1.1 What Is Cardiovascular Disease? Flashcards

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1
Q

Coronary heart disease, CHD

A

Disease affecting the coronary arteries. These arteries supply blood to the heart muscle. If a branch of one of these arteries becomes narrow or blocked, the area of the heart muscle that it supplies no longer receives a supply of oxygen-rich blood. This is the cause of the chest pain known as angina. If a blood clot blocks the narrowed coronary artery, an area of cardiac muscle dies and this gives rise to a heart attack or myocardial infarction. A frequent cause of narrowing and blockages in the coronary arteries is atherosclerosis.

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2
Q

Stroke

A

A stroke occurs when a blood vessel supplying blood to the brain is narrowed, blocked or bursts. Brain damage results due to lack of oxygen to the brain. A stroke can be the result of cardiovascular disease. The effects of a stroke will vary according to the part of the brain affected. Symptoms include numbness, slurred speech and blurred vision. There may be paralysis on one side of the body. The more severe the damage, the less likely it is that there will be a full recovery

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3
Q

Purpose of the heart and circulation

A

To move substances around the body

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4
Q

Diffusion

A

In very small organisms substances such as oxygen, co2 and digestive produces move around the organism via diffusion.
The movement of molecules from where they are in a high concentration to where they are in a lower concentration. Small molecules such as oxygen diffuse through cell membranes into cells. Other molecules cross cell membranes with the aid of proteins. This form of diffusion is called facilitated diffusion.

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5
Q

Mass transport system

A

A system that transports substances in bulk from one part of an organism to another. Large organisms cannot rely on diffusion alone to meet their needs. It is too slow. They need mass flow to move substances rapidly over long distances. Examples of mass transport systems are the xylem in a flowering plant and the blood system in an animal.

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6
Q

Mass flow

A

Movement down a concentration gradient of a liquid or gas and all the particles it contains, for example, blood in the circulatory system.

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7
Q

Open circulatory system

A

The type of blood system found in insects and some other animal groups in which blood is not contained in blood vessels. Instead of being enclosed in arteries, capillaries and veins, blood circulates through large open spaces.

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8
Q

Closed circulatory systems

A

The type of blood system found in larger animals such as humans, in which blood is enclosed in blood vessels. Blood flows from the heart in arteries. It then flows through arterioles to capillaries. The capillaries are abundant and they come into contact with most of the cells in the body where’d substances can be exchanged.
It returns to the heart from the capillaries through venules and veins.

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9
Q

Single circulation

A

A type of blood system where blood passes through the heart once in its passage round the body. Fish have a single circulation. Blood is pumped to the gills from the ventricle of the heart. It then goes to the other organs of the body before returning to the heart. Mammals have a double circulation in which blood passes through the heart twice in its passage round the body.

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10
Q

Double circulation

A

A type of blood system in which blood passes through the heart twice in its passage round the body. Mammals have a double circulation. Blood is pumped to the lungs from the right ventricle of the heart. It returns to the heart where it is pumped again, this time by the left ventricle. It now goes to the other organs of the body.

-allows birds and mammals to have a high metabolic rate, as oxygen and other substances can be delivered more rapidly to cells to meet the needs of the organism.

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11
Q

Polar molecule

A

A molecule or part of a molecule is polar when the sharing of the electrons within it is not quite even; one end becomes slightly positive and the rest is slightly negative.

Water molecules are polar

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12
Q

Dipole

A

A molecule with an unevenly distributed electrical charge, giving a positively charged and a negatively charged end of the molecule, also known as a polar molecule. For example, water is a dipole.

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13
Q

Hydrogen bonding

A

A weak chemical bond between electropositive hydrogen and other electronegative atoms such as oxygen. Although they require relatively little energy to break, hydrogen bonds are very important in helping to maintain the 3D shapes of some molecules. Molecules held in their 3D shape by hydrogen bonding include DNA, polysaccharides and proteins. It is because of hydrogen bonds that water molecules are able to stick to each other by cohesion.

