cardiac output and control Flashcards

1
Q

what is HR primarily determined by

A

autonomic influences on the SAN

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2
Q

what are the 2 kinds of activity to the SAN and their purpose

A

parasympathetic - lowers heart rate

sympathetic- increases heart rate

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3
Q

what is parasympathetic activity via

A

vagus nerve

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4
Q

what is sympathetic activity via

A

cardiac sympathetic nerves

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5
Q

what 2 hormones are released and by what

A

acetylcholine release promoted by parasympathetic

epinephrine release promoted by sympahtetic

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6
Q

how does parasympathetic activity decrease heart rate -4 ways

A

decreased rate of depolarisation in the SAN
increased AVN delay
decreased contractibility
acetylcholine secretion

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7
Q

how does sympathetic activity increase heart rate- 4 ways

A

increased rate of depolarisation in SAN
decreased AVN delay
increased contractibility
epinephrine secretion

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8
Q

what is EDV

A

end diastolic volume

blood in ventricles after diastole (maximum ventricular volume)

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9
Q

what is the frank starling law of the heart

A

a greater EDV will increase the contractile strength of the ventricles, increasing the stroke volume

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10
Q

what is the stroke volume

A

EDV-ESV

amount of blood pumped by left ventricle in one contraction

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11
Q

how is stroke volume intrinsically controlled

A

increased EDV will stretch the myocardium
sarcomeres increase in length and become more sensitive to Ca2+
stronger contraction

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12
Q

what is cardiac output

A

volume of blood pumped by a ventricle in a minute

CO = HR X SV

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13
Q

extrinsic control of stroke volume

A

sympathetic stimulation and epinephrine release increase contractibility of heart
increases affects of greater EDV even more

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14
Q

what are baroreceptors

A

mechanoreceptors in the aortic arch that sense pressure changes as tension in arterial wall
they maintain BP at a constant level

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15
Q

what is the haemorrhage baroreceptor reflex

A
  1. blood loss lowers BP
  2. baroreceptors detect drop in BP and fire APs to vasomotor centre of brain
  3. increase sympathetic activity, decrease in parasympathetic activity
  4. BP is increased to near initial value
  5. baroreceptor reflex shuts off if BP increased to initial value
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