Week 4&5 (Cardiovascular System 1&2) Flashcards

(43 cards)

1
Q

Main function of the Cardiovascular System

A

The cardiovascular system transports blood, oxygen, nutrients, hormones, and other vital substances to tissues and organs throughout the body while simultaneously removing carbon dioxide and waste products.

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2
Q

The major components of the Cardiovascular System

A

 Heart: The pump that propels blood through the body.

 Blood Vessels: Serve as the network of tubes that carry blood to and from various tissues.
arteries (distributing system)
capillaries (exchange system)
veins (collecting system)

 Blood: The transport medium that delivers essential materials and removes waste.

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3
Q

Double Circulation Loop

A

The cardiovascular system consists of two main circuits:

Pulmonary Circuit: Carries blood between the heart and lungs for gas exchange. Blood releases carbon dioxide and picks up oxygen.

Systemic Circuit: Delivers oxygenated blood from the heart to all body tissues and returns deoxygenated blood back to the heart.

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4
Q

Anatomy of the Heart

A

The heart is a muscular organ roughly the size of a fist

located in the mediastinum (the central compartment of the thoracic cavity).

2/3rds of the heart lies to the left of the body’s midline.

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5
Q

Heart Structure

A

Myocardium: Middle layer composed of cardiac muscle responsible for contraction.

Four Chambers: 2 atria & 2 ventricles
Atria (Right and Left): Receive blood from veins and act as the heart’s “receiving chambers.”

Ventricles (Right and Left): Pump blood out of the heart; known as “pumping chambers.”

Septum: A muscular wall separating the right and left sides of the heart, preventing mixing of oxygenated and deoxygenated blood.

Valves: Ensure unidirectional blood flow.
Atrioventricular (AV) Valves: Tricuspid (right) and Mitral/Bicuspid (left).

Semilunar Valves: Pulmonary (right) and Aortic (left).

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6
Q

Comparison Between Ventricles

A

Right Ventricle: Pumps blood into the pulmonary circuit at lower pressure since it only needs to reach the lungs.

Left Ventricle: Thicker wall (3x thicker) and more powerful, as it pumps blood into the systemic circuit at higher pressures to deliver blood throughout the body.

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7
Q

Atrioventricular Valves (AV)

A

Open when atrial pressure exceeds ventricular pressure to allow blood to flow into the ventricles.

Close when ventricular pressure surpasses atrial pressure at the beginning of ventricular contraction (systole), creating the first heart sound (“lub”). This sound is generated by vibrations of blood and the ventricular wall.

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8
Q

Semilunar Valves

A

Open when ventricular pressure exceeds the pressure in the aorta and pulmonary trunk, allowing blood to flow out of the heart.

Close when aortic and pulmonary pressure surpasses ventricular pressure during ventricular relaxation (diastole), producing the second heart sound (“dub”).

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9
Q

Pathway of Blood Through the Heart

A

Inferior or Superior vena cava
Right atrium
Tricuspid valve
Right ventricle
Pulmonary semilunar valve
Pulmonary arteries
Lungs
Pulmonary veins (right & left)
Left atrium
Bicuspid valve
Left ventricle
Aortic semilunar valve
Aorta
Arteries
Capillaries
Veins
-> back to top ->

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10
Q

Vascular System

A

The vascular system consists of a closed network of blood vessels that circulate blood throughout the body.

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11
Q

Types of Blood Vessels

A

Arteries: Carry oxygenated blood away from the heart (except pulmonary arteries, which carry deoxygenated blood to the lungs). Arteries have thick walls to withstand high pressure.

Capillaries: The smallest blood vessels, responsible for the exchange of oxygen, nutrients, and waste products between blood and tissues. Capillaries have thin walls, only one cell layer thick, allowing for efficient exchange.

Veins: Return deoxygenated blood to the heart (except pulmonary veins, which carry oxygenated blood from the lungs). Veins have thinner walls and operate under lower pressure compared to arteries. They have valves to prevent the backflow of blood, aided by skeletal muscle contractions.

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12
Q

Cardiac Muscle

A

Cardiac muscle tissue is specialized to ensure that the heart contracts rhythmically and efficiently.

