7 Haemodynamics Flashcards

1
Q

What are the 2 main functions of elastic arteries?

A

dampening pulsatile pressure (Windkessel effect)

ensures blood pressure is maintained through diastole (conduit function)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the Pulse Pressure?

A

PP = SP - DP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is Mean Arterial Blood Pressure?

A

((SP - DP) / 3) + DP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Why impact does the Windkessel effect have on venous return?

A

by the time the blood reaches the heart again, it is at a minimum pressure, the central venous pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What happens to the DP with age?

Why?

A

reduced elastic recoil leads to a lower DP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What happens to SP over age?

A

ejection of same or even reduced SV leads to increased SP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What happens to Pulse Pressure with age?

A

it increases, this is called atherosclerosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What happens to vascular elastic fibres with age?

A

the degenerate and are slowly replaced by collagen which is much stiffer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the relationship between flow and pressure?

A

flow is directly proportional to a change in pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the relationship between flow and resistance?

A

flow is inversely proportional to resistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the relationship between flow, pressure, and resistance?

A

flow is equal to change in pressure over resistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is PAOD?

A

peripheral arterial occlusive disease

athersclerotic plaques in large and medium sized arteries, particularly in the lower limb

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Why do those with PAOD experience pain during exercise?

A

increases in metabolic demand can’t be met during exercise, so there is tissues ischaemia due to hypoxia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is blood flow through vasculature like normally?

A

laminar flow, there is an immobile layer of plasma coating the vascular endothelium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the features of laminar flow?

A

normal pattern of flow
highly efficient
follows poiseuille’s law

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the features of turbulent flow?

A

occurs where velocity is high
inefficient
cannot apply Poisuelles law

17
Q

How would you detect turbulent flow clinically?

A

murmurs and korotkoff sounds

18
Q

Why are korotkoff sounds important for taking blood pressure?

A

as you release pressure, you first hear korotkoff sounds at the level of systolic pressure

as the pressure is released, the flow becomes less turbulent and is laminar once diastolic pressure is reached

19
Q

What is the level of ABP determined by?

A

blood volume in the arterial system (CO)
TPR

ABP = CO x TPR

20
Q

What determines SP?

A

SV primarily
aortic/arterial distensibility
a lil bit of ejection velocity and DP of prev. beat

21
Q

What determines DP?

A

arteriolar resistance

Heart rate

22
Q

What can increase arteriolar resistance?

A

vasocontriction
arteriosclerosis
atherosclerosis

23
Q

How can HR affect DP?

A

a very high HR increases DP as there is not enough time for pressure to decrease again