Cardiac Hemodynamics Flashcards

1
Q

BP >140/90 on 2 separate occasions

A

High BP

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2
Q

Average pressure over the entire cardiac cycle

A

Mean pressure

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3
Q

How to calculate mean pressure (MAP=)

A

MAP= [(2xdiastolic) + systolic]/3

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4
Q

The difference of pressure between two adjacent locations within the heart or vascular system

A

Pressure gradient

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5
Q

Bernoulli’s equation states what?

A

As pressure gradient increases, velocity increases

Change in pressure = 4 x Velocity^2

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6
Q

The 4 phases of the cardiac cycle

A
  1. IVCT
  2. Systole
  3. IVRT
  4. Diastole
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7
Q

The period of time between MV closure and AV opening

A

IVCT

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8
Q

How long does IVCT last?

A

30-50 ms

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9
Q

How long does ventricular systole last?

A

200-300 ms

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10
Q

The period of time after the AV has closed but before the MV opens

A

IVRT

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11
Q

How long does IVRT last?

A

50-100 ms

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12
Q

3 phases of diastole

A
  1. Early/rapid filling
  2. Diastasis
  3. Late filling/atrial kick
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13
Q

How long does early filling last?

A

150-220 ms

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14
Q

Blood ejected from the ventricles with each beat

A

Stroke volume

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15
Q

How to calculate SV from EDV and ESV

A

SV= EDV - ESV

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16
Q

Blood pumped from the ventricle in one minute

A

Cardiac output

17
Q

How to calculate CO

A

CO = SV x HR

18
Q

How to calculate stroke volume using doppler

A

SV= CSA x VTI

19
Q

What is the O2 sats in deoxygenated blood?

A

75%

20
Q

How is ischemia in the heart felt?

A

Angina pectoris

21
Q

4 factors affecting stroke volume

A
  1. Preload
  2. Afterload
  3. Inotropic force
  4. Chronotropic force
22
Q

The amount of blood volume in the ventricle at end diastole

A

Preload

23
Q

Increased preload does what to SV?

A

Increases it

24
Q

Increased afterload does what to SV and CO?

A

Decreases it

25
Q

Increased heart rate does what to SV and CO?

A

Decreases

26
Q

Inspiration does what to venous return to the RT heart?

A

Increases it

27
Q

Which phase of the cardiac cycle has ventricular pressure falling with all valves closed?

A

IVRT

28
Q

Which type of energy contributes the most to pedal edema

A

Gravitational

29
Q

Calculate MAP from these variable:
Systolic BP = 130mmHg
Diastolic BP = 90 mmHg

A

MAP = [(2x90) + 130]/3

103.33 mmHg

30
Q

The ventricles do about 70-75% of their filling during which stage of the cardiac cycle?

A

Early filling

31
Q

Which phase of the cardiac cycle happens when pressure between the atria and ventricles are almost equal?

A

Diastasis

32
Q

Which phase of the cardiac cycle is the result of atrial contraction?

A

Late filling

33
Q

What is the normal range for mean pressure in the LA

A

2-12mmHg

34
Q

Calculate SV and CO with the following values:
LVOT diameter= 20 mm
LVOT VTI = 15cm
HR = 75 BPM

A

SV = CSA x VTI
=0.785 x 2^2 x 15
=47.1

CO=SV x HR
=3.5 L/min

35
Q

A high afterload such as high BP for many years can lead to what of the LV?

A

Hypertrophy

36
Q

Which law or principle is related to the stretch of the myocardium caused by an increase in volume of blood delivered to it?

A

Frank-Starling Law

37
Q

A decrease in inotropic force would lead to an increase in EF? True or false

A

False