WEEK 3: Regulation of Cardiovascular Function Flashcards

1
Q

What is cardiac output

A

Stroke volume x Heart Rate

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2
Q

Define cardiac output

A

Volume of blood ejected from the left ventricle each minute

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3
Q

What units is cardiac output expressed in?

A

L/min

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4
Q

At resting position, what is one’s normal cardiac output?

A

4-5 L/min

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5
Q

While running, what is one’s normal cardiac output?

A

20-25 L/min

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6
Q

Why is cardiac output higher while running?

A

More blood is circulated around the body

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7
Q

Why is atrial pressure on the X axis?

A

It measures the venous return

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8
Q

T or F: Cardiac output (ventricular output) increases with increased atrial pressure

A

T

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9
Q

how does exercise influence venous return

A

muscle pump promotes increase in venous return

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10
Q

How does hypovolemia influence venous return

A

It decreases it with severe dehydration/blood loss

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11
Q

How do postural changes influence venous return

A

Causes fluctuations depending on a rapid shift in body position

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12
Q

How does the frank-starling mechanism work?

A

Increased venous return > increased atrial pressure > increased ventricular filling

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13
Q

What kind of relationship is the frank sterling mechanism

A

a length-tension relationship (cardiac muscle active tension increases with muscle length for example) can think of this as further along x axis = higher up the y axis

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14
Q

which nervous system regulates the heart

A

autonomic nervous system

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15
Q

What does the ANS consist of ?

A

sympathetic and parasympathetic innervation

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16
Q

What kind of effect does sympathetic stimulation have on the heart?

A

a chronotropic and inotropic effect

17
Q

What does chronotropic mean?

A

Increased heart rate

18
Q

What does inotropic mean

A

Increased contractibility

19
Q

What effect does the parasympathetic nervous system have on the heart?

A

Suppresses heart rate, slows AV conduction and relatively reduces contractility

20
Q

What effect does sympathetic stimulation have on cardiac output?

A

Increases it

21
Q

What effect does parasympathetic stimulation have on cardiac output?

A

Reduces it compared to sympathetic stimulation, but there is still a slight increase

22
Q

T or F: sympathetic and parasympathetic nervous system can operate on the heart at the same time

23
Q

What is intrinsic heart rate?

A

The natural heart rate without any effect from the ANS

24
Q

What keeps heart rate at lower rates?

A

Vagal parasympathetic NS

25
To increase the heart rate, what does the heart do in relation to the ANS
Decrease parasympathetic activity (breaking) and increase sympathetic activity (accelerating)
26
At what pace does vagal activity work
Very quickly, constantly modulating
27
At what rate does sympathetic activity work*
Slowly,
28
How does the endocrine system influence the cardiac function?
Through the central nervous system (CNS) through release of adrenaline and noradrenaline through receptors (Beta-1)- increase heart rate contractability as well as alpha adrenergic receptors
29
How much adrenaline and noradrenaline is released from stimulation of SNS
80% adrenaline 20% noradrenaline
30
What mediates control of blood pressure?
Baroreflex
31
T or F: Blood pressure is constant
F: constantly fluctuating
32
What is baroreflex?
negative feedback loop that regulates blood pressure by regulating things like cardiac output
33
How does the baroreflex work?
- baroreceptors detect BP changes - generates a response via the ANS - output activated by medulla by either adjusting the parasymapthetic/sympathetic nervous system
34
what are two different types of baroreceptors?
- arterial -cardiopulmonary
35
Where is the central command for the cardiac system?
The brain
36
What do metaboreceptors do?
Detect the degree of metabolic activity in the muscles
37
In what direction is the afferent pathway?
receptors -> central command
38