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13
Q

Structure and Histological Properties

A

Cardiac Muscle Cells: Short, branched, and striated, containing a single central nucleus.

Intercalated Discs: Specialized connections between cells that contain:
* Gap Junctions: Allow electrical impulses to spread quickly between cells.
* Desmosomes: Provide mechanical strength by anchoring cells together.

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14
Q

Functional Characteristics

A

Syncytium: Cardiac muscle acts as a single functional unit.

Involuntary Control: Contractions occur without conscious control.

Spontaneous Depolarization: Can generate electrical impulses without external stimulation.

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15
Q

Types of Cardiac Muscle Cells

A

Contractile Muscle Fibers (99%): Generate the force needed for pumping blood.

Specialized Conducting Cells (1%): Facilitate rapid transmission of electrical impulses.
* Key components: Sinoatrial (SA) node, Atrioventricular (AV) node, Bundle of His, Purkinje Fibers.

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16
Q

Coronary Circulation

A

The heart receives blood through the coronary arteries, which arise from the base of the aorta.

Venous blood from the heart muscle drains into the right atrium.

During exercise, blood flow to the heart increases up to nine times the resting level to meet increased oxygen demand.

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17
Q

Electrocardiogram (ECG)

A

An ECG records the heart’s electrical activity using electrodes placed on the skin.

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18
Q

Components of a Normal ECG

A

P Wave: Atrial depolarization

QRS Complex: Ventricular depolarization (and simultaneous atrial repolarization)

T Wave: Ventricular repolarization

PR Interval: Time taken for the impulse to travel through the AV node and bundle branches

ST Segment: Represents the time when the ventricles are contracting and emptying

19
Q

Normal heart rate

A

60-100 beats/min

20
Q

Sinus bradycardia

A

slower than normal heart rate slower than 60 beats/minute

21
Q

Sinus tachycardia

A

faster than normal heart rate faster than 100 beats/minute

22
Q

Extra Cardiovascular Facts

A

-The normal pacemaker of the heart is the sinoatrial (SA) node.

-Contraction of cardiac muscle is called systole.

-Relaxation of cardiac muscle is called diastole.

-The 1st heart sound is caused by the closing of the atrioventricular (AV) valves (mitral and tricuspid valves).

-The 2nd heart sound is caused by the closing of the semilunar valves (aortic and pulmonary valves).

-Veins hold the greatest volume of blood

-The normal blood pressure is less than 120/80 mmHg.

23
Q

Cardiac Cycle

A

The sequence of cardiac events in a single heartbeat
* both mechanical and electrical events.

Each cardiac cycle begins with an action potential generated in the sinoatrial (SA) node.

Phases:
* Systole (Contraction)
* Diastole (Relaxation)

Associated with:
Pressure & volume changes in the heart
Opening & closing of heart valves
Electrocardiogram ECG) changes

24
Q

Duration of Cardiac Cycle

A

of heart beats in one (1) minute normal value: 60 beats/minute - 100 beats/minute

Formula: Normal Duration of the Cardiac Cycle Time= 60 / heart rate beats/min

heart rate: # of heart beats in one (1) minute normal value: 60 beats/minute - 100 beats/minute

at normal resting heart rate of 75 beats/min, cardiac cycle time is- 60 / 75 beats/min = 0.8s

