
 They join the coronary sinus: a large vein that
  empties into the right atrium so blood can be sent to
  the lungs to pick up oxygen (David, Jackie, & Lewis,
  2010, Chapter 15).
Coronary Artery Disease

 Over time plaque (a substance made up of
  cholesterol and lipids) can build up on the arterial
  walls narrowing the openings and reducing blood
  flow.
 This plaque can rupture and cause clots that further
  block arteries.
 Sometimes the arteries become completely blocked
  and the heart cannot get blood, as a result the
  muscles in that region of the heart begin to die.
(The Mayo Clinic staff [Mayo Clinic], 2010, para. 1-2)
Cardiac Catherization

 Cardiac catherization is a procedure to treat heart
  disease or diagnose it
 A thin flexible tube called a catheter is sent into a
  blood vessel in the groin, neck, or arm then travels
  through the blood vessels to the heart .
 A dye is injected into the tube and can show
  blockages on x-rays.
 Your doctor can then diagnose or treat these
  blockages.(Medicine Net, 2012)
Cardiac Catherization

 Small tools or medicines can also be inserted or
  injected to remove blockages.
 A uninflated balloon can also be threaded though
  and inflated to enlarge the opening.
 Stents, an expandable tube or coil, can also be placed
  to hold an artery open.
 These procedures help restore blood flow to the
  affected area.
Cardiac
catherization
The doctor will
make an
incision in the
upper thigh to
access the
femoral artery
pictured here.
This will be the
insertion point
for the catheter
(Aprevealed, 2012).
Cardiac
catherization
The catheter
will then be
pushed up the
common iliac
artery pictured
here
(Aprevealed, 20
12)
Cardiac
Catherization
Next the
catheter will
travel into the
abdominal
aorta on its way
to the heart
(Aprevealed, 20
12)
Cardiac
Catherization
Highlighted in
blue is the Left
coronary artery
and its
branches. From
here the doctor
goes to the site
of the blockage
(Aprevealed,
2012).
The Causes of Heart Disease

 Blocked blood vessels prevent the flow of blood to
  the heart.
 When the flow of blood is not reaching the heart
  tissues are starved of oxygen and nutrients.
 As the heart beats continuously the tissues begin to
  die, dead tissue cannot heal.
 As more areas of the heart die it contracts less
  forcibly and cannot meet the demands of the body
  for blood(David, Jackie, & Lewis, 2010, Chapter 15).
Risks factors for Cardiovascular disease

 A sedentary lifestyle.
 A diet high in fats and cholesterol.
 Smoking constricts blood vessels.
 Diabetes can cause damage to the blood vessels from
  high blood sugars.
 High blood pressure.
 Heredity or family history of heart disease.
Risks for Cardiovascular Disease

 Age as you get older plaque naturally builds up in
  your blood vessels.
 Men are at more risk and women after menopause.
 High blood cholesterol or blood lipids.
 Obesity puts strain on the entire body, the heart has
  to pump harder to push blood through.
 High stress
(Mayo Clinic, 2012)
References

   Anatomy & Physiology Revealed 3.0 (Version 3.0) [Computer software]. (2011).

         Retrieved from http://www.mhhe.com/sem/apr3/

   David, S., Jackie, B., & Lewis, R. (2010). Hole’s Human Anatomy & Physiology (12

         ed.). New York, NY: McGraw-Hill.

   MedicineNet.com. (2012). Heart Disease and Cardiac Catheterization. Retrieved

         from http://www.medicinenet.com/cardiac_catheterization/article.htm
 The Mayo Clinic staff. (2010). Coronary artery disease. Retrieved from
         http://www.mayoclinic.com/health/coronary-artery-disease/DS00064

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Cardiac Catherization Ip 2

  • 1. Cardiac Catherization IP 2 MICHELLE STAHL BIOLOGY 144 SECTION04 MARCH 4, 2012
  • 2. Introduction  Coronary circulation is the blood flow to the heart that supplies the heart with oxygen and nutrients. Without this the heart muscles would begin to die. Heart muscle unlike other muscles cannot heal itself. As heart tissue dies off the heart doesn’t contract as well, and cannot keep up with the demands of the body. Cardiac catherization seeks to remove blocked blood vessels in the heart to restore blood flow to the heart. Blocked blood vessels are most often caused by coronary artery disease.
  • 3. Coronary Circulation  Two branches off the aorta called the right and left coronary arteries supply blood to the heart (David, Jackie, & Lewis, 2010, Chapter 15).  The right coronary artery travels along the atrioventricular sulcus and has two branches. The posterior interventricular artery travels along the posterior interventricular sulcus and supplies the walls of both ventricles . (David, Jackie, & Lewis, 2010, Chapter 15).
  • 4. Coronary Circulation continued  The marginal artery travels along the lower border of the heart and has branches that supply the walls of the right atrium and the right ventricle(David, Jackie, & Lewis, 2010, Chapter 15).  The left coronary artery has a branch called the circumflex artery that follows the atrioventricular sulcus between the left atrium and the left ventricle. It supplies blood to the wall of the left atrium and the left ventricle (David, Jackie, & Lewis, 2010, Chapter 15).
  • 5. Coronary Circulation Continued  The anterior interventricular artery is a branch of the left coronary artery and travels in the anterior interventricular sulcus. This artery supplies blood to the walls of both ventricles (David, Jackie, & Lewis, 2010, Chapter 15).  Smaller branches of the arteries usually have connections that serve as alternative pathways for blood called collateral circulation (David, Jackie, & Lewis, 2010, Chapter 15).
  • 6. Coronary Circulation continued  Cardiac veins drain blood that have passed through the capillaries in the heart.  The veins follow the arteries in the coronary system.  They join the coronary sinus: a large vein that empties into the right atrium so blood can be sent to the lungs to pick up oxygen (David, Jackie, & Lewis, 2010, Chapter 15).
  • 7. Coronary Artery Disease  Over time plaque (a substance made up of cholesterol and lipids) can build up on the arterial walls narrowing the openings and reducing blood flow.  This plaque can rupture and cause clots that further block arteries.  Sometimes the arteries become completely blocked and the heart cannot get blood, as a result the muscles in that region of the heart begin to die. (The Mayo Clinic staff [Mayo Clinic], 2010, para. 1-2)
  • 8. Cardiac Catherization  Cardiac catherization is a procedure to treat heart disease or diagnose it  A thin flexible tube called a catheter is sent into a blood vessel in the groin, neck, or arm then travels through the blood vessels to the heart .  A dye is injected into the tube and can show blockages on x-rays.  Your doctor can then diagnose or treat these blockages.(Medicine Net, 2012)
  • 9. Cardiac Catherization  Small tools or medicines can also be inserted or injected to remove blockages.  A uninflated balloon can also be threaded though and inflated to enlarge the opening.  Stents, an expandable tube or coil, can also be placed to hold an artery open.  These procedures help restore blood flow to the affected area.
  • 10. Cardiac catherization The doctor will make an incision in the upper thigh to access the femoral artery pictured here. This will be the insertion point for the catheter (Aprevealed, 2012).
  • 11. Cardiac catherization The catheter will then be pushed up the common iliac artery pictured here (Aprevealed, 20 12)
  • 12. Cardiac Catherization Next the catheter will travel into the abdominal aorta on its way to the heart (Aprevealed, 20 12)
  • 13. Cardiac Catherization Highlighted in blue is the Left coronary artery and its branches. From here the doctor goes to the site of the blockage (Aprevealed, 2012).
  • 14. The Causes of Heart Disease  Blocked blood vessels prevent the flow of blood to the heart.  When the flow of blood is not reaching the heart tissues are starved of oxygen and nutrients.  As the heart beats continuously the tissues begin to die, dead tissue cannot heal.  As more areas of the heart die it contracts less forcibly and cannot meet the demands of the body for blood(David, Jackie, & Lewis, 2010, Chapter 15).
  • 15. Risks factors for Cardiovascular disease  A sedentary lifestyle.  A diet high in fats and cholesterol.  Smoking constricts blood vessels.  Diabetes can cause damage to the blood vessels from high blood sugars.  High blood pressure.  Heredity or family history of heart disease.
  • 16. Risks for Cardiovascular Disease  Age as you get older plaque naturally builds up in your blood vessels.  Men are at more risk and women after menopause.  High blood cholesterol or blood lipids.  Obesity puts strain on the entire body, the heart has to pump harder to push blood through.  High stress (Mayo Clinic, 2012)
  • 17. References  Anatomy & Physiology Revealed 3.0 (Version 3.0) [Computer software]. (2011). Retrieved from http://www.mhhe.com/sem/apr3/  David, S., Jackie, B., & Lewis, R. (2010). Hole’s Human Anatomy & Physiology (12 ed.). New York, NY: McGraw-Hill.  MedicineNet.com. (2012). Heart Disease and Cardiac Catheterization. Retrieved from http://www.medicinenet.com/cardiac_catheterization/article.htm  The Mayo Clinic staff. (2010). Coronary artery disease. Retrieved from http://www.mayoclinic.com/health/coronary-artery-disease/DS00064