Cardiac output regulation Flashcards
What controls the cardiac output
Venous return
EX. venous return increases, what will happen to cardiac output
As venous return increases, cardiac output to the systemic circulation will increase
EX. venous return increases, what will happen to cardiac output
As venous return increases, cardiac output to the systemic circulation will increase
Increase in venous output will also distend the
Sinus nose
If sinus node is distended, by how much will the heart rate increase
10-15%
Venous return equation
VR = (Venous pressure - Right atrial pressure) / Venous resistance
Decrease in right atrial pressure will lead to
An increase in venous output
Increase in RA pressure effects on CO (Cardiac Output), VR (Venous return) and HR (Heart rate)
Decreased venous return
Decreased cardiac output
Decreased heart rate
Normal values of venous return
5L
Cardiac index during childhood and rest of life
Increases during childhood and decreases during adulthood
Will an increase in venous return result in a better emptying of excess blood
Yes
When does the heart become a limiting factor
When venous return»_space; pumping capacity
Heart rate when breathing in
Increases due to increased pressure in right atrium
What occurs with postload in hypoeffective heart
Increases –> high blood pressure
In volume-pressure diagram, Point 1 equals to
Closing of mitral valve
Phase B equals to
Isovolumetric contraction as ventricle contracts but aortic valve not opened since P of ventricle is not yet greater than P aorta
Point 2
Aortic valve opens
Phase C
Decrease in ventricular volume as blood is ejected, pressure in left ventricle decreases
Point 3
Aortic valve closed as Aortic pressure > ventricle pressure
Phase D
Isovolumetric relaxation since aortic valve closed and there is no change in volume
Point 4
Mitral valve opens because Pressure of right atria > pressure of right ventricle
Phase A
blood flow from atrium to ventricle
Ventricle volume increases with slight increase in left ventricular pressure
If preload increases where will the square shift
Right as there is more volume
If preload increases where will the square shift
Right as there is more volume
If contractility increases where will a shift occur
Left and up as pressure increases