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Flashcards in Cardiovascular mechanics 1 Deck (21)
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1

How does the heart contract?

Myogenic stimualtion leading to the influx and release of Ca2+, causing contraction

2

How do cardiac myocytes contribute to contraction?

Specialised cells that have adaptations pertaining to the betterment of contraction.

Presence of T-tubules to carry depolarisation to the sarcoplasmic reticulum, allowing for release of Ca2+ containing vesicles.

L-type Ca2+ channel on myocyte is stimulated, conformational change by action potential.

Ca2+ moves in and causes an intracellular release from the SR by SR Ca2+ channels.

Excess Ca2+ is mopped up by Na/Ca transporter and ATPase

3

What happens to force as [Ca2+] increases?

Force production increase, sigmoidal relationship

4

What happens to force as length of myocyte increases?

Increases
Active and passive force production

But active plateaus

5

Compare skeletal and cardiac muscle's length-tension relation

Cardiac is more resistant to stretch and less compliant

Because of ECM and cytoskeleton

When muscle length increases too much for both, active force decreases, but passive stays same in cardiac

6

What are the differences between isotonic and isometric contraction?

Isotonic - muscle fibres shorten

Isometric - muscle fibres stay same length but force is produced

7

What is preload?

The weight that stretches muscle before it is stimulated to contract

8

What is afterload?

Weight only encountered upon muscle contraction
- i.e the force from the aorta the heart has to overcome to pump blood

9

How can preload be measured?

End Diastolic Volume
EDP
Right arterial pressure

10

What determines preload?

The filling of the ventricles before ejection - thus, venous return

11

How can afterload be measured?

Diastolic blood pressure

12

What determines preload?

The aortic pressure - as it is the load against which the left ventricle must eject blood.

13

What might happen to muscle shortening velocity should afterload increase?

It will decrease as greater force needed to overcome and hence more time needed to force ALL blood out, against the force

14

Similarly, what might happen to the force of contraction if preload were to increase?

Increase to a point, then too full to be too hard

15

What is the Frank-Starling relationship?

Increased diastolic fibre length leads to increased ventricular contraction

16

What is a consequence of increased ventricular contraction?

Greater stroke volume, meaning that cardiac output will match venous return

17

What two reasons causs the Frank-Starling relationship to be observed?

Changes in myofilament cross bridge interaction
- less actin overlap so more cross-bridge formation

Changes in sensitivity of myofilaments
- At longer sarcomere lengths TnC (regulates cross-bridge formation) has a higher affinity for Ca2+, meaning less is needed for same force

- More stretch means probability of strong binding cross-bridges forming increases

18

What is stroke work?

Work done bu heart to eject blood under pressure into aorta and pulmonary artery

19

Use an equation to show stroke work

Stroke volume x Pressure

20

What is the law of LaPlace?

States that when the pressure of a cylinder is constant, the tension on the walls increases as radius does

T = PxR

21

Show an example that demonstrates the law of LaPlace

Left ventricle vs right ventricle

Left has a lower radius, allowing higher pressure to be generated under same wall stress.