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14
Q

Solvent properties of water

A
  • many chemicals dissolve easily in water due to their dipole nature.This allows vital biochemical reactions to occur in the cytoplasm of cells
  • the dissolve substances can be transported via the blood and lymph systems
  • ionic substances dissolve easily as the negative ions are attracted to the positive hydrogen ends of the water molecule and vice versa
  • polar molecules easily dissolve in water. E.g -OH and -NH2
  • non polar hydrophobic substances like lipids do not dissolve- they combine with proteins to form lipoproteins
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15
Q

Hydrophilic

A

Water-attracting. For instance, in a phospholipid molecule the phosphate group attracts water molecules, and the fatty acid part of the molecule repels water molecules. These properties are important in the arrangement of phospholipids in cell membranes. The molecules form a double layer or bilayer, with the hydrophilic phosphate groups on the outside and in contact with water in the cytoplasm or outside of the membrane, and the water- repelling fatty acids on the inside, away from contact with water.

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16
Q

Hydrophobic

A

Water-repelling. In a phospholipid molecule the fatty acid part of the molecule repels water molecules, and the phosphate group attracts water molecules. These properties are important in the arrangement of phospholipids in cell membranes. The molecules form a double layer or bilayer, with the water-repelling fatty acids facing towards the inside, away from contact with water. The hydrophilic phosphate groups are on the outside, and in contact with watery fluids in the cytoplasm or outside the membrane.

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17
Q

Thermal properties of water

A
  • high specific heat capacity as a large amount of energy is required to break the hydrogen bonds between molecules.
  • A large input of energy only causes a small increase in temp, so water warms up and cools slowly. This is useful as it helps organisms to avoid rapid changes in their internal temp and enables them to maintain a steady temp when outside conditions vary
  • water has a high boiling point due to large amount of hydrogen bonds which require a lot of energy to break them all
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18
Q

Cardiac muscle

A

Unlike skeletal muscle, cardiac muscle is involuntary, it is myogenic and it does not fatigue. Like skeletal muscle, its fibres are striated (have a striped appearance), however they are branched unlike skeletal muscle.

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19
Q

Structure of the heart

A

Right side receives deoxygenated blood from the body and pumps to the lungs
Left side receives oxygenated blood from the lungs and pumps it to the body

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20
Q

Collagen

A

A tough fibrous protein found in animals. Collagen is found in tendons and bones, and in the outer layers of arteries and veins.

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21
Q

Arteries

A

A blood vessel that takes blood from the heart to the arterioles, which lead to capillaries. In mammals, arteries usually contain blood rich in oxygen. There is one important exception to this. The pulmonary artery takes blood to the lungs. As this blood has come from the tissues it has a low concentration of oxygen.

Comparison to veins 
• narrow lumen
•thicker walls 
•more collagen, smooth muscle and elastic fibres
• no valves
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22
Q

Veins

A

A vein is a blood vessel which returns blood from the capillaries to the heart. In mammals, veins usually contain blood low in oxygen. There is one important exception to this. The pulmonary vein returns blood from the lungs. It contains blood with a high concentration of oxygen. In plants, veins are found in leaves. They help to support the leaf and contain the vascular tissue: xylem vessels and phloem tubes.

Comparison to arteries 
• wide lumen 
• thinner walls 
• less collagen and smooth muscle, fewer elastic fibres 
• valves
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23
Q

Cardiovascular disease, Cardiovascular diseases, CVD

A

A disease that affects the heart or blood vessels. Cardiovascular diseases are the main causes of death in the UK and account for about one in three deaths. The main forms of cardiovascular disease are coronary heart disease and stroke.

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24
Q

Capillary

A

A very small blood vessel through whose walls substances are exchanged with the cells of the body. Capillaries are very small, between 5 and 20 micrometres (μm) in diameter, and have walls that consist of a single layer of very thin, flat cells.

25
Q

Arteriole

A

A blood vessel which takes blood from the smaller arteries to the capillaries. Arteriole walls contain muscle fibres and there are rings of muscle fibre where they join the capillaries. By contraction of these muscle fibres, the blood supply to particular capillary networks is regulated to meet the needs of the part of the body concerned

26
Q

Venules

A

A blood vessel that takes blood from the capillaries to the smaller veins.

