Cardiac Output, Blood Flow, BP #1 Flashcards

1
Q

cardiac output is

A

volume of blood pumped per minute by left or right ventricle

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2
Q

The product of what equals the cardiac output

A

stroke volume X cardiac rate

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3
Q

Pulmonary has ___ resistance, ___ pressure and ___ blood flow compared to systemic circulation

A

low, low, high

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4
Q

____ ventricle pumps the equivalent of the total blood volume each minute

A

each

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5
Q

The automatic rhythm of the haeart is a result of what?

A

HCN channels that depolarize pacemaker cells of the SA node`

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6
Q

`The total blood volume

A

5.5 Liters

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7
Q

_____ from sympathetic axons and _____ from the adrenal medulla bind to ______ receptors in the heart to stimulate the production of _______

A

norepinephrine, epinephrine, beta adrenergic receptors, cyclic AMP

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8
Q

Cyclic AMP actons on what channels to stimulate faster production of action potentials in the heart

A

Hyperpolarization cyclic nucleotide channels and calcium (DHP) channels

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9
Q

Mechanisms that increase the cardiac rate have a

A

positive chronotropic effect

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10
Q

Resting bradycardia of endurance athletes is largely due to

A

high vagus nerve activity

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11
Q

The autonomic innervation of the heart is coordinated by

A

the cardiac control center

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12
Q

The end diastolic volume is sometimes called

A

preload

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13
Q

Total peripheral resitance is sometime called

A

the afterload

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14
Q

Greater peripheral resistance leads to

A

lower stroke volume

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15
Q

Ejection fraction is typically

A

60%

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16
Q

As the ventricles fill with blood, the myocardium ____ and has what effect?

A

stretches, increases interactions between actin and myosin and increases sensitivty of RYR2 channels

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17
Q

What is anrep effect?

A

when the force of myocardial contraction gradually increases over 10-15 minutes following the initial rapid increase when ventricles are stretched

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18
Q

Frank Starling Law of the heart

A

strength of ventricular contraction varies directly with end diastolic volume

19
Q

What intrinsic mechanisms show that increase of end diastolic volume produces increase in contraction strength and stroke volume

A

Anrep effect, increased sensitivity of ryanodine RYR2 receptors, Frank Starling mechanism

20
Q

Why do veins have higher compliance than arteries?

A

They have thinner less muscular walls, so they expand more and can hold more blood

21
Q

What are capacitance vessels

A

veins

22
Q

Where is osmotic pressure greatest and where is blood pressure greatest?

A

venules, arterioles

23
Q

What is net filtration pressure?

A

the hydrostatic pressure of blood in capillaries minus the hydrostatic pressure of tissue fluid outside capillaries

24
Q

The osmotic pressure exerted by plasma proteins

A

colloid osmotic pressure

25
Q

The difference between colloid osmotic pressure of plasma and of interstitial fluid

A

oncotic pressure

26
Q

The opposing forces taht affect the distribution of flid across the capillary

A

starling forces

27
Q

Starling forces favor the filtration of fluid out the capillary at the

A

arterial end

28
Q

Where is most of the filtrate returned in the vascular system?

A

90% to blood capillaries, 10% to lymphatic

29
Q

High arterial blood pressure that causes excessive filtration leads to

A

edema

30
Q

proteins in the urine indicate

A

kidney disease

31
Q

worms in lymphatic drainage

A

elephantiasis

32
Q

Sucking insects that spread parasitic nematode worm

A

filariasis

33
Q

What hormones have the greatest effect on BP

A

ADH and aldosterone

34
Q

Dilution of the blood ____ the release of ADH

A

inhibits

35
Q

salt retaining hormone

A

aldosterone

36
Q

Difference between adh and aldosterone

A

aldosterone promotes the reabsorption of salt and water but adh promotes only water reabsorption

37
Q

What secretes the enzyme renin

A

juxtaglomerular apparatus

38
Q

How does angiotension 2 promote a rise in blood volume

A

stimulating the thirst center and the adrenal cortex to secrete aldosterone

39
Q

Drugs that prevent the conversion of angiotension 1 to 2

A

angiotension converting enzyme inhibitors

40
Q

inhibits the binding of angiotension 2 to its receoptors

A

angiotension receptor blockers

41
Q

What does the brain rely on to maintain the constancy of blood flow

A

intrinsic myogenic regulation

42
Q

When metabolic product accumulate in an area and then cause vasodilation

A

reactive hyperemia

43
Q

Chest pain caused by sudden and severe spasm of coronary artery that obstructs blood flow

A

variant angina (prinzmetal’s)