cardiac output and control Flashcards
what is HR primarily determined by
autonomic influences on the SAN
what are the 2 kinds of activity to the SAN and their purpose
parasympathetic - lowers heart rate
sympathetic- increases heart rate
what is parasympathetic activity via
vagus nerve
what is sympathetic activity via
cardiac sympathetic nerves
what 2 hormones are released and by what
acetylcholine release promoted by parasympathetic
epinephrine release promoted by sympahtetic
how does parasympathetic activity decrease heart rate -4 ways
decreased rate of depolarisation in the SAN
increased AVN delay
decreased contractibility
acetylcholine secretion
how does sympathetic activity increase heart rate- 4 ways
increased rate of depolarisation in SAN
decreased AVN delay
increased contractibility
epinephrine secretion
what is EDV
end diastolic volume
blood in ventricles after diastole (maximum ventricular volume)
what is the frank starling law of the heart
a greater EDV will increase the contractile strength of the ventricles, increasing the stroke volume
what is the stroke volume
EDV-ESV
amount of blood pumped by left ventricle in one contraction
how is stroke volume intrinsically controlled
increased EDV will stretch the myocardium
sarcomeres increase in length and become more sensitive to Ca2+
stronger contraction
what is cardiac output
volume of blood pumped by a ventricle in a minute
CO = HR X SV
extrinsic control of stroke volume
sympathetic stimulation and epinephrine release increase contractibility of heart
increases affects of greater EDV even more
what are baroreceptors
mechanoreceptors in the aortic arch that sense pressure changes as tension in arterial wall
they maintain BP at a constant level
what is the haemorrhage baroreceptor reflex
- blood loss lowers BP
- baroreceptors detect drop in BP and fire APs to vasomotor centre of brain
- increase sympathetic activity, decrease in parasympathetic activity
- BP is increased to near initial value
- baroreceptor reflex shuts off if BP increased to initial value