3.7 -- Cardiac Output Flashcards

1
Q

What is the equation for cardiac output?

A

Stroke volume x heart rate

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2
Q

What is cardiac output?

A

Amount of blood ejected per minute by each ventricle

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3
Q

What is an intrinsic factor of heart rate?

A

Autorhythmic (pacemaker) activity

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4
Q

What is an extrinsic factor of heart rate?

A

Autonomic signals modulate pacemaker rate

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5
Q

What is an intrinsic factor of stroke volume?

A

Frank-Starling relationship

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6
Q

What is an extrinsic factor of stroke volume?

A

Autonomic signals – Sympathetic NS modulates contraction strength, preload (venous return and filling volume), and afterload (aortic pressure)

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7
Q

What do tissues care about?

A

Cardiac output

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8
Q

What is the average heart rate, stroke volume, and cardiac output? What is the average cardiac output equivalent to?

A

70 bpm, 70-80 ml per beat, 5,500 ml/minute which is equivalent to total blood volume

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9
Q

Is the cardiac output of the left ventricle equal to the right ventricle?

A

Yes

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10
Q

The lungs get 100% of the cardiac output from which ventricle while the other organs share the cardiac output of which ventricle?

A

Right and left

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11
Q

The pulmonary circulation has what flow and what pressure?

A

High flow, low pressure

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12
Q

The systemic circulation has what flow and what pressure?

A

Shared flow and higher pressure

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13
Q

What is the mean arterial pressure for the pulmonary and systemic circulations?

A

10-20 mmHg for pulmonary, 70-105 mmHg for systemic

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14
Q

Spontaneous depolarization occurs at the SA node when HCN channels open, allowing what in?

A

Na+ in

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15
Q

Channels are open due to what at the end of the preceding action potential, which is controlled by cardiac center of medulla oblongata that is affected by higher brain centers?

A

Hyperpolarization

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16
Q

Sympathetic norepinephrine/epinephrine open more HCN channels, doing what to heart rate?

A

Increasing heart rate

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17
Q

Parasympathetic acetylcholine opens K+ channels, doing what to heart rate?

A

Decreasing heart rate

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18
Q

Does the sympathetic nerve effects of the AV node increase rate of diastolic depolarization and increase cardiac rate or increase conduction rate?

A

Increase conduction rate

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19
Q

Does the sympathetic nerve effects of the SA node increase rate of diastolic depolarization and increase cardiac rate or increase conduction rate?

A

Increase rate of diastolic depolarization and increase cardiac rate

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20
Q

Electrical activity regulates what?

A

Contractile activity

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21
Q

Regulation of stroke volume is regulated by what three things?

A

Preload, afterload, and contractility

22
Q

What does the Frank-Starling Law of the Heart say?

A

An increase in end-diastolic volume results in increased contraction, thus resulting in increased stroke volume

23
Q

Filling the heart with more fully with blood, increased stretch of the what stretches myocytes, optimizing overlap between actin and myosin filaments, making SV increases?

A

Ventricles

24
Q

Maximum tension is generated when muscle is between what percentage of its resting length?

25
On the pressure-volume relationship graph, where is preload?
It is the volume at B
26
Changes in preload result in altered what?
Altered venous return
27
More filling (higher preload) results in more what?
Stroke volume
28
What two factors affect venous return and control ventricular filling (EDV)?
Total blood volume and venous pressure
29
What is the driving force for blood return?
Venous pressure
30
Do veins or arteries have thinner walls and can stretch more?
Veins
31
Under resting conditions, 2/3rds of the total blood volume is where?
In the veins
32
Veins have one-way valves, which make it so it also has one-way what?
One-way flow to the heart
33
What decreases volume the veins can hold, sending more blood to the heart while increasing pressure?
Venoconstriction
34
What are three factors in venous return?
Pressure gradient in vasculature (flow), blood volume, and sympathetic nerve activity
35
Sympathetic nerve activity to stimulate smooth muscle contraction does what to veins?
Constricts the veins to lower the volume they can hold
36
What is contractility?
Strength of contraction at any given volume
37
Sympathetic norepinephrine and adrenal epinephrine increase or decrease contractility?
Increase contractility
38
More force (pressure) for a given filling what beta 1 receptors on cardiac myocytes?
Volume
39
Steeper response to increased what length?
Sarcomere length
40
Is there a direct effect of parasympathetic stimulation on contractility?
No
41
More Ca2+ leads to more what in excitation-contraction coupling?
More force
42
Contractility steepens ESPVR and increases what?
Stroke volume
43
What is afterload?
Systemic artery pressure or aortic pressure
44
Sympathetic nerve activity stimulates smooth muscle contraction to constrict arterioles (vasculature) so systemic blood pressure what?
Increases
45
When is the only time the aortic valve opens?
When the ventricular pressure goes above aortic pressure
46
As systemic blood increases, what does aortic pressure do?
Increases
47
Where is afterload on the pressure-volume relationship graph?
Pressure at C
48
How is afterload related to stroke volume?
Inversely related
49
Ventricle has to work (contract) harder to overcome higher what?
Aortic pressure
50
Increasing total peripheral resistance and mean arterial pressure do what to stroke volume?
Decrease stroke volume