Cardiac Physiology Flashcards

1
Q

isovolumetric contraction

A

between mitral valve closing and aortic valve opening

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2
Q

isovolumetric relaxation

A

between aortic valve closing and mitral valve opening

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3
Q

retrograde flow

A

blood flows from aorta into ventricle at the end of reduced ejection

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4
Q

First heart sound (S1)

A

oscillation of blood and vibration in ventricles, following closure of A-V valves; lower pitched, more intense and longer than the second sound

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5
Q

Second heart sound (S2)

A

oscillation of blood in aorta and pulmonary artery, following closure of aortic and pulmonic valves

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6
Q

Third heart sound (S3)

A

early diastole; low in pitch and intensity in the normal heart; increased intensity during heart failure; vibration of blood during ventricular filling

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7
Q

Fourth heart sound (S4)

A

atrial contraction; low in intensity and pitch; sometimes heard in children bc they have thin chest wall

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8
Q

End Diastolic Volume

A

volume of blood in full ventricle; preload

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9
Q

End Systolic Volume

A

Volume of blood in ventricles at the end of systole

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10
Q

Cardiac contractility curve

A

relates ventricular volume to how much pressure the ventricles can generate; the more you stretch a ventricle, the more force it generates up to a maximum

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11
Q

Preload

A

the pressure (volume?) in the ventricles at the end of diastole

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12
Q

Afterload

A

the aortic pressure against which the ventricle has to pump (to open the aortic valve); the point at which the aortic valve opens

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13
Q

Systolic pressure

A

peak pressure in the AORTA (not the ventricle)

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14
Q

Diastolic pressure

A

minimum pressure in the AORTA (not the ventricle)

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15
Q

Peak ventricular systolic pressure

A

max pressure in the ventricle

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16
Q

End Diastolic Pressure

A

pressure in ventricle just before mitral valve closes

17
Q

Stroke Volume

A

Difference between the end diastolic volume and the end systolic volume

18
Q

Cardiac Output

A

Stroke volume x Heart rate

19
Q

What is the effect of increasing afterload?

A

decreased stroke volume

increased peak systolic pressure

decreased shortening velocity (is this contraction?)

20
Q

What is the effect of decreasing afterload?

A

increased stroke volume

decreased peak systolic pressure

21
Q

What is the effect of increasing contractility?

A

increased stroke volume

increased peak systolic pressure

22
Q

How is contractility increased?

A

increased sympathetic activity (increased Ca2+, causing ventricles to contract to a greater extent)

23
Q

Effect of decreasing contractility?

A

Decreased stroke volume

Decreased peak systolic pressure

24
Q

How is contractility decreased?

A
  1. withdrawing sympathetic activity
  2. increasing parasympathetic activity
25
Q

How does your body compensate for an increased afterload?

A

increase contractility

Increase preload (increase EDV)