block b lecture 2 Flashcards

the heart contraction, receptors, and drugs (39 cards)

1
Q

5 main functions of cardiovascular system

A

-rapid transport of nutrients
-removal of waste products of metabolism
-hormonal control by transporting hormones
-temp regulation
-host defense

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2
Q

the walls of the heart are composed of cardiac muscle cells, what is this

A

myocardium

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3
Q

what is the inner surface of walls that is in contact with the blood

A

endocardium

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4
Q

what is the inner lining of the pericardium is continuous with the covering of the heart itself

A

epicardium

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5
Q

what is the fluid filled membranous sac in which the heart is located

A

pericardium

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6
Q

what are the 2 phases of the cardiac cycle

A

systole
diastole

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7
Q

what is the name of the contractile phase

A

systole

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8
Q

what is the name of the relaxation, filling phase

A

diastole

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9
Q

what are cardiac muscle cells joined together by

A

gap junctions

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10
Q

what do gap junctions allow for the spread of

A

excitation from one cell to another

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11
Q

myocardium contains specialized cells that constitute what system

A

conducting system

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12
Q

what supplies the myocardium with blood

A

coronary arteries

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13
Q

summary of events leading to cardiac contraction

A

-depolarization
-opening of voltage ca2 channels
-flow of ca2
-ca2 release
-rise in ca2 conc
-contraction

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14
Q

5 structures that are important to spread electrical activity

A

-sino-atrial node =pacemaker
-atrial myocardium
-atrioventricular node (tactical pause)
-ventricular conducting fibres (freeways)
-ventricular myocardium (surface roads)

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15
Q

what is an action potential (cardiac)

A

transient depolarisation of cell membrane

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16
Q

where does cardiac action potential occur

A

in nodal cells

17
Q

how is cardiac action potential transmitted

A

from adjacent myocytes through gap junctions

18
Q

2 cell types of the intrinsic conduction system

A

fast depolarising
slow depolarising

19
Q

what does ARP stand for

A

absolute refractory period

20
Q

what does RRP stand for

A

relative refractory period

21
Q

ARP in myocytes

22
Q

at rest what predominates (para or sympathetic)

A

parasympathetic

23
Q

what are sympathetic fibres receptors

A

noradrenaline -b1 receptors

24
Q

what do noradrenaline b1 receptors increase permeability of

A

nodal cell plasma membrane to Na and Ca2

25
what are parasympathetic fibre receptors
acetylcholine M2 receptors
26
what do acetylcholine -M2 receptors increase permeability to
K and decrease Na and Ca2
27
how do you calculate cardiac output
SV x HR
28
what is stroke volume (SV)
volume of blood pumped per contraction
29
what is end diastolic volume (EDV)
volume of blood in ventricle before contraction
30
what is the Frank Starling law of the heart
represents the relationship between stroke volume and end diastolic volume
31
names of some of the other receptors in the heart
b1 receptor, mostly muscarinic M2 b2 a1 receptors angiotensin II
32
what is arterial blood pressure given by
cardiac output (CO) x total peripheral resistance (TPR)
33
what does total peripheral vascular resistance depend on (TPR)
blood viscosity arteriolar radius
34
healthy young adult arterial bp and TPR
120/80 mmHg
35
what does noreadrenaline a1 (sympathetic nerves) do to arteriolar radius
constrict
36
what does nerves, acetylcholine, and M3 (sympathetic cholinergic) do to arteriolar radius
dilate
37
what does b2 (plasma adrenaline) do to arteriolar radius
dilate
38
what does decreased PO2 and increased PCO2, K, and adenosine do to arteriolar radius
dilate
39
intermediate reflexes of regulation of arterial blood pressure
baroreceptor reflex chemoreceptor reflexes