25
Heart Rates
Faster heart rate (tachycardia > 100 bpm) → Shorter cycle time. Slower heart rate (bradycardia < 60 bpm) → Longer cycle time.
26
Heart Sounds
Produced by: Blood flow through the heart Cardiac muscle contraction Closure of heart valves Heard using: Stethoscope, microphone, phonocardiogram, placing ear over chest
27
Types of Heart Sounds
S1 ("LUB") - Closing of tricuspid & mitral valves at ventricular systole Loud, long, resonant (25-45 Hz, ~0.14s) S2 ("DUB") - Closing of aortic & pulmonary valves at ventricular diastole Short, soft, less resonant (50 Hz, ~0.11s) S3 - Low frequency, normal in high cardiac output states (athletes, pregnancy), but may indicate heart failure. S4 - Inaudible in normal individuals, heard in pathological conditions.
28
Diagnostic Importance
Abnormal heart sounds indicate heart disease (e.g., valve disorders).
29
Cardiac Output (CO)
Definition: Total blood volume pumped by each ventricle per minute. Normally same for both ventricles (minor variations occur on beat to beat basis)
30
Cardiovascular Formulas
* Cardiac Output (CO) = Stroke Volume (SV) mL/beat × Heart Rate (HR) beats/min * Stroke Volume (SV): volume of blood pumped by each ventricle per heartbeat (each cardiac cycle) 70 mL/beat * Varies with: age, sex, body size, metabolism, physical activity * Average CO: Resting adult male: 5-5.5 L/min Resting adult female: 4.5-5 L/min During exercise: Males up to 40 L/min, females up to 35 L/min * Ejection Fraction (EF) Percentage of End-Diastolic Volume (EDV) ejected per beat. Formula: EF = (SV/EDV) x 100 Normal value: ~55% (increases during exercise). *The skeletal muscle requires the most cardiac output during heavy exercise
31
Local Control of Blood Flow
The heart controls total blood supply to the circulation, however it has no role in regulating blood flow to individual tissues and organs Fundamental principle of circulatory function is ability of each tissue to control its own blood flow in proportion to its metabolic needs.
32
Factors Affecting Local Blood Flow
Metabolism - ⬆ metabolism → ⬆ blood flow Oxygen Levels - ⬇ oxygen → ⬆ blood flow Ambient Temperature - ⬆ temperature → ⬆ blood flow (especially in the skin) CO₂ & Hydrogen Ions - ⬆ CO₂/H+ → ⬆ blood flow (especially in the brain)
33
Hemodynamics
Study of blood flow in the circulatory system. Blood flow depends on: Pressure gradient (ΔP): Formula: ΔP = P1−P2 Higher pressure gradient = higher blood flow Vascular resistance (R): Higher resistance = lower blood flow Blood Flow Formula Q= ΔP/ R Flow rate: -directly proportional to the pressure gradient pressure gradient ↑, blood flow ↑ pressure gradient ↓, blood flow ↓ -inversely proportional to the vascular resistance (diameter) resistance ↑, blood flow ↓ resistance ↓, blood flow ↑
34
Blood Pressure (BP)
Force exerted by blood against vessel walls. Generally refers to the arterial blood pressure Blood Pressure- force of blood against the wall of arteries
35
Arterial Blood Pressure is expressed as
Systolic/Diastolic Pressure Systolic BP (SBP): Maximum pressure during systole (<120 mmHg) Diastolic BP (DBP): Minimum pressure during diastole (<80 mmHg)
36
Pulse Pressure
Pulse Pressure= SBP − DBP Example: 120/80 mmHg → Pulse Pressure = 40 mmHg
37
Mean Arterial Pressure (MAP)
MAP= DBP + ⅓ of Pulse Pressure Example: 120/80 mmHg MAP=80+13×40=93mmHgMAP = 80 + ⅓ + 40 = 93 mmHg
38
Factors Controlling BP
Age, gender, genetics, lifestyle, diet, exercise, obesity, stress, disease.
39
Regulation of Arterial Blood Pressure
* Cardiac output * Total peripheral resistance * Blood volume * Negative feedback system
40
Monitoring Circulatory Efficiency Pulse
-Alternating expansion (stretch) and recoil of elastic arteries during each cardiac cycle * tactile arterial palpation of the heartbeat * monitored at pressure points where pulse easily palpated * reflects heart rate * best practice- pulse checks on both sides -Palpable expansion & recoil of arteries. -Best locations: Radial pulse (wrist) - Common Carotid pulse (neck) - Used in emergencies -Normal Resting HR: 70-76 bpm -Abnormalities: Bradycardia (<60 bpm) Tachycardia (>100 bpm)
41
What do we look for when palpating a pulse?
rate, volume, rhythm, force, elastic recoil of arteries
42
Common Locations to monitor Circulatory Efficiency
radial, carotid, femoral, brachial
43
Blood Pressure Measurement
Measured using: Blood pressure cuff & auscultatory method. Conditions: Hypotension (Low BP) Hypertension (High BP)