27
Q

Systole, Atrial systole, Ventricular systole

A

Systole involves contraction of the heart muscle. The cardiac cycle is the three-stage sequence of events that takes place during a heartbeat. During atrial systole, the atria contract, forcing blood into the ventricles. During ventricular systole, the ventricles contract pushing blood out through the arteries. The heart refills during diastole.

28
Q

Diastole

A

The stage in the cardiac or heart cycle when the heart muscle relaxes. During this stage the heart is filling with blood.

29
Q

Semilunar valve

A

A valve that prevents the backflow of blood. When the muscle in the ventricle wall relaxes during the cardiac cycle, the pressure in the ventricles falls below that in the arteries leaving the heart. Semilunar valves between these arteries and the ventricles close, preventing blood from flowing back into the ventricles. There are also semilunar valves in the walls of veins; these valves allow blood to be squeezed towards the heart, but prevent it going in the opposite direction.

30
Q

Atrium

A

One of the chambers of the heart that receives blood from the body. In the heart of a mammal, there are two atria. The left atrium receives blood from the lungs; the right atrium receives blood returning from the other organs of the body. The atria are separated from the ventricles by the atrioventricular valves

31
Q

Ventricle

A

One of the chambers of the heart. The walls of the ventricles are much thicker than those of the atria. When the muscles in these walls contract, blood is passed out into the arteries. In the heart of a mammal, there are two ventricles. The right ventricle pumps blood through the pulmonary artery to the lungs; the left ventricle pumps blood through the aorta to the other organs of the body.

32
Q

Aorta

A

The main artery. In a mammal, the aorta takes blood from the left ventricle of the heart. It bends over and goes down through the abdomen. Other arteries branch off from it and take blood to organs in the body such as the brain, the liver and the kidneys.

33
Q

Atrioventricular valve

A

One of the valves between the atria and the ventricles in the heart. During the part of the cardiac cycle when the pressure of blood in the atria is higher than the pressure of blood in the ventricles, the valves open and allow blood into the ventricles. When the pressure of blood in the ventricles is higher than the pressure in the atria, the valves close. The atrioventricular valves ensure that blood can only flow through the heart in one direction. They prevent backflow.

34
Q

Coronary artery

A

The heart muscle is supplied with blood through the two coronary arteries. If these become blocked due to coronary heart disease, this can lead to myocardial infarction.

35
Q

Cardiac cycle

A

One complete cycle of the heart as it fills with and then pumps blood. During systole, cardiac muscle contracts and the heart pumps blood out through the aorta and pulmonary arteries. During diastole, cardiac muscle relaxes and the heart fills with blood.

36
Q

Atrial systole

A

During atrial systole, the atria contract, forcing blood into the ventricles.

37
Q

Ventricular systole

A

During ventricular systole, the ventricles contract pushing blood out through the arteries

38
Q

Cardiac diastole

A

The heart refills during diastole.

39
Q

Atherosclerosis, Atheroma

A

A disease of the arteries. The walls of an artery may be damaged by high blood pressure or a build-up of substances from cigarette smoke. As a result of this damage, cholesterol, calcium salts and fibrous tissue build up in the wall to form an atheroma. Atherosclerosis may cause more serious diseases of the circulatory system such as a heart attack or myocardial infarction.

40
Q

Endothelium

A

A thin layer of cells that lines the inside surface of blood and lymph vessles

41
Q

Cholesterol

A

A type of lipid which plays an important part in the body. It is an component of cell membranes and is a precursor which is converted into other important substances such as bile salts, and steroid hormones such as testosterone and progesterone. High concentrations of cholesterol in the blood are associated with atheroma and cardiovascular disease.

42
Q

Plaque

A

A build up of foreign matter somewhere inside the body. Plaque on teeth consists of a mixture of saliva, food and bacteria. On the inner wall of an artery, a plaque consists of a build up of calcium salts and fibrous tissue.

43
Q

Positive feedback

A

Positive feedback is the sequence of events where a change in a system sets in motion processes which causes the system to change even further. For example,
water vapour in the atmosphere is one of the
greenhouse gases which result in global
warming. As a consequence of higher
temperatures caused by global warming, more
water will evaporate from the Earth’s surface.
The amount of water vapour in the atmosphere
will increase further. This is an example of
positive feedback.

