Lecture 14 Flashcards

1
Q

What make up the 3 components of the cardiovascular system

A

1) Heart
2) Blood vessels
3) Blood

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2
Q

What does the heart, blood vessels, and blood do

A

Heart
– Muscular pup

Blood vessels
– Conduits for blood to flow

Blood
– Circulates through body and carries material through cells
– Communication

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3
Q

What 6 systems are affiliated with the cardiovascular system

A

1) Lymph, cerebrospinal fluid (CBF) extracellular fluid
2) Lymph and CSF vessels
3) Kidney
4) Spleen, thymus, tonsils
5) Lungs
6) Bone marrow

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4
Q

How is the kidney and spleen, thymus, tonsils related to the cardiovascular system

A

Kidney
– Erythropoietin, filtering

Spleen, thymus, tonsils
– Reservoirs for blood/immune cells

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5
Q

How are the lungs and bone marrow related to the cardiovascular system

A

Lungs
– O2, CO2 removal

Bone marrow
– Stem cell pool

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6
Q

What make up the circulatory system

A

Cardiovascular + lymphatic system = circulatory system

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7
Q

What are examples of cardiovascular diseases

A

Coronary artery disease
Stroke
Heart attack (myocardial infarction)
Heart failure
Hypertension
Diabetes

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8
Q

What is the Pathway of Blood Vessels

A

1) Deoxygenated blood returns to R side of heart (enters through R atrium) from venous circulation
2) Atria receives blood

3) Heart contracts, pumps blood to ventricles
4) Right ventricle - to the lungs - to left atrium

5) Oxygenated blood leaves left ventricle via the aorta

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9
Q

How is blood dispersed through the body

A

60% systemic veins and venules
15% systemic arteries and arterioles

12% pulmonary blood vessel
8% heart
5% capillaries

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10
Q

What are characteristics of arteries and arterioles

A

Arteries
– Thick muscular walls (smooth muscle)
– Designed to handle high pressures

Arterioles
– Less muscle as pressure dropping
– Lots of innervation to control smooth muscle constriction
– Main site of BP regulation

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11
Q

What are the characteristics of capillaries

A

– No muscle - no control over diameter or connective tissue, no ability to withstand pressure
– Movements of fluid and solutes maximized here

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12
Q

What are characteristics of venules and veins

A

Venules
– Main site of lymphocytes (WBC) crossing from blood to lymph nodes

Veins
– Thin walled, fairly muscular
– Easy expansion and recoiling

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13
Q

What is Dyslipidemia

A

Imbalance of cholesterol in blood vessels

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14
Q

What is artherosclerosis

A

Thickening or hardening of the arteries

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15
Q

What is the optimal exchange for blood

A

Large surface area + low velocity

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16
Q

What is cardiac output

A

Cardiac output: amount of blood pumped by heart per minute, rate of heart x stroke volume

17
Q

Where is the pressure gradient in the heart

A

Pressure gradient between left and right side of heart

18
Q

Do veins move with or against gravity

A

Blood is moved against gravity toward heart

19
Q

What allows veins to move against gravity

A

– Expansion of thoracic cavity during breathing
– Contracting skeletal muscles
– Valves (prevent blood flowing backward)

20
Q

Explain Varicose veins

A

– One-way valve malfunctions
– Allows backwards floor of blood and pooling
– Generally occurs in superficial veins in thigh and calf

21
Q

What is the heart muscle made from

A

Made out of cardiac muscle tissue called myocardium

22
Q

What are the 3 ways the heart is different from skeletal muscle

A

1) Neural input
2) Neural conduction
3) Metabolism

23
Q

Explain how neural input of the heart is different from skeletal muscles

A

Involuntary, autonomic

24
Q

Explain how neural conduction of the heart is different from skeletal muscles

A

Gap junctions, very fast, contract as a unit

25
Explain how metabolism of the heart is different from skeletal muscles
-- Very high in oxidative capacity -- Lots of mitochondria (35% volume compared to 5% volume in skeletal muscle) -- Fatigue resistant: beats over 3B times over lifetime
26
Explain where blood flows when the AV valve closes
-- Caused by closure of tricuspid (right) and mitral (left) valves -- Blood moving from RA to RV
27
Explain where the blood flows when the semilunar valve closes
-- Caused by closure of pulmonary and aortic (semilunar) valves -- From LV to pulmonary artery
28
What sound does the AV valve closing make
“LUB” (1st heart sound)
29
What sound does the semilunar valve closing make
“DUB” (2nd heart sound, louder)
30
What is stenosis
Stenosis - narrowing of heart valve
31
What causes stenosis
May be congenital, due to calcification, or scarring from rheumatic fever
32
What are the symtoms of stenosis
Can cause fatigue, shortness of breath, exercise intolerance or heart failure
33
Around how many valve replacements are there per year
There are nearly 300,000 aortic valve replacements per year
34
What are the 3 types of artificial heart valves
1) Ball and cage 2) Tilt-dise 3) Leaflet
35
What are the 4 problems with artificial valves
1) Durability - in theory, material could last thousand of years (carbon, titanium) 2) Clot formation - requires constant anticoagulant therapy 3) Can get stuck 4) Resistance to flow; vulnerability to backflow and regurgitation
36
What is FRS
Framingham risk score
37
What does FRS determine
Estimation of 10 yr cardiovascular disease risk
38
What factors influence FRS
-- Age -- HDL-c -- Total-c -- SBP -- Smoking status -- Diabetes diagnosis