6. Cardiac Physiology II Flashcards

1
Q

Circuits in Series

A

Flow must be equal

CO of R and L heart are inter dependent bc series arrangement

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2
Q

Hemodynamics

A

Blood flows in closed system

Blood

  • noncompressible fluid
  • heterogeneous (plasma, cells, proteins)

Vessels are compliant (flexible), not rigid
-size depends on internal pressure and vascular smooth muscle contractile state

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3
Q

Pressure Profile

A

BP changes throughout CV system

Heart spends more time in diastole than systole

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4
Q

MAP

A

Mean arterial pressure

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5
Q

Delta P

A

change in pressure

largest change in arterioles

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6
Q

Large Artery Properties

A

Thick walled

Under high pressure

Lots of smooth muscle

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7
Q

Large Vein Properties

A

Thin walled

Under low pressure

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8
Q

Capillaries

A

Not a lot of anything (smooth muscle, elastic tissue, fibrous tissue)

Transport processes!

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9
Q

Area and Volume Contained in Systemic Blood Vessels

A

Biggest cross sectional area: capillaries
(beds not individuals)

Greatest amount of blood: veins
(stretch easily, hold a lot of blood)

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10
Q

Q=delta P/R

A

Q: flow (how much travels)

  • turbulent
  • laminar
  • velocity (how fast it travels)

delta P: change in pressure

R: resistance

  • fluid viscosity
  • vessel diameter
  • vessel length
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11
Q

v=Q/A

A

Q: flow
v: velocity
A: total cross sectional area

Tube: pi r squared

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12
Q

If flow through a tube is constant then …

A

velocity increases as total cross sectional area decreases

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13
Q

Capillaries

A

Smallest diameter (individually)

Velocity is the least

Total cross sectional area is huge (beds)

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14
Q

Laminar Flow

A

Ideal

Streamline

Concentric lamina slide past one another

Parabolic effect to flow (highest velocity at center, not much moving on ends)

Predictable

Viscous forces dominate

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15
Q

Turbulent Flow

A

Eddy currents

Noisy

Larger pressure require to maintain constant flow

Going in all different directions

Large fluctuations in velocity causing swirling effect

Inertial forces dominate

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16
Q

Reynold’s Number

A

Re=vpD/n

inertial forces: vpD
viscous forces: n

v: velocity
p: fluid density
D: tube diameter
n: viscosity

Re < 2000 –> laminar flow

Depends more on velocity than diameter

17
Q

Anemia

A

Decreased hematocrit –> decreased mass of RBCs –> decreased viscosity

Dec viscosity –> inc Re

Causes turbulent flow and functional murmurs

Also associated with inc velocity

18
Q

Thrombi

A

Blood clots in the lumen of vessels

Diameter narrows –> inc blood velocity at site –> Re inc –> turbulent flow

19
Q

Flow is directly related to pressure

A

Q=deltaP/R

Flow is dependent upon pressure difference

P1-P2 = deltaP = pressure gradient

20
Q

Flow is inversely related to resistance

A

inc resistance –> dec flow

R=deltaP/Q

21
Q

Major mechanism for changing resistance in CV system is by …

A

changing resistance of blood vessels (smooth muscles in arterioles)

22
Q

Resistance

A

Directly proportional to viscosity

Directly proportional to length

Inversely proportional to fourth power of radius !!!

23
Q

Poiseuille Equation

A

Resistance=8nL/piR^4

L: length
R: radius

24
Q

Vascular Beds: Series

A

Blood flows from one vessel to another in sequence

25
Q

Vascular Beds: Parallel

A

Blood flow is distributed simultaneously among parallel vessels

26
Q

Series Resistance

A

Sequential arrangement

  • total flow through each level of system is the same
  • pressure dec progressively

Total resistance = sum of individual resistances

27
Q

In Series

A

All tubes have the same flow in and flow out

Rin>Pout (delta P inc)

Total R has to increase

28
Q

Parallel Resistance

A

Simultaneous arrangement

  • mean pressure in each artery will be close to mean pressure in aorta
  • adding new resistance to this circuit decreases total resistance

Total resistance is less than any of the individual resistances

29
Q

In Parallel

A

Qin=Qout (Q varies in each tube)

Pin=Pout for all tubes

R varies as well

P is constant
Q and R are changing