Cardiac Physiology Flashcards

1
Q

What is cardiac output at rest?

A

5 L/min

CO=SV x HR

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2
Q

What are the two divisions of circulation?

A
  • systemic

- pulmonary

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3
Q

What is the normal stroke volume of the heart?

A

60mL per beat

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4
Q

What controls regional flow of blood?

A

Arteriole resistance, local regulation

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5
Q

What is the equation for blood flow?

A
Flow = Change in pressure/Resistance
Flow = (P1-P2)/R
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6
Q

What is laminar flow pattern?

A
  • Blood flow against wall of vessel has very low velocity

- Blood in middle of vessel has maximum velocity

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7
Q

Where in the arterioles and veins are cellular constituents of blood carried ?

A

-The middle of the vessel

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8
Q

How is turbulent flow different from laminar flow?

A
  • not physiological
  • Makes noise
  • Happens when you have obstruction in vessel or a narrowing of the vessel
  • damages endothelium
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9
Q

What is a murmer?

A

-Turbulent flow in the heart

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10
Q

What is bruit?

A

-turbulent flow in the arteries

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11
Q

What determines resistance to fluid flow in a tube (blood vessel or airway)?

A
  • Length
  • Fluid Viscosity
  • Radius of tube (only one that really changes)
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12
Q

What is systole?

A

-The stage in the cardiac cycle in which the ventricles are ejecting blood into the aorta/pulmonary artery

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13
Q

What is diastole?

A
  • Stage in cardiac cycle when R and L ventricles are filling with blood for the next contraction
  • Pressure in arterial system is lowest
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14
Q

What is the pulse pressure?

A

-The difference between systolic and diastolic pressure

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15
Q

What is the equation for mean arterial pressure?

A

MAP = diastolic pressure + 1/3 Systolic pressure

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16
Q

What is contractility?

A

The intrinsic property of the cardiac muscle that accounts for varying force of contraction, it is the net effect of many variables

17
Q

What keeps the majority of the capillary beds closed?

A

Sympathetic Tone

18
Q

What are fenestrae?

A

-Holes in capillaries that allow water, ions, glucose, and amino acids through

19
Q

What is head pressure?

A

pressure in the arterioles going into the capillary bed

20
Q

What is back pressure?

A

Pressure in the venule leaving capillary beds

21
Q

What are the three types of control in the vascular system?

A
  • Nervous control - SYMPATHETIC ONLY
  • Hormone control
  • Local control
22
Q

What are the factors that determine fluid movement through across capillary walls? (starling forces)

A
  • Water permeability (hydraulic conductance)
  • Capillary hydraulic pressure
  • Capillary osmotic pressure (Albumin)
  • Interstitial fluid pressure
  • Interstitial osmotic pressure
23
Q

What generates capillary osmotic pressure?

A

-albumin (negatively charged)

24
Q

What are the three divisions of local control of blood flow?

A
  1. autoregulation
  2. active hyperemia
  3. reactive hyperemia
25
Autoregulation
flow held constant in response to fluctuating arterial pressure
26
active hyperemia
flow increases to match metabolic activity in real time
27
reactive hyperemia
flow increases to replenish tissue metabolic requirements after the fact
28
What does angiotensin II do?
- vasoconstriction to increase total peripheral resistance - Increase aldosterone to increase Na reabsorption - increases thirst - increases Na-H exchange
29
What depolarizes the membrane potential of the SA node to reach threshold for the L-type Ca channels?
- Funny current through the HCN channel | - T-type Ca channels (voltage gated)
30
What activates the HCN channel?
- Hyperpolarization | - Increased levels of cAMP
31
What ion generates the current though gap junctions?
Potassium
32
What is inotropy?
contractility
33
What alters contractility?
factors that influence Ca flux
34
Does varying preload alter contractility?
No
35
What is ESPVR a measure of?
Contractility
36
What are 3 substances that result in local vasodilation?
- Histamine - Bradykinin - Prostaglandin-E
37
What are 3 local vasoconstrictors?
- Serotonin - Thromboxane A2 - Prostaglandin-F
38
What initiates the RAAS system?
-decreased perfusion of the kidneys