Exam #2 (Ch 4 & 5) Flashcards

(98 cards)

1
Q

Pulmonary circulation is a low/high pressure system

A

Low Pressure System

Right heart, pulmonary arteries, veins & capillaries & pulmonary system

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2
Q

Systemic circulation is a low/high pressure system

A

High Pressure System

Left heart, and rest of body arterial circulation

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3
Q

In order to create a flow one needs

A

A pressure gradient

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4
Q

Deliver blood and nutrients to tissues
Takes waste away from tissue
Assist in regulating blood pressure

A

Blood Vessels

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5
Q

Blood Vessels

A

Deliver blood and nutrients to tissues
Takes waste away from tissue
Assist in regulating blood pressure

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6
Q

Where do arteries conduct blood?

A

Arteries conduct blood away from the heart

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7
Q

Are arteries high or low pressure?

A

High pressure

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8
Q

What is the largest artery?

A

Aorta

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9
Q

What are characteristic of the walls of the arteries?

A

Elastic tissue
Smooth muscle
Connective tissue

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10
Q

What is stressed volume?

A

The blood that is in the arteries is under high pressure so it is called stressed volume

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11
Q

The blood that is in the arteries is under high pressure so it is called

A

Stressed Volume

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12
Q

The smallest branches of the arteries

A

Arterioles

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13
Q

The site of highest resistance to blood flow

A

Arterioles. Their walls are made up of smooth muscle.

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14
Q

The smooth muscle of the arterioles are tonically active or inactive?

A

Tonically active (always contracted)

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15
Q

The sympathetic fibers that innervate the smooth muscles of the arterioles

A

Alpha 1: found on the arterioles near skin & splanchnic organs. Cause contraction or vasoconstriction
Beta 2: Less common & cause relaxation or vasodilation when activated. Found in skeletal muscle cells

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16
Q

These sympathetic fibers of the smooth muscles of the arterioles are found near skin & splanchnic organs. Cause contraction or vasoconstriction.

A

Alpha 1

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17
Q

These sympathetic fibers of the smooth muscles of the arterioles are found in skeletal muscle cells. They are less common. Cause relaxation or vasodilation when activated

A

Beta 2

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18
Q

Capillaries

A

Thin-walled allowing for effective diffusion

Lined w/ a single layer of endothelial cells again allowing for exchange of nutrients, water, and gases

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19
Q

The Selective Perfusion of Capillaries is determined by

A

The degree of dilation or constriction of the arterioles & precapillary sphincters. The degree of dilation or constriction controlled by sympathetic innervation of vascular smooth muscles & by vasoactive metabolites produced in the tissues

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20
Q

Veins

A

Thin-walled
Modest amount of elastic tissue
Very large capacitance. Contains the largest proportion of blood in the cardiovascular system (most blood volume is found in veins)
Considered unstressed volume
Have valves to prevent retrograde or back flow
Innervated by sympathetic fibers. An increase in sympathetic activity = constriction = reduces their capacitance & therefore reduces the unstressed volume

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21
Q

The blood in the veins is also called

A

Unstressed volume

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22
Q

Purpose of valves in veins

A

Prevent retrograde or back flow

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23
Q

Increase in sympathetic activity on veins

A

Increase in sympathetic activity = constriction = reduces their capacitance & therefore reduces the unstressed volume

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24
Q

Formed from merged capillaries (low pressure)

