Lecture 18 : Cardiovascular Overview Flashcards

(28 cards)

1
Q

What 3 components make up the circulatory system?

A
  1. Heart - pump
  2. Blood vessels - pipes
  3. Blood - fluid to be moved
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2
Q

What other systems/organs affect the function of the cardiovascular system?

A
  • Endocrine system
  • Nervous system
  • Kidneys
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3
Q

What is blood made up of?

A
  • Formed elements 45% - cells and cell fragments
  • Plasma 55% - mostly water
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4
Q

What is the role of plasma?

A

Carries blood cells, proteins, nutrients, metabolic wastes, and other molecules being transported around the body

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5
Q

What is bulk flow?

A

Rapid flow of blood throughout the body is produced by the pressure created by the pumping action of the heart

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6
Q

Describe how each bulk flow distributes contribute to homeostasis:

A
  • Ions, water, CO2 - regulates pH, osmolarity, body water
  • Heat - regulates temperature
  • Hormones, O2, CO2, substrates - regulate metabolism
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7
Q

Describe the contribution of the circulation of the blood to homeostasis:

A

Lung: O2, CO2 (pH)
Gut: Nutrients, ions, water
Skin: Heat
Kidney: Water, ions (pH & osmolarity)

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8
Q

Describe the basic design of the circulation:

A
  • Double circulation
  • The right heart pumps the cardiac output through the lungs via the pulmonary circulation
  • The left heart pumps the cardiac output through the body via the systemic circulation
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9
Q

What is cardiac output?

A

The amount of blood pumped by each side of the heart EACH MINUTE

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10
Q

What is the cardiac output of an average person?

A
  • 5 to 6 litres/minute (in a ~70 kg person)
  • This will depend on body size - a smaller person will have a proportionally smaller SV and CO
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11
Q

What is stroke volume? Give the value at rest.

A

The amount pumped out of each side of the heart EACH BEAT
* At rest SV= 60 - 80 mL

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12
Q

What is heart rate (HR)?

A

At rest the heart beats 50 to 80 times per minute

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13
Q

Give the equation for working out cardiac output:

A

CO = HR x SV

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14
Q

Describe the series flow in the circulatory system:

A

Blood flows sequentially through the pulmonary and systemic circuits, which are arranged in series

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15
Q

Describe the parallel flow in the circulatory system:

A
  • In the systemic circuit blood can flow through a ‘choice’ of paths that originate at branches
  • These branch circuits are arranged in parallel
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16
Q

Describe the blood flow in the different organs:

A
  • Flow is not the same in all organs
  • Flow is dynamic
  • At rest the total blood flow in the body is ~5000mL/min
17
Q

Describe the resistance, flow, and pressure of blood around the body (hemodynamics):

A
  • To start or maintain blood flow, energy must be put into the system – heart generates pressure
  • Blood flows from a region of high to low pressure
  • Energy is lost from flowing blood through friction - resistance to blood flow
18
Q

Describe the relationship between blood flow, pressure, and resistance:

A
  • Blood flow = drop in blood pressure/ resistance to flow
  • F = ΔP/R
  • F ∝ ΔP
  • F ∝ 1/R
  • ΔP ∝ R
19
Q

What factors affect resistance?

A
  1. Length of tube
  2. Viscosity of liquid
  3. Radius of tube
    * In physiology we can only change radius
    - R = 1/r4
    - If radius doubles, resistance decreases by 16 times
20
Q

What is the sequence of vessels in the systemic and pulmonary circuits?

A
  1. Aorta
  2. Arteries
  3. Arterioles
  4. Capillaries
  5. Venules
  6. Veins
  7. Vena cava
21
Q

Where is most of the blood volume located?

22
Q

Where is least of the blood volume located?

A

Aorta (2%)
Arterioles and capillaries (3%)

23
Q

Describe the relationship between cross-sectional area and the velocity of blood flow?

A
  • CSA of capillaries is massive compared to aorta as we have heaps of capillaries but one aorta
  • Blood velocity starts high through the aorta
  • Blood moves away and branches so blood velocity within each blood vessel gets slower
  • Very slow in capillaries so exchanges can occur
  • Coming back to the heart, velocity is half as what it was at beginning because the vena cava is bigger than the aorta so blood doesn’t need to move as fast to move the same volume
24
Q

What determines the blood pressure gradient through each circuit?

A
  • More resistance causes lower blood pressure
  • Lowest bp entering the heart
  • Highest bp as it leaves
  • Systemic circuit has a much higher pressure than the pulmonary circuit
  • Pressure dampens as blood moves away from the heart
25
What is the function of the aorta and large arteries?
* High pressure reservoir/conduit * Provide the pressure head that drives the blood through the systemic circuit
26
What is the function of smaller arteries and arterioles?
* Resistance vessels * Control of these vessels determines the volume flow through the circulation
27
What is the function of capillaries?
* Exchange vessels * Small to make exchange efficient
28
What is the function of venules and veins?
* Return conduits * Primary reservoir or capacitance of the vasculature