44
Q

Blood clot

A

When a wound occurs, a protein in the blood called fibrinogen is converted to fibrin. Fibrin forms a mesh of protein fibres over the surface of the wound. This mesh traps red blood cells to form a blood clot. Blood clots may form inside arteries in people with cardiovascular disease. This may lead to the artery becoming blocked, a condition known as thrombosis.

45
Q

Platelets

A

Platelets are small cell fragments forming part of blood. When blood vessels are damaged, platelets come into contact with the vessel wall. Platelets stick to the surface of a damaged blood vessel and to each other, forming a platelet plug. They also release thromboplastin, one of the molecules important in the series of reactions leading to the formation of a blood clot.

46
Q

Thromboplastin

A

Damaged tissues and blood platelets release thromboplastin Thromboplastin converts inactive prothrombin, a plasma protein, into active thrombin. Thrombin is an enzyme that converts fibrinogen to fibrin. Fibrin forms a mesh of protein fibres over the surface of the wound. This mesh traps red blood cells to form a blood clot.

47
Q

Prothrombin

A

When a wound occurs, a series of reactions take place, which lead to the formation of a blood clot. Damaged tissues release thromboplastin. Thromboplastin converts inactive prothrombin, a blood protein, into active thrombin. Thrombin is an enzyme which converts fibrinogen to fibrin. Fibrin forms a mesh of protein fibres over the surface of the wound. This mesh traps red blood cells to form a blood clot.

48
Q

Thrombin

A

Thrombin is an enzyme which converts the plasma protein fibrinogen to fibrin in response to tissue damage. Fibrin forms a mesh of protein fibres over the surface of the wound. This mesh traps red blood cells to form a blood clot.

49
Q

Fibrinogen

A

Fibrinogen is a soluble protein found in the blood plasma. When an injury occurs, fibrinogen is converted to insoluble fibrin. This fibrin forms a mesh over the surface of the wound, which traps red blood cells forming a blood clot.

50
Q

Fibrin

A

A protein involved in the process of blood clotting. Another protein called fibrinogen is found in the blood plasma. When an injury occurs, soluble fibrinogen is converted to insoluble fibrin. This fibrin forms a mesh over the surface of the wound, which traps red blood cells forming a blood clot.

51
Q

Angina

A

Pain in the chest that occurs when the heart muscle does not receive enough oxygen- rich blood. During exercise heart muscle requires more oxygen because its rate of respiration is higher. If the coronary arteries cannot supply enough oxygenated blood, the heart muscle respires anaerobically. Lactic acid is produced and this causes the pain of angina.

52
Q

Ischaemic, Transient ischaemic attack

A

Inadequate flow of blood to part of the body as a result of an artery becoming blocked. A transient ischaemic attack occurs when the blood supply to the brain is briefly interrupted. It produces all the symptoms of a stroke but the effects generally only last for a short time. During a coronary heart attack, part of the heart muscle becomes ischaemic. This is due to blockage of the coronary artery.

53
Q

Myocardial infarction

A

Another term for what is often called a ‘heart attack’. The blood supply to the heart muscle may become blocked due to coronary heart disease. This results in the death of a region of heart muscle. The main danger is that the heart then starts to pump very rapidly without actually pumping any blood. The consequences of this may be fatal.

54
Q

Arrhythmia

A

The condition in which there is an irregular heart beat. Arrhythmias may result from heart disease but can occur without an obvious cause.

55
Q

Inflammatory response, Inflammation

A

The
characteristic reddening and swelling around a
wound. A substance called histamine produced
at the site of the wound is responsible for
inflammation. Histamine produces dilation of
arterioles in the area, leading to increased blood
flow in the capillaries. It also causes blood
vessels to become more permeable. As a result
plasma, white blood cells and antibodies leak
from the blood into the nearby tissue and
produce swelling.

56
Q

Aneurysm

A

A weakening of the wall of an artery,
which results in a balloon-like swelling. The
condition is obviously very serious but in some
cases it is possible to repair the damaged artery
surgically.

57
Q

Systolic pressure

A

The blood pressure during the
phase of the cardiac cycle when the ventricles
are relaxed.

58
Q

Diastolic pressure

A

The blood pressure during the
phase of the cardiac cycle when the ventricles
are contracting.