A

Venules

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25
Velocity of blood flow
``` V = Q/A Rate of displacement of blood per unit time V = Velocity of blood flow (cm/sec) Q = Flow (mL/sec) A = Cross-sectional area (cm^2) ```
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Variables Impacting Blood Flow Velocity
It is directly proportional to blood flow & inversely proportional to cross-sectional area
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Where is blood flow high & where is it low?
Blood flow is higher in the aorta (small cross sectional area) than the sum of all the capillaries (large cross sectional area)
28
How do we want blood flow velocity to be in areas of exchange?
Lower velocity allows for optimal exchange
29
Blood Flow is determined by
Pressure gradient | Resistance
30
Equation for Blood Flow
Q = ∆P/R ``` Q = Flow (mL/min) ∆P = Pressure difference (mmHg) R = Resistance (mmHg/mL/min) ```
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Blood flow is directly proportional to ____ & inversely proportional to _____
Magnitude of blood flow is directly proportional to pressure gradient and inversely proportional to resistance
32
The major mechanism for changing blood flow in the cardiovascular system is by
Changing the resistance of blood vessels. Occurs primarily at the level of the arterioles due to smooth muscle contraction.
33
Total Peripheral Resistance (TPR)
Resistance of the entire systemic vasculature. Aka Systemic Vascular Resistance (SVR) R = ∆P/Q
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Resistance to Blood Flow is dependent on
Vessel diameter/radius & blood viscosity. Also based on parallel or series arrangement of blood vessels
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Poiseuille Equation
R = 8µl / πr^4 ``` R = Resistance µ = viscosity of blood l = length of blood vessel r = radius ```
36
According to the poiseuille equation resistance is proportional to
Directly proportional to viscosity, length, and inversely proportional to the radius raised to the 4th power (r^4)
37
Series Resistance of Blood Flow
Within a given organ Within the organ or blood flows from the major artery to smaller arteries, to arterioles, to capillaries, to venules, to veins As resistors are added, total resistance increases Total resistance of a system arranged in series is equal to the sum of the individual resistances
38
Parallel Resistance of Blood Flow
Found among the various major arteries branching off the aorta As resistors are added, total resistance decreases Total resistance in a parallel arrangement is less than any of the individual resistances 1/Rtot = 1/R1 + 1/R2 This arrangement ensures pressure is not loss through the system
39
What is the purpose of parallel resistance of blood flow?
It ensures pressure is not loss through the system
40
Laminar blood flow
Straight. Ideally, blood flow in the cardiovascular system is laminar. Shows a parabolic profile of velocity within a blood vessel. Velocity of flow at the vessel wall is zero, and maximal at the center
41
Turbulent blood flow
Disrupted flow. Stream mixes radially & axially. Found at the valves or at the site of a blood clot, or in vessels of high velocity. More energy (pressure) is required to drive turbulent blood flow than laminar blood flow. Often accompanied by audible vibrations called heart sounds or murmurs
42
This type of blood flow is often accompanied by audible vibrations called heart sounds or murmurs
Turbulent flow
43
What is Reynold's number?
It predicts whether flow will be laminar or turbulent
44
An increase is Reynold's number means
Greater tendency for turbulence
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If Reynold's number is less than 2000 then
Blood flow is likely laminar
46
If Reynold's number is greater than 2000 then
Blood flow is likely turbulent
47
If Reynold's number is greater than 3000 then
Blood flow is always turbulent
48
What factors increase Reynold's number?
A decrease in blood viscosity (ex: decrease in hematocrit, anemia), also increase cardio output An increase in blood velocity (ex: narrowing of blood vessel; thrombi)
49
What is compliance or capacitance?
Describes the distensibility of blood vessels | Inversely related to elastance
50
Formula for compliance
C = V / P ``` C = compliance V = volume (mL) P = pressure (mmHg) ```
51
What happens to the amount of pressure in the systemic circuit as blood flows through it?
Pressure decreases progressively through the systemic circulation due to increased resistance
52
Blood pressure is highest in
The Aorta
53
Blood pressure is lowest in
The Vena Cava
54
The largest vein in the body?
IVC
55
Diastolic Pressure
Pressure in the artery during ventricular diastole/relaxation It is the lowest arterial pressure measured during a cardiac cycle
56
Systolic Pressure
Arterial pressure measured during ventricular systole/contraction Highest arterial pressure measured during a cardiac cycle
57
Pulse Pressure
Difference between systolic and diastolic pressure. Co-relates to stroke volume
58
Mean Arterial Pressure (MAP)
Average pressure in a complete cardiac cycle. MAP = diastolic pressure + 1/3 pulse pressure
59
This type of pressure fluctuates during the cycle and is pulsatile
Arterial Pressure
60
This type of pressure is very low due to high compliance
Venous Pressure
61
Atrial Pressure
lower than venous pressure
62
Dicrotic notch or incisura
The "blip" in the arterial pressure curve. Produced when the aortic valve closes
63
What produces the "blip" in the arterial pressure curve?
When the aortic valve closes. It is called the Dicrotic notch or incisura
64
Arteriosclerosis
Is a pathology that will alter the arterial pressure curve. It is due to plaque deposits in the arterial walls which decreases diameter/radius. It stiffens walls making them more rigid & less compliant
65
Impact of Arteriosclerosis on Arterial Pressure Curve
Systolic pressure, pulse pressure, & mean pressure will be increased
66
Impact of Aortic Stenosis on Arterial Pressure Curve
Occurs when the aortic valve is stenosed (hardened) due to calcification Stroke volume is decreased b/c less blood enters the aorta on each beat. Systolic, pulse, & mean pressure will be decreased
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Aortic regurgitation
Due to incompetent valve causing retrograde flow
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The pacemaker of the heart
SA (Sinoatrial) Node. the AP originates from SA node
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Why is the SA node the pacemaker of the heart?
B/c it has the highest intrinsic firing rate in the heart
70
Normal heart rate
60-100 bmp
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Sequence of myocardium activation
SA node -> AV node -> Bundle of His (common bundle) -> Right/Left Bundle Branches -> Purkinje Fibers
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Latent Pacemakers take over when
SA node firing rate decreases SA node stops completely or is removed If the intrinsic rate of firing of a latent pacemakers should become faster than that of the SA node, then it assumes the pacemaker role Blocked conduction from SA node to conducting pathways
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Excitability
The ability of cardiac cells to initiate an action potential in response to an inward, depolarizing current. Reflects the recovery of channels that carry the inward current for the upstroke of the action potential
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Refractory Period
The time during which another action potential cannot be elicited
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Absolute Refractory Period
Period during which another action potential can be initiated, regardless of how much inward current is supplied. Begins with upstroke of the AP and ends after the plateau. Cell has repolarized to about -50 mV
76
Effective Refractory Period
Period during which a generated action potential cannot be conducted Slightly longer than the Absolute Refractory Period The Na+ channels begin to recover whereby they become available to carry inward current Inward current is not enough to conduct to the next site
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Relative Refractory Period
Period during which an action potential can be elicited, but more than usual current is required. Immediately after the ARP when repolarization is almost complete
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Chronotropic Effects
Effects of the ANS on heart rate (HR) via SA node
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Positive Chronotropic vs Negative Chronotropic Effects
Positive increases HR, Negative decreases HR
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Chronotropic Effectors determine the heart rate by controlling
The rate of phase 4. The smaller the phase 4, the faster the heart rate. Mechanism of Action for both, you change the flux of sodium. To increase HR you increase the influx of sodium. To decrease HR you decrease the influx of sodium
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Positive chronotropic effects sympathetic nervous system via
Beta 1
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Negative chronotropic effects parasympathetic nervous system via
M2
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Dromotropic Effects
Effects of the ANS on conduction velocity via AV node
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Positive vs Negative dromotropic effects
Positive leads to an increase in conduction velocity via AV node. Negative leads to a decrease in conduction velocity via AV node
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Sympathetic receptor for positive dromotropic effects
B1
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Parasympathetic receptor for negative dromotropic effects
M2
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What is a heart block?
AP not being conducted from atria to ventricle
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A measurement of tiny potential differences on the surface of the body that reflect the electrical activity of the heart
Electrocardiogram (ECG or EKG)
89
P Wave
Represents depolarization of the atria. Duration of the wave correlates with conduction time through the atria. Atrial repolarization is not seen on a normal ECG, b/c it is "buried" in the QRS complex
90
PR interval
From beginning of P wave to the beginning of Q wave (initial depolarization of the ventricle). Correlates w/ conduction time through the AV node. It represents ventricular filling
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QRS complex
Represent depolarization of the ventricles | Conduction thru the ventricle is similar to the atria b/c of high conduction velocity of the His-purkinje system
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T wave
Represents repolarization of the ventricles. Ventricular relaxation or diastole
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QT interval
Interval from beginning of Q wave to end of the T wave. Represents the entire period of depolarization & repolarization of the ventricles. Contraction & relaxation
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ST segment
From end of S wave to the beginning of the T wave. Represents ventricular repolarization
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Gap junctions allow are heart muscle to behave as
A syncytium or a unit
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Inotropism
The intrinsic ability of myocardial cells to develop force at a given muscle cell length
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The amount of calcium released by the sarcoplasmic reticulum is dependent on
1. The size of the inward calcium current | 2. The amount of calcium that was previously stored in the SR
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Positive Ionotropic Effects
Increase in contractility Use Beta 1 as receptors Increase Rate of Relaxation