Physiology 4 - Control of Cardiac Output Flashcards

1
Q

State the relationship between length of sarcomere and tension.

A

At the shortest and longest length of sarcomere, tension is 0, but reaches a peak in between the two

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2
Q

What is the primary mechanism by which stroke volume can be increased?

A

Increase end diastolic volume

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3
Q

How is the blood able to continue moving round the body, even when the ventricles are in diastole?

A

The aorta has excessive elastic tissue, meaning it can swell and almost pump blood itself round the body

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4
Q

What happens to the pressure in the aorta if the volume increases?

A

The pressure increases

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5
Q

What is meant by saying veins are very ‘compliant’?

A

You can put a large volume of blood through a vein, without a large change in pressure

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6
Q

How would you calculate the mean arterial blood pressure (MABP)?

A

Diastolic pressure + 1/3 Pulse pressure

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7
Q

How is pulse pressure calculated?

A

Systolic pressure - Diastolic pressure

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8
Q

Why can’t you just take the halfway point of systolic and diastolic pressure when calculating the MABP?

A

The ventricles are in a diastolic state for much longer than they are in a systolic state

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9
Q

List some factors that can affect flow of blood from the heart.

A

Viscosity
Radius of vessel
Length of vessel

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10
Q

How is arterial pressure calculated?

A

Cardiac Output x Total Peripheral Resistance (V = IR)

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11
Q

How is CO calculated?

A

HR x SV

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12
Q

How is the stroke volume calculated?

A

The difference between EDV and ESV

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13
Q

What effect does an increase in venous return have?

A

Increased EDV

Increased ejection fraction

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14
Q

What effect does increased EDV have on force of contraction?

A

Increase - Frank-Starling mechanism

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15
Q

What is the preload?

A

Venous pressure and venous return to the heart

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16
Q

What is the afterload?

A

The aortic/PA pressure

17
Q

With regard to ‘force’, what does Frank-Starling’s Law of the Heart state?

A

Active force = total force - resting force

18
Q

What does inotropic mean?

A

Modifying the force or speed of contraction of muscles

19
Q

Increasing the sympathetic activity has an inotropic effect. What is this effect and how does it affect the appearance of a length-tension curve?

A

+‘ve inotropic effect

Make the length-tension curve steeper gradient and much greater tension

20
Q

How does oscillation in BP decrease as blood nears capillaries from arteries and arterioles?

A

Vessels are less elastic

21
Q

What two factors decrease compliance?

A

Age

Vasoconstriction

22
Q

How is flow calculated?

A

Change in Pressure/Total peripheral Resistance (TPR)

23
Q

How is arterial pressure calculated?

A

CO x TPR

24
Q

What are normal systemic and pulmonary pressures?

A

120/75

26/8

25
Q

What factor affects the magnitude of pulse pressure

A

Stroke Volume