1. Anatomy
  2. 1. Mediastinum
    2. The Heart Development
    3. Pericardium
    4. Features of the Heart
    5. Arterial Supply of Heart
    6. Venous Drainage of the Heart
    7. Conducting System of Heart
    8. Nervous System of Heart
    9. Foetal Circulation and Changes at Birth
    10. Microscopic Structure of Heart
    11. Arteries
    12. Arch of Aorta
    13. Descending Thoracic Artery
    14. Abdominal Aorta
    15. Subclavian Artery
    16. Axiallary Artery
    17. Internal Thoracic Artery
    18. Brachial Artery
    19. Radial Artery
    20. Ulnar Artery
    21. Palmar Arches
    22. External Iliac Artery
    23. Internal Iliac Artery
    24. Femoral Artery
    25. Popliteal Artery
    26. Posterior Tibial Artery
    27. Anterior Tibial Artery
    28. Dorsalis Pedia Artery
    29. Common Carotid Artery
    30. External Carotid Artery
    31. Internal Carotid Artery
    32. Veins
    33. Internal Jugular Vein
    34. External Jugular Vein
    35. Superior Venacava
    36. Inferior Venacava
    37. Brachiocephali vein
    38. Subclavian vein
    39. Axillary vein
    40. Cephalic vein
    41. Basilic vein
    42. Azygous vein
    43. Hemiazyous vein
    44. Accessory Hemiazyoug Vein
    45. Internal Hemiazygous Vein
    46. Internal Iliac Vein
    47. Femoral Vein
    48. Popliteal Vein
    49. Long Saphenous Vein
    50. Small or Short Saphenous Vein
    51. Hepato-portal System
    52. Lymphatic System
    53. Spleen
    54. Thymus
    55. Thoracic duct
  3. Pharmacology
  4. 56. Congestive Heart Failure
    57. Therapy of Arrhythmiasis
    58. Angina pectoris
    59. Therapy of Hypertension
    60. Therapy of Shock
    61. Haemostatic Agents
    62. Therapy of Thromboembolic Disorder
    63. Thrombolytic or Fibrinolytics
    64. Antifibrinolytics
    65. Antiplatelet Drugs
    66. Therapy of Iron Deficiency Anemia
    67. Therapy of Megaloblastic Anaemia
    68. Hypolipidemic Drugs and Plasma Expanders
  5. Physiology
  6. 69. Properties of Myocardial Cells
    70. Heart - A Mechanical Pump
    71. Cardiac Cycle
    72. Electrocardiogram (ECG)
    73. Cardiac Output (CO)
    74. Haemodynamics of Circulation
    75. Heart Sounds
    76. Arterial Pulse
    77. Blood pressure
    78. Regional circulation
    79. Cardiovascular chanes during exercise
    80. Edema Dropsy of fluid retention
    81. Shock
    82. Hematology
  7. Pathology
  8. 83. Anaemia
    84. Hypertension
    85. Hypertensive Heart Disease
    86. Ischemic Heart Disease
    87. Angina pectoris
    88. Myocardial infarction
    89. Rheumatic Fever and Rheumatic Heart Disease (RHD)
    90. Acute Pericarditis
    91. Myocarditis
    92. Infective Endocarditis (IE)
    93. Congenital Heart Disease
    94. Cardiomyopathies
    95. Arteriosclerosis
    96. Atherosclerosis
    97. Inflammatory Disease of Blood Vessels
    98. Aneurysms and Dissection
    99. Congestive Heart Failure
    100. Iron Deficiency Anaemia
    101. Megaloblastic anaemia
    102. Pancytopenia
    103. Leucocytosis and Leucopenia
    104. Aplastic anaemia
    105. Haemolytic anaemia
    106. Hereditary Spherocytosis
    107. Haemoglobinipathies
    108. Thalassemia syndrome
    109. Sickle Cell Disease
    110. Leukaemia
    111. Leukemoid reaction
    112. Lymphadenitits
    113. Hodgkin lymphoma
    114. Non-hodgkin lymphoma
    115. Myeloproliferative disorders
    116. Myelofibrosis
    117. Multiple myeloma
    118. Bleeding disorders
    119. Coagulation disorders
    120. any
    121. Blood grouping
  9. Microbiology
  10. 122. Introduction of Blood borne infections
    123. Infective Endocarditis
    124. Brucella
    125. Rickettsiae
    126. Leishmania donovani
    127. Plasmodium
    128. Wuchereria bancrofti
  11. Biochemistry
  12. 129. Metabolism in Blood Cells
    130. Iron metabolism
    131. Haemoglobin
    132. Lipoprotein metabolism
    133. Biochemical aspect of MI
Anatomy
5. Arterial Supply of Heart
RIGHT CORONARY ARTERY
Origin
Right anterior aortic sinus
Course
  1. It first runs forward and right and emerges out on the surface of heart between the right auricle and root of pulmonary trunk.
  2. It then runs downward in the right atrioventricular sulcus upto the inferior border of heart where it gives the right marginal artery of heart.
  3. It then winds round the inferior border to reach diaphragmatic surface of the heart.
  4. Here it runs backward and to the left in the right posterior coronary sulcus to reach the posterior interventricular groove.
  5. It terminates by anastomosing with the circumflex branch of left coronary artery at the crux.
Branches
Atrial branches
Anterior groups
SA nodal artery
One of the anterior atrial branch
Posterior groups
Lateral groups
Ventricular branches
Anterior groups
Posterior groups
Right Marginal artery
Posterior Interventricular artery
Also called as Posterior Descending Artery (PDA)
AV nodal artery
Septal artery
Right Conus artery
Area of Distribution
  1. Whole Right atrium
  2. Greater part of Right ventricle
  3. Small part of Left ventricle
  4. Posterior 1/3 part of Interventricular septum
  5. Whole of the conducting system of heart except a part of the left branch of the AV bundle.
LEFT CORONARY ARTERY
Origin
Left posterior aortic sinus
Course
  1. It first runs forward and left and emerges out on the surface of the heart beween the left auricle and root of pulmonary trunk.
  2. Here it gives two branches namely Circumflex artery and Anterior interventricular artery.
  3. Anterior interventricular artery runs downward and left in the anterior interventricular sulcus which ends by anastomosing with the posterior interventricular artery.
  4. Circumflex artery runs towards right in the right anterior atrioventricular groove which ends by anastomosing with the right coronary artery.
Branches
Circumflex artery
Atrial branches
Anterior atrial branches
Posterior atrial branches
Ventricular branches
Anterior groups
Posterior groups
Lateral groups
Left Marginal artery
Anterior Interventricular artery
Left conus artery
Septal branch
Anterior Ventricular branches
Left Diagonal artery
Largest of anterior ventricular branches
Area of Distribution
  1. Whole left atrium
  2. Greater part of Left ventricle
  3. Small part of Right ventricle
  4. Anterior 2/3 part of interventricular septum
  5. A part of the left branch of the AV bundle.

Question Answers

Q.

Mention the arteries supplying the heart and give their area of supply with applied aspects.

(5= 5)

[2068]

Q.

Mention the origin of right coronary artery. List its main branches. Describe its area of supply.

(1 + 2 + 3= 6)

Q.

Describe the left coronary artery giving its origin, course and areas of supply.

(8= 8)

[2054]

Q.

Where is origin of left coronary artery? Mention its course and branches.

(1 + 2 + 2= 5)

[2052]

Q.

Explain coronary dominance